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Muscle Reaction Time During a Simulated Lateral Ankle Sprain After Wet-Ice Application or Cold-Water Immersion

Thain PK, Bleakley CM, Mitchell AC

Journal of athletic training · 9 citas

Etiquetas de revisión

Financiación no declarada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2015-06-11 · J Athl Train · vol. 50 · número 7 · págs. 697–703
Editorial
National Athletic Trainers' Association
Citado
23 citas · más que el 73% de estudios similares · 1.0× el promedio de su campo
Referencias
66 trabajos
Acceso
Acceso abierto (copia en repositorio)
Áreas de investigación
Sports injuries and prevention · Exercise and Physiological Responses · Winter Sports Injuries and Performance
Palabras clave
Peroneus longus, Cryotherapy, Medicine, Ankle, Ankle sprain, Tibialis anterior muscle, Physical medicine and rehabilitation, Physical therapy, Surgery, Anatomy, Skeletal muscle
MeSH
foot, muscle, skeletal, ankle joint, humans, joint instability, ankle injuries, water, cryotherapy, reaction time, ice, movement, adolescent, adult, female, male, young adult, athletes

3 autores

  • Peter K. Thain🇬🇧University of Hertfordshire
  • Chris Bleakley🇬🇧University of Ulster
  • Andrew Mitchell🇬🇧University of Bedfordshire

Resumen

El texto original del estudio, en el idioma en que se publicó.

Context

Cryotherapy is used widely in sport and exercise medicine to manage acute injuries and facilitate rehabilitation. The analgesic effects of cryotherapy are well established; however, a potential caveat is that cooling tissue negatively affects neuromuscular control through delayed muscle reaction time. This topic is important to investigate because athletes often return to exercise, rehabilitation, or competitive activity immediately or shortly after cryotherapy.

Objective

To compare the effects of wet-ice application, cold-water immersion, and an untreated control condition on peroneus longus and tibialis anterior muscle reaction time during a simulated lateral ankle sprain.

Design

Randomized controlled clinical trial.

Setting

University of Hertfordshire human performance laboratory.

Patients or other participants

A total of 54 physically active individuals (age = 20.1 ± 1.5 years, height = 1.7 ± 0.07 m, mass = 66.7 ± 5.4 kg) who had no injury or history of ankle sprain.

Intervention(s)

Wet-ice application, cold-water immersion, or an untreated control condition applied to the ankle for 10 minutes.

Main outcome measure(s)

Muscle reaction time and muscle amplitude of the peroneus longus and tibialis anterior in response to a simulated lateral ankle sprain were calculated. The ankle-sprain simulation incorporated a combined inversion and plantar-flexion movement.

Results

We observed no change in muscle reaction time or muscle amplitude after cryotherapy for either the peroneus longus or tibialis anterior (P > .05).

Conclusions

Ten minutes of joint cooling did not adversely affect muscle reaction time or muscle amplitude in response to a simulated lateral ankle sprain. These findings suggested that athletes can safely return to sporting activity immediately after icing. Further evidence showed that ice can be applied before ankle rehabilitation without adversely affecting dynamic neuromuscular control. Investigation in patients with acute ankle sprains is warranted to assess the clinical applicability of these interventions.

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