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Does ice immersion influence ankle joint position sense?

D Hopper1, D Whittington, J Davies

  • 1School of Physiotherapy, Curtin University of Technology, Shenton Park, Australia. d.hopper@info.curtin.edu.au

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy
|January 1, 1997
PubMed
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Fifteen minutes of ice immersion did not significantly impair ankle joint position sense in healthy individuals. Patients can resume exercise post-cryotherapy without increased injury risk, assuming normal joint integrity.

Area of Science:

  • Sports Medicine
  • Physiology
  • Rehabilitation Science

Background:

  • Cryotherapy is commonly used in sports medicine for injury management.
  • The effect of ice immersion on proprioception, specifically ankle joint position sense, requires further investigation.
  • Understanding the impact of cryotherapy on neuromuscular control is crucial for safe return to play protocols.

Purpose of the Study:

  • To evaluate the influence of a 15-minute ice immersion treatment on ankle joint position sense.
  • To determine the effect on proprioception at 40% and 80% of inversion range.
  • To assess the duration of treatment effects by monitoring skin rewarming post-immersion.

Main Methods:

  • Forty-nine healthy volunteers (17-28 years) without prior ankle injuries participated.

Related Experiment Videos

  • Ankle skin temperature was measured using a thermocouple during and after ice immersion.
  • Ankle joint position sense was assessed using a pedal goniometer before and after cryotherapy.

    • Main Results:

    • A statistically significant, though clinically minor (0.5 degree), difference in ankle joint position sense was observed post-ice immersion (p < 0.0499).
    • No significant difference in joint position sense was found between 40% and 80% inversion ranges.
    • Skin temperature decreased significantly during immersion, with slow rewarming over 30 minutes, not returning to baseline.

    Conclusions:

    • A 15-minute ice immersion treatment does not appear to be detrimental to ankle joint position sense in healthy individuals.
    • Cryotherapy application is unlikely to increase injury risk for patients with normal joint integrity.
    • Patients may safely resume exercise following cryotherapy without compromising joint position sense.