Tag: krioterapia ogólnoustrojowa

Comparison of effectivnes local and whole body cryotherapy in chronic pain

Elżbieta Miller

Elżbieta Miller – Comparison of effectivnes local and whole body cryotherapy in chronic pain. Fizjoterapia Polska 2006; 6(1); 27-31

Abstract

Background. The purpose of this articele was comparison effectiveness of analgesic local and whole body cryotherapy in the case of chronic pain – difficult interdisciplinary problem.
Material and methods. The research involved 16 patients with chronic pain last 2 years and connected with degeneration changes. The studied groups differd in form of cryotherapy, both had kinezytherapeuthic treatment in the same range. The results were obtained by McGill questionnaire which rely on score in intensity of pain scale (0-10) and functional pain estimate (choosen basic life functions) in scale (1-4). The patients were tested three times: once before treatment, after the end of 20 sessions and again 2 weeks after the end of first procedure. Results and Conclusions. Whole body cryotherapy is more effective in chronic pain. However the study confirmed decreased of pain both in group treated by local and whole body cryotherapy.

Key words:
chronic pain, local cryotherapy, whole body cryotherapy
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Effect of systemic cryotherapy on serum antioxidant status in patients with rheumatoid arthritis

Zbigniew Kopański, Mariola Grabowska, Jan Tabak, Bożena Witkowska

Zbigniew Kopański, Mariola Grabowska, Jan Tabak, Bożena Witkowska – Effect of systemic cryotherapy on serum antioxidant status in patients with rheumatoid arthritis. Fizjoterapia Polska 2006; 6(4); 334-338

Abstract
Background. Determination of total serum antioxidant status (TSAS) in patients with rheumatoid arthritis (RA) and determination of the effect of systemic cryotherapy on the systemic serum antioxidant pool in these patients. Material and methods. The prospective study included 130 patients (35 men and 95 women) aged 31 to 68 years, receiving treatment for RA. All patients underwent systemic cryotherapy. TSAS was determined at baseline and after completion of the cryogenic therapy (within one hour after the end of the last of a series of 10 cryogenic procedures — C1 follow-up, and 14 days after the end of the treatment — C2 follow-up). Results. There was wide variation in TSAS in the study population at baseline, from values well below reference values to values within the reference range. The patients were accordingly divided into two arms: one including patients (13.8% of the total) with TSAS values within the reference range (GB1), and one comprising patients (86.2% of the total) with TSAS values below the lower reference limit (GB2). The cryogenic therapy did not effect statistically significant changes in average TSAS values in GB1, whereas a statistically significant increase in average TSAS was seen in GB2 at C1 (immediately following completion of 10 cryotherapy procedures). 14 days later the average pool of serum antioxidants still remained at a high level, comparable with the values determined at C1. Conclusions. The cryogenic therapy increased TSAS in the vast majority of the patients. Substantial changes was characteristically observed in the patients with baseline TSAS below the lower reference limit.

Słowa kluczowe:
systemic cryotherapy, serum antioxidants, rheumatoid arthritis

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Evaluation of the effect of whole-body cryotherapy on the circulatory system in patients with ankylosing spondylitis by analysis of duration and QT interval dispersion

Leszek Jagodziński, Agata Stanek, Joanna Gmyrek, Grzegorz Cieślar, Andrzej Sielańczyk, Aleksander Sieroń

Leszek Jagodziński, Agata Stanek, Joanna Gmyrek, Grzegorz Cieślar, Andrzej Sielańczyk, Aleksander Sieroń – Evaluation of the effect of whole-body cryotherapy on the circulatory system in patients with ankylosing spondylitis by analysis of duration and QT interval dispersion. Fizjoterapia Polska 2007; 7(3); 362-369

Abstract
Background. The aim of this study was to estimate the influence of whole-body cryotherapy on some selected parameters of the circulatory system. Material and methods. The investigation involved 7 male patients with ankylosing spondylitis. They were exposed to a cycle of 10 everyday 2 minute-lasting procedures of whole-body cryotherapy at a temperature of -130°C which was followed by subsequent kinesitherapy. Patients treated with drugs influencing the circulatory system and suffering from circulation and hormonal system disorders were excluded. During the day preceding the beginning of cryotherapy procedures and once more, after finishing whole-body cryotherapy cycle, echocardiography with calculation of left ventricle ejection fraction (LVET), record and analysis of heart rate variability (HRV), late ventricular potentials and QT dispersion were made. Results. No significant differences between ejection fraction, late ventricular potentials, QT dispersion values before and after the end of cryotherapy cycle were found. Whole-body cryotherapy evoked increase in total heart rate variability, which was statistically significant for most of the parameters in time analysis. Spectrum analysis showed statistically insignificant increase in spectrum power in the full range of analyzed frequencies. Conclusions. Long-lasting whole-body cryotherapy does not influence ejection fraction, late ventricular potentials and QT dispersion in patients without significant pathology of circulation. Cryogenic temperatures applied on the whole-body exerts beneficial influence of whole-body cryotherapy on adaptive processes of vegetative nervous system.
Key words:
whole-body cryotherapy, circulation system, ejection fraction, heart rate variability, late ventricular potentials, QT dispersion
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Body temperature variability in thermal examinations under the influence of whole body cryotherapy (WBC) in patients with spinal pain

Anna Skrzek, Joanna Anwajler, Krzysztof Dudek, Agnieszka Dębiec-Bąk, Urszula Pilch

Anna Skrzek, Joanna Anwajler, Krzysztof Dudek, Agnieszka Dębiec-Bąk, Urszula Pilch – Body temperature variability in thermal examinations under the influence of whole body cryotherapy (WBC) in patients with spinal pain. Fizjoterapia Polska 2007; 7(3); 308-319

Abstract
Background. Extremely low temperatures, due to physiologically beneficial body reactions, are used as a form of treatment, combined with kinesitherapy in many disorders and dysfunctions, connected with painful ailments. The effects of cryotherapy have been so far investigated using various methods including the thermal one. The objective of the paper was to analyze the temperature layout in various parts of the body and temperature changes under the influence of systemic cryotherapy among patients with spinal pain. The objective of the undertaken observation was also to compare temperature variability in an investigated group of healthy people. Material and methods. The research was conducted on 33 people, divided into two groups. The first group consisted of patients with spine ailments of various aetiology (degenerative changes, discopathy) at the age of 54 years on average. The second group consisted of healthy people at the age of 33 years on average. All of them underwent whole-body cryostimulation treatment in Cryotherapy Laboratory at the University of Physical Education in Wroclaw. The temperature of the whole body was recorded in all participants by a thermal video camera, type Thermo Vision A2OM before, soon after and 40 minutes after cryostimulation. Thermograms illustrated thermal maps of 29 selected parts of the body. Results and Conclusions. Thermal examinations demonstrated significant temperature changes during three successive examinations with great diversity depending on a part of the body. The differences in temperature changes in parts morbidly affected became apparent only after cryostimulation. Systemic cryotherapy caused significant pain relief in patients suffering from such painful spine ailments.
Słowa kluczowe
thermal examinations, systemic cryotherapy, spine disorders
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The assessment of the analgesic action of whole-body cryotherapy in patients with ankylosing spondylitis

Agata Stanek, Armand Cholewka, Grzegorz Cieślar, Irena Rosmus-Kuczia, Zofia Drzazga, Aleksander Sieroń

Agata Stanek, Armand Cholewka, Grzegorz Cieślar, Irena Rosmus-Kuczia, Zofia Drzazga, Aleksander Sieroń – The assessment of the analgesic action of whole -body cryotherapy in patients with ankylosing spondylitis. Fizjoterapia Polska 2011; 11(1); 49-55

Abstract
Currently, one of the therapeutic methods of physical medicine applied in physiotherapeutic treatment of patients with ankylosing spondylitis is the whole-body cryotherapy – the short appliance of temperatures lower than -100°C in order to trigger physical reactions in response to cold as an adjunctive method in better preparation of patients for kinesiotherapy. The aim of the study was to assess the analgesic effect of the whole-body cryotherapy in patients with ankylosing spondylitis.32 males with ankylosing spondylitis were subjected to the trial, who were divided randomly into two 16-person groups, which did not different significantly with regard to age, duration and severity of the disease. The groups underwent ten whole-body cryotherapy with subsequent kinesiotherapy procedures or only 10 kinesiotherapy procedures, respectively. On the first day before the treatment cycle beginning and the first day after treatment completion the patients assess the pain intensity by means of 10-point visual analogue scale (WAS).In patients with ankylosing spondylitis after the completion of a cycle of whole-body cryotherapy procedures the significant reduction of pain intensity amounted to 46% in average (p<0,05) was observed.Whole-body cryotherapy procedures demonstrate a significant analgesic effect in patients with ankylosing spondylitis.
Key words:
ankylosing spondylitis, whole-body cryotherapy, analgesic effect
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Effect of whole-body cryotherapy on proteinogram in patients with ankylosing spondylitis

Agata Stanek, Armand Cholewka, Katarzyna Wencel, Grzegorz Cieślar, Jolanta Gaduła, Janusz Szczypior, Karolina Sieroń-Stołtny, Zofia Drzazga, Aleksander Sieroń

Agata Stanek, Armand Cholewka, Katarzyna Wencel, Grzegorz Cieślar, Jolanta Gaduła, Janusz Szczypior, Karolina Sieroń-Stołtny, Zofia Drzazga, Aleksander Sieroń – Effect of whole-body cryotherapy on proteinogram in patients with ankylosing spondylitis. Fizjoterapia Polska 2011; 11(2); 115-122

Abstract
Whole-body cryotherapy with subsequent kinesiotherapy evokes positive anti-inflammatory effects in case of patients with locomotor system inflammatory disorders, however, the mechanism of this effect has not been satisfactorily explained so far. One of the essential laboratory indicators of the inflammatory process activity is distribution of serum protein fractions. The aim of the study was to determine the effect of whole-body cryotherapy on proteinogram parameters in the patients with ankylosing spondylitis.32 males with ankylosing spondylitis participated in the trial. The subjects were randomly divided into two groups of 16 persons who did not significantly differ with regard to age, duration and severity of the disease. Both groups underwent ten whole-body cryotherapy procedures with subsequent kinesitherapy or only 10 kinesitherapy procedures. On the first day before the beginning of the treatment cycle and on the first day after treatment completion blood samples were collected from the patients in order to determine the total protein concentrations and the share of particular serum protein fractions.On completion of the whole-body cryotherapy treatment cycle a statistically significant increase in alpha2-globulins share and a decrease in beta1-globulins share in serum proteinogram were observed in patients with ankylosing spondylitis.In patients with ankylosing spndylitis whole-body cryotherapy treatment corrects proteinograms in a different way than kinesitherapy does. The changes in the share of particular proteinogram fractions in patients subjected to cryotherapy are most probably related to the anti-inflammatory and anti-oxidative effects of cryogenic temperatures.
Key words:
ankylosing spondylitis, whole-body cryotherapy, proteinogram
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Influence of whole-body cryotherapy on hemodynamic parameters in patients with motor organs disease

Alicja Wołyńska-Ślężyńska, Jarosław Pasek, Sebastian Szajkowski, Tomasz Pasek, Jan Ślężyński, Aleksander Sieroń

Alicja Wołyńska-Ślężyńska, Jarosław Pasek, Sebastian Szajkowski, Tomasz Pasek, Jan Ślężyński, Aleksander Sieroń – Influence of whole-body cryotherapy on hemodynamic parameters in patients with motor organs disease. Fizjoterapia Polska 2012; 12(2); 113-118

Abstract
Background. Whole-body cryotherapy is a physical method that is increasingly being employed in rehabilitation. The procedure consists in stimulating the body with temperatures below -100ºC. The most common applications of cryotherapy is in the treatment of diseases or injuries of the locomotor system. Material and methods. The study comprised 222 patients: 114 females (51.3%) and 108 males (48.6%) selected to the study group, diagnosed with discopathy (107 persons; 48.1%), lumbalgia at L5-S1 (57 persons; 25.6%), and spinal column degeneration (58 persons; 26.1%). The patients underwent series of 10 whole-body cryotherapy procedures, the sessions, each lasting 1-3 minutes, were conducted every day for 10 days. Changes in the body surface temperature (before therapy and after its completion) were recorded and analyzed, in addition pulse, and arterial blood pressure after 1, 5 and 10 procedures, with respect to diagnosed disease and the patient’s gender were also analyzed. Results. Whole-body cryotherapy procedures caused significant reduction in body temperature (p<0.01). Evaluation of pulse and arterial blood pressure parameters showed that the group of patients with discopathy as well as spinal pain syndrome registered the highest changes in pulse rate value (p<0.01). Higher pulse rate fluctuations were observed in women. Results on arterial blood pressure values revealed a statistically significant increase in systolic blood pressure parameters only (p<0.01).Conclusion. Whole-body cryotherapy lead to significant drop in body surface temperature and increased pulse rate and systolic blood pressure.
Key words:
whole-body cryotherapy, treatment, Physical Medicine, motor organs disease
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The influence of cryogenic temperatures on the functional status of patients with lumbar spine pain syndrome

Ewa Demczuk-Włodarczyk, Beata Kurant, Marta Kopa-Szocińska, Zofia Śliwińska, Julita Juszyńska, Zbigniew Śliwiński

E. Demczuk-Włodarczyk, B. Kurant, M. Kopa-Szocińska, Z. Śliwińska, J. Juszyńska, Z. Śliwiński – The influence of cryogenic temperatures on the functional status of patients with lumbar spine pain syndrome. FP 2014; 14(3); 36-55

Abstract

Cryotherapy is one of the modern therapeutic methods in physiotherapy, in which the impact of cryogenic temperatures (-110ºC to -160ºC) on the human body is used.
Aim of the study.
The aim of this study is to evaluate the effect of cryogenic temperatures on the functional status of patients with lumbar spine pain syndrome.
Material and methods.
The study involved 40 patients with lumbar spine pain syndrome: 24 women and 16 men, from 35 to 55 years old. The patients were divided into two groups. There were patients who underwent systemic cryotherapy and 30-minute analytical kinesitherapy (study group) and patients who underwent only kinesitherapy (control group). The therapy lasted for 10 days. In the study, subjective methods (assessment of intensity of the experienced pain according to VAS scale, assessment of muscle strength according to Lovett scale) and objective methods (measuring the range of lumbar spine flexion – Schober’s test, measuring lumbar spine rotation) were used.

Key words:
systemic cryotherapy, lumbar spine pain syndrome

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