ORIGINAL PAPER
Effect on dynamic postural stability after cold therapy application
to the knee joint: a pilot randomized controlled trial
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1
Tripura Institute of Paramedical Sciences, Hapania, Amtali, Tripura, India
2
Department of Pediatric and Neonatal Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy
and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Haryana, India
Submission date: 2020-03-31
Acceptance date: 2020-05-12
Publication date: 2021-08-20
Physiother Quart. 2021;29(3):19-23
KEYWORDS
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ABSTRACT
Introduction:
In addition to the merits of cold therapy in the management of soft tissue injuries, it decreases dynamic stability. Controversies exist regarding this statement. Thus, the aim of the study was to find the effect on postural stability after the application of cold therapy to knee joint.
Methods:
Overall, 24 individuals aged 18–25 years participated in this pilot study. They were randomly divided into 2 groups, experimental and control group. Each participant in the experimental group was asked to perform the Star Excursion Balance Test (SEBT) under 2 conditions, before and after the application of cold therapy. The subjects received ice pack wrapping of the knee for 10 minutes. The control group performed SEBT at room temperature with an interval of 10 minutes. The 2 groups were analysed and compared.
Results:
The demographic characteristics of the participants recruited were as follows: age: 21 (20.2–21.9) years, height: 166.3 (162.9–169.7) cm, weight: 61.2 (56.7–65.7) kg, and BMI: 22.06 (20.7–23.4) kg/cm2. There was no significant difference (p ≥ 0.05) between SEBT scores between the experimental group and the control group.
Conclusions:
Cold therapy did not have any influence on dynamic postural stability among college students if applied over the knee joint for 10 minutes.
REFERENCES (14)
1.
Fullam K, Caulfield B, Coughlan GF, McGroarty M, Delahunt E. Dynamic postural-stability deficits after cryotherapy to the ankle joint. J Athl Train. 2015;50(9):893–904; doi: 10.4085/1062-6050-50.7.07.
2.
Douglas M, Bivens S, Pesterfield J, Clemson N, Castle W, Sole G, et al. Immediate effects of cryotherapy on static and dynamic balance. Int J Sports Phys Ther. 2013;8(1):9–14.
3.
Furmanek MP, Słomka K, Juras G. The effects of cryotherapy on proprioception system. Biomed Res Int. 2014;2014:696397; doi: 10.1155/2014/696397.
4.
Ageberg E, Roberts D, Holmström E, Fridén T. Balance in single-limb stance in healthy subjects – reliability of testing procedure and the effect of short-duration sub-maximal cycling. BMC Musculoskelet Disord. 2003;4:14; doi: 10.1186/1471-2474-4-14.
5.
Delahunt E, Chawke M, Kelleher J, Murphy K, Prendiville A, Sweeny L, et al. Lower limb kinematics and dynamic postural stability in anterior cruciate ligament-reconstructed female athletes. J Athl Train. 2013;48(2):172–185; doi: 10.4085/1062-6050-48.2.05.
6.
Hart JM, Kuenze CM, Diduch DR, Ingersoll CD. Quadriceps muscle function after rehabilitation with cryotherapy in patients with anterior cruciate ligament reconstruction. J Athl Train. 2014;49(6):733–739; doi: 10.4085/1062-6050-49.3.39.
7.
Robinson RH, Gribble PA. Support for a reduction in the number of trials needed for the star excursion balance test. Arch Phys Med Rehabil. 2008;89(2):364–370; doi: 10.1016/j.apmr.2007.08.139.
8.
Julious SA. Sample size of 12 per group rule of thumb for a pilot study. Pharm Stat. 2005;4(4):287–291; doi: 10.1002/pst.185.
9.
Marfo P, Okyere GA. The accuracy of effect-size estimates under normals and contaminated normals in meta-analysis. Heliyon. 2019;5(6):e01838; doi: 10.1016/j.heliyon.2019.e01838.
10.
Cohen J. A power primer. Psychol Bull. 1992;112(1):155–159; doi: 10.1037/0033-2909.112.1.155.
11.
Portney LG, Gross KD. Measurement revisited: reliability and validity statistics. In: Portney LG (ed.), Foundaitons of clinical research: applications to evidence-based practice, 4th ed. Philadelphia: FA Davis Company; 2020; 486–508.
12.
Peacock JL, Kerry SM, Balise RR. Writing a research protocol. In: Peacock JL, Kerry SM, Balise RR (eds.), Presenting medical statistics from proposal to publication, 2nd ed. Oxford: Oxford University Press; 2017; 22–38.
13.
Faul F, Erdfelder E, Lang A-G, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–191; doi: 10.3758/BF03193146.
14.
Hyong IH, Kim JH. Test of intrarater and interrater reliability for the Star Excursion Balance Test. J Phys Ther Sci. 2014;26(8):1139–1141; doi: 10.1589/jpts.26.1139.