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What began as ICE (Ice, Compression and Elevation) became RICE (Rest, Ice, Compr

ID: 3483661 • Letter: W

Question

What began as ICE (Ice, Compression and Elevation) became RICE (Rest, Ice, Compression and Elevation) and then PRICE (Protection, Rest, Ice, Compression and Elevation) and is currently the most commonly used guide for the immediate management of acute soft tissue injuries in sport. Cold therapy has remained central and the use of ice packs and other forms of cryotherapy is widespread. Discuss the extent to which the acute use of cryotherapy is evidence-based, and give examples of situations when its use may or may not be justified.

Explanation / Answer

Nowadays, whole-body cryotherapy a medical physical treatment which is widely used in sports medicine. Recovery from injuries (like, trauma, overuse) and after-season recovery are main purposes for the application. However, most recent studies confirmed anti-inflammatory, anti-analgesic, and anti-oxidant effects of the therapy by highlighting underlying physiological responses. In a the addition to its therapeutic effects, the whole-body cryotherapy demonstrate as be a preventive strategy against deleterious effects of exercise-induced inflammation and the soreness. Novel findings have stressed importance of the fat mass on the cooling effectiveness and of starting the fitness level on final result. Exposure to cryotherapy somehow mimics the exercise, since it affects myokines expression inthe exercise-like fashion, and thus opening the another possible window on therapeutic strategies for the metabolic diseases such as the obesity and type 2 diabetes. From a biochemical point of view, the whole-body cryotherapy not always induces the appreciable modifications, but final clinical output (in terms of the pain, soreness, stress, and the post-exercise recovery) is very often improved compared to either starting condition or untreated matched group. Also, number and frequency of the sessions that should be applied in order to obtain best therapeutic results are deeply investigated in last years.

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