Izlaganje sa skupa
LOCAL CRYOTHERAPY, COMPARISON OF COLD AIR AND ICE MASSAGE ON PAIN AND HANDGRIP STRENGTH IN PATIENTS WITH RHEUMATOID ARTHRITIS
Nadica Laktašić Žerjavić
orcid.org/0000-0003-1279-3928
; University of Zagreb, School of Medicine, Zagreb, Croatia ; Department of Rheumatology and Rehabilitation, University Hospital Centre Zagreb, Zagreb, Croatia
Emina Hrkić
; University of Zagreb, School of Medicine, Zagreb, Croatia
Iva Žagar
; University of Zagreb, School of Medicine, Zagreb, Croatia
Valentina Delimar
; Department of Rheumatology and Rehabilitation, University Hospital Centre Zagreb, Zagreb, Croatia ; Special Hospital for Medical Rehabilitation Krapinske Toplice, Krapinske Toplice, Croatia
Kristina Kovač Durmiš
; University of Zagreb, School of Medicine, Zagreb, Croatia ; Department of Rheumatology and Rehabilitation, University Hospital Centre Zagreb, Zagreb, Croatia
Sanda Špoljarić Carević
; Special Hospital for Medical Rehabilitation Naftalan, Ivanić Grad, Croatia
Marta Vukorepa
; 5Special Hospital for Medical Rehabilitation Varaždinske Toplice,Varaždinske Toplice, Croatia
Andreja Matijević
; Department of Rheumatology and Rehabilitation, University Hospital Centre Zagreb, Zagreb, Croatia
Nikolino Žura
; Department of Rheumatology and Rehabilitation, University Hospital Centre Zagreb, Zagreb, Croatia
Porin Perić
; University of Zagreb, School of Medicine, Zagreb, Croatia ; Department of Rheumatology and Rehabilitation, University Hospital Centre Zagreb, Zagreb, Croatia
Sažetak
Background: The main benefits of cryotherapy in rheumatoid arthritis (RA) are in reducing inflammation and swelling and in
relieving joint pain. This study aimed to compare the short-term effects of cold air therapy vs. ice massage, on pain and handgrip
strength (HGS) in patients with RA.
Subjects and methods: The study is a non-randomized clinical trial. Patients were recruited if they had disease activity score
ts.
There was no statistically significant difference in DAS28 score between groups. The first group received cold air therapy at -30 °C
and the second ice massage of the hands. The pain (visual analogue scale, 0-10), and HGS (kg) were measured immediately prior
and after cryotherapy, and 30 and 60 minutes after cryotherapy. Descriptive statistics, Independent Samples T-test, and Paired
Samples T-test were used for statistical analysis.
Results: Pain intensities for cold air therapy were as follows: 5.33 (±2.44), 3.13 (±2.67), 2.87 (±2.56), 2.80 (±2.73), and for ice
massage were: 5.20 (±2.37), 2.87 (±2.42), 2.60 (±2.23), 2.67 (±2.28). In both groups pain was significantly lower immediately after,
30 and 60 minutes after the treatment compared to the baseline (p=0.001). There was no significant difference in pain alleviation
between the groups regarding the used method of cryotherapy on all three measured time points. Nonsignificant improvement in
HGS occurred after both methods of cryotherapy. There was no significant correlation between pain intensity and HGS.
Conclusions: A single application of cold air therapy and ice massage equally provides immediate and significant pain
alleviation in patients with active RA, which is maintained for one hour. There is scientific evidence that HGS is influenced greatly
by the disease activity. A single application of cryotherapy could not reduce disease activity explaining recorded nonsignificant
effect on HGS.
Ključne riječi
rheumatoid arthritis; cryotherapy; pain; handgrip strength
Hrčak ID:
271900
URI
Datum izdavanja:
19.10.2021.
Posjeta: 620 *