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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(4):683-689.
The Effect of Therapeutic Cold on the Recovery Process after Muscle Strain Injury.
Chung, Sun Gun , Jeon, Jae Yong , Kim, Beom Joon
1Department of Rehabilitation Medicine, Seoul National University College of Medicine.
2Department of Rehabilitation Medicine, National Rehabilitation Hospital.
신장성 근육 손상후 회복과정에 미치는 한랭 치료의 효과
정선근, 전재용, 김범준1
서울대학교 의과대학 재활의학교실, 1국립재활원 재활의학과
Abstract

Objective
The objective of this study is to evaluate the effect of therapeutic cold on the recovery process after an incomplete muscle strain injury.


Method
We made incomplete muscle strain injuries with the predefined extent. Unilateral tibialis anterior (TA) tendons were detached at their distal insertions and stretched beyond the complete rupture points. The incomplete strain injury point was identified on the deformation- tension curve. We strained each TA of 18 rabbits to 20% deformation point and held for 2 seconds. After injury, we applied ice packs for 5 minutes on unilateral TA. Histologic findings were examined at 1, 2 days, 2, 4, 5 weeks.


Results
Incomplete strain injuries were occurred at 19.36⁑4.02% deformation. In the acute phase, cold applied TA showed fewer (15.4⁑4.2) inflammatory cells infiltration than control TA (21.8⁑5.3) at LPF (×40). But, there was no significant difference between cold applied TA and control in the recovery phase.


Conclusion
It is possible to develop certain amount of incomplete muscle strain injuries. The results of this study suggest that the cold therapy may reduce the inflammatory reaction in the acute phase of muscle strain injury. The findings provide no significant support for the positive or negative effect of cold therapy on incomplete strain injury.

Key Words: Muscle strain injury, Cold therapy, Recovery


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