Current Issue
Volume: 38
Number: 4
Index: December 2010
Clinical Focus:Respiratory Care
Editorial Calendar
December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
    • Vocal cord dysfunction
    • Exercise-induced asthma
    • Exercise-induced bronchospasm
  • COPD
    • Obesity and COPD
    • Relationship between COPD and nutrition intake
  • Treatment options for steroid-induced osteoporosis in men
  • Treatments for asthma
    • Bronchodilators, anticholinergics
    • Corticosteroids
    • Metered-dose vs other types of inhalers
  • Respiratory infections in winter sports athletes
  • Asthma in elite athletes
  • Pulmonary rehabilitation and physical activity
  • Fitness and long-term oxygen therapy/lung transplantation
  • Airflow function and the metabolic syndrome
View More
Submission deadline: November 05
Fast-Track deadline: November 15
Fast-Track peer review is available for those papers requiring immediate review (for an additional fee). Complete peer review is finalized in 1-2 weeks and comments are provided to the author within 72 hours of their receipt by the editorial office. Authors are asked to submit a revised manuscript within 10-12 days. Accepted manuscripts are processed within 2-3 weeks, published online within 3 business days of final author approval, and in print in the next available issue.
Submit your FAST-TRACK manuscript online today. It's fast, it's easy! Just follow the detailed instructions, fill in all the required fields, and upload your manuscript.
Get started NOW!
[email protected]

[email protected]

[email protected]

[email protected]

Document Delivery Services

[email protected]

[email protected] [email protected]

[email protected]

Managing Director:
John Elduff
Phone: 610-889-3732
Fax: 1-866-297-3168
[email protected]

General Information
Phone: 610-889-3730
Fax: 1-866-297-3168
1235 Westlakes Drive
Suite 320
Berwyn, PA 19312
doi: 10.3810/psm.2010.10.1806
The Physician and Sportsmedicine: Volume 38: No.3
Cryotherapy to Treat Persistent Muscle Weakness After Joint Injury
Christopher Kuenze, MA, ATC And Joseph M. Hart, PhD, ATC
Abstract: Cryotherapy is a widely used modality following acute joint injury. It is considered helpful in reducing pain and swelling, and there is a growing body of evidence to suggest that it may have additional benefits in muscle function. Following joint injury, it is common for patients to experience persistent muscle weakness that is resistant to traditional strengthening exercises. This may be due to a reflex inhibition of musculature surrounding the injured joint. The underlying cause of this reflex inhibition may arise from aberrant sensory information from the joints’ neural receptors, which result in a neural inhibition of motor neurons. This inhibition is beyond conscious control, is ongoing, and impedes normal joint function via a disruption of normal muscle function. Cryotherapy treatments targeted at peripheral joints have been shown to result in transient resolution of reflex inhibition, which thereby provide an environment where injured patients can benefit from a more thorough motorneuron pool during controlled rehabilitation exercises. This article presents current evidence-based recommendations regarding the use of joint cryotherapy for maximizing the effectiveness of commonly used rehabilitation exercises in patients recovering from joint injury.

Keywords: cryotherapy; muscle activation; muscle inhibition; disinhibition


Back to the table of contents for the October 2010 issue