Pain Perception during Repeated Ice-Bath Immersion of the Ankle at Varied Temperatures

2006 ◽  
Vol 15 (2) ◽  
pp. 105-115 ◽  
Author(s):  
Haydee G. Galvan ◽  
Amanda J. Tritsch ◽  
Richard Tandy ◽  
Mack D. Rubley
Keyword(s):  
Athletic Training ◽  
Outcome Measures ◽  
Pain Perception ◽  
Treatment Time ◽  
Treatment Temperature ◽  
Borg Scale ◽  
Type Design ◽  
Perceived Pain ◽  
Pain Ratings ◽  
Training Research

Context:Ice-bath temperatures range from 1 to 15ºC; the pain response during treatment might be temperature specific.Objective:To determine levels of perceived pain during ice-bath immersion at distinct temperatures.Design:2 (sex) × 3 (temperature) × 9 (treatment time).Setting:Athletic training research laboratory.Participants:32 healthy subjects.Intervention:Ankle immersion in 1, 10, and 15°C ice baths for 20 minutes.Main Outcome Measures:Discomfort measured by the Borg scale of perceived pain at immersion for 1, 2, 4, 6, 8, 10, 15, and 20 minutes.Results:The magnitude of pain felt depended on treatment temperature (F18,522= 11.65,P< .0001). Pain ratings were 43% higher for 1ºC than 10ºC and 70% higher than 15ºC, and ratings at 10ºC were 46% higher than at 15ºC.Conclusions:Pain depends on treatment temperature. Patients might report inconsistent pain ratings with varying temperature.

scholarly journals Cooling of Lower Extremity Muscles According to Subcutaneous Tissue Thickness

2019 ◽  
Vol 54 (12) ◽  
pp. 1304-1307 ◽  
Author(s):  
Noelle M. Selkow
Keyword(s):  
Lower Extremity ◽  
Athletic Training ◽  
Treatment Time ◽  
Subcutaneous Tissue ◽  
Rectus Femoris ◽  
Treatment Temperature ◽  
Medial Gastrocnemius ◽  
Tissue Thickness ◽  
End Of Treatment ◽  
Standardized Treatment

Context When using an ice bag, previous researchers recommended cooling times based on the amount of subcutaneous tissue. Unfortunately, many clinicians are unaware of these recommendations or whether they can be applied to other muscles. Objective To examine if muscles of the lower extremity cool similarly based on recommended cooling times. Design Crossover study. Setting Athletic training laboratory. Patients or Other Participants Fourteen healthy participants volunteered (8 men, 6 women; age = 21.1 ± 2.2 years, height = 174.2 ± 4.5 cm, weight = 74.0 ± 7.5 kg). Intervention(s) Subcutaneous tissue thickness was measured at the largest girth of the thigh, medial gastrocnemius, and medial hamstring. Participants were randomized to have either the rectus femoris or medial gastrocnemius and medial hamstring tested first. Using sterile techniques, the examiner inserted a thermocouple 1 cm into the muscle after accounting for subcutaneous tissue thickness. After the temperature stabilized, a 750-g ice bag was applied for 10 to 60 minutes to the area(s) for the recommended length of time based on subcutaneous adipose thickness (0 to 5 mm [10 minutes]; 5.5 to 10 mm (25 minutes]; 10.5 to 15 mm [40 minutes]; 15.5 to 20 mm [60 minutes)]. After the ice bag was removed, temperature was monitored for 30 minutes. At least 1 week later, each participant returned to complete testing of the other muscle(s). Main Outcome Measure(s) Intramuscular temperature (°C) at baseline, end of treatment time (0 minutes), and posttreatment recovery (10, 20, and 30 minutes postintervention). Results At the end of treatment, temperature did not differ by subcutaneous tissue thickness (10 minutes = 29.0°C ± 3.8°C, 25 minutes = 28.7°C ± 3.2°C, 40 minutes = 28.7°C ± 6.0°C, 60 minutes = 30.0°C ± 2.9°C) or muscle (rectus femoris = 30.1°C ± 3.8°C, gastrocnemius = 28.6°C ± 5.4°C, hamstrings = 28.1°C ± 2.5°C). No significant interaction was present for subcutaneous tissue thickness or muscle (P ≥ .126). Conclusions Lower extremity muscles seemed to cool similarly based on the recommended cooling times for subcutaneous tissue thickness. Clinicians should move away from standardized treatment times and adjust the amount of cooling time by ice-bag application based on subcutaneous tissue thickness.

Reliability of the Anterior Drawer and Talar Tilt Tests Using the Ligmaster Joint Arthrometer

2009 ◽  
Vol 18 (3) ◽  
pp. 389-397 ◽  
Author(s):  
Carrie L. Docherty ◽  
Katherine Rybak-Webb
Keyword(s):  
Athletic Training ◽  
Repeated Measures ◽  
Intrarater Reliability ◽  
Anterior Drawer ◽  
Anterior Displacement ◽  
Repeated Measures Design ◽  
Anterior Drawer Test ◽  
Outcome Measurements ◽  
Type Design ◽  
Training Research

Context:Joint arthrometers have been developed to help determine the severity of ligament sprains.Objective:To establish intratester and intertester reliability of the talar inversion and anterior drawer tests using the LigMaster.Design:Intratester reliability was investigated using a repeated-measures design. Intertester reliability was investigated using 2 different clinicians testing subjects on the same day.Setting:Athletic training research laboratory. Participants: Thirty participants volunteered for this study.Main Outcome Measurements:Anterior displacement and talar inversion were measured using the LigMaster.Results:Intrarater reliability was .74 for the talar inversion test and .65 for the anterior drawer test. Interrater reliabilities for the talar inversion and anterior drawer tests were .76 and .81, respectively.Conclusions:The LigMaster joint arthrometer is a reliable tool for measuring talar inversion and anterior displacement at the ankle.

An Analytical Evaluation of the Optimal Thermal Dose Delivery Parameters for Thermal Therapies

2003 ◽  
Author(s):  
Kung-Shan Cheng ◽  
Robert B. Roemer
Keyword(s):  
Blood Flow ◽  
Treatment Time ◽  
Heating Time ◽  
Treatment Temperature ◽  
Thermal Dose ◽  
Dose Delivery ◽  
Thermal Therapies ◽  
Initial Power ◽  
High Treatment ◽  
Optimal Heating

This study derives the first analytic solution for evaluating the optimal treatment parameters needed for delivering a desired thermal dose during thermal therapies consisting of a single heating pulse. Each treatment is divided into four time periods (two power-on and two power-off), and the thermal dose delivered during each of those periods is evaluated using the non-linear Sapareto and Dewey equation relating thermal dose to temperature and time. The results reveal that the thermal dose delivered during the second power-on period when T&gt;43C (TD2) and the initial power-off period when T&gt;43C (TD3) contribute the major portions of the total thermal dose needed for a successful treatment (taken as 240 CEM43°C), and that TD3 dominates for treatments with higher peak temperatures. For a fixed perfusion value, the analytical results show that once the maximum treatment temperature and the total thermal dose (e.g., 240 CEM43°C) are specified, then the required heating time and the applied power magnitude are uniquely determined. These are the optimal heating parameters since lower/higher values result in under-dosing/over-dosing of the treated region. It is also shown that higher maximum treatment temperatures result in shorter treatment times, and for each patient blood flow there is a maximum allowable temperature that can be used to reach the desired thermal dose. In addition, since TD2 and TD3 contribute most of the total thermal dose, and they are both significantly affected by the blood flow present for high treatment temperatures, these results show that perfusion effects must be considered when attempting to optimize high temperature thermal therapy treatments (no excess thermal dose delivered, minimum power applied and shortest treatment time attained).

Optimization of Treatment Parameters on the Recycling of Used Lubricating Oil

2013 ◽  
Vol 699 ◽  
pp. 735-741 ◽  
Author(s):  
Ambali Saka Abdulkareem ◽  
Edison Muzenda ◽  
Ayo Samuel Afolabi
Keyword(s):  
Metal Content ◽  
Acid Treatment ◽  
Conventional Treatment ◽  
Treatment Time ◽  
Optimal Solution ◽  
Absorption Spectrometry ◽  
Treatment Temperature ◽  
Lubricating Oil ◽  
Used Oil ◽  
Treatment Parameter

Acid treatment is one of the cheapest techniques and least applicable processes in the recycling of used lubricating oils. In this work, the performance of sulphuric acid in the treatment used oil was studied. The effects of the critical treatment parameters (acid volume, concentration of the acid, treatment temperature, stirring time and treatment time) were investigated by varying one treatment parameter at a time and analysing metal content in the sample of the treated oil using atomic absorption spectrometry (ASS). Thereafter, an optimal solution was determined by the combination of the optimum values of each treatment parameters. The original conventional treatment parameter values, resulted in 13.2 ppm and thereafter was optimised to 11 ppm this showed a definite improvement in efficiency. This result is also comparable to other data obtained in previously studied work which employed the same conventional treatment parameters. The optimal solution is within 10% variation as compared the standard individual metal content which ranges 0-10 ppm.

Psychophysical Evidence for Long-Term Potentiation of C-Fiber and Aδ-Fiber Pathways in Humans by Analysis of Pain Descriptors

2007 ◽  
Vol 97 (3) ◽  
pp. 2559-2563 ◽  
Author(s):  
Niels Hansen ◽  
Thomas Klein ◽  
Walter Magerl ◽  
Rolf-Detlef Treede
Keyword(s):  
Pain Perception ◽  
Long Term Potentiation ◽  
High Frequency Stimulation ◽  
Burning Pain ◽  
Term Potentiation ◽  
C Fiber ◽  
Pain Ratings ◽  
Two Factors ◽  
Pain Descriptors

Long-term potentiation of human pain perception (nociceptive LTP) to single electrical test stimuli was induced by high-frequency stimulation (HFS) of cutaneous nociceptive afferents. Numerical pain ratings and a list of sensory pain descriptors disclosed the same magnitude of nociceptive LTP (23% increase for >60 min, P < 0.001), whereas affective pain descriptors were not significantly enhanced. Factor analysis of the sensory pain descriptors showed that facilitation was restricted to two factors characterized by hot and burning (+41%) and piercing and stinging (+21%, both P < 0.01), whereas a factor represented by throbbing and beating was not significantly increased (+9%, P = 0.47). The increased perception of the burning pain quality for >1 h after HFS is interpreted as a LTP-like facilitation of the conditioned cutaneous C-fiber pathway. Additionally, the increase of the stinging pain quality supplied evidence for facilitation of a sharpness-sensitive Aδ-fiber pathway.

Characteristics of Lithium Polysilicate Electrolyte Synthesized by Sol-Gel Processing

2007 ◽  
Vol 124-126 ◽  
pp. 1031-1034
Author(s):  
Bong Soo Jin ◽  
Bok Ki Min ◽  
Chil Hoon Doh
Keyword(s):  
Heat Treatment ◽  
Acid Treatment ◽  
Treatment Time ◽  
Sol Gel ◽  
Silicate Solution ◽  
Treatment Temperature ◽  
Lithium Silicate ◽  
Treatment Conditions ◽  
Xrd Patterns ◽  
Si Wafer

To find out suitable Si surface treatment and heat treatment conditions, acid treatment of Si wafer was done for lithium polysilicate electrolyte coating on Si wafer. In case of HCl treatment, the wet angle of a sample is 30o, which is the smallest wet angle of other acid in this experiment. Acid treatment time is 10 min, which is no more change of wet angle. Lithium polysilicate electrolyte was synthesized by hydrolysis and condensation of lithium silicate solution using perchloric acid. Thermal analysis of lithium polysilicate electrolyte shows the weight loss of ~23 % between 400 and 500 , which is due to the decomposition of LiClO4. The XRD patterns of the obtained lithium polysilicate electrolyte also show the decrement of LiClO4 peak at 400 . The optimum heat treatment temperature is below 400 , which is the suitable answer for lithium polysilicate electrolyte.

scholarly journals Statistical Primer for Athletic Trainers: Understanding the Role of Statistical Power in Comparative Athletic Training Research

2018 ◽  
Vol 53 (7) ◽  
pp. 716-719
Author(s):  
Monica R. Lininger ◽  
Bryan L. Riemann
Keyword(s):  
Sample Size ◽  
Athletic Training ◽  
Treatment Effect ◽  
Statistical Power ◽  
Athletic Trainers ◽  
A Priori ◽  
Significant Treatment ◽  
Training Research ◽  
Α Level

Objective: To describe the concept of statistical power as related to comparative interventions and how various factors, including sample size, affect statistical power.Background: Having a sufficiently sized sample for a study is necessary for an investigation to demonstrate that an effective treatment is statistically superior. Many researchers fail to conduct and report a priori sample-size estimates, which then makes it difficult to interpret nonsignificant results and causes the clinician to question the planning of the research design.Description: Statistical power is the probability of statistically detecting a treatment effect when one truly exists. The α level, a measure of differences between groups, the variability of the data, and the sample size all affect statistical power.Recommendations: Authors should conduct and provide the results of a priori sample-size estimations in the literature. This will assist clinicians in determining whether the lack of a statistically significant treatment effect is due to an underpowered study or to a treatment's actually having no effect.

Comparing Computer-Derived and Human-Observed Scores for the Balance Error Scoring System

2016 ◽  
Vol 25 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Jaclyn B. Caccese ◽  
Thomas W. Kaminski
Keyword(s):  
Athletic Training ◽  
Outcome Measures ◽  
Scoring System ◽  
Postural Stability ◽  
Correlation Coefficients ◽  
Current Standard ◽  
Interclass Correlation ◽  
Z Scores ◽  
Balance Error Scoring System ◽  
Balance Error

Context:The Balance Error Scoring System (BESS) is the current standard for assessing postural stability in concussed athletes on the sideline. However, research has questioned the objectivity and validity of the BESS, suggesting that while certain subcategories of the BESS have sufficient reliability to be used in evaluation of postural stability, the total score is not reliable, demonstrating limited interrater and intrarater reliability. Recently, a computerized BESS test was developed to automate scoring.Objective:To compare computerderived BESS scores with those taken from 3 trained human scorers.Design:Interrater reliability study.Setting:Athletic training room.Patients:NCAA Division I student athletes (53 male, 58 female; 19 ± 2 y, 168 ± 41 cm, 69 ± 4 kg).Interventions:Subjects were asked to perform the BESS while standing on the Tekscan (Boston, MA) MobileMat® BESS. The MobileMat BESS software displayed an error score at the end of each trial. Simultaneously, errors were recorded by 3 separate examiners. Errors were counted using the standard BESS scoring criteria.Main Outcome Measures:The number of BESS errors was computed for the 6 stances from the software and each of the 3 human scorers. Interclass correlation coefficients (ICCs) were used to compare errors for each stance scored by the MobileMat BESS software with each of 3 raters individually. The ICC values were converted to Fisher Z scores, averaged, and converted back into ICC values.Results:The double-leg, single-leg, and tandem-firm stances resulted in good agreement with human scorers (ICC = .999, .731, and .648). All foam stances resulted in fair agreement.Conclusions:Our results suggest that the MobileMat BESS is suitable for identifying BESS errors involving each of the 6 stances of the BESS protocol. Because the MobileMat BESS scores consistently and reliably, this system can be used with confidence by clinicians as an effective alternative to scoring the BESS.

Cardiorespiratory Responses During Underwater and Land Treadmill Exercise in College Athletes

2011 ◽  
Vol 20 (3) ◽  
pp. 345-354 ◽  
Author(s):  
Peter Brubaker ◽  
Cemal Ozemek ◽  
Alimer Gonzalez ◽  
Stephen Wiley ◽  
Gregory Collins
Keyword(s):  
Athletic Training ◽  
Outcome Measures ◽  
Sports Medicine ◽  
Perceived Exertion ◽  
College Athletes ◽  
Random Order ◽  
Original Research ◽  
Cardiorespiratory Responses ◽  
Significant Difference ◽  
The Relationship

Context:Underwater treadmill (UTM) exercise is being used with increased frequency for rehabilitation of injured athletes, yet there has been little research conducted on this modality.Objective:To determine the cardiorespiratory responses of UTM vs land treadmill (LTM) exercise, particularly with respect to the relationship between heart rate (HR) and oxygen consumption (VO2).Design and Setting:This quantitative original research took place in sports medicine and athletic training facilities at Wake Forest University.Participants:11 Wake Forest University student athletes (20.8 ± 0.6 y, 6 women and 5 men).Intervention:All participants completed the UTM and LTM exercise-testing protocols in random order. After 5 min of standing rest, both UTM and LTM protocols had 4 stages of increasing belt speed (2.3, 4.9, 7.3, and 9.6 km/h) followed by 3 exercise stages at 9.6 km/h with increasing water-jet resistance (30%, 40%, and 50% of jet capacity) or inclines (1%, 2%, and 4% grade).Main Outcome Measures:A Cosmed K4b2 device with Polar monitor was used to collect HR, ventilation (Ve), tidal volume (TV), breathing frequency (Bf), and VO2 every minute. Ratings of perceived exertion (RPE) were also obtained each minute.Results:There was no significant difference between UTM and LTM for VO2 at rest or during any stage of exercise except stage 3. Furthermore, there were no significant differences between UTM and LTM for HR, Ve, Bf, and RPE on any exercise stage. Linear regression of HR vs VO2, across all stages of exercise, indicates a similar relationship in these variables during UTM (r = .94, y = .269x − 10.86) and LTM (r = .95, y = .291x − 12.98).Conclusions:These data indicate that UTM and LTM exercise elicits similar cardiorespiratory responses and that HR can be used to guide appropriate exercise intensity for college athletes during UTM.

scholarly journals Assessment of Subacromial Space and Its Relationship With Scapular Upward Rotation in College Baseball Players

2013 ◽  
Vol 22 (3) ◽  
pp. 216-223 ◽  
Author(s):  
Stephen John Thomas ◽  
Charles Buz Swanik ◽  
Thomas W. Kaminski ◽  
Jill S. Higginson ◽  
Kathleen A. Swanik ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Laboratory Setting ◽  
Subacromial Space ◽  
Baseball Players ◽  
Type Design ◽  
Dependent Variables ◽  
Injured Population ◽  
College Baseball ◽  
Acromiohumeral Distance ◽  
The Relationship

Context:Subacromial impingement is a common injury in baseball players and has been linked to a reduction in the subacromial space. In addition, it has been suggested that decreases in scapular upward rotation will lead to decreases in the subacromial space and ultimately impingement syndrome.Objective:The objective of this study was to evaluate the relationship between acromiohumeral distance and scapular upward rotation in healthy college baseball players.Design:Posttest-only study design.Setting:Controlled laboratory setting.Participants:24 healthy college baseball players.Intervention:Participants were measured for all dependent variables at preseason.Main Outcome Measures:Acromiohumeral distance at rest and 90° of abduction was measured with a diagnostic ultrasound unit. Scapular upward rotation at rest and 90° of abduction was measured with a digital inclinometer.Results:Dominant-arm acromiohumeral distance at rest and 90° of abduction (P = .694, P = .840) was not significantly different than in the nondominant arm. In addition, there was not a significant correlation between acromiohumeral distance and scapular upward rotation at rest and 90° of abduction for either the dominant or the nondominant arm.Conclusions:These results indicate that the acromiohumeral distance is not adapting in the dominant arm in healthy throwing athletes. In addition, a relationship was not identified between acromiohumeral distance and scapular upward rotation, which was previously suggested. These results may suggest that changes that are typically seen in an injured population may be occurring due to the injury and are not preexisting. In addition, scapular upward rotation may not be the only contributing factor to acromiohumeral distance.

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