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Andreas kjaer, kf-4012, clinic of clinical physiology, nuclear medicine & pet, rigshospitalet, copenhagen, denmark e-mail: kjaer mfi, for instance, sulfatrim. Research is not in agreement with regard to the effects on intramuscular temperature produced by ice packs and cold water baths. An early experiment by Bing et al'4 exemplifies the variability found in the ice pack research. Twenty-three subjects had ice placed on their biceps brachii for 5 minutes. The temperature was recorded at a depth of 3 cm. In 10 of the 23 subjects, a rise in temperature of 0.5C was observed at the Fig 3. Immersion of the left lower leg in the cold whirlpool. beginning of the treatment. The increased temperature lasted for 3 to 4 minutes before it began to decline. They observed a Temperature Change Over Time continuous range from no decrease in muscle temperature to a Mean + 2 s.e. decrease of 5.70C in the 23 subjects. The mean decline was 2.30C. 14 Other researchers12"18 looked at the effects of ice packs on &eeE Ice Pack- Muscle intramuscular temperature change in the triceps surae. They E EO Cold Whirlpool - Muscle reported little or no change until 7 to 10 minutes after application. One researcher'2 reported a 3.3C decrease at a depth of 5.0 cm after a 30-minute ice pack application. Researchers also have investigated the effects on intramuscular temperature at 1 cm below the subcutaneous fat in the anterior 0 0. thigh during and after a 30-minute application of a crushed-ice 0 pack.'0 They reported a linear decline in temperature after 0 aabout 4 minutes.'0 We, on the other hand, observed an immediate linear decline in intramuscular temperature that was maintained throughout our 20-minute treatment Fig 4 ; . At depth of 1 cm below the subcutaneous fat and skin, the intramuscular temperature in the triceps surae at the end of our Post - Treatment Treatment 20-minute treatment had decreased 7.1 'C. It has been reported that deep intramuscular temperature 2.3 5 10 continues to decline following the removal of an ice Time Minutes ; pack.'8 Merrick et all' reported that intramuscular temperature Fig 4. Intramuscular temperature during and after a 20-minute ice at a depth of 1 cm below the subcutaneous fat continued to pack or cold whirlpool treatment. Figure shows mean values 2 decline for approximately 5 minutes after the removal of a standard errors for each treatment. crushed-ice pack. Our results indicated that the decline is very minimal and that by 5 minutes post-treatment the muscle has 5 give an overall view of the temperature change along with begun to rewarm Fig 4 ; . The cold water bath research is just as varied. One reappropriate measures of variability in each treatment condition. There were no significant differences in the decrease in searcher, '5 using a 1C water bath, reported an initial minimal intramuscular temperatures between treatments at each increase, which was followed by a substantially greater and 5-minute interval and at the end of the 20-minute treatment longer decrease in intramuscular temperature of the brachiora Table 1 ; . By the conclusion of the 20-minute treatment, the ice dialis at a depth of 1.5 cm. Another investigator, '9 using a pack and cold whirlpool decreased intramuscular temperature 12.50 to 13C water bath, noted no change in temperature in 7.1 4.1C and 5.1 1.8C, respectively Fig 4 ; . The ice the triceps surae until 2 minutes, whereupon the decline was pack treatment significantly decreased the subcutaneous tem- nearly linear. The depth was not given, but the target was the perature more than the whirlpool, 17.0 3.8C and 13.8 "center of the muscle" and a 6C decrease was observed by the 3.0C, respectively Table 2 ; . The subcutaneous temperature end of the 30-minute treatment. Several researchers'3"16"17 have rewarmed significantly more in the ice pack group 12.3 reported an immediate and steady decline in intramuscular 3.3C ; than the cold whirlpool 7.4 2.1 C ; Table 2 ; . The ice temperatures using cold water baths. Two studies, '3"16 using a pack group's intramuscular temperature increased over each depth of 2.5 cm in the brachioradialis as the target tissue!

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