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Summary of Contents for Gymna Cryoflow ICE-CT
- Page 1 Gymna Cryoflow ICE-CT Treatment Guide gymna.com...
- Page 3 Copyright GymnaUniphy NV, 2014 GymnaUniphy NV Pasweg 6A, 3740 Bilzen, Belgium Phone +32 (0)89 510 510 • Fax +32 (0)89 510 511 www.gymna.com • info@gymna.com Manufacturer: Uniphy Elektromedizin GmbH & Co. KG Neuendorfstr. 19b, 16761 Hennigsdorf, Germany...
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Page 4: Table Of Contents
Contents Guided Therapy System (GTS) Introduction Definition History The notion “thermal shock” The Effects of cryotherapy Local anaesthesia (analgesia) Anti-inflammation Neurological effects Vasomotor reactions Airflow therapy Indications/Contra-indications General applications Skin temperature Thermal shock Objective list Pain relief & RICE concept Swelling Spray and stretch treatment Shockwave therapy... - Page 5 Indications Achillodynia Ankylosing Spondylitis Arthritis Arthrosis Bursitis Cancaneal Spur (heelspur) 2 Carpal Tunnel Syndrome Cervicobrachial Neuralgia Epicondylitis Fibromyalgia Frozen Shoulder Lumbalgia Luxation Lymphoedema Morton Disease Muscle Spasm Muscle Strain Osgood Schlatter Disease Patellar Tendinitis (jumpers knee) Plantar Fasciitis Pubalgia Rheumatoid Arthritis Spasticity Sprain Tendinitis...
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Page 6: Guided Therapy System (Gts)
Guided Therapy System (GTS) The latest Gymna Cryoflow ICE-CT is equipped with an intelligent system for presetting the parameters and generating useful information. This invention is called Guided Therapy System or short G.T.S. After establishing your treatment objective the system automatically selects the form of treatment and the best parameters. -
Page 7: Introduction
Introduction Definition Cryotherapy is the therapeutic application of cold that can be obtained in various ways (with ice, cold water, damp cloth, methyl chloride, carbon dioxide…). Basically cryotherapy can be divided in three groups “conduction cryotherapy”, “airflow cryotherapy” and “sublimation cryotherapy”. With conduction cryotherapy cold is transferred via contact on the treated spot whereas this direct contact is avoided in the two other groups. -
Page 8: The Notion "Thermal Shock
Temperature skin Temperature skin under normal conditions with effective cryotherapy 35° C 34° C 12° C 7° C THERMAL SHOCK = DECREASE TEMPERATURE CHANGE IN A MINIMUM OF TIME... -
Page 9: The Effects Of Cryotherapy
The effects of cryotherapy Local anaesthesia (analgesia) The maximal effect is reached immediately (within 10 to 15 seconds) during the treatment and it will remain effective, depending on circumstances, from 30 minutes to 3 hours after the treatment has been stopped (the average duration is one hour). -
Page 10: Neurological Effects
the liquids, responsible for the repair of the tissues. Cold will only slow down this process. This deceleration is compensated largely by the reduction of the harmful effects of the oedema, which will allow for a much earlier rehabilitation by means of exercising. - Page 11 Hunting Reaction Vasoconstriction Vasodilatation If the application of cold is carried out long enough, it will be followed by a vasodilatation. This paradoxical vasodilatation corresponds with a protective hyperaemia. If the exposure is prolonged even more, the periods of vasodilatation and those of vasoconstriction will follow after each other.
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Page 12: Airflow Therapy
Gymna Cryoflow ICE-CT will automatically adept its airflow in order to reach it continuously. -
Page 13: Indications/Contra-Indications
Indications/Contra-indications Indications Contra-indications • Sports medicine and • Situations where the body traumatology is unable to cope with • Sprains/ Strains (acute) temperature changes because • Bursitis, Tendinitis of allergy, hypersensitivity, or • Rheumatology circulatory in-sufficiency • Prestretching of Muscles •... -
Page 14: General Applications
The application of a light pressure will further enhance the effectiveness of the treatment. Cryotherapy treatments are very simple thanks to the Gymna Cryoflow ICE-CT. The unique IR sensor measures the skin temperature and automatically regulates the air flow. This keeps the pre-set temperature constant and optimal during the treatment. -
Page 15: Skin Temperature
Un des grands avantages est que grâce à ce système automatique, il suffit de sélectionner l’indication et tout se fait automatiquement. Gymna Cryoflow ICE-CT = The IR system makes it possible to determine the skin temperature and automatically adjust the air flow to keep the desired skin temperature constant. -
Page 16: Thermal Shock
The established temperatures can be described in a table (like the below example). An accurate summary to evaluate the disorder and the progress of the treatment is acquired in this way.ératures constatées peuvent être consignées dans un tableau (commedans l’exemple ci-dessous). Il est ainsi possible d’obtenir un aperçu précis permettant de dresser un bilan de l’évolution de l’affection et de l’avancement du traitement. -
Page 17: Objective List
Objective list Treatment time Indication Temperature Nozzle (min.) 1. Pain relief Acute 12° C 0:15 15 mm Subacute 14° C 0:10 15 mm Chronic 16° C 0:10 25 mm 2. Inflammation 14° C 0:15 15 mm 3. Swelling Acute 14° C 0:15 15 mm Subacute... -
Page 18: Pain Relief & Rice Concept
The R.I.C.E technique is the golden standard in the treatment of acute sporting injuries. The Gymna Cryoflow ICE-CT does all the effects of ice in an efficient way plus the compression due to the pressure of the airflow (see picture below). The treated area has to be positioned in a correct way. -
Page 19: Swelling
Swelling Concerning vascular problems, the elevated positioning of the treated zone is of primary importance. The treated area must be elevated above the level of the heart. You have to sweep on the vascular axis from distal to proximal. For the lymphatic drainage, it is of primary importance to drain the ganglion manually. -
Page 20: Shockwave Therapy
To have a clear view on all the indications relating to the spray and stretch technique, we strongly recommend the following book: David G. Simons, Janet G. Travell, Lois S. Simons, Barbara D. Cummings: Travell & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual, second edition. Shockwave therapy Cryotherapy can be extremely well combined with Shock therapy. - Page 21 SWT with and without cryo Shoulder (R) Shoulder (L) Elbow (R) Elbow (L) Right side: only shockwave therapy Left side: first thermal shock, afterwards immediately shockwave therapy. The research (carried out at 50 healthy patients) shows also that 90% of the patients consider that the cryotherapy before shockwave therapy brings a real benefit from a comfort point of view.
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Page 22: Indications
Indications Temp. Time Indication Phase Nozzle Sessions WHAT IS IT? °C (min) Acute 3x/day Achillodynia Subacute 1x/day Chronic 3x/week Ankylosing Spondylitis Acute 1x/day Acute 3x/day Arthritis Subacute 1x/day Arthrosis Acute 1x/day Acute 3x/day Bursitis Subacute 1x/day Cancaneal spur (heelspur) Acute 1x/day Carpal Tunnel Syndrome Acute... -
Page 23: Achillodynia
Indication Achillodynia WHAT IS IT? Painful disorder of the Achilles tendon and the soft tissues around it. TREATMENT EFFECTS Proposed treatment effects: • Antalgic • Myorelaxation TREATMENT °C nozzle Acute Subacute Chronic ! ATTENTION !! Elevate the treated area above the heart level. -
Page 24: Ankylosing Spondylitis
Indication Ankylosing Spondylitis WHAT IS IT? A type of arthritis that causes chronic inflammation of the spine and the sacroiliac joints. Chronic inflammation in these areas causes pain and stiffness in and around the spine. Over time, chronic spinal inflammation (spondylitis) can lead to a complete cementing together (fusion) of the verte-brae, a process called ankylosis. -
Page 25: Arthritis
Indication Arthrite WHAT IS IT? Chronic, degenerative disorder of the cartilage characterized by pain, rigidity and movement restrictions. TREATMENT EFFECTS Proposed treatment effects: • Antalgic • Myorelaxation • Ant-inflammation TREATMENT °C nozzle Acute Subacute... -
Page 26: Arthrosis
Indication Arthrosis WHAT IS IT? All degenerative illnesses of a joint are understood, which are characterized by an increasing destruction of the joint cartilages. Also participated are joint structures like bones, joint capsule as well as joint-near musculature. TREATMENT EFFECTS Proposed treatment effects: •... -
Page 27: Bursitis
Indication Bursitis WHAT IS IT? Bursitis is an inflammation of a bursa. A bursa is a tiny fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips and knees. -
Page 28: Cancaneal Spur (Heelspur)
Indication Cancaneal spur (heelspur) WHAT IS IT? A bony growth occurring on the underside of the heel bone. Calcium deposits form when the plan-tar fascia pulls away from the heel area, causing a bony protrusion, or heel spur to develop. Heel spurs can cause pain in the rear of the foot, especially while standing or walking. -
Page 29: Carpal Tunnel Syndrome
Indication Carpal Tunnel Syndrome WHAT IS IT? A type of compression neuropathy (nerve damage) caused by compression and irritation of the median nerve in the wrist. The irritation of the median nerve to the hand. The irritation of the median nerve is specifically due to pressure from the transverse carpal ligament. -
Page 30: Cervicobrachial Neuralgia
Indication Cervicobrachial Neuralgia WHAT IS IT? A syndrome associated with inflammation of the brachial plexus. Clinical features include severe pain in the shoulder region which may be accompanied by muscle weakness and loss of sensation in the upper extremity. The term brachial neuralgia generally refers to pain associated with brachial plexus injury. -
Page 31: Epicondylitis
Indication Epicondylitis WHAT IS IT? An inflammation or damage to the area of an epicondyle of bone. An epicondyle is the projection of a bone above the condyle where ligaments and tendons are attached. The two most common types of epicondylitis are tennis elbow (epicondylitis lateralis) and golfer’s elbow (epicondylitis medialis). -
Page 32: Fibromyalgia
Indication Fibromyalgia WHAT IS IT? A syndrome characterized by chronic pain, stiffness, and tenderness of muscles, tendons and joints without detectable inflammation. Fibromyalgia is considered an arthritis- related condition. 80-90% with fibromyalgia are women. TREATMENT EFFECTS Proposed treatment effects: • Antalgic •... -
Page 33: Frozen Shoulder
Indication Frozen Shoulder WHAT IS IT? Constant severe limitation of the range of motion of the shoulder due to scarring around the shoulder joint (adhesive capsulitis). The common symptom is pain in the shoulder of gradual or sudden onset, typically located to the front and side of the shoulder, increasing when the shoulder is moved away from the body. -
Page 34: Lumbalgia
Indication Lumbalgia WHAT IS IT? Is the medical term for the more common lay description of low back pain or lower back pain. It is a common musculoskeletal disorder which affects the lumbar segment of the spine. It can be either, subacute or chronic in its clinical presentation. -
Page 35: Luxation
Indication Luxation WHAT IS IT? Complete dislocation of a joint. A partial dislocation is a subluxation. TREATMENT EFFECTS Proposed treatment effects: • Antalgic • Anti-inflammation • Vasomotor TREATMENT °C nozzle... -
Page 36: Lymphoedema
Indication Lymphoedema WHAT IS IT? Lymphoedema a (visible) swelling of tissue by build-up of protein-rich fluid in the interstitium. Caused due to a defect in the construction or function of the lymphatic structures or an impediment of the drainage function of the lymphatic system. -
Page 37: Morton Disease
Indication Morton Disease WHAT IS IT? Morton’s Disease or Morton’s Neuroma is a benign enlargement of one of the nerves between the metatarsal heads, usually between the 2nd and 3rd or 3rd and 4th digits. Symptoms of this condition include sharp pain, burning, and even a lack of feeling in the affected area. -
Page 38: Muscle Spasm
Indication Muscle Spasm WHAT IS IT? Increased muscular tension and shortness that cannot be released voluntarily and prevents lengthening of the muscles involved. Caused by pain stimuli to the lower motor neurons. TREATMENT EFFECTS Proposed treatment effects: • Antalgic • Myorelaxation TREATMENT °C... -
Page 39: Muscle Strain
Indication Muscle Strain WHAT IS IT? An injury to a tendon or muscle resulting from overuse or trauma. Strains are injuries that involve the stretching or tearing of a musculotendinous (muscle and tendon) structure. An acute (instant or recent) strain of the musculo- tendinous structure occurs at the junction where the muscle is becoming a tendon. -
Page 40: Osgood Schlatter Disease
Indication Osgood Schlatter Disease WHAT IS IT? Inflammation or partial separation of the tibial tubercle caused by chronic irritation, usually as a result of overuse of the quadriceps muscle. The condition is primarily seen in muscular, athletic adolescent boys and is characterized by swelling and tenderness over the tibial tubercle that increase with exercise or any activity that extends the leg. -
Page 41: Patellar Tendinitis (Jumpers Knee)
Indication Patellar Tendinitis (jumpers knee) WHAT IS IT? A common injury to the patellar tendon. Also called patellar tendonopathy or jumper’s knee because it often occurs in basketball, soccer, volleyball and other high impact sports. There may be sudden aching and pain with subsequent swelling just below the kneecap and the knee may feel weak. -
Page 42: Plantar Fasciitis
Indication Plantar Fasciitis WHAT IS IT? Inflammation of the plantar fascia (fasciitis), the “bowstring-like” tissue in the sole of the foot stretching from the heel to the front of the foot. TREATMENT EFFECTS Proposed treatment effects: • Antalgic • Anti-inflammation TREATMENT °C nozzle... -
Page 43: Pubalgia
Indication Pubalgia WHAT IS IT? Pubalgia is a painful syndrome of the groin. This ailment is associated with varying degrees of lesions of the muscles of the lower frontal abdomen, pubic symphysis and adductor muscles. TREATMENT EFFECTS Proposed treatment effects: •... -
Page 44: Rheumatoid Arthritis
Indication Rheumatoid Arthritis WHAT IS IT? An auto-immune disease which causes chronic inflammation of the joints, the tissue around the joints as well as other organs in the body. TREATMENT EFFECTS Proposed treatment effects: • Reduction of pain/local warmth • Reduction of oedema •... -
Page 45: Spasticity
Indication Spasticity WHAT IS IT? A state of increased tone of a muscle (and an increase in the deep tendon reflexes). For example, with spasticity of the legs (spastic paraplegia) there is an increase in tone of the leg muscles so they feel tight and rigid and the knee jerk reflex is exaggerated. -
Page 46: Sprain
Indication Sprain WHAT IS IT? An injury involving the stretching or tearing of a ligament or a joint capsule, which help provide joint stability. A severely damaged ligament or joint capsule can cause instability in a joint. Symptoms may include pain, inflammation, and in some cases, the inability to move a limb (arm, leg, foot). -
Page 47: Tendinitis
Indication Tendinitis WHAT IS IT? Tendinitis describes inflammation, swelling, and irritation of a tendon for a variety of reasons. If the normal smooth gliding motion of the tendon is impaired, the tendon will become inflamed and movement will become painful at the tendon insertion side. -
Page 48: Tendon Ruptures
Indication Tendon Ruptures WHAT IS IT? A tendon rupture is a condition where the tendon of the origin is torn. A tendon rupture is associated with the following signs or symptoms; a snap or prop you hear or feel, severe pain, rapid or immediate bruising, marked weakness, inability to use or move the affected part or involved area. -
Page 49: Tendovaginitis
Indication Tendovaginitis WHAT IS IT? Inflammation of a tendon and its enveloping sheath, the lubricated layer of tissue in which the ten-don is housed and through which it moves. It is painful, and may temporarily disable the affected part. The inflammation of a tendon sheath caused by calcium deposits, repeated strain or trauma, high levels of blood cholesterol, rheumatoid arthritis, gout, or gonorrhea. -
Page 50: Trigger Points
Indication Trigger Points WHAT IS IT? Trigger points are tight nodules located in skeletal muscles that when touched or pressured, produce tenderness, twitching and jumping. Trigger points cause a condition known as myofascial pain syndrome. The trigger points produce pain locally as well as often referring pain to other areas. -
Page 51: Vascular Oedema
Indication Vascular Oedema WHAT IS IT? Edema is a condition of abnormally large fluid volume in the circulatory system or in tissues between the body’s cells (interstitial spaces). TREATMENT EFFECTS Proposed treatment effects: • Vasomotor TREATMENT °C nozzle ! ATTENTION !! Elevate the treated area above the heart level... -
Page 52: References
Références • D.I. Abramson; Physiologic basis for the use of physical agents in peripheral vascular disorders; Archives of physical medicine and rehabilitation;1965, 46, 216–244. • W. Bierman; Therapeutic use of cold; Journal of the American medical association; 1955, 157, 1189–1192. •... - Page 53 physiques dans le traitement de la douleur; J. Réadapt. Méd., 1997, 17 n° 3, 106-111, Masson, Paris • E. J. Seidel, C. Wick, P. Gunther; Electric nerve stimulation and cryotherapy with one device: Kens – A new analgesic treatment; Eur. J. phys. Med. Rehabil., 1997, 7, 62–67 •...
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Page 54: Notes
Notes... - Page 55 Notes...
- Page 56 Cryotherapy Diathermy Shockwave Therapy Physio Care Treatment Tables Electrotherapy Active Motion GymnaUniphy NV Pasweg 6A | B-3740 Bilzen Belgium Tel: +32 (0)89 510 510 | Fax: +32 (0)89 510 511...
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