Date of Award

Fall 12-1-1990

Document Type

Thesis

Degree Name

Master of Arts (MA)

Department

Physical Education

First Advisor

Kenneth Knight

Second Advisor

David R. Hopkins

Third Advisor

Jolynn S. Kuhlman

Abstract

Post-surgical cold applications are beneficial to orthopedic surgery patients. However, their use is limited because of the difficulty in maintaining a constant temperature, increased need for attention, and unwanted leaks or condensation from ice bags. Twenty-one arthroscopic surgery patients were divided into three groups: a Dura*Kold cold pack group, an Aircast Cryo/cuff compression dressing group, and a control group. Six dependent variables were examined: subjective pain ratings three and 48 hours after surgery, a subjective rating of functional activity 48 hours after surgery, skin temperature for three hours after surgery, and pain medication consumed during three hours and 48 hours post-surgery. Average knee surface temperature in those subjects treated with Aircast Cryo/cuff and Dura*Kold packs was less than subjects who did not receive cold application. Subjective pain ratings were lower in subjects treated with cold applications three hours post-surgery, but not 48 hours post-surgery. Functional activity level was not significantly different between the subjects who received cold application and those who did not. A single cold application for three hours is beneficial for outpatient arthroscopy patients, and should be encouraged. Perhaps repeated applications of cold would cause a greater decrease in pain and improve functional activity.

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