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Gabiatti 2023.
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Gabiatti AJB, Hillesheim GB, Gomildes MZ, Bertoncello D, Buzanello MR, Bertolini GRF. Cryotherapy in Postoperative Shoulder Surgery: A Systematic Review. Ther Hypothermia Temp Manag. 2023 Dec 19..
Design: Systematic Review
Methods: The review included six randomized clinical trials, involving a total of 233 patients who underwent various shoulder surgeries. Cryotherapy was applied using different methods, including Cryo/Cuff , Cryoton®, Polar Care 300, and ice packs. Outcomes included: Postoperative pain, skin temperature, study quality and risk of bias.
Results:
Key message: Cryotherapy appears to be a promising adjunctive treatment for postoperative shoulder pain, although the existing evidence has some limitations, including small sample sizes and methodological concerns.
• Cryotherapy was generally effective in reducing PO shoulder pain.
• However, one study found no significant difference in pain outcomes between the cryotherapy group and control group. • Three studies demonstrated a decrease in intra-articular and skin temperatures with cryotherapy application. • A risk of bias analysis revealed some concerns in the overall risk of bias for five studies, with one study considered to have a high risk of bias. • Although publication bias assessment was not conducted due to the limited number of included studies, it was noted that the studies exhibited heterogeneity in terms of population, intervention methods, and outcome measures.
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