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Klintberg 2021
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Klintberg IH, Larsson ME. Shall we use cryotherapy in the treatment in surgical procedures, in acute pain or injury, or in long term pain or dysfunction? - A systematic review. J Bodyw Mov Ther. 2021 Jul;27:368- 387.
Design: Systematic Review Methods: PubMed, Embase, Cochrane Library and AMED were searched from January 2000 to January 2018 (update June 2019) for systematic reviews and randomized controlled trials. The papers were categorised into: surgical procedures, acute pain or injury and long-term pain or dysfunction. Methodological quality and risk of bias were assessed using the AMSTAR and the Swedish Health Technology Assessment instruments. Level of certainty of evidence was synthesized using GRADE. Outcomes included: Pain, swelling, ROM, function, blood loss, analgesic use, patient satisfaction, adverse events. Results: • Eight systematic reviews and 50 randomised control trials from a total of 6027 (+839) were included. In total 34 studies evaluated cryotherapy in surgical procedures, 12 evaluated cryotherapy use in acute pain or injury and 12 studies evaluated cryotherapy in long-term pain and dysfunction. • The certainty of evidence is moderate (GRADE III) after surgical procedures to reduce pain, improve ROM, for patient satisfaction and few adverse events are reported.
Key message: Cryotherapy is well tolerated by patients and evidence exists of low-moderate certainty that this type of treatment reduces pain, analgesic use, swelling, blood loss and improves ROM and function.
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Pubmed
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Pubmed
• Cryotherapy in acute pain and injury or long-term pain and dysfunction show positive effects but have a higher number of outcomes with low certainty of evidence (GRADE II).
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