Journal of the Korean Society of Radiology (한국방사선학회논문지)

The Korean Society of Radiology (한국방사선학회)
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Effects of skin temperature change, cold pain and muscle activity by Cold Air Application type on the induced delayed onset muscle soreness

지연성 근육통 유발 후 냉기 적용 방법이 피부온도의 변화, 냉각 통과 근육 기능에 미치는 효과

  • Choi, Yoorim (Department of Physical Therapy, Taegu Science University of Korea) ;
  • Jung, Bongjae (Department of Radiological Science, International University of Korea) ;
  • Hwang, Byeongjun (Department of Physical Therapy Yecheon orthopaedic clinic)
  • 최유림 (대구과학대학교 물리치료과) ;
  • 정봉재 (한국국제대학교 방사선학과) ;
  • 황병준 (예천정형외과 물리치료실)
  • Received : 2013.01.30
  • Accepted : 2013.02.22
  • Published : 2013.02.28
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Abstract

The purpose of this study was to after induced delayed onset muscle soreness, the purpose of this study is to present the effective way on skin temperature changes and cold pain for 14 subjects during to applied with only Cold-jet stream and Cold-jet stream with infra red. 14 healthy men and women who delayed onset muscle soreness eccentric contractions induced by exercise and then the biceps alone was applied to the Cold-jet stream. We measured the time that skin temperature fall from room temperature to $10^{\circ}C$(first period), the time rewarmed from $10^{\circ}C$ to $20^{\circ}C$(second period), the time fall again to $10^{\circ}C$(third period) and the time rewarmed again to $20^{\circ}C$(fourth period). Cold-jet stream with infrared combination therapy was performed with the same method. Results of this study were 1st and 2nd experimental cooling experiments in the to fall to $10^{\circ}C$ Cold-jet stream with infrared combination therapy than in the Cold-jet stream was longer(p<.05). At second period, It took longer in Cold-jet stream with infrared rewarmed than Cold-jet stream to rewarm skin(p<.05). Cold-jet stream with infrared combination therapy than Cold-jet stream had less incidence of cold pain(p<.05). Thickness of biceps brachii were found significant difference related measurment each group was consistent. In this study, Cold-jet stream with infrared combination therapy more effective than Cold-jet stream in reduced cold pain and lowering skin temperature. This work was supported by education capacity building project fund of Taegu Science University, 2012.

본 연구는 급성염증과 비슷한 지연성 근육통이 있을 때 초기 한냉치료를 적용함에 있어 냉기에 의한 냉각통증을 최소화하면서, 근육온도를 낮출 수 있는 방법으로 냉기단독과 냉기와 적외선 조사 병용을 적용하여 피부온도에 미치는 영향을 측정하고, 냉기와 적외선 병용치료의 효율성을 평가함과 동시에 초음파를 통한 근 두께를 바탕으로 등척성 근기능을 평가해보고자 하였다. 본 연구의 결과 냉기와 적외선 병용치료 시 냉기 단독치료보다 냉각통증의 빈도가 낮게 나타났으며, 냉각통증 자각 시점도 늦게 나타났다. 또한 충분한 냉기적용 후 피부온도가 재가온되는데 있어서 냉기를 2회 적용할 때가 1회 적용할 때 보다 더 느려지며, 냉기 단독치료보다 냉기와 적외선 광선 조사 병용치료 시 더 느려짐을 나타내어 2회 이상의 반복적인 냉기 적용이 냉기의 효용이 있다고 나타났다. 또한 상완이두근 두께 변화에 있어서 병용군이 대조군보다 더 크게 나타나 이 효과를 뒷받침하게 되었다. 이러한 연구결과 자료는 향후 급성염증이 있는 환자에게 한냉치료와 관련된 치료적인 자료로써 활용될 수 있을 것이라 생각되고 근골격계 초음파 진단기를 활용하여 통증에 대한 자각도를 간접적으로 표현하는 것이 구체화되어 임상에서 널리 활용될 것으로 보여진다.

Keywords

References

  1. Amundson H, "Thermotherapy and cryotherapy-effectson Joint degeneration in rheumatoid arthritis", Physiother Can, 1979.
  2. 김종만, 박상성, 김원호, 신헌석, 김연중, "유지-이완기법과 냉치료가 지연성 근육통에 미치는 효과", 2000.
  3. 양두창, 이규훈, 이상건, 박시복, "냉기치료 때에 나타나는 냉각통에 대한 적외선효과", 대한재활의학회지, 2003.
  4. Black CD, Dobson RM., ".Prior Eccentric Exercise Augments Muscle Pain and Perception of Effort During Cycling Exercise", Clin J Pain, 2013.
  5. Jeong HJ, ".Effects of a Short Course of Oral Prednisolone in Patients with Bladder Pain Syndrome with Fluctuating, Worsening Pain despite Low-Dose Triple Therapy, Int Neurourol J, 2012.
  6. Belisky RB, Odam SJ, Hubley-Kozey C, "Evaluation of the effectiveness of wet ice, dry ice, and cryogenic packs in reduceing skin temperature", Phys Ther 67: 1080-1084, 1987. https://doi.org/10.1093/ptj/67.7.1080
  7. Borken N, Bierman W, "Temperature changes produced by spraying with ethyl chloride", Arch Phys Med Rehabil, 1955.
  8. Lehmann JF, DeLateur BJ, "Cryotherapy". In: Lehmann FJ, editor. Therapeutic heat and cold 4th ed., Williams & Wilkins, 1989.
  9. Borken N, Bierman W, "Temperature changes produced by spraying with ethyl chloride", Arch Phys Med Rehabil 1955.
  10. 이정권, 김미정, 박시복, 김영호, "슬관절통 환자에서 초저온 냉기를 이용한 한냉치료후 시각적 상사 척도값의 변화, 1999.
  11. 한승진, 이규훈, 이상건, 박시복, "둔부에서 냉기와 적외선병용 치료시 둔부의 피부 온도의 변화", 대한재활의학회지, 2003.
  12. Jamurtas AZ, Theocharis V, Tofas T, Tsiokanos A, Yfanti C, Paschalis V, Koutedakis Y, and Nosaka K, "Comparison between leg and arm eccentric exercise of the same relative intensity on indices of muscle damage". Eur J Appl Physiol, 2005.
  13. Prawit Janwantanaku, "Cold and heat application in musculoskeletal injury", Physiotherapy, 2006.
  14. Prawit Janwantanaku, "Cold pack skin interface temperature during ice treatment with various levels of compression", Physiotherapy, 2009.
  15. Basagoitia F, Bolanos OR, Morse DR, Furst M, "The effect of hot and cold external application on experimentally induced inflamma- tory edema in guinen pigs: A pilot study", Ann Dent, 1985.
  16. Fruhstorfer H, Lindblom U, "Vascular participation in deep cold pain", Pain, 1983.
  17. Jutte LS, Merrick MA, Ingersoll CD, Edwards JE, "The relationship between intramuscular temperature, skin temperature, and adipose thickness rewarming", Arch Phys Med Rehabil 2001.
  18. 이완희, 조기훈, 이경숙, 김미화, "시간경과에 따른 연성근통증 내측 비복근의 초음파 영상:, 한국학기술학회논문지 13, 2012.
  19. Fukunaga T, Kawakami Y, Kuno S, Funato K,, Fukashiro S. "Muscle architecture and function in humans", Journal of Biomechanics, Vol. 30 No. 5, 1997.