J Korean Acad Rehabil Med.  1999 Feb;23(1):124-128.

Changes in the Visual Analogue Scale Score Following Freezing Cold Air Application in Knee Joint Pain

Affiliations
  • 1Department of Rehabilitation Medicine, Hanyang University College of Medicine.
  • 2Department of Medical Engineering, College of Health Science, Yonsei University.

Abstract


OBJECTIVE
The purpose of this study is to evaluate the effects of the cold air application on the subjective pain threshold of knee joint pain. METHOD: We recorded the changes of the pain threshold in 60 patients before and after cold air application who complaint of knee joint pain. Patients were divided into 3 groups randomly with each 20 patients and each group received cold air application for 30 seconds, 1 minute, 3 minutes. Cold air of CRAis (Kyung-won Century, Korea) was applied to the anterior portion of the knee with a temperature of 30oC. The changes of the pain threshold was estimated by visual analogue scale.
RESULTS
In 30 seconds treating group, VAS score was lowered 2.25+/-1.16 and 2.26+/-1.13 immediately after, and 30 minutes after cold air application, respectively (P<0.05). In 1 minutes treating group, VAS score was lowered 1.65+/-2.58 and 2.41+/-2.59 immediately after and 30 minutes after cold air application, respectively (P<0.05). In 3 minutes treating group, VAS score was lowered 1.94+/-1.80 and 2.10+/-2.3 immediately after and 30 minutes after cold air application, respectively (P<0.05). The VAS score was lowered significantly after cold air application in all groups, but there's no significant correlation between change of VAS score and cold air application time. In group with initial VAS score greater than 5, the VAS score was more decreased after cold air application.
CONCLUSION
Cold air application for 30 seconds using CRAis machine is useful treatment method for knee joint pain.

Keyword

Cold air application; Pain threshold; Knee joint pain; Visual analogue scale (VAS)

MeSH Terms

Freezing*
Humans
Knee Joint*
Knee*
Pain Threshold
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