The Effect of Localized Cooling with Ice and Cold Spray in the Knee Joint Position Sense in the Athletics of Patellafemoral Pain Syndrome
Poster Presentation XML
2Department of Corrective Exercises and Sport Injury Faculty of Physical education, Allameh Tabatabaie University
3Department of Corrective Exercises and Sport Injury Faculty of Physical education, Allameh Tabataba’i University
Introduction: Patellafemoral pain syndrome (PFPS), is one of the most common knee injuries in athletes and non-athletes. PFPS is characterized by diffuse pain in the anterior knee, Which typically occurs during the up and down activities of the stairs, squat, long sitting, and kneeling or running. Due to pain and muscle Inhibition, it is likely that the disorder has a negative effect on the proprioceptive sensation. Cooling, is one of the most commonly used methods of sports injury. Therefore, the purpose of this study was to investigate the effect of localized cooling with ice and cold spray, on the knee joint position sense of athletes with Patellafemoral Pain Syndrome.
Methodology: In this semi-experimental study, 30 athletes suffering from patellafemoral pain were randomly assigned into two groups of ice-pack and cold spray. The effect of coldness on the knee joint sensation was measured by the method of objective angle reconstruction (30 degrees knee flexion). Data were analyzed using SPSS version 23 and Kolmogorov-Smirnov test, paired t-test and independent t-test.
Results: The magnitude of the reconstruction error of 30 degrees of knee flexion immediately after finishing the cooling in different types of cooling methods was significantly higher than the pre-cooling condition, but the localized cooling with ice program, had a greater effect on the sensitivity of the sensation.
Discussion: The results of this study, indicate the negative effects of cooling on knee joint position sense. Meanwhile, ice pack compared to spray, has had a greater effect on reducing the accuracy of joint position sense. Decreasing the proprioception sense, can reduce mechanical stability and, consequently, increase the chance of joint injury.