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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n\u003Cp id=\u0022p-1\u0022\u003ECompressive cryotherapy with an electric, inflatable sleeve did not decrease postoperative pain compared with standard cryotherapy with an ACE wrap in patients who underwent arthroscopic rotator cuff repair or subacromial decompression. Pain was measured by patient-reported diaries with a visual analog scale and pain medication usage.\u003C\/p\u003E\n\u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003Ecryotherapy\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Ecompressive cryotherapy\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Erotator cuff repair\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Esubacromial decompression\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Eorthopedics \u0026amp; sports medicine clinical trials\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Eshoulder \u0026amp; elbow conditions\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-1\u0022\u003E\n\n\u003Cp id=\u0022p-2\u0022\u003ECompressive cryotherapy did not reduce postoperative pain compared with standard cryotherapy in patients who underwent arthroscopic rotator cuff repair (RCR) or subacromial decompression (SAD). Matthew J. Kraeutler, BS, CU Sports Medicine, Boulder, Colorado, USA, presented data from the Compression and Cold Therapy on the Post-Operative Shoulder trial [\u003Ca class=\u0022external-ref external-ref-type-clintrialgov\u0022 href=\u0022\/lookup\/external-ref?link_type=CLINTRIALGOV\u0026amp;access_num=NCT00703729\u0026amp;atom=%2Fspmdc%2F15%2F7%2F9.atom\u0022\u003ENCT00703729\u003C\/a\u003E].\u003C\/p\u003E\n\u003Cp id=\u0022p-3\u0022\u003EPain control after RCR and SAD remains a problem. Previous studies have shown reduction in pain with use of cryotherapy in patients following RCR or arthroscopic SAD. In total knee arthroplasty, anterior cruciate ligament reconstruction, and wrist arthroscopy, compressive cryotherapy was demonstrated to improve postoperative pain scores. The purpose of this trial was to evaluate the effect of compressive cryotherapy on postoperative pain in patients following arthroscopic RCR or SAD.\u003C\/p\u003E\n\u003Cp id=\u0022p-4\u0022\u003EIn the prospective, open-label trial, 46 patients undergoing RCR or SAD were randomly assigned to receive compressive cryotherapy (n\u2005=\u200525) or cryotherapy alone (n\u2005=\u200521) for the first postoperative week. Patients randomized to the compressive cryotherapy group used an inflatable shoulder sleeve with an electric pump that filled the sleeve with compressed air and ice water, whereas the cryotherapy-alone group used a standard ACE wrap with ice. Patient-reported pain levels were assessed twice daily with a diary that included a visual analog score, and pain medications were documented and dosages were converted to morphine equivalent dosage.\u003C\/p\u003E\n\u003Cp id=\u0022p-5\u0022\u003EThere was no significant difference in average or worst pain among patients who were treated with compressive cryotherapy or cryotherapy alone during the study period. Similarly, there was no significant difference in morphine equivalent dosage over the 7 days after operation among the 2 arms (\u003Ca id=\u0022xref-fig-1-1\u0022 class=\u0022xref-fig\u0022 href=\u0022#F1\u0022\u003EFigure 1\u003C\/a\u003E). In addition, there was no difference in pain between the compressive cryotherapy and cryotherapy-alone groups.\u003C\/p\u003E\n\u003Cdiv id=\u0022F1\u0022 class=\u0022fig pos-float  odd\u0022\u003E\u003Cdiv class=\u0022highwire-figure\u0022\u003E\u003Cdiv class=\u0022fig-inline-img-wrapper\u0022\u003E\u003Cdiv class=\u0022fig-inline-img\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/15\/7\/9\/F1.large.jpg?width=800\u0026amp;height=600\u0026amp;carousel=1\u0022 title=\u0022Effect of Compressive Cryotherapy vs Cryotherapy Alone on Morphine Equivalent UnitsReproduced with permission from MJ Kraeutler, BS.\u0022 class=\u0022fragment-images colorbox-load\u0022 rel=\u0022gallery-fragment-images-1672220365\u0022 data-figure-caption=\u0022Effect of Compressive Cryotherapy vs Cryotherapy Alone on Morphine Equivalent UnitsReproduced with permission from MJ Kraeutler, BS.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003E\u003Cimg class=\u0022fragment-image\u0022 alt=\u0022Figure 1.\u0022 src=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/15\/7\/9\/F1.medium.gif\u0022\/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022highwire-figure-links inline\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/15\/7\/9\/F1.large.jpg?download=true\u0022 class=\u0022highwire-figure-link highwire-figure-link-download\u0022 title=\u0022Download Figure 1.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload figure\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/15\/7\/9\/F1.large.jpg\u0022 class=\u0022highwire-figure-link highwire-figure-link-newtab\u0022 target=\u0022_blank\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EOpen in new tab\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/16279\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003Cdiv class=\u0022fig-caption\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cspan class=\u0022fig-label\u0022\u003EFigure 1.\u003C\/span\u003E \u003Cp id=\u0022p-6\u0022 class=\u0022first-child\u0022\u003EEffect of Compressive Cryotherapy vs Cryotherapy Alone on Morphine Equivalent Units\u003C\/p\u003E\n\u003Cp id=\u0022p-7\u0022\u003EReproduced with permission from MJ Kraeutler, BS.\u003C\/p\u003E\u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Cp id=\u0022p-8\u0022\u003EIn conclusion, compressive cryotherapy did not reduce postoperative pain after RCR or SAD compared with standard cryotherapy. The results of this study suggest that compressive cryotherapy could not be recommended over standard therapy for the reduction of pain after RCR or SAD. Further studies are needed to evaluate the cost-effectiveness of compressive cryotherapy compared with traditional cryotherapy.\u003C\/p\u003E\n\u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2015 SAGE Publications\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/15\/7\/9.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_figures.js?nzlpmq\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzlpmq\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}