The Effect of Elevation on Intramuscular Tissue Temperatures

2018 ◽  
Vol 27 (6) ◽  
pp. 526-529 ◽  
Author(s):  
Cordial M. Gillette ◽  
Mark A. Merrick
Keyword(s):  
Athletic Training ◽  
Treatment Temperature ◽  
Musculoskeletal Injuries ◽  
Tissue Temperature ◽  
Treatment Control ◽  
Temperature Changes ◽  
Training Facility ◽  
Treatment Conditions ◽  
The Mean ◽  
Randomized Crossover Study

Context: Ice, compression, and elevation, or ICE, is a widely used treatment for acute musculoskeletal injuries. The effects of ice and compression on tissue temperatures have been established, but whether elevation during cryotherapy affects temperature change has not. Elevation has potential to alter local perfusion and thereby alter the balance of heat loss/heat gain, potentially impacting tissue cooling during cryotherapy. Objective: To measure the effect and interaction of ice, compression, and elevation on intramuscular temperatures. We hypothesized that elevation would not have an effect on intramuscular tissue temperature. Design: Randomized crossover study design. Setting: University athletic training facility. Patients or Other Participants: A total of 15 healthy volunteers (age 20.93 [1.67] y) provided informed consent and participated. Interventions: Participants completed 8 treatment conditions: no treatment (control), ice only (I), compression only (C), elevation only (E), ice and compression (IC), ice and elevation (IE), compression and elevation (CE), or ice, compression, and elevation (ICE). All conditions were tested on each participant with a minimum of 48 hours between each condition. Intramuscular temperatures were recorded every 30 seconds during a 1-minute preapplication, 30-minute treatment, and 20-minute postapplication period. Main Outcome Measures: The temperature difference between the mean treatment temperature and the mean preapplication temperature was compared across each measurement depth and treatment condition. Results: Non-ice treatments (control, C, E, and CE; means 33.4, 34.5, 33.7, and 34.6, respectively) had warmer intramuscular temperatures than any treatment that included ice (I, IC, IE, and ICE; means 28.4, 19.8, 28.0, and 19.3, respectively). There were no differences between IC and ICE (means 19.8 and 19.3, respectively). Ice alone was different from everything (Control, C, E, IC, CE, and ICE) except IE Conclusions: Elevation does not appear to play a role in temperature changes during cryotherapy treatments.

Ocular surface temperature differences in glaucoma

2021 ◽  
pp. 112067212110237
Author(s):  
Ari Leshno ◽  
Ori Stern ◽  
Yaniv Barkana ◽  
Noa Kapelushnik ◽  
Reut Singer ◽  
...  
Keyword(s):  
Surface Temperature ◽  
Thermal Imaging ◽  
Ocular Surface ◽  
Open Angle Glaucoma ◽  
Tissue Temperature ◽  
Body Temperatures ◽  
Current Thinking ◽  
Imaging Camera ◽  
The Mean ◽  
The Difference

Purpose: Accumulating evidence suggests that neuroinflammation and immune response are part of the sequence of pathological events leading to optic nerve damage in glaucoma. Changes in tissue temperature due to inflammation can be measured by thermographic imaging. We investigated the ocular surface temperature (OST) profile of glaucomatous eyes to better understand the pathophysiology of these conditions. Methods: Subjects diagnosed with glaucoma (primary open angle glaucoma [POAG] or pseudo exfoliation glaucoma [PXFG]) treated at the Sam Rothberg Glaucoma Center (11/2019–11/2020.) were recruited. Healthy subjects with no ocular disease served as controls. The Therm-App thermal imaging camera was used for OST acquisition. Room and body temperatures were recorded, and the mean temperatures of the medial cantus, lateral cantus, and cornea were calculated with image processing software. Results: Thermographic images were obtained from 52 subjects (52 eyes: 25 POAG and 27 PXFG) and 66 controls (66 eyes). Eyes with glaucoma had a significantly higher OST compared to controls (mean 0.9 ± 0.3°C, p < 0.005). The difference between the two groups remained significant after adjustment for age, sex, intraocular pressure (IOP) and room and body temperatures. Lens status and topical IOP-lowering medication did not significantly affect OST. A subgroup analysis revealed that the OST was higher among eyes with POAG compared to eyes with PXFG, but not significantly. Conclusions: Differences in the OST between glaucomatous and normal eyes strengthens current thinking that inflammation affects the pathophysiology of glaucoma. Longitudinal studies are warranted to establish the prognostic value of thermographic evaluations in these patients.

scholarly journals Decreased exercise capacity in young athletes using self-adapted mouthguards

2021 ◽  
Author(s):  
Johannes Lässing ◽  
Roberto Falz ◽  
Antina Schulze ◽  
Christoph Pökel ◽  
Maximilian Vondran ◽  
...  
Keyword(s):  
Blood Lactate ◽  
Maximum Load ◽  
Body Plethysmography ◽  
Con A ◽  
Young Athletes ◽  
Exercise Tests ◽  
Mean Values ◽  
The Mean ◽  
Preventive Effects ◽  
Randomized Crossover Study

Abstract Purpose There is evidence of both the preventive effects and poor acceptance of mouthguards. There are various effects on performance depending on the type of mouthguard model. Hemodynamic responses to wearing a mouthguard have not been described. The aim of this study was to investigate the effects of self-adapted mouthguards with breathing channels (SAMGvent). Methods In this randomized crossover study, 17 healthy, active subjects (age 25.12 ± 2.19 years) underwent body plethysmography and performed two incremental exertion tests wearing a (SAMGvent) and not wearing (CON) a mouthguard. Blood lactate, spirometrics, and thoracic impedance were measured during these maximum exercise tests. Results The mean values using a SAMGvent revealed significantly greater airway resistance compared to CON (0.53 ± 0.16 kPa·L−1 vs. 0.35 ± 0.10 kPa·L−1, respectively; p = < 0.01). At maximum load, ventilation with SAMGvent was less than CON (118.4 ± 28.17 L min−1 vs. 128.2 ± 32.16 L min−1, respectively; p = < 0.01). At submaximal loads, blood lactate responses with SAMGvent were higher than CON (8.68 ± 2.20 mmol·L−1 vs. 7.89 ± 1.65 mmol·L−1, respectively; p < 0.01). Maximum performance with a SAMGvent was 265.9 ± 59.9 W, and without a mouthguard was 272.9 ± 60.8 W (p < 0.01). Maximum stroke volume was higher using a SAMGvent than without using a mouthguard (138.4 ± 29.9 mL vs. 130.2 ± 21.2 mL, respectively; p < 0.01). Conclusion Use of a self-adapted mouthguard led to increased metabolic effort and a significant reduction in ventilation parameters. Unchanged oxygen uptake may be the result of cardiopulmonary compensation and increased breathing efforts, which slightly affects performance. These results and the obvious preventive effects of mouthguards support their use in sports.

scholarly journals Urinary Excretion and Bactericidal Activities of a Single Oral Dose of 400 Milligrams of Fleroxacin versus a Single Oral Dose of 800 Milligrams of Pefloxacin in Healthy Volunteers

1998 ◽  
Vol 42 (7) ◽  
pp. 1659-1665 ◽  
Author(s):  
Kurt G. Naber ◽  
Ursula Theuretzbacher ◽  
Martina Kinzig ◽  
Orlin Savov ◽  
Fritz Sörgel
Keyword(s):  
Oral Dose ◽  
Healthy Volunteers ◽  
Single Oral Dose ◽  
E Coli ◽  
Wide Range ◽  
The Mean ◽  
Bactericidal Activities ◽  
Tract Infections ◽  
Time Kill ◽  
Randomized Crossover Study

ABSTRACT Twelve healthy volunteers participated in this randomized crossover study to compare the concentrations and recovery levels of fleroxacin and pefloxacin in urine and to assess their bactericidal activities against 12 strains of urinary pathogens with different susceptibilities over a wide range of MICs. The volunteers received a single oral dose of 400 mg of fleroxacin or 800 mg of pefloxacin. The mean cumulative renal excretion of unchanged fleroxacin,N-demethyl-fleroxacin, and N-oxide-fleroxacin accounted for 67, 7, and 6% of the total dose, respectively. The total urinary recovery of pefloxacin and the active metabolite norfloxacin was 34%. In the time-kill and the urinary bactericidal titer (UBT) studies, only the subjects’ urine not supplemented with broth was used. With most tested organisms and both quinolones it took more than 8 h to achieve a reduction in CFU of 99.9% (3 log units). Overall, there was a good correlation between UBTs and MICs for the strains. Against Escherichia coli ATCC 25922 the median UBTs were similar for both antibiotics and at least 1:8 for 96 h; against the E. coli strain for which the MIC was 0.5 μg/ml the UBT was at least 1:4 for 48 h. The UBTs of both drugs against Klebsiella pneumoniae were at least 1:16 for 72 h. The UBTs for Staphylococcus aureus (the MIC for which was 16 μg/ml) of both antibiotics were low, and in some of the samples, no bactericidal titers were observed. UBTs for Proteus mirabilis of pefloxacin are significantly higher than those of fleroxacin. For Pseudomonas aeruginosa the median UBTs were present for the 24-to-48-h interval. The same is true forEnterococcus faecalis. Against Staphylococcus saprophyticus, UBTs were present for at least 48 h with both quinolones. Overall, a single oral dose of 400 mg of fleroxacin exhibits UBTs comparable to those of 800 mg of pefloxacin. Therefore, it may be expected that half of the dose of fleroxacin gives comparable results in the treatment of urinary tract infections; this should be substantiated in comparative clinical trials.

The Effects of Walking on Gastrocnemius Cooling During an Ice Bag Treatment

2014 ◽  
Vol 19 (6) ◽  
pp. 34-40 ◽  
Author(s):  
Stephanie J. Guzzo ◽  
Susan W. Yeargin ◽  
Jeffery S. Carr ◽  
Timothy J. Demchak ◽  
Jeffrey E. Edwards
Keyword(s):  
Outcome Measures ◽  
Gastrocnemius Muscle ◽  
Athletic Trainers ◽  
Exercise Physiology ◽  
Lower Extremity Injury ◽  
Physically Active ◽  
Treatment Conditions ◽  
Males And Females ◽  
Physiology Laboratory ◽  
Randomized Crossover Study

Context:Many athletic trainers use “ice to go” to treat their athletes. However, researchers have reported that icing a working muscle may negate intramuscular (IM) cooling.Objective:The purpose of our study was to determine the length of time needed to cool the gastrocnemius while walking followed by rest.Design:A randomized crossover study design was used.Setting:Exercise Physiology Laboratory.Patients or Other Participants:Nine healthy, physically active males and females (males 5, females 4; age 24.0 ± 2.0 years; height 174.0 ± 8.0 cm; weight 86.3 ± 6.5 kg; skinfold taken at center of gastrocnemius greatest girth, R leg 20.3 ± 4.4 mm, L leg 19.6 ± 4.1 mm) without lower extremity injury or cold allergy volunteered to complete the study.Intervention:Participants randomly experienced three treatment conditions on separate days: rest (R), walk for 15 minutes followed by rest (W15R), or walk for 30 minutes followed by rest (W30R). During each treatment, participants wore a 1 kg ice bag secured to their right gastrocnemius muscle. Participants walked at a 4.5km/hr pace on a treadmill during the W15R and W30R trials.Main Outcome Measures:A 1 × 3 within groups ANOVA was used to determine the effect of activity on cooling time needed for the gastrocnemius temperature to decrease 6 °C below baseline.Results:The R condition cooled faster (25.9 ± 5.5 min) than both W15R (33.7 ± 9.3 min;P= .002) and W30R (49.4 ± 8.4 min;P< .001). Average time to decrease 6 °C after W15R was 18.7 ± 9.3 minutes and after W30R was 19.4 ± 8.4 minutes.Conclusions:Clinicians should instruct their patients to stay and ice or to keep the ice on for an additional 20 minutes after they stop walking and begin to rest.

The Effects of Superficial Heating before 1-MHz Ultrasound on Tissue Temperature

2003 ◽  
Vol 12 (2) ◽  
pp. 95-103 ◽  
Author(s):  
William R. Holcomb ◽  
Chris Blank
Keyword(s):  
Athletic Training ◽  
Repeated Measures ◽  
Outcome Measure ◽  
Tissue Temperature ◽  
Temperature Elevation ◽  
Main Outcome Measure ◽  
Cooling Period ◽  
Dependent Variables ◽  
Within Subjects ◽  
Independent Variable

Context:Ultrasound significantly raises tissue temperature, but the time of temperature elevation is short.Objective:To assess the effectiveness of superficial preheating on temperature elevation and decline when using ultrasound.Design:Within-subjects design to test the independent variable, treatment condition; repeated-measures ANOVAs to analyze the dependent variables, temperature elevation and decline.Setting:Athletic training laboratory.Intervention:Temperature at a depth of 3.75 cm was measured during ultrasound after superficial heating and with ultrasound alone.Subjects:10 healthy men.Main Outcome Measure:Temperature was recorded every 30 s during 15 min of ultrasound and for 15 min afterward.Results:Temperature elevation with ultrasound was significantly greater with preheating (4.0 ± 0.21 °C) than with ultrasound alone (3.0 ± 0.22 °C). Temperature decline was not significantly different between preheating and ultrasound alone.Conclusions:Superficial preheating significantly increases temperature elevation but has no effect on temperature decline during a 15-min cooling period.

scholarly journals The isotopic record at an alpine glacier and its implications for local climatic changes and isotopic homogenization processes

2001 ◽  
Vol 47 (156) ◽  
pp. 147-151 ◽  
Author(s):  
He Yuanqing ◽  
Wilfred H. Theakstone ◽  
Yao Tandong ◽  
Shi Yafeng
Keyword(s):  
Equilibrium Line Altitude ◽  
Temperature Variations ◽  
Alpine Glacier ◽  
Temperature Changes ◽  
Natural Factors ◽  
Air Temperatures ◽  
Regional Temperature ◽  
The Mean ◽  
A Site ◽  
The Relationship

AbstractStratigraphic variations of oxygen isotopes in the snow which accumulates during the winter at the Norwegian glacier Austre Okstindbreen are not entirely eliminated after 1–2 months of ablation in the following summer. The relationship between regional temperature changes and δ18O values in the snowpack is affected by many natural factors, but 1989/90 winter air temperatures were reflected in the snow which remained on Austre Okstindbreen at 1350 m a.s.l. in July 1990. There were many variations of δ18O values in the 4.1m of snow above the 1989 summer surface, but variations in the underlying firn were relatively small. Meltwater percolation modifies the initial variations of δ18O values in the snowpack. At a site below the mean equilibrium-line altitude on Austre Okstindbreen, increased isotopic homogenization within a 10 day period in July accompanied an increase of the mean δ18O value. Although the isotopic record at a temperate glacier is likely to be influenced by more factors than is that at polar glaciers, it can provide an estimate of the approximate trend of local temperature variations.

Characteristics of Lithium Polysilicate Electrolyte Synthesized by Sol-Gel Processing

2007 ◽  
Vol 124-126 ◽  
pp. 1031-1034
Author(s):  
Bong Soo Jin ◽  
Bok Ki Min ◽  
Chil Hoon Doh
Keyword(s):  
Heat Treatment ◽  
Acid Treatment ◽  
Treatment Time ◽  
Sol Gel ◽  
Silicate Solution ◽  
Treatment Temperature ◽  
Lithium Silicate ◽  
Treatment Conditions ◽  
Xrd Patterns ◽  
Si Wafer

To find out suitable Si surface treatment and heat treatment conditions, acid treatment of Si wafer was done for lithium polysilicate electrolyte coating on Si wafer. In case of HCl treatment, the wet angle of a sample is 30o, which is the smallest wet angle of other acid in this experiment. Acid treatment time is 10 min, which is no more change of wet angle. Lithium polysilicate electrolyte was synthesized by hydrolysis and condensation of lithium silicate solution using perchloric acid. Thermal analysis of lithium polysilicate electrolyte shows the weight loss of ~23 % between 400 and 500 , which is due to the decomposition of LiClO4. The XRD patterns of the obtained lithium polysilicate electrolyte also show the decrement of LiClO4 peak at 400 . The optimum heat treatment temperature is below 400 , which is the suitable answer for lithium polysilicate electrolyte.

scholarly journals Creating a LGBTQ+ Inclusive Culture in the Athletic Training Facility

2018 ◽  
Vol 1 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Sean Rogers ◽  
Ashley Crossway ◽  
Patricia Aronson
Keyword(s):  
Athletic Training ◽  
Training Facility

scholarly journals Cooling of Lower Extremity Muscles According to Subcutaneous Tissue Thickness

2019 ◽  
Vol 54 (12) ◽  
pp. 1304-1307 ◽  
Author(s):  
Noelle M. Selkow
Keyword(s):  
Lower Extremity ◽  
Athletic Training ◽  
Treatment Time ◽  
Subcutaneous Tissue ◽  
Rectus Femoris ◽  
Treatment Temperature ◽  
Medial Gastrocnemius ◽  
Tissue Thickness ◽  
End Of Treatment ◽  
Standardized Treatment

Context When using an ice bag, previous researchers recommended cooling times based on the amount of subcutaneous tissue. Unfortunately, many clinicians are unaware of these recommendations or whether they can be applied to other muscles. Objective To examine if muscles of the lower extremity cool similarly based on recommended cooling times. Design Crossover study. Setting Athletic training laboratory. Patients or Other Participants Fourteen healthy participants volunteered (8 men, 6 women; age = 21.1 ± 2.2 years, height = 174.2 ± 4.5 cm, weight = 74.0 ± 7.5 kg). Intervention(s) Subcutaneous tissue thickness was measured at the largest girth of the thigh, medial gastrocnemius, and medial hamstring. Participants were randomized to have either the rectus femoris or medial gastrocnemius and medial hamstring tested first. Using sterile techniques, the examiner inserted a thermocouple 1 cm into the muscle after accounting for subcutaneous tissue thickness. After the temperature stabilized, a 750-g ice bag was applied for 10 to 60 minutes to the area(s) for the recommended length of time based on subcutaneous adipose thickness (0 to 5 mm [10 minutes]; 5.5 to 10 mm (25 minutes]; 10.5 to 15 mm [40 minutes]; 15.5 to 20 mm [60 minutes)]. After the ice bag was removed, temperature was monitored for 30 minutes. At least 1 week later, each participant returned to complete testing of the other muscle(s). Main Outcome Measure(s) Intramuscular temperature (°C) at baseline, end of treatment time (0 minutes), and posttreatment recovery (10, 20, and 30 minutes postintervention). Results At the end of treatment, temperature did not differ by subcutaneous tissue thickness (10 minutes = 29.0°C ± 3.8°C, 25 minutes = 28.7°C ± 3.2°C, 40 minutes = 28.7°C ± 6.0°C, 60 minutes = 30.0°C ± 2.9°C) or muscle (rectus femoris = 30.1°C ± 3.8°C, gastrocnemius = 28.6°C ± 5.4°C, hamstrings = 28.1°C ± 2.5°C). No significant interaction was present for subcutaneous tissue thickness or muscle (P ≥ .126). Conclusions Lower extremity muscles seemed to cool similarly based on the recommended cooling times for subcutaneous tissue thickness. Clinicians should move away from standardized treatment times and adjust the amount of cooling time by ice-bag application based on subcutaneous tissue thickness.

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