טיפול בקור- כתבות מחו"ל - כ נ ס ו !!! זה cool

ד"ר ברק שלום, אני חיפשתי ומצאתי כמה כתבות מחו"ל על הטיפולים !!! כך שלגבי האישורים - יש ! אנחנו בארץ מסתבר מאוד לא מעודכנים!!! בברכה. הכתבות : Rehabilitation (Stuttg) 2000 Apr;39(2):93-100 [Whole-body cryotherapy in rehabilitation of patients with rheumatoid diseases--pilot study]. [Article in German] Metzger D, Zwingmann C, Protz W, Jackel WH Cryotherapy as a whole-body cold therapy (with cold air cooled by addition of nitrogen blown on the patients in an open cabin) for treatment of inflammatory rheumatic diseases already started in Bad Sackingen in 1986. In 1996, a new cold chamber (this time a closed chamber without any addition of nitrogen) based on compressor technology was introduced. The aim of our study was to test whether significant pain relief could be achieved by means of this cold therapy. Furthermore, we were interested in the practicability AND acceptance of this new technique. Wellbeing during the treatment application AND pain level were assessed using verbal AND numerical rating scales. The sample consisted of 120 consecutive patients (75% women, age: 30-67 yrs, M = 52.6 yrs). These patients were suffering from primary fibromyalgia (40.7%), rheumatoid arthritis (17.3%), chronic low back pain (16.4%), ankylosing spondylitis (10.9%), osteoarthritis (9.1%), secondary fibromyalgia (3.6%) AND other autoimmune diseases (1.8%) (mean duration of symptoms: 4 yrs). The patients were treated 2.5 minutes on average in the main chamber (mean temperature: -105 degrees C). The patients' statements concerning their pain level were analyzed by means of analyses of variance with repeated measures AND paired-sample t-tests. RESULTS: The pain level after application of the cold therapy decreases significantly. The pain reduction lasts about 90 minutes. The initial pain level decreases during the whole time of treatment, no significant improvement, though, can be shown from the middle to the end of the four-weeks treatment. According to the results of our study, there is evidence that the whole-body cold therapy generates important short-term effects AND somewhat weaker effects over the treatment period as a whole. Short-term pain reduction facilitates intensive application of physiotherapy AND Occupational Therapy. The treatment procedure is practicable, AND all in all well tolerated. From the patients' point of view, whole-body cold therapy is an essential part of the rehabilitation programme. --- Cryotherapy in sports medicine. Swenson C, Sward L, Karlsson J. Department of Orthopaedics, Ostra University Hospital, Goteborg, Sweden. The use of cryotherapy, i.e. the application of cold for the treatment of injury OR disease, is widespread in sports medicine today. It is an established method when treating acute soft tissue injuries, but there is a discrepancy between the scientific basis for cryotherapy AND clinical studies. Various methods such as ice packs, ice towels, ice massage, gel packs, refrigerant gases AND inflatable splints can be used. Cold is also used to reduce the recovery time as part of the rehabilitation programme both after acute injuries AND in the treatment of chronic injuries. Cryotherapy has also been shown to reduce pain effectively in the post-operative period after reconstructive surgery of the joints. Both superficial AND deep temperature changes depend on the method of application, initial temperature AND application time. The physiological AND biological effects are due to the reduction in temperature in the various tissues, together with the neuromuscular action AND relaxation of the muscles produced by the application of cold. Cold increases the pain threshold, the viscosity AND the plastic deformation of the tissues but decreases the motor performance. The application of cold has also been found to decrease the inflammatory reaction in an experimental situation. Cold appears to be effective AND harmless AND few complications OR side-effects after the use of cold therapy are reported. Prolonged application at very low temperatures should, however, be avoided as this may cause serious side-effects, such as frost-bite AND nerve injuries. Practical applications, indications AND contraindications are discussed. Publication Types: • Review • Review, Tutorial PMID: 8896090 [PubMed - indexed for MEDLINE]

שלום נראה לי כינ אפילו את לא הצלחת למצוא פירסומים על ירידה במשקל. דרך אגב, לצורך גילוי נאות אולי כדאי כי תפרטי מה הם יחסייך עם החברה הנ"ל? ד"ר ברק