Cold Perspectives: Advancements and Applications of Cryotherapy in Clinical Settings

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: 30 November 2024 | Viewed by 3308

Special Issue Editor


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Guest Editor
Istituto Auxologico Italiano, IRCCS, Research Laboratory in Biomechanics, Rehabilitation and Ergonomics, San Giuseppe Hospital, 28824 Piancavallo (VB), Italy
Interests: whole-body cryostimulation; rehabilitation; obesity and metabolic diseases; musculoskeletal and neurological disorders

Special Issue Information

Dear Colleagues,

Prolonged or repeated cold exposure in humans causes physiological changes occurring in the endocrine, circulatory, neuromuscular, and immunological systems. The application of cold for therapeutic purposes is regularly referred to as cryotherapy and is restricted to the therapeutic use of cold in the management of painful conditions, a centuries-old practice that has already been used by the ancient Greeks. Cryotherapy varies depending on the medium used to achieve the desired purposes: immersion in cold water, the use of ice, or exposure to cold air. Nowadays, partial, local, or whole-body cold exposure is growing significantly and is widely used in the context of sports medicine after physical exercise to reduce effort-related pro-inflammatory responses, to relieve exercise-associated muscle soreness, damage, fatigue, and inflammation, and enhance muscle post-exercise recovery. 

However, a growing body of work has suggested that cryotherapy could play a role as a promising adjuvant therapy under various conditions of rehabilitation interest. In fact, it is currently being used to relieve symptoms in rheumatoid arthritis, fibromyalgia, ankylosing spondylitis, depression, anxiety, multiple sclerosis, sleep disturbances, muscle soreness after strenuous physical exercise, post-COVID-19 syndrome, and obesity. Therefore, we believe that it is important to highlight the potential use of cryotherapy for medical purposes and emphasize its relevance in the field of rehabilitation with the aim of stimulating scientific studies on its efficacy as an adjuvant treatment in various conditions of rehabilitation interest.

The aim of this Special Issue is to publish manuscripts in the form of original research articles, reviews, etc. Authors are encouraged to present their results and discuss original ideas and hypotheses in this field. We expect to stimulate discussions on fundamental questions that can be translated into the clinical context.

Dr. Jacopo Maria Fontana
Guest Editor

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Keywords

  • cryotherapy
  • local cryotherapy
  • cryostimulation
  • partial/local/whole-body cryostimulation
  • par-tial/local/whole-body cryotherapy
  • personalized rehabilitation
  • multidisciplinary rehabilitation
  • cold therapy
  • cold exposure
  • adjuvant therapy

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Published Papers (3 papers)

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Research

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13 pages, 2441 KiB  
Article
High-Intensity Interval Training, but Not Whole-Body Cryostimulation, Affects Bone-Mechanosensing Markers and Induces the Expression of Differentiation Markers in Osteoblasts Cultured with Sera from Overweight-to-Obese Subjects
by Marta Gomarasca, Ewa Ziemann, Veronica Sansoni, Marta Flis, Silvia Perego, Joanna Jaworska, Laura Gerosa, Martina Faraldi and Giovanni Lombardi
J. Pers. Med. 2024, 14(10), 1015; https://doi.org/10.3390/jpm14101015 - 24 Sep 2024
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Abstract
Background/Objectives: Although there have been some clinical observations made, the mechanistic effects on bone metabolism of whole-body cryostimulation and high-intensity interval training (HIIT), either alone or in combination, are still debated. Here, we have investigated their effects on circulating osteo-immune and bone metabolic [...] Read more.
Background/Objectives: Although there have been some clinical observations made, the mechanistic effects on bone metabolism of whole-body cryostimulation and high-intensity interval training (HIIT), either alone or in combination, are still debated. Here, we have investigated their effects on circulating osteo-immune and bone metabolic markers (osteopontin, osteocalcin, sclerostin, dikkopf-related protein 1, and fibroblast-growth factor 23) and their potential effects on osteoblast differentiation and function, in vitro, by treating SaOS-2 osteoblast-like cells with the sera obtained from the subjects who had undergone the different interventions or untreated control subjects. Methods: Sixty-seven inactive, overweight-to-obese participants (body mass index = 31.9 ± 5.0 kg·m−2, 42 ± 13 years old) were recruited and randomly assigned to one group: control (CTRL, n = 14), training (HIIT, 6 sessions, n = 13), WBC (CRYO, 10 sessions, n = 17) or training combined with WBC (CRYO-HIIT, n = 23). The interventions lasted 14 days. Results: While circulating markers analysis revealed more protective potential against resorption in HIIT than in WBC alone or combined, gene expression from in vitro analysis showed an induction of late bone metabolic markers in the HIIT group. Conclusions: These data suggest a potentially protective effect of HIIT in bone against resorption, while WBC maintains homeostasis by preventing any resorptive phenomena and limiting any anabolic activity even when stimulated by intensive exercise. Full article
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12 pages, 1366 KiB  
Article
Whole-Body Cryostimulation: An Effective Complementary Treatment in Fibromyalgia? A Follow Up Study
by Federica Verme, Neža Majdič, Giuseppe Modaffari, Angelo Alito, Alessandra Scarpa, Paolo Piterà, Amelia Brunani, Jacopo Maria Fontana and Paolo Capodaglio
J. Pers. Med. 2024, 14(8), 836; https://doi.org/10.3390/jpm14080836 - 7 Aug 2024
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Abstract
Recent evidence suggests that whole-body cryostimulation (WBC) may be beneficial for patients with fibromyalgia (FM), but little is known about the duration of such effects. The purpose of this study was to verify the duration of clinical–functional benefits after one cycle of WBC. [...] Read more.
Recent evidence suggests that whole-body cryostimulation (WBC) may be beneficial for patients with fibromyalgia (FM), but little is known about the duration of such effects. The purpose of this study was to verify the duration of clinical–functional benefits after one cycle of WBC. We conducted a follow-up study on the medium and long-term effects of WBC on well-being, use of pain-relieving/anti-inflammatory medications, pain level, fatigue, sleep quality, and psychological aspects such as mood and anxiety. Twelve months after discharge, we administered a 10 min follow-up telephone interview with FM patients with obesity who had undergone ten 2 min WBC sessions at −110 °C as part of a multidisciplinary rehabilitation program (n = 23) and with patients who had undergone rehabilitation alone (n = 23). Both groups reported positive changes after the rehabilitation program, and similar results regarding fatigue, mood, and anxiety scores; however, the implementation of ten sessions of WBC over two weeks produced additional benefits in pain, general well-being status, and sleep quality with beneficial effects lasting 3–4 months. Therefore, our findings suggest that adding WBC to a rehabilitation program could exert stronger positive effects to improve key aspects of FM such as general well-being, pain level, and sleep quality. Full article
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10 pages, 648 KiB  
Case Report
The Effect of Therapeutic Exercise and Local Cryotherapy on Lower Limb Enthesitis in Non-Radiographic Axial Spondyloarthritis: A Case Report
by Angelo Alito, Rossella Talotta, Valeria D’Amico, Daniela Amato, Demetrio Milardi and Paolo Capodaglio
J. Pers. Med. 2024, 14(10), 1035; https://doi.org/10.3390/jpm14101035 - 28 Sep 2024
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Abstract
Background: Enthesitis is a common feature of spondyloarthritis and can severely impair the patient’s quality of life. International guidelines recommend multidisciplinary management of this condition, combining physical and pharmacological interventions. In this case report, we demonstrate clinical and ultrasonographic improvements by prescribing local [...] Read more.
Background: Enthesitis is a common feature of spondyloarthritis and can severely impair the patient’s quality of life. International guidelines recommend multidisciplinary management of this condition, combining physical and pharmacological interventions. In this case report, we demonstrate clinical and ultrasonographic improvements by prescribing local cryotherapy and therapeutic exercise alone in an adult woman with non-radiographic axial SpA (nRX-AxSpA) complaining of heel enthesitis. Methodology: A personalized program was prescribed that focused on reducing pain, joint stiffness, and muscle tightness, improving strength and endurance. Pain, function, and degree of disability were assessed using the Numerical Rating Scale, the Victorian Institute of Sport Assessment-Achilles, the single-leg heel lift test, and the Foot Function Index. In addition, lower limb muscle strength was measured using a dynamometer and enthesitis was assessed ultrasonographically using the Glasgow Ultrasound Enthesitis Score System. Results: Benefits were evident as early as week 5 and persisted at 3 months on ultrasound assessment. No side effects were reported. Discussion: To the best of our knowledge, this is the first report of prescribing such a strategy in a patient with nRX-AxSpA. Given the good tolerability, this intervention could be considered in patients with contraindications to pharmacologic approaches. Full article
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