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the liquids, responsible for the repair of the tissues. Cold will only slow down this
process. This deceleration is compensated largely by the reduction of the harmful
effects of the oedema, which will allow for a much earlier rehabilitation by means
of exercising.
2.3
Neurological effects
As already mentioned, cold can provoke a local anaesthesia (analgesia) provided
that the temperature reaches a level below 15° C. Cold also reduces muscular
spasticity.
It has been established that the amplitude of the reflex response during the
stretching of the muscle decreases during and immediately after application
of the cold. This phenomenon is what led Travell to developing the “Spray and
stretch method”. This method provides very good results in spasms during
stretching of the muscle.
2.4
Vasomotor reactions
The cooling down of the tissue causes a fast arteriolar and capillary
vasoconstriction via the reflexes (thermoregulation).
In 1930, LEWIS described the changes in the blood flow of the skin, when a hand
is dipped in water of 10 -12° C long enough. The reaction is the result of an axon
reflex. Since then many authors described these reactions, although not
everyone follows these conclusions. Today is assumed that the alternation of
vasodilatation and vasoconstriction is caused by a decrease of the affinity of the
adrenergic α-receptors. This difference in conclusions can be explained by the
difference in circumstances during the experiments.
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