Achilles tendon ruptures are common due to accumulated microtrauma and degenerative changes, and early management of pain and edema during the postoperative recovery process is crucial for optimal rehabilitation outcomes. This study aimed to investigate the effectiveness of cold spray therapy in reducing pain and edema after Achilles tendon rupture repair compared with conventional cold compresses. Patients were randomly assigned to an experimental group that received cold spray therapy in addition to standard cold compresses during the acute phase after repair of an acute Achilles tendon rupture, or a control group that received only cold compresses. Cold spray therapy was administered twice daily, once in the morning and once in the afternoon, for two weeks, with care taken not to spray directly on the surgical site. Standard cold compresses were applied for 15 minutes and were performed several times per day for two weeks. Pain intensity was measured using a visual analog scale (VAS), and edema was assessed using reference-point circumference measurements. In the experimental group, the mean changes before and after intervention were −49.96 ± 1.18 for VAS and −1.04 ± 0.69 for calf circumference, whereas in the control group, the corresponding changes were −39.07 ± 1.22 for VAS and −0.67 ± 0.93 for calf circumference. Both the experimental and control groups showed significant with in-group reductions in pain and edema (p<0.05), and significant differences were also observed in the between-group comparisons (p<0.05). Cold spray therapy appears to be an effective adjunctive treatment for early postoperative management after Achilles tendon repair, helping to relieve pain and reduce edema.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상 2. 중재 방법 3. 측정 도구 및 평가 방법 4. 통계 처리 Ⅲ. 결과 1. 연구대상자의 일반적인 특성 2. 통증의 변화 비교 3. 부종의 변화 비교 Ⅳ. 고찰 Ⅴ. 결론 인용문헌