Coolspray! Placebo? Hvad findes der af evidens? What evidence is there?

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Det spurgte jeg min badmintonven, holdkammerat, bestyrelseskollega og næsten-genbo Jan Rafn om! 

Jan er Fysioterapeut, Cand. Scient og lektor ved Fysioterapeutuddannelsen i Næstved.

https://www.ucviden.dk/da/persons/jan-rafn

“Der er flere studier og reviews, der diskuterer brugen af kølespray (cryoterapi) til behandling af muskuloskeletale skader i forbindelse med sport og fysisk aktivitet. 

Her er nogle relevante fund:

Generelle fordele ved cryoterapi: 

Cryoterapi, inklusive kølespray, bruges primært for at reducere smerte, inflammation og metabolisme i vævet. 

Det er især effektivt til smertelindring til overfladiske strukturer i akutte faser af skader som ankelforstuvninger eller muskelskader. 

Mange studier fremhæver dog, at evidensen for vævsregenerering eller reduktion af sekundær skade er begrænset og ofte baseret på dyrestudier frem for menneskeforsøg. Derfor bør cryoterapi bruges med omtanke.

Jeg har fundet tre nyere studier, du kan søge på.

1. “The Use of Cryotherapy in Acute Sports Injuries” (Galiuto, 2016): 

Dette systematiske review analyserer evidensen for cryoterapi, herunder brugen af kølespray, til behandling af akutte sportsrelaterede skader som ankelforstuvninger og muskelskader. 

Cryoterapi er effektiv til smertelindring og reduktion af inflammation, men der mangler konsensus om optimale metoder og varighed for anvendelse. 

2. “Cryotherapy and Compression in Sports Injury Management: A ScopingReview” (Alexander et al., 2021): 

Dette scoping review fremhæver, at cryoterapi, herunder kølespray, bruges i kombination med kompression for bedre effekt. 

Dog er der metodologiske mangler og varierende protokoller i eksisterende studier, hvilket skaber usikkerhed om dens effekt i praksis.

3. “Cryotherapy for Treating Soft Tissue Injuries in Sports Medicine: A Critical Review” (Racinais et al., 2024): 

Denne kritiske gennemgang konkluderer, at cryoterapi primært bruges til at reducere smerte i de første timer efter en skade, men at dens langsigtede effekt på heling og regenerering er uklar. 

Dyrestudier antyder, at forkert anvendelse kan hæmme vævsheling.”

Min opsummering:

Altså, at BWF fjerner muligheden for cool spray er helt ok. For brugen af den er tvivlsom. Den giver højst lidt kortvarig og overfladisk smerte lindring! 

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Coolspray.! Placebo? What evidence is there? 

I asked my badminton friend, teammate, board colleague and almost-neighbor Jan Rafn about that! 

Jan is a Physiotherapist, Cand. Scient and associate professor at the Physiotherapist Education in Næstved.

https://www.ucviden.dk/da/persons/jan-rafn

“There are several studies and reviews that discuss the use of cooling spray (cryotherapy) for the treatment of musculoskeletal injuries in connection with sports and physical activity. 

Here are some relevant findings:

General benefits of cryotherapy: 

Cryotherapy, including cooling spray, is primarily used to reduce pain, inflammation and metabolism in the tissue. 

It is particularly effective for pain relief to superficial structures in the acute phases of injuries such as ankle sprains or muscle injuries. 

However, many studies highlight that the evidence for tissue regeneration or reduction of secondary damage is limited and often based on animal studies rather than human trials. Therefore, cryotherapy should be used with caution.

I have found three recent studies that you can search for.

1. “The Use of Cryotherapy in Acute Sports Injuries” (Galiuto, 2016): 

This systematic review analyzes the evidence for cryotherapy, including the use of cold spray, for the treatment of acute sports-related injuries such as ankle sprains and muscle injuries. 

Cryotherapy is effective for pain relief and reducing inflammation, but there is a lack of consensus on optimal methods and duration of use. 

2. “Cryotherapy and Compression in Sports Injury Management: A Scoping Review” (Alexander et al., 2021): 

This scoping review highlights that cryotherapy, including cold spray, is used in combination with compression for better effect. 

However, there are methodological shortcomings and varying protocols in existing studies, which creates uncertainty about its effect in practice.

3. “Cryotherapy for Treating Soft Tissue Injuries in Sports Medicine: A Critical Review” (Racinais et al., 2024): 

This critical review concludes that cryotherapy is primarily used to reduce pain in the first hours after an injury, but that its long-term effect on healing and regeneration is unclear. 

Animal studies suggest that improper use can inhibit tissue healing.”

My summary:

So, the BWF removing the option of cool spray is perfectly fine. Because its use is questionable. It provides at most some short-term and superficial pain relief!

Badmintonbladet.dk / Per Damkjær Juhl

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