Objective To determine the effect of cold air therapy on relieving spasticity, the optimal intramuscular temperature, and the duration of spasticity relief. Method Twenty-three 4 months old Korean white rabbits weighing 2 to 3 kg were used. After posterior laminectomy at thoracolumbar junction, the spinal cord was completely transected. After spasticity occurred, cold air was applied to the triceps surae muscles for 30 minutes at three different intramuscular temperatures (32.5, 30, and 25oC). Spasticity was measured pre-treatment, immediately following treatment, after 30 minutes, and after 60 minutes. Clinical parameters (muscle tone, deep tendon reflex, ankle clonus, and Babinski's sign) and electrophysiologic parameters (F/M ratio and H/M ratio) were measured. Result: Muscle tone and Babinski's sign significantly decreased immediately following treatment in the 32.5oC group, immediately following treatment and after 30 minutes in the 30oC and 25oC group. Deep tendon reflex and ankle clonus significantly decreased immediately following treatment in the 32.5oC group, immdiately following treatment, after 30 minutes in the 30oC group, immediately following treatment, after 30 minutes and after 60 minutes in the 25oC group. The F/M ratio and H/M ratio were not significantly affected in the 32.5oC group but decrease immediately following treatment in the 30oC and 25oC groups. Compound motor unit action potentials were not evoked in 6 out of 16 cases (37.5%) in the 25oC group, resulting in blockage of conduction. Conclusion To relieve spasticity with cold air therapy, the intramuscular temperature should be maintained at 30oC. The duration of spasticity relief lasted from 30 minutes to one hour after cold air therapy. |