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Katie J. Lyman, Michael McCrone, Thomas A. Hanson, Christopher D. Mellinger and Kara Gange

or pain from 0 to 10 using the Borg Scale of Perceived Pain 38 at 10 points in time: prior to ice application, immediately upon ice application, and following application at the following points in time: 1, 2, 4, 6, 8, 10, 15, and 20 minutes after application. A mixed linear model was estimated

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Haydee G. Galvan, Amanda J. Tritsch, Richard Tandy and Mack D. Rubley

Context:

Ice-bath temperatures range from 1 to 15ºC; the pain response during treatment might be temperature specific.

Objective:

To determine levels of perceived pain during ice-bath immersion at distinct temperatures.

Design:

2 (sex) × 3 (temperature) × 9 (treatment time).

Setting:

Athletic training research laboratory.

Participants:

32 healthy subjects.

Intervention:

Ankle immersion in 1, 10, and 15°C ice baths for 20 minutes.

Main Outcome Measures:

Discomfort measured by the Borg scale of perceived pain at immersion for 1, 2, 4, 6, 8, 10, 15, and 20 minutes.

Results:

The magnitude of pain felt depended on treatment temperature (F 18,522 = 11.65, P < .0001). Pain ratings were 43% higher for 1ºC than 10ºC and 70% higher than 15ºC, and ratings at 10ºC were 46% higher than at 15ºC.

Conclusions:

Pain depends on treatment temperature. Patients might report inconsistent pain ratings with varying temperature.