A Systematic Review of the Effectiveness of Contrast Baths |
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| Authors: | Donna E. Breger Stanton Rolando Lazaro Joy C. MacDermid |
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| Affiliation: | 1. Department of Physiology & Biochemistry, Govt. Yoga & Naturopathy Medical College & Hospital, The Tamilnadu Dr. MGR Medical University, Chennai 600106 India;2. Department of Naturopathy, Government Yoga and Naturopathy Medical College and hospital, The Tamilnadu Dr. MGR Medical University, Chennai India;3. Department of Yoga, Govt.Yoga & Naturopathy Medical College & Hospital, The Tamilnadu Dr.MGR Medical University, Chennai 600106 India;4. Department of Community Medicine, Govt.Yoga & Naturopathy Medical College & Hospital, The Tamilnadu Dr.MGR Medical University, Chennai 600106, India;5. Department of Physiology, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Vijayawada 522503, India;1. Sports Institute Northern Ireland, University of Ulster, Jordanstown, Newtownabbey, Co. Antrim BT37 0QB, United Kingdom;2. Ulster Sports Academy, University of Ulster, Jordanstown, Newtownabbey, Co. Antrim BT37 0QB, United Kingdom;1. Department of Research and Development, Government Yoga and Naturopathy College, Chennai, Tamil Nadu, India;2. Division of Yoga and Life Sciences, School of Yoga and Naturopathic Medicine, S-VYASA University, Bengaluru, Karnataka, India |
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| Abstract: | Study DesignSystematic review.IntroductionContrast baths are used as an intervention in hand therapy, yet it is unclear which patients, if any, benefit from this intervention.Purpose of the StudyTo examine the nature and quality of the evidence regarding the use of contrast baths using a systematic review process.MethodsOf a total of 28 clinical research articles on contrast baths, from 1938 forward, ten met the inclusion criteria set by the authors.ResultsThese studies addressed the physiological changes of hot and cold on blood flow, intramuscular temperature, subcutaneous temperature, and the influence of room temperature and age. The subjects included normal/healthy volunteers and patients with a diagnosis of rheumatoid arthritis, diabetes, or foot/ankle injuries. The diversity of conditions, protocols, and outcomes limited the ability to make definitive conclusions on efficacy.ConclusionsThe contrast bath procedure may increase superficial blood flow and skin temperature, though the evidence on the impact on edema is conflicting. No relationship between physiologic effects and functional outcomes has been established.Level of Evidence: 2A |
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