From injury and illness management to recovery, cryotherapy is commonly used by athletes and their support personnel.1 And the simplest version of this remains the application of ice. However, the use of ice is not trivial, nor should it be taken for granted. Apart from logistical challenges related to production, transportation and storage, ice is often used to obtain benefits which are not evidence-based. More importantly, ice could have the opposite effect to that expected such as delayed tissue regeneration or impaired recovery.2 This editorial discusses recent trends in ice usage and resource requirements at the Olympic Games within the context of an uncertain evidence base for the clinical application of cryotherapy. While mobilisation, massage and ultrasound were their principal treatment modalities, the British Olympic Association reported using ice in 10% of their treatments during the 1996 Atlanta Olympic Games and 8% of their treatment during their preparatory camp in Tallahassee.3 Comprehensive retrospective analyses of the London 2012,4 Rio 20165 and Tokyo 2020 Olympic Games (data courtesy of the Games organisers) also showed that while manual therapies are the most common intervention used by physiotherapists at the polyclinic, cryotherapy ice packs and compression pumps were the fourth most common intervention accounting for 4% to 7% of the total encounters. Similarly, the polyclinic of the Tokyo 2020 Olympic Games delivered 585 manual therapy treatments and only 63 cryotherapy ice …

中文翻译：

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近几届夏季奥运会的冰上挑战赛


从伤害和疾病管理到康复，运动员及其支持人员普遍使用冷冻疗法。1 最简单的方法仍然是冰敷。然而，冰的使用并非微不足道，也不应被视为理所当然。除了与生产、运输和储存相关的后勤挑战外，冰还经常被用来获取没有证据的好处。更重要的是，冰可能会产生与预期相反的效果，例如组织再生延迟或恢复受损。2这篇社论在冰的临床应用证据基础不确定的背景下讨论了奥运会冰使用和资源需求的最新趋势。冷冻疗法。虽然活动、按摩和超声波是他们的主要治疗方式，但英国奥林匹克协会报告称，在 1996 年亚特兰大奥运会期间，他们 10% 的治疗中使用了冰敷，在塔拉哈西预备营期间，8% 的治疗中使用了冰敷。 3 对治疗的全面回顾性分析2012 年伦敦奥运会、4 20165 年里约奥运会和 2020 年东京奥运会（数据由奥运会组织者提供）也显示，虽然手法治疗是综合诊所物理治疗师最常用的干预措施，但冷冻治疗冰袋和加压泵是第四大最常见的干预措施占总遭遇的 4% 到 7%。同样，2020 年东京奥运会的综合诊所提供了 585 例手法治疗，而只有 63 例冷冻治疗……