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4 - Statement of the problem

The use of the RICE (Rest, Ice, Compression and Elevation) regime, together with the more recent addition of a Protection element is widely accepted in the approach to the management of acute soft tissue injuries (Quillen and Rouillier, 1982; Pincivero et al, 1993). However, within this concept, there are wide variations, particularly with respect to the application of ice (or other cold applications) (Knight, 1989) and the argument of rest versus early mobilisation (Eiff et al, 1994; Jarvinen and Lehto, 1993).

Thus, the problem can be summarised in terms of the incidence and sequelae of soft tissue injuries and the variations and uncertainties apparent in their early management.

  • There is a high incidence of injuries occurring in sports and recreational activities (Anderson and Hall, 1995; Nichols et al, 1991)
  • There is a high socioeconomic cost to these injuries (Groh and Groh, 1975, cited Kuprian, 1981; Tolpin and Bentkover, 1986; Nichols et al,1991)
  • Although there is general acceptance of the PRICE approach to the management of these injuries (Quillen and Rouillier, 1982; Pincevero, 1993), there is wide variation in practice (Knight, 1989; Jarvinen and Lehto, 1993; Eiff et al, 1994) and uncertainty about the most effective application (Knight, 1989)

The ultimate recommendations for practice presented in this document, and in the summary documents/ leaflets, may apply to all individuals who sustain soft tissue injury as a result of physical activity.

Thus, individuals of all age groups, of all levels of fitness, and who participate in all levels of physical activity, from everyday functional activities to international athletic competition, should benefit from adhering to the recommendations for management in the immediate (up to 72 hours) post-injury management.

— Phil @ 9:49 pm, June 27, 2006


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