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The R.I.C.E. method

24. July 2014/0 Comments/in Experts /by Fabien Mpouma
Today I would like to talk about a discussion that has recently gained a lot of momentum and is concerned about first aid measures after a sports related injury. The R.I.C.E. method. R.I.C.E. was originally published by Dr Gabe Mirkin in 1978 in ‘The Sportsmedicine Book’ and stands for Rest, Ice, Compression, Elevation. This rule was quickly established as the standard for sport injuries and accidents and stayed the go-to-method for several decades. The aim of this method is to counter-act the swelling of injured tissue as fast and as soon as possible in order to avoid it or reduce it. This way it is (or rather, was) believed to reduce additional damages stemming from the swelling and pain. So far so good. Doctors, physical therapists, coaches, and medical attendants have incorporated the R.I.C.E. method for decades. Of all persons, it was the inventor himself to criticize this method recently. He was certainly supported by several recent studies that have shown that cooling (partially strong cooling with ice) and elevation slow down the healing process. The explanation: cooling and elevating the tissue constrict the blood vessels and pores. Less blood can be transported to the injured area. Unfortunately, this goes along with a reduced exchange of nutrients. However, when injured the body needs to inflame in order to heal itself. In order to inflame the body produces certain inflammation-markers. These markers are necessary temporarily but can slow down the regeneration process when they are present too long. And this is exactly what happens when cooling the injured tissue! The next thing the body does is try to remove the damaged cells with the help of macrophages. Supplying enough of these scavenger cells, however, is difficult because of the reduced blood flow. Additionally, the macrophages send out a messenger called IGF-1 (a protein). This messenger is extremely important for the reconstruction process of cells and is lacking when the numbers of macrophages is reduced. Another point that Mirkin makes is the possibility of damaging the nerves when cooling the damaged tissue continuously. Mirkin has realized that there are more than enough reasons to make sure that the injured tissue is supplied with an adequate amount of nutrients and blood in order to assure the tissue can heal properly and as fast as possible. The R.I.C.E. method should at least be reviewed. Thus, our recommendation is this: stop the activity, cool for 20 minutes at max, active regeneration, and later mobilization, NOT immobilization! Your Fabien
Tags: education
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I have just trained with the revvll PRO for two weeks. The product is so versatile and I can train almost all major muscles of the body using different variations. The rope pulling training mechanism brings a lot of fun and new elements to my daily training program. Thanks a lot. Hope there will be more new training equipment to be invented by aerobis in the near future.

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I received the new massage gun Mini today - it's really awesome! I have for a few years very good experience with the Hypervolt and was actually looking for a "little sister" to the big brother. A pistol that fits even better in the hand and is especially good in the neck and forearm area and that you can also quickly take with you. Then the smaller Hypervolt GO recently came on the market - and I was totally disappointed. For one thing, it's significantly louder than the Hypervolt PLUS and has an almost ridiculously low contact pressure. The motor stops almost immediately when you push a little harder. A real disappointment. At all, when you consider that costs over 200, - euros.

The more I was pleased that you have also brought out such a handy little gun. And what can I say: It exceeds my expectations! Significantly even. It has a decent contact pressure and the motor also does not fail if you press properly, i.e. you can go deep into the tissue. There are four useful attachments included, which I'm also used to from the Hypervolt. And also extremely important, it's whisper quiet - just like I'm used to with the Hypervolt PLUS. And it is extremely handy. A case would have been cool, but it's not that important. In any case, a good price-performance ratio overall. And it is also extremely classy in appearance.

This is a really ingenious little part! Great expansion of your product range.

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Hi,

just wanted to let you know the I have set up both the endless rope trainer and the kinetic trainer on the rig. I have got to say that both pieces of equipment are outstanding mate - I should of purchased all 3 items earlier. I thought I would share some positive feedback - as both myself and my wife are really impressed with these items.

Thanks again

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Hello,

we are very satisfied with our order. For intense club use, the equipment is always in perfect condition.

Congratulations for the quality of your products.

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Hello aerobis-Team,

here a little feedback from Ratingen Lintorf. We are still satisfied with your products and our members enjoyed using our Functional Training Area and your equipment at every opportunity.

Thanks a lot, you are doing a good job!

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