Kinex Medical Kinex ThermoComp™ Device
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    Segmented compression, like manual edema massage, micmics natural pressure changes that occur in the limb.

    The Kinex ThermoComp is completely ice-less, offering all the physical benefits of ice without the mess or risk.

    All three therapy options are pre-programmed and start with a simple push of the button.

    The Kinex ThermoComp™ is a device that provides three separate pre-programmed therapies that are activated by a push of a button: cold-compression, contrast-compression, and intermittent pneumatic compression for DVT prophylaxis.  Continuous cold is delivered by a solid-state system without ice.  Cold temperature is microprocessor controlled within 1° making this one of the safest devices for unsupervised use in a patient’s home.  Contrast therapy cycles every 30 minutes with cold at 49° for 20 minutes followed by heat at 105° for 10 minutes.  Intermittent compression is delivered distal-to-proximal through a segmented pad.  DVT prophylaxis is delivered from a rapid inflation pump at 50 mm Hg through a calf pad or 100 mm Hg through a foot pad.  All three therapies are delivered separately, however cold-compression and DVT compression can run at the same time with the device cycling DVT compression separate from limb compression.

    Indications for Use
    The ThermoComp™ combines cold and compression therapies, contrast and compression therapies as well as DVT prophylaxis compression.  It is intended to treat post-operative injuries in the home to reduce edema, swelling and pain as well as improve blood flow to the surgical site and DVT prophylaxis for high risk patients.
     
    Features and Benefits
     
    Cold Therapy

    The benefits of continuous cold therapy are well established post-operatively and have been found to significantly reduce skin, subacromial, and glenohumeral temperatures.4  Continuous cold shoulder therapy has been shown to:
    • Decrease shoulder pain, swelling and muscle spasm6,7
    • Improve sleep potential and reduce need for pain medication6,7

    Contrast Therapy

    • Following the acute inflammatory stage, contrast compression is used to increase blood flow to the affected area to help improve range-of-motion and for pain and edema reduction.

    Segmented Compression

    • Segmented intermittent pneumatic compression follows the principles of manual edema massage, which is preferable over static compression, as it more closely mimics the natural pressure changes that occur in the limb.
    • Intermittent pneumatic compression helps reduce edema post-trauma1,2

    DVT Prophylaxis3

    Although the rates of thromboembolic complications were found to be lower in shoulder procedures compared to lower extremity procedures, they were not insignificant.  Shoulder procedures demonstrated a higher ratio of pulmonary embolism to deep venous thrombosis (DVT).  DVT prophylaxis is recommended in the home setting following shoulder procedures among high risk groups.
     
    Clinical Studies on Cold & Compression Therapy
    Shroder5 (1994) in a prospective, randomized study of 44 patients compared the effect of a continuous long-term application of combined cold and compression with an ice only group.  At 12 weeks the cold and compression group had significantly less swelling, less medication use and more range-of-motion.

    Stockle8 (2000) randomized 3 groups to evaluate the effectiveness of edema reduction post ankle trauma: intermittent pneumatic compression (IPC), continuous cold (CC) and ice pack therapy.  After 24 hours there was a 47% reduction in the IPC group, 33% reduction in the CC group and a 17% reduction in the ice packs group.  After 4 days there was a 74% reduction in the IPC group, a 45% reduction in the CC group and a 45% reduction in the ice pack group.


    References
    1. Gladback B, Pennig D, Meyer ST: Post-traumatic sweeling reduction of the hand: a-v impulse system versus cryotherapy. Traumatology Department, St. Vinzenz Hospital, Cologne, Germany.  Presented at the 37th Symposium of the Association of German-Speaking Handsurgery (DAH),10-16, October 1996, Zurich Switzerland.
    2. Griffin JW, Newsome LS, Stralka SW, Wright PE: Reduction of chronic posttraumatic hand edeam: A comparison of high voltage pulsed current, intermittent pneumatic compression, and placebo treatments. Phys Ther. 70(5):279-286, May 1990.
    3. Marx RG, et al: Prevalence and Risk Factors for Symptomatic Thromboembolic Events Following Shoulder Arthroplasty.  AAOS 273, March 23, 2006.
    4. Osbahr DC, Cawley PW, Speer KP. The effect of continuous cryotherapy on glenohumeral joint and subacromial space temperatures in the postoperative shoulder. Arthroscopy.18(7):748-754, 2002.
    5. Shroder D, Passler HH: Combination of cold and compression after knee surgery; A prospective randomized study. Knee Surg Sports Traumatol, Arthoscopy. 2:158-165, 194.
    6. Sing H, Osbahr DC, Holovacs TF, Cawley PW, Speer KP. The efficacy of continuous cryotherapy on the postoperative shoulder: A prospective, randommzed investigation. J Shoulder Elbow Surg. 10(6):522-525, 2001.
    7. Speer KP, Warren RF, Horowitz L: The efficacy of cryotherapy in the postoperative shoulder. J Shoulder Elbow Surg. 5:62-68, 1996.
    8. Stockle U, Konig B, Tempka A, Sudkamp NP: Cast immobilisation or vacuum stabilizing system? Unfallchirurg 103:215-219, 2000.