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1.
Enferm. clín. (Ed. impr.) ; 30(2): 119-123, mar.-abr. 2020. ilus, graf
Artigo em Espanhol | IBECS-Express | ID: ibc-FGT-3075

RESUMO

Objetivo: El objetivo del estudio es analizar, mediante el uso de termografía infrarroja, la variabilidad de temperatura del pie en pacientes diabéticos y no diabéticos tras la segmentación de la planta del pie en 4 áreas de estudio. Método: Se planteó un estudio transversal sobre una muestra de 479 sujetos encuadrados en 2 grupos, grupo personas con diabetes y grupo personas sin diabetes. El grupo de diabetes, compuesto de un total de 277 personas, con una edad media de 63,41 años (138 hombres [49,8%] y 139 mujeres [50,2%]), y el grupo sin diabetes con 202 individuos, con una edad media de 61,92 años (99 hombres [49%] y 103 mujeres [51%]). La toma de imágenes se llevó a cabo con la cámara FLIR E60bx(R). El análisis estadístico de los datos obtenidos se realizó utilizando el paquete estadístico IBM SPSS Statistics 22. Resultados: Los resultados mostraron variabilidad de temperatura en las distintas áreas de estudio de la planta del pie de forma bilateral, y también hubo diferencias según la pertenencia al grupo de pacientes diabéticos o no diabéticos. Conclusiones: El uso de termografía infrarroja en la evaluación del pie de riesgo podría demostrar la variabilidad de temperatura por áreas de estudio, lo que puede ser de utilidad para el diagnóstico y prevención de lesiones en zonas comprometidas del pie


Objective: The objective of the study is to analyze, through the use of infrared thermography, the variability of foot temperature in diabetic and non-diabetic patients by segmenting the sole of the foot in four study areas. Method: A cross-sectional study was proposed on a sample of 479 subjects divided into two groups, a group of people with diabetes and a group of people without diabetes. The diabetes group comprised a total of 277 people, with an average age of 63.41 years, [138 men (49.8%) and 139 women (50.2%)], and the group without diabetes comprised 202 individuals, with an average age of 61.92 years, [99 men (49%) and 103 women (51%)]. The images were taken using the FLIR E60bx(R) camera. IBM SPSS Statistics 22 software was used for the statistical data analysis. Results: The results show temperature variability in the different areas of study of the sole of the foot bilaterally and there were also differences according to whether the patient belonged to the diabetic or the non-diabetic group. Conclusions: The use of infrared thermography in the evaluation of the foot at risk could demonstrate the variability of temperature by study area, which could be useful in the area of healthcare for the diagnosis and prevention of injuries to compromised areas of the foot

2.
Artigo em Inglês | MEDLINE | ID: mdl-32151033

RESUMO

Running shoes typically have a lifespan of 300-1000 km, and the plantar pressure pattern during running may change as the shoe wears. So, the aim of this study was to determine the variation of plantar pressures with shoe wear, and the runner's subjective sensation. Maximun Plantar Pressures (MMP) were measured from 33 male recreational runners at three times during a training season (beginning, 350 km, and 700 km) using the Biofoot/IBV® in-shoe system (Biofoot/IBV®, Valencia, Spain). All the runners wore the same shoes (New Balance® 738, Boston, MA, USA) during this period, and performed similar training. The zones supporting most pressure at all three study times were the medial (inner) column of the foot and the forefoot. There was a significant increase in pressure on the midfoot over the course of the training season (from 387.8 to 590 kPa, p = 0.003). The runners who felt the worst cushioning under the midfoot were those who had the highest peak pressures in that area (p = 0.002). The New Balance® 738 running shoe effectively maintains the plantar pressure pattern after 700 km of use under all the zones studied except the midfoot, probably due to material fatigue or deficits of the specific cushioning systems in that area.

3.
Enferm. glob ; 18(55): 35-46, jul. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-186235

RESUMO

Introducción: la Diabetes Mellitus es un problema de salud pública. El Pie diabético es una degeneración de la estructura vascular de los pies, cuyos pacientes presentan problemas neurológicos, necesarios de identificar en el menor tiempo posible. Objetivo: el objetivo del estudio es analizar la influencia de los factores de riesgo en la aparición del pie de riesgo, como datos complementarios al estudio mediante termografía infrarroja. Método: se plantea un estudio descriptivo, transversal y observacional sobre una muestra de 479 sujetos encuadrados en dos grupos, grupo casos (personas con diabetes) y grupo control (personas sin diabetes). El grupo casos compuesto de un total de 277 personas, con una edad media de 63.41 años, [138 hombres (49.8%) y 139 mujeres (50.2%)]. De igual modo para el grupo control, el número consistió en 202 usuarios, con una edad media de 61.92 años, [ 99 hombres (49%) y 103 mujeres (51%)]. La toma de imágenes se ha llevado a cabo con la cámara FLIR E60bx(R) (FLIR(R) Company, Boston, USA). El análisis estadístico de los datos obtenidos se ha realizado utilizando el paquete estadístico IBM SPSS Statistics 22. Conclusión: se puede concluir afirmando que el estudio de los diferentes factores de riesgo es clave en el diagnóstico del pie de riesgo. Se puede esTablecer con rotundidad que la edad es un condicionante evidente, ya que las edades avanzadas se corresponden con un IMC y perímetro abdominal mayor. Unido al análisis mediante termografía infrarroja en la evaluación del pie de riesgo es útil para el diagnóstico y prevención de zonas comprometidas del pie, evitando así el desencadenante evidente en los daños propios de un pie diabético


Introduction: diabetes Mellitus is a public health problem. Diabetic foot is a degeneration of the vascular structure of the feet, whose patients present neurological problems, necessary to identify in the shortest possible time. Objective: the objective of the study is to analyze the influence of risk factors on the appearance of risk foot, as complementary data to the study by infrared thermography. Method: a descriptive, cross-sectional and observational study was proposed on a sample of 479 subjects framed in two groups, group cases (people with diabetes) and control group (people without diabetes). The group cases comprised a total of 277 people, with an average age of 63.41 years, [138 men (49.8%) and 139 women (50.2%)]. In the same way for the control group, the number consisted of 202 users, with an average age of 61.92 years, [99 men (49%) and 103 women (51%)]. The taking of images has been carried out with the FLIR E60bx(R) camera (FLIR(R) Company, Boston, USA). The statistical analysis of the data obtained was carried out using the IBM SPSS Statistics 22 statistical package. Conclusion: it can be concluded by stating that the study of the different risk factors is key in the diagnosis of risk foot. It can be clearly established that age is an obvious condition, since advanced ages correspond to a BMI and greater abdominal perimeter. Together, the analysis by infrared thermography in the assessment of the foot risk is useful for the diagnosis and prevention of compromised areas of the foot, thus avoiding the obvious trigger in the damages of a diabetic foot


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Pé Diabético/diagnóstico , Diabetes Mellitus/epidemiologia , Complicações do Diabetes/epidemiologia , Termografia/métodos , Fatores de Risco , Estudos de Casos e Controles , Efeito Idade , Estudos Transversais , Índice Glicêmico , Pesos e Medidas Corporais/estatística & dados numéricos , Obesidade/epidemiologia , Doenças Cardiovasculares/epidemiologia
4.
Enferm Clin ; 2019 Jan 07.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30630674

RESUMO

OBJECTIVE: The objective of the study is to analyze, through the use of infrared thermography, the variability of foot temperature in diabetic and non-diabetic patients by segmenting the sole of the foot in four study areas. METHOD: A cross-sectional study was proposed on a sample of 479 subjects divided into two groups, a group of people with diabetes and a group of people without diabetes. The diabetes group comprised a total of 277 people, with an average age of 63.41 years, [138 men (49.8%) and 139 women (50.2%)], and the group without diabetes comprised 202 individuals, with an average age of 61.92 years, [99 men (49%) and 103 women (51%)]. The images were taken using the FLIR E60bx® camera. IBM SPSS Statistics 22 software was used for the statistical data analysis. RESULTS: The results show temperature variability in the different areas of study of the sole of the foot bilaterally and there were also differences according to whether the patient belonged to the diabetic or the non-diabetic group. CONCLUSIONS: The use of infrared thermography in the evaluation of the foot at risk could demonstrate the variability of temperature by study area, which could be useful in the area of healthcare for the diagnosis and prevention of injuries to compromised areas of the foot.

5.
J Am Podiatr Med Assoc ; 107(2): 106-111, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28394681

RESUMO

BACKGROUND: We sought to determine a predictive model of data, differentiated by sex, from a radiographic study of the skeleton of the foot as an alternative to the classic study of the hand. METHODS: The study included 2,476 digital radiographs from 816 participants aged 0 to 21 years. The radiographs were from the Radiology Diagnostic Services of the Public Health System of Extremadura (Spain) from 2007 to 2011. The method used for their analysis consisted of assigning a numerical code to each ossification center of each growing bone of the foot and subsequently subjecting the data to a multivariate, decision tree, statistical analysis. RESULTS: The decision tree study identified the bones that have a common age-dependent pattern of growth (as determined by a comparison of means test with P < .01) among individuals of the same sex. The quality of the decision tree predictions was evaluated in terms of the r 2 coefficient. These values were r2 = 0.897 for females and r2 = 0.890 for males, thus establishing the predictive goodness of the model of bone data to provide a specific estimate of the individual's age. CONCLUSIONS: The foot is a good predictor of an individual's age from birth to complete bone maturity.


Assuntos
Determinação da Idade pelo Esqueleto/métodos , Desenvolvimento Ósseo/fisiologia , Pé/crescimento & desenvolvimento , Radiografia/métodos , Adolescente , Fatores Etários , Criança , Pré-Escolar , Estudos de Coortes , Árvores de Decisões , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Fatores Sexuais , Espanha , Adulto Jovem
6.
J Am Podiatr Med Assoc ; 106(6): 381-386, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28033057

RESUMO

BACKGROUND: The calcaneus is the bone of the foot that first receives the impact of running, generating vibrations that might have a positive effect in modifying the trabecular bone mass. The objective of this study was to determine the variation in calcaneal bone density in runners during a 6-month training season, comparing it with a control sample. METHODS: Bone density of the heel was measured in 33 male recreational runners by means of a contact ultrasonic bone analyzer. Measurements were made on three occasions during a training season: at the beginning, at 350 km, and at 700 km. All of the runners wore the same model of running shoes during this period. Measurements of bone density were also made in a control sample of 62 men who did not engage in physical exercise. RESULTS: There was a significant decrease in mean calcaneal bone density over the course of the training season (from 86.1 dB/MHz to 83.2 dB/MHz; P = .006), but no significant differences with the control sample value (from 80.7 dB/MHz to 81.1 dB/MHz; P = .314). The runners' body composition changed during the study period, with lean mass increasing and fat mass decreasing. CONCLUSIONS: Distance running seems to have a negative effect on calcaneal bone mass density during the course of a 700-km training season.


Assuntos
Antropometria , Calcâneo/diagnóstico por imagem , Corrida/fisiologia , Adulto , Fatores Etários , Peso Corporal , Densidade Óssea , Estudos de Casos e Controles , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Recreação , Valores de Referência , Medição de Risco , Ultrassonografia/métodos
7.
J Am Podiatr Med Assoc ; 104(2): 154-8, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24725035

RESUMO

BACKGROUND: The technical gestures characteristic of certain sports may lead to one type of foot being more prevalent than the others. The Foot Posture Index (FPI) has been used as a diagnostic tool for support postures in various sports, but the differences in these postures between sports of distinct gestures in their actions are far from completely understood. METHODS: The overall FPI, obtained as the sum of the scores of its six individual criteria, was determined in 90 male athletes (30 runners, 30 basketball players, and 30 handball players) in static bipedal stance and relaxed position. Analysis of variance was used to find significant differences among the three sports in the total FPI and its six criteria. RESULTS: The mean ± SD FPI was 2.9 ± 2.8 in runners, 3.9 ± 4.1 in basketball players, and -0.4 ± 6.9 in handball players, with significant differences among these groups (P = .008). Significant differences were also found in the talar head position and talonavicular prominence values between handball players and runners (P = .001 and P = .004, respectively) and between handball and basketball players (P = .002 and P = .006, respectively). CONCLUSIONS: Runners and basketball players had neutral feet, whereas handball players had supinated feet. The differences in foot posture seem to be mainly determined by two of the FPI criteria: talar head position and talonavicular prominence.


Assuntos
Pé/fisiologia , Postura/fisiologia , Esportes , Adolescente , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Pronação/fisiologia , Supinação/fisiologia , Adulto Jovem
8.
Gait Posture ; 39(2): 789-92, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24220205

RESUMO

BACKGROUND: In pes cavus, the medial longitudinal arch elevation reduces the contact surface area and consequently increases the corresponding plantar pressure measurements. This poor distribution of loads may produce associated pathology and pain in this or other areas of the body. Normal reference values need to be established in order to determine which patterns are prone to pathology. OBJECTIVES: To compare the plantar pressures and weight-bearing surface in a population with pes cavus to a population with neutral feet. METHOD: The sample comprised 68 adults, 34 with pes cavus and 34 with neutral feet. The Footscan USB Gait Clinical System(®) was used as a platform to measure the total contact area and plantar pressure under the forefoot, midfoot, hindfoot, each metatarsal head, and the overall metatarsal area. A statistical analysis of the data was performed using Student's t-test for independent samples. RESULTS: The pes cavus subjects showed a significant reduction in their weight-bearing area [neutral feet: 165.04 ( ± 20.68) cm(2); pes cavus: 118.26 ( ± 30.31) cm(2); p < 0.001] and significantly increased pressures under all zones of the forefoot except the fifth metatarsal [metatarsal pressure: in neutral feet 503,797 ( ± 9.32) kPa; in pes cavus 656.12 ( ± 22.39) kPa; p < 0.001]. CONCLUSIONS: Compared to neutral feet, pes cavus feet show a reduction in total contact surface and the load under the first toe. A significant increase is present in the load under the metatarsal areas, but the relative distribution of this load is similar in both groups.


Assuntos
Deformidades do Pé/fisiopatologia , Antepé Humano/fisiopatologia , Ossos do Metatarso/fisiologia , Dor/fisiopatologia , Suporte de Carga/fisiologia , Adulto , Fenômenos Biomecânicos , Estudos Transversais , Feminino , , Deformidades do Pé/diagnóstico , Marcha/fisiologia , Humanos , Masculino , Pressão
9.
J Am Podiatr Med Assoc ; 103(5): 400-4, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24072369

RESUMO

BACKGROUND: The Foot Posture Index (FPI) quantifies foot posture on the basis of six criteria. Although the male foot is longer and broader than the female foot, limited evidence exists about the differences in foot posture between the sexes and which are its biological and anthropometric determinants. We sought to evaluate possible sex differences in the FPI and the determinants influencing foot posture. METHODS: In 400 individuals (201 men and 199 women), the FPI was determined in the static bipedal stance and relaxed position. The FPI was obtained as the sum of the scores (-2, -1, 0, 1, or 2) given to each of six criteria. A multiple regression model was constructed of the overall FPI against age, weight, height, body mass index, and foot size. RESULTS: The mean ± SD FPI was 2.0 ± 4.3 overall, 1.6 ± 4.5 for men, and 2.4 ± 4.1 for women, with the difference being nonsignificant (P = .142). The neutral posture was the most frequent (57.3%). A greater proportion of women had neutral and pronated feet, and a greater proportion of men had supinated and highly supinated feet, with the differences being nonsignificant (P = .143). Foot size, height, and body mass index together explained 10.1% of the overall FPI value (P < .001). CONCLUSIONS: The most frequent posture was neutral with a certain degree of pronation, with no differences in FPI values between men and women. Participants with larger foot sizes had higher FPI values, whereas taller and heavier participants had lower FPI values.


Assuntos
Antropometria , Articulações do Pé/fisiologia , Pé/fisiologia , Postura/fisiologia , Amplitude de Movimento Articular/fisiologia , Adolescente , Adulto , Idoso , Fenômenos Biomecânicos , Índice de Massa Corporal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Músculo Esquelético/fisiologia , Valor Preditivo dos Testes , Valores de Referência , Fatores Sexuais , Adulto Jovem
10.
J Am Podiatr Med Assoc ; 103(3): 191-6, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23697723

RESUMO

BACKGROUND: Pes cavus is a structural deformity in which the increased plantar arch can lead to greater metatarsal verticality with the consequent excess of pressure under the forefoot zone (especially the metatarsal zone), causing pain and significant loss of functional capacity. We sought to determine whether neuromuscular stretching with symmetrical rectangular biphasic currents can reduce the pressure supported by this zone. METHODS: This prospective, nonrandomized, longitudinal, analytical, and experimental controlled trial included 34 patients with pes cavus. Pedobarometric measurements were made using the footscan USB Gait Clinical System platform considering the toes and metatarsal heads, forefoot, midfoot, and hindfoot before and after performing stretching using a Med Tens 931 electrotherapy device. The measurements were repeated 7 days after the application. RESULTS: With the Student t test for paired samples, we showed that there was a significant decline in metatarsal pressure (P < .001) in the zones of the first (P = .045) and third (P = .01) metatarsals and that this reduction was maintained 1 week after the plantar stretching. CONCLUSIONS: Plantar stretching with symmetrical rectangular biphasic currents is effective for the prevention and treatment of pes cavus metatarsalgia caused by excessive pressure.


Assuntos
Terapia por Estimulação Elétrica/métodos , Deformidades do Pé/reabilitação , Marcha/fisiologia , Exercícios de Alongamento Muscular/métodos , Adulto , Feminino , Seguimentos , Deformidades do Pé/fisiopatologia , Humanos , Masculino , Estudos Prospectivos , Resultado do Tratamento , Adulto Jovem
11.
J Am Podiatr Med Assoc ; 103(2): 121-5, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23536502

RESUMO

BACKGROUND: Fatigue due to running has been shown to contribute to changes in plantar pressure distribution. However, little is known about changes in foot posture after running. We sought to compare the foot posture index before and after moderate exercise and to relate any changes to plantar pressure patterns. METHODS: A baropodometric evaluation was made, using the FootScan platform (RSscan International, Olen, Belgium), of 30 men who were regular runners and their foot posture was examined using the Foot Posture Index before and after a 60-min continuous run at a moderate pace (3.3 m/sec). RESULTS: Foot posture showed a tendency toward pronation after the 60-min run, gaining 2 points in the foot posture index. The total support and medial heel contact areas increased, as did pressures under the second metatarsal head and medial heel. CONCLUSIONS: Continuous running at a moderate speed (3.3 m/sec) induced changes in heel strike related to enhanced pronation posture, indicative of greater stress on that zone after physical activity. This observation may help us understand the functioning of the foot, prevent injuries, and design effective plantar orthoses in sport.


Assuntos
Pé/fisiologia , Marcha/fisiologia , Postura/fisiologia , Corrida/fisiologia , Adulto , Atletas , Fenômenos Biomecânicos , Humanos , Masculino , Pressão
12.
Gait Posture ; 36(3): 591-5, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22727718

RESUMO

The Foot Posture Index (FPI) quantifies foot posture through the evaluation of six individual criteria. The objective of the present study was then to establish the plantar pressure differences between types of feet, and to study the capacity of the whole FPI value and the six individual criteria to predict the pattern of plantar pressures. In a sample of 400 healthy subjects (201 men and 199 women), the FPI was evaluated and plantar pressures were measured in 10 zones using the Footscan(®) platform. Five plantar pressures measurements were made for each foot, using for the study the mean of these measurements for each subject's left foot. The hallux and the lesser toes had lower pressure indices in highly supinated feet, with the values increasing progressively toward the highly pronated feet (p<0.001 and p=0.019 respectively). The fifth metatarsal head (MTH) values were greater in highly supinated feet, and decreased in the highly pronated feet (p<0.001). The FPI value predicts low variability of plantar pressures, mainly in the heel and midfoot, while the individual criteria predict higher variability in the forefoot. The talonavicular prominence and the calcaneal frontal plane position was the most influential criterion, explaining 8.5% of the hallux pressure and 11.1% of the fifth MTH pressure. Neither talar head palpation nor the supra and infra malleolar curvature predicted any of the plantar pressures variables. The FPI can distinguish three groups of feet--pronated, neutral, and supinated. Its individual criteria predict moderate or low plantar pressures variability, with the talonavicular prominence being the most influential criterion.


Assuntos
Pé/fisiologia , Postura/fisiologia , Pressão , Amplitude de Movimento Articular/fisiologia , Adolescente , Adulto , Antropometria , Fenômenos Biomecânicos , Feminino , Pé/anatomia & histologia , Articulações do Pé/fisiologia , Antepé Humano/anatomia & histologia , Antepé Humano/fisiologia , Humanos , Masculino , Valor Preditivo dos Testes , Valores de Referência , Amostragem , Suporte de Carga , Adulto Jovem
13.
Peu ; 30(4): 184-193, oct.-dic. 2010. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-84776

RESUMO

El Índice de Postura del Pie (IPP) se postula como un método sencillo y rápido para cuantificar la postura del pie en consulta sin necesidad de irradiar al paciente. Puesto que la baropodometría permite conocer la interacción entre el pie y el suelo a través de plataformas de registro electrónico, es de esperar que las presiones plantares y las superficies de contacto de las distintas regiones anatómicas sean diferentes en cada grupo de pies. Por ello, el objetivo de este estudio es valorar la capacidad del IPP de predecir las presiones plantares dinámicas. Se examinó el IPP en 69 sujetos, a los que también se les midieron las presiones plantares dinámicas con la plataforma Footscan. 42 pies correspondieron a un IPP neutro, 15 a pronado, 3 a altamente pronado y 9 a supinado. Ninguno de los pies presentó un IPP altamente supinado. La zona de mayor presión correspondió a la 2ª y 3ª CMT para todos los tipos de pie. Sólo existieron diferencias estadísticamente significativas en la presión máxima en 5ª CMT. Los pies neutros presentaron una presión de 72 ± 9 kPa, mientras que en los pies supinados fue de 133 ± 29 kPa (p=0,029). Del mismo modo la presión en los pies pronados (42 ± 9 kPa) fue significativamente menor a la de los pies supinados (p=0,002). El valor del IPP un pobre indicador de las presiones plantares dinámicas y de la superficie de apoyo(AU)


The Foot Posture Index is a simple and fast method to assess the static foot posture without the need of irradiating the patient. As barometry allows us to know the interaction between the foot and the ground through electronic platforms, it’s expected that feet pressures and the distinct contact feet surfaces are different in each group of feet. The purpose of this study is to determine the capacity of the FPI in predicting dynamic foot pressures. We analysed the FIP of 69 individuals, as well as their dynamic plantar pressures using the Footscan platform. The results were the following: 42 feet were normal, 15 pronated, 3 highly pronated and 9 supinated. None of the subjects exhibited highly supinated foot. In all kind of feet, the areas with most pressure were the 2nd and 3rd metatarsal head. There existed significant statistically differences in the maximum pressure of the 5th metatarsal head. Normal feet presented a pressure of 72 ± 9 kPa, whereas in supinated feet was 133 ± 29 kPa (p=0,029). The pressure of pronated feet (42 ± 9 kPa) was significantly less than the supinated feet (p=0,002). The value of FIP is a poor indicator of dynamic plantar pressures and the weight-bearing surface(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Postura/fisiologia , Pé/fisiopatologia , Podiatria/métodos , Podiatria/tendências , Doenças do Pé/fisiopatologia , Tálus/patologia , Tornozelo/patologia , Deformidades Congênitas do Pé/terapia , Análise Estatística , Técnicas, Medidas, Equipamentos de Medição , /métodos , Análise de Variância
16.
Foot Ankle Spec ; 1(5): 275-9, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19825728

RESUMO

The modified McBride technique is widely used in bunion surgery. The aim of this report is to analyze the influence that transferring the adductor hallucis tendon had on the first intermetatarsal angle (IMA), hallux abductus angle (HAA), and tibial sesamoid position (TSP) when used to correct the hallux valgus deformity. A prospective study was conducted of 31 hallux abducto valgus patients. A modified McBride procedure was performed to repair the deformity. In 16 patients (group 1), the adductor tendon was transferred, and in 15 (group 2), it was not. The tendon transfer was at random. The preoperative and postoperative variables IMA, HAA, and TSP were measured and analyzed by means of univariate and multivariate statistics. In group 1, the preoperative values of the first IMA and the HAA averaged 13.5 degrees and 30 degrees , respectively, decreasing postoperatively to 10.3 degrees and 10.7 degrees . In group 2, the corresponding preoperative angles were 12.9 degrees and 25.6 degrees , and the postoperative angles were 9.7 degrees and 10 degrees . There were no statistically significant differences between the 2 groups in the correction of the IMA, HAA, and TSP. As measured by the aforementioned radiographic measurements, there is no advantage in transferring the adductor hallucis tendon to the first metatarsophalangeal joint capsule in the correction of hallux valgus.


Assuntos
Hallux Valgus/cirurgia , Articulação Metatarsofalângica/cirurgia , Transferência Tendinosa/métodos , Tendões/cirurgia , Adulto , Idoso , Feminino , Seguimentos , Hallux Valgus/diagnóstico por imagem , Humanos , Masculino , Articulação Metatarsofalângica/diagnóstico por imagem , Pessoa de Meia-Idade , Estudos Prospectivos , Radiografia , Resultado do Tratamento , Adulto Jovem
18.
Peu ; 24(1): 33-36, ene. 2004. ilus
Artigo em Espanhol | IBECS | ID: ibc-32564

RESUMO

Frecuentemente, asociamos las necrosis óseas podológicas a la edad de crecimiento ósea y aunque esto es cierto en la mayor parte de los pacientes, en algunas ocasiones, a lo largo de nuestra carrera profesional, podemos encontrar ciertos casos que deberemos afrontar, elaborando un diagnóstico preciso, solicitando las pruebas complementarias oportunas, tratando la patología de forma interdisciplinar con otros profesionales de la salud e interviniendo con distintos tratamientos podológicos. Presentamos un caso clínico de osteocondrosis avascular de la tróclea astragalina, que se trató en primer lugar quirúrgicamente en un intento de revascularización, y que posteriormente abordamos con tratamiento ortopodológico (AU)


Assuntos
Adulto , Feminino , Humanos , Osteocondrite/diagnóstico , Tálus/fisiopatologia , Osteocondrite/reabilitação , Cuidados Pós-Operatórios/métodos , Osteonecrose/complicações , Traumatismos do Tornozelo/complicações
19.
Peu ; 23(4): 200-205, oct. 2003.
Artigo em Espanhol | IBECS | ID: ibc-32559

RESUMO

Pocos procedimientos diagnósticos en medicina han presentado a lo largo de los años una ayuda tan significativa para el médico como el electrocardiograma. La facilidad para su realización, la ausencia de efectos secundarios por tratarse de un procedimiento incruento y su fiabilidad en el diagnóstico de patologías cardiacas, hacen de él una de las pruebas complementarias diagnósticas más utilizadas. Estas ventajas han llevado al podólogo a plantearse su uso como prueba complementaria en preoperatorios de pacientes cardiópatas, donde el planteamiento de la cirugía es más cuidadoso.Sin embargo, la interpretación del electrocardiograma no es fácil, no todos los podólogos poseen los conocimientos básicos necesarios para su buena interpretación.Por eso este artículo pretende dar a conocer unas nociones básicas, para que el profesional sanitario, (podólogo en este caso), sea capaz de interpretar estos trazos por sí mismo y diferenciar lo principal de lo secundario, así como lo normal de lo patológico (AU)


Assuntos
Humanos , Eletrocardiografia , Doenças do Pé/cirurgia , Procedimentos Cirúrgicos Menores/métodos , Cuidados Pré-Operatórios/métodos
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