Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.017
Filtrar
1.
Hautarzt ; 71(1): 24-31, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31845297

RESUMO

For the treatment of phlebological and lymphological diseases as well as constitutional edema diseases, a discussion of innovative concepts of medical compression therapy is essential. It is recommended that medical compression stockings should always be prescribed based on symptoms and with the lowest effective interface pressure to optimize the tolerability of compression therapy. Likewise, medical compression stockings with an integrated care formula, but also the application of additional skincare can improve the quality of life and compliance in patients with chronic venous insufficiency. Optimization of ulcer therapy can be achieved by using two-component compression stocking systems. These consist of an understocking and a firm outer compression stocking, which improve the venous and capillary hemodynamics with good wearing comfort and lead to the healing of venous ulcerations. Multicomponent compression bandages and short stretch bandages are proven in the decongestion phase of edema. Multicomponent bandages ensure a sustained interface pressure for at least 5 days and are ideal for outpatient treatment with less frequent dressing changes. For compression therapy in patients with arterial-venous leg ulcers (ABI [ankle brachial index] >0.5), specially developed "lite" versions of the multicomponent dressings can be used.


Assuntos
Meias de Compressão , Úlcera Varicosa , Insuficiência Venosa , Bandagens Compressivas , Humanos , Qualidade de Vida , Úlcera Varicosa/terapia , Insuficiência Venosa/terapia
2.
Angiol Sosud Khir ; 25(4): 108-115, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31855207

RESUMO

AIM: The purpose of the study was to compare the results of using compression knitwear and elastic bandaging in the postoperative period after endovasal laser coagulation in patients with varicose veins. PATIENTS AND METHODS: A total of forty 20-to-55-year-old women with a body mass index of ≤ 35 kg/m2 and CEAP class C2-C3 lower limb varicose veins were randomized into two numerically equal groups. The Study Group included those receiving postoperative compression on the operated leg with the help an elastic stocking, whereas in the Comparison Group compression was achieved by laying an elastic bandage. Both group women underwent laser coagulation of the great saphenous vein and removal of separate veins with the help of Mueller hooks. Efficacy of compression therapy was comparatively assessed based on the results of interviewing the patients prior to intervention and 1 month thereafter, as well as by the level of pain syndrome according to the visual analogue scale at 24 and 48 postoperative hours, by the time spent by the personnel for bandaging of the limb or putting on the compression stocking intraoperatively and at the first dressing, by the degree of lower limb oedema and dynamics of regression thereof, by the area of postoperative haematoma and its dynamics after 2, 7 days and at 1 month. Besides, we evaluated the findings of ultrasonographic angioscanning of lower limb veins at one month postoperatively. RESULTS: The obtained findings demonstrated that efficacy of using a medical compression stocking after the procedure of endovasal laser coagulation in women with varicose veins was comparable to that of elastic bandaging. By the incidence rate and area of extension of postoperative haematomas, degree of pain syndrome, patient-oriented assessment using the Chronic Venous Insufficiency Quality of Life Questionnaire (CIVIQ), condition of veins according to the findings of ultrasonographic angioscanning no significant differences were revealed between the two methods of elastic compression of the leg. However, using a medical stocking appeared to promote a statistically significant 1.4-1.6-fold reduction in the time spent for formation of elastic compression of the lower limb, as well as a decrease in the incidence rate and degree of local oedema of the lower limb in the postoperative period.


Assuntos
Bandagens Compressivas , Fotocoagulação a Laser/métodos , Varizes/terapia , Procedimentos Endovasculares , Feminino , Humanos , Qualidade de Vida , Meias de Compressão , Resultado do Tratamento , Varizes/complicações , Varizes/cirurgia , Insuficiência Venosa/etiologia , Insuficiência Venosa/cirurgia , Insuficiência Venosa/terapia
3.
Clin Sports Med ; 38(4): 619-638, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31472770

RESUMO

Athletic trainers, physical therapists, and team physicians have differing roles when providing care, yet often need to collaborate. Athletic trainers and physical therapists use a variety of therapeutic modalities and manual therapy techniques in conjunction with rehabilitation exercises to improve outcomes. Clinicians must be knowledgeable of the scientific rationale for each modality to choose the most effective treatment for the specific condition and stage of recovery. The team physician should be familiar with the use of common procedures in an athletic training room. Here, we review the most current evidence and the basic methods encountered in athletic training room settings.


Assuntos
Traumatismos em Atletas/terapia , Otopatias/cirurgia , Hematoma/cirurgia , Lacerações/terapia , Unhas/cirurgia , Modalidades de Fisioterapia , Traumatismos em Atletas/reabilitação , Bandagens Compressivas , Crioterapia , Terapia por Estimulação Elétrica , Terapia por Exercício , Humanos , Hipertermia Induzida , Massagem , Unhas/lesões , Técnicas de Sutura , Terapia por Ultrassom
4.
Rech Soins Infirm ; 137(2): 91-98, 2019 06.
Artigo em Francês | MEDLINE | ID: mdl-31453676

RESUMO

Introduction: Treating venous leg ulcers involves replacing dressings and applying compression bandages (CB). The technique for applying these bandages set out in the best practice guidelines shows nurses how to achieve the required level of pressure. Considerable differences have been observed between these guidelines and the actual application of CB. Methodology: An observational study combining a quantitative and a qualitative component was conducted to analyze CB application and explore the elements taken into account by nurses when they perform this procedure. Results: For the 261 patients included in the study, 27% of CB were applied as described in the guidelines. The main difference was that the heel was not included in the bandage in 48% of patients. The freelance nurses interviewed reported taking patient views into account in order to encourage adherence. Discussion: The nursing knowledge identified from the nurse interviews was compared to Carper's "Patterns of Knowing" classification. It would seem that Carper's empirical knowledge is not the only "pattern of knowing" taken into consideration. Patient involvement in the choice of CB application technique, which could be likened to Carper's "esthetic knowledge," helps guide nursing practice.


Assuntos
Bandagens Compressivas , Úlcera Varicosa/enfermagem , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Pesquisa em Avaliação de Enfermagem , Participação do Paciente , Guias de Prática Clínica como Assunto , Pesquisa Qualitativa
5.
Dtsch Med Wochenschr ; 144(16): e94-e101, 2019 08.
Artigo em Alemão | MEDLINE | ID: mdl-31416099

RESUMO

INTRODUCTION: Patients with leg ulcers often have severe edema of the lower extremities, which should be treated as part of a successful wound treatment. Today in Germany the necessary compression therapies are often performed with very error-prone and time-consuming short-stretch bandages only. Multicomponent systems, adaptive compression bandages and leg ulcer stocking systems are newer, much less error-prone treatment options. In addition to the often lacking knowledge, the fears of high costs are also mentioned as reasons for the lack of prescription of these systems. It was therefore our aim to investigate the costs of different treatment options, differentiated in the outpatient and inpatient sector. METHODS: For the economic calculations, both material and personnel costs were taken into account for different scenarios. RESULTS: Both material and personnel costs were included in the calculation. We were able to demonstrate that the cost for a continuous compression therapy for inpatients accrues between 5.29 Euros to 18.50 Euros per day. For the outpatient setting costs of 2.29 Euros to 34.29 Euros per day were calculated. The different constellations of compression therapy can make sense thus not only for medically but also for economically aspects. CONCLUSION: As a consequence of this data, both the different systems and the economic factors of compression therapy in patients with leg ulcers should be known to the therapists. These treatment options should then be prescribed and performed according to individual factors, taking into account the needs and abilities of the patients.


Assuntos
Bandagens Compressivas , Úlcera da Perna , Meias de Compressão , Bandagens Compressivas/economia , Bandagens Compressivas/estatística & dados numéricos , Alemanha , Custos de Cuidados de Saúde , Humanos , Úlcera da Perna/economia , Úlcera da Perna/epidemiologia , Úlcera da Perna/terapia , Meias de Compressão/economia , Meias de Compressão/estatística & dados numéricos
6.
J Wound Care ; 28(5): 268-277, 2019 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-31378130

RESUMO

OBJECTIVE: A new test method is described which provides a convenient technique for assessing the combined effects of gravity and compression on the fluid handling characteristics of surgical dressing which can have important implications for their use in the treatment of venous ulcers. Simple ways of improving use of the fluid handling capacity of products currently used clinically are suggested, and the possibility of developing a dressing specifically designed to resist gravitational effects is discussed.


Assuntos
Bandagens Compressivas , Gravitação , Teste de Materiais/instrumentação , Teste de Materiais/métodos , Úlcera Varicosa/terapia , Cicatrização/fisiologia , Humanos
7.
J Strength Cond Res ; 33(8): 2145-2152, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31344011

RESUMO

Hintzy, F, Gregoire, N, Samozino, P, Chiementin, X, Bertucci, W, and Rossi, J. Effect of thigh-compression shorts on muscle activity and soft-tissue vibration during cycling. J Strength Cond Res 33(8): 2145-2152, 2019-This study examined the effects of different levels of thigh compression (0, 2, 6, and 15 mm Hg) in shorts on both vibration and muscle activity of the thigh during cycling with superimposed vibrations. Twelve healthy males performed a 18-minute rectangular cycling test per shorts condition (randomized cross-over design) on a specifically designed vibrating cycloergometer. Each test was composed of 2 intensity levels (moderate then high) and 3 vibration frequencies of 18.3, 22.4, and 26.3 Hz, corresponding to cadences of 70, 85, and 100 rpm, respectively. Muscle vibrations were measured with 2 triaxial accelerometers located before and on the lower-body compression garment, to quantify, respectively, the input and output vibrations, and vastus lateralis muscle activity was measured using surface electromyography. Both vibration and electromyography signals were measured throughout the tests and quantified using root-mean-square analyses. The study showed that the use of a thigh-compression shorts at 6-15 mm Hg significantly reduced both the vibration transmissibility to the thigh and the muscle activity, with higher effect size at higher superimposed vibrations. The thigh-compression shorts garment therefore seems to be 1 way to dampen vibrations transmitted to the cyclists and then to reduce the negative consequences of these vibrations on muscles.


Assuntos
Ciclismo/fisiologia , Bandagens Compressivas , Músculo Esquelético/fisiologia , Coxa da Perna/fisiologia , Vibração , Adulto , Eletromiografia , Humanos , Masculino , Fenômenos Fisiológicos Musculoesqueléticos , Modalidades de Fisioterapia , Músculo Quadríceps/fisiologia , Adulto Jovem
9.
Br J Community Nurs ; 24(Sup6): S24-S29, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31166789

RESUMO

Community nurses often care for patients with sloughy venous leg ulcers. Slough is viewed as a potential infection source and an impediment to healing, but it is unclear if active debridement of slough promotes healing. Using a clinical scenario as a contextual basis, this literature review sought research evidence to answer this clinical question. A strategy based on the '4S' approach was used to identify research evidence. The retrieved evidence included one systematic review, three clinical guidelines and six qualitative and quantitative studies. The analysis suggested that there is no robust evidence to support the routine practice of active debridement of venous leg ulcers to promote healing, and that debridement is associated with increased pain. Since autolytic debridement can be achieved through the application of graduated compression therapy, active debridement may offer no additional benefit.


Assuntos
Desbridamento/enfermagem , Úlcera da Perna/cirurgia , Padrões de Prática em Enfermagem , Idoso de 80 Anos ou mais , Enfermagem em Saúde Comunitária , Bandagens Compressivas , Feminino , Humanos , Úlcera da Perna/enfermagem , Ensaios Clínicos Controlados Aleatórios como Assunto , Cicatrização
10.
Pediatr Emerg Care ; 35(6): 432-437, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31157749

RESUMO

Acute compartment syndrome is an emergent condition caused by increased pressure within a closed compartment. The most common etiology is fractures, but there a number of atraumatic causes cited in the literature. Acute compartment syndrome occurs most frequently in the anterior compartment of the lower leg, followed by the volar forearm. Patients may present with severe pain, pain with passive stretch, swelling, paresthesias, numbness, weakness, decreased pulses, and delayed capillary refill. No finding in isolation can exclude the diagnosis. Direct measurement of the intracompartmental pressure is the most important diagnostic test. Treatment involves removal of compressive dressings and surgical consultation for emergent fasciotomy.


Assuntos
Síndromes Compartimentais/diagnóstico , Síndromes Compartimentais/terapia , Criança , Bandagens Compressivas , Gerenciamento Clínico , Educação Médica Continuada , Fasciotomia , Humanos , Monitorização Fisiológica , Pediatras
11.
Hautarzt ; 70(9): 707-714, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31165190

RESUMO

BACKGROUND: The pressure exerted by a compression device on a part of the body corresponds to the dosage of the compression therapy. Therefore, the pressure course under compression materials should be investigated in different clinical situations. MATERIAL AND METHODS: Pressure measurements were carried out under different compression materials in lying, standing and walking positions within the framework of training, self-experimentation and in patients with venous leg ulcers. RESULTS: The results showed that the pressure varied considerably depending on the material used, the firmness of application, the local configuration (body position) and the time interval between applications. A loss of pressure occurred under each compression therapy, especially under inelastic short-stretch material, mainly due to movement and edema reduction. This pressure loss is decisive for the timing of dressing changes and a reason for the good tolerance of high-pressure levels in mobile patients. CONCLUSION: Low pressures are particularly suitable for edema reduction. Hemodynamic effects require higher pressures (60-80 mmHg). For this purpose, inelastic materials are preferred which enable lower pressures when lying down (40-60 mmHg). As compression bandages are too loosely applied by many users, pressure indicators on bandages or adaptive bandages with templates are helpful to apply the material with the correct pressure. As a consequence of these findings it is postulated that, at least in studies comparing different compression media, pressure measurements should be carried out in the future, whereby the measuring point and body position should be documented.


Assuntos
Bandagens Compressivas , Edema/terapia , Meias de Compressão , Úlcera Varicosa/prevenção & controle , Insuficiência Venosa/terapia , Humanos , Perna (Membro)/fisiopatologia , Pressão , Posição Ortostática
12.
J Wound Care ; 28(Sup6a): 1-44, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31173547

RESUMO

The following supplement is a rare example of a paper that combines clinical experience and theoretical knowledge on textiles used in compression therapy. The authors' intention is to propose a decision support system for choosing specific compression devices, which can be adjusted to counteract the individual signs and symptoms in an optimally adopted way. The document concentrates on compression devices which can be self-applied by the patients-compression stockings and adjustable wraps. The acronym 'S.T.R.I.D.E.', incorporating both textile characteristics and clinical presentation, stands for: Shape, Texture, Refill, Issues, Dosage and Etiology. The intent of the mnemotechnical value is to highlight that successful compression includes more than dosage alone. In addition to dosage, etiology and patient presentation need to be incorporated, including a patient's physical ability to use compression effectively as part of the daily routine, thereby promoting adherence. The suggested algorithms provide a valuable guide to stride across the important, but still underestimated field of medical compression therapy and will help to put the prescription of a specific product on a more rational basis. Enjoy reading! Hugo Partsch Emeritus Professor Medical University of Vienna, Austria.


Assuntos
Bandagens Compressivas , Edema/terapia , Linfedema/terapia , Úlcera Varicosa/prevenção & controle , Técnicas de Apoio para a Decisão , Humanos , Cooperação do Paciente , Meias de Compressão , Úlcera Varicosa/terapia
13.
Eur J Appl Physiol ; 119(8): 1809-1818, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31190212

RESUMO

INTRODUCTION: Retrograde shear causes endothelial damage and is pro-atherogenic. The purpose of our study was to examine the impact of vascular remodeling from habitual exercise training on acute changes in retrograde shear and microvascular oxygenation (SMO2) induced via 30 min of external compression. METHODS: Participants included 11 exercise trained (ET) men (Division I track athletes; age 20 ± 3 years) and 18 recreationally active (RA) men (age 23 ± 5 years). Near-infrared spectroscopy (NIRS) was used to measure vastus medialis SMO2. Doppler-ultrasound was used to assess SFA intima-media thickness, diameter and flow velocity to derive retrograde shear. Vascular measures were made at baseline (BASELINE), during a sham condition (calf compression to 5 mmHg, SHAM) and during the experimental condition (calf compression to 60 mmHg, EXP). RESULTS: Compared to RA, ET had larger SFA diameters (0.66 ± 0.06 vs 0.58 ± 0.06 cm, p < 0.05) and lower SFA IMT (0.33 ± 0.03 vs 0.36 ± 0.07 mm, p < 0.05). Retrograde shear increased similarly in both groups during EXP (p < 0.05) but ET men had lower overall retrograde shear during the conditions (BASELINE 75.8 ± 26.8 vs EXP 88.2 ± 16.9 s-1) compared to RA men (BASELINE 84.4 ± 23.3 vs EXP 106.4 ± 19.6 s-1p < 0.05). There was a similar increase in SMO2 from BASELINE to SHAM (ET + 8.1 ± 4.8 vs RA + 6.4 ± 9.7%) and BASELINE to EXP (ET + 8.7 ± 6.4 vs RA + 7.1 ± 9.0%) in both groups. CONCLUSION: Beneficial vascular remodeling in ET men is associated with lower retrograde shear during external compression. Acute increases in retrograde shear with external compression do not detrimentally impact microvascular oxygenation.


Assuntos
Exercício , Hemodinâmica , Músculo Esquelético/fisiologia , Consumo de Oxigênio , Reperfusão , Adolescente , Adulto , Bandagens Compressivas , Endotélio Vascular/fisiologia , Artéria Femoral/fisiologia , Humanos , Masculino , Microvasos/fisiologia , Músculo Esquelético/irrigação sanguínea
14.
Br J Nurs ; 28(12): S32-S37, 2019 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-31242115

RESUMO

The prevalence of venous leg ulcers and chronic oedema is increasing because of the rise in the older population who have comorbidities. Managing and living with these conditions is extremely costly in resource and human terms and there is often a cyclical process of ulceration, healing and recurrence, resulting in significant physical and psychosocial morbidity. Identifying those at risk and advising on lifestyle changes to prevent progression of these conditions will help in avoiding high wound management and compression costs, nursing input and associated patient morbidity. Compression bandaging is the linchpin in managing these conditions and it must be started as early as possible. However, many patients find it difficult to tolerate bandaging because of issues such as pain, the inability to wear shoes and itch. Therefore, if compliance is to be achieved, it is important to select a compression bandaging system that addresses the issues that patients have difficulty with. AndoFlex TLC Calamine is a compression bandaging system that deals with many of these problems, and is easy to apply and remove. Testimonials by practitioners treating patients with chronic oedema, ulceration and/or skin problems will demonstrate the benefits and effectiveness of AndoFlex TLC Calamine.


Assuntos
Bandagens Compressivas , Edema/terapia , Úlcera Varicosa/terapia , Doença Crônica , Humanos , Resultado do Tratamento
15.
J Reconstr Microsurg ; 35(7): 522-528, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31039587

RESUMO

BACKGROUND: Free tissue transfer has become a common and safe reconstructive procedure. However, total or partial flap losses remain a looming threat, especially for lower extremity free flaps due to the gravitational challenge associated with dependency. Thus, the majority of microsurgical centers apply some kind of structured flap training. However, due to the lack of evidence, these differ greatly, for example, in the application of an elastic wrapping during dangling. Therefore, the aim of this study was to assess the impact of an elastic wrapping on free flap microcirculation, edema, and pain during dangling. METHODS: Standardized dangling was performed from postoperative day (POD) 6 to 9 in 30 patients with microvascular reconstruction of the lower extremity. The first dangling per day was performed without elastic wrapping, followed by another session with 30 mm Hg of elastic wrapping. Tissue oxygen saturation (StO2), regional hemoglobin content (rHb), and blood flow (BF) were continuously measured in the free flap; the circumference of the flap as well as pain was assessed. RESULTS: During wrapped dangling, BF as well as StO2 was significantly increased, while rHb was significantly lower on all PODs. Wrapped dangling was rated significantly more comfortable and the girth of the free flaps was significantly less after wrapped dependency when compared with unwrapped dangling. CONCLUSION: Dangling with an elastic wrapping with 30 mm Hg pressure improved flap microcirculation and reduced pain and edema formation.


Assuntos
Bandagens Compressivas , Edema/prevenção & controle , Retalhos de Tecido Biológico/irrigação sanguínea , Extremidade Inferior/cirurgia , Dor/prevenção & controle , Velocidade do Fluxo Sanguíneo , Feminino , Sobrevivência de Enxerto , Humanos , Masculino , Microcirculação/fisiologia , Pessoa de Meia-Idade , Oxigênio/sangue , Medição da Dor , Cicatrização
16.
Trials ; 20(1): 261, 2019 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-31068223

RESUMO

BACKGROUND: Data from a feasibility study suggest that the use of an inelastic, short-stretch compression bandage following total knee arthroplasty is a safe technique that may improve patient-reported health outcomes, and that it is feasible to recruit to a full-scale study. METHODS: We will conduct a randomised controlled trial (RCT) of 2600 adult patients, which has 80% power to detect a 1 point difference in the Oxford Knee Score (a patient self-reported assessment of knee pain and function) at 52 weeks. Short stretch compression bandaging will be compared with standard wool and crepe bandaging following total knee arthroplasty. Recruitment will take place in orthopaedic units across the United Kingdom. Secondary outcomes include the EuroQol 5 Dimensions (EQ-5D)-5 L and EQ-5D-3 L scores, pain, length of hospital stay, and complications. DISCUSSION: The Knee Replacement Bandaging Study (KReBS) is a large study which aims to contribute to the evidence base for informing clinical decisions for the use of compression bandaging following knee arthroplasty. TRIAL REGISTRATION: International Standard Randomised Controlled Trial Register, ISRCTN 87127065 . Registered on 20 February 2017.


Assuntos
Artroplastia do Joelho/reabilitação , Bandagens Compressivas , Articulação do Joelho/cirurgia , Artroplastia do Joelho/efeitos adversos , Fenômenos Biomecânicos , Humanos , Articulação do Joelho/fisiopatologia , Estudos Multicêntricos como Assunto , Ensaios Clínicos Pragmáticos como Assunto , Recuperação de Função Fisiológica , Fatores de Tempo , Resultado do Tratamento , Reino Unido
17.
Geriatr Nurs ; 40(6): 558-564, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31078324

RESUMO

Postural hypotension (PH) is a very common and often symptomatic disorder among elderly hospitalized patients. Little is known about measures for preventing previously unknown PH in this population. We evaluated the effectiveness of high compression leg bandaging in preventing seated PH during the initial phase of ambulation, among elderly inpatients without a history of PH. We compared the occurrence of seated PH between patients who were bandaged (n = 100) and unbandaged (n = 100). The rate of seated PH was significantly lower in the bandaged than the unbandaged group (27% vs. 51%, p < 0.001, relative risk reduction 47%, and the number of patients needed to treat 4.2). On multivariate analysis, not wearing leg bandaging was one of the variables most significantly associated with eventual occurrence of PH (p = 0.002, odds ratio 2.65, and 95% confidence interval 1.42-4.97). We conclude that during ambulation of elderly inpatients, high compression leg bandaging is beneficial to prevent seated PH.


Assuntos
Bandagens Compressivas , Hipotensão Ortostática , Perna (Membro)/fisiologia , Pacientes/estatística & dados numéricos , Postura Sentada , Idoso , Feminino , Hospitalização , Humanos , Hipotensão Ortostática/prevenção & controle , Hipotensão Ortostática/terapia , Masculino
18.
J Surg Orthop Adv ; 28(1): 18-23, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31074732

RESUMO

Muscle fatigue can result in scapular dyskinesis, which has been implicated in impingement, labral injury, and rotator cuff injury. This study evaluated the ability of a compression shirt to maintain scapular alignment after fatiguing of periscapular musculature. Subjects' scapular movements were monitored before and after a periscapular muscle- fatiguing exercise program. In the anterior and posterior tilt and medial and lateral rotation dimensions, control and shirt subjects both exhibited differences between the prefatigue and postfatigue measurements throughout humeral elevation. In the retraction and protraction dimension, control subjects exhibited differences between prefatigue and postfatigue measurements for a large portion of elevation, while shirt subjects only had different measurements toward the extreme of shoulder flexion. Thus the shirt does not stabilize the scapula in the anterior and posterior tilt and medial and lateral rotation dimensions. In the retraction and protraction dimension, the shirt provides stability to the scapula and maintains prefatigue position. It is currently unclear if preserving one plane of scapular motion has clinical significance. (Journal of Surgical Orthopaedic Advances 28(1):18-23, 2019).


Assuntos
Bandagens Compressivas , Síndrome de Colisão do Ombro , Articulação do Ombro , Fenômenos Biomecânicos , Vestuário , Humanos , Amplitude de Movimento Articular , Rotação , Escápula , Ombro , Síndrome de Colisão do Ombro/fisiopatologia , Síndrome de Colisão do Ombro/terapia
20.
Khirurgiia (Mosk) ; (4): 52-55, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31120447

RESUMO

The purpose of the study was to compare the effectiveness of various compression techniques with a prolonged-action patch on postoperative scars. MATERIAL AND METHODS: The study included 21 patients aged 3.6±1.7 years who had scars after surgery. The patients were divided into two groups: group No 1 (n=11), in which they applied longitudinal patch of prolonged-action Contractubex according to the standard technique; group No 2 (n=10) - transverse imposition of the patch on the postoperative scar (according to the author's method). RESULTS: In 20 (95.5%) patients, good compliance was noted. By the 90th day after surgery, the width of the scar in the group No. 1 was significantly larger than in the group No. 2, being 2.5±0.15 and 2.0±0.1 (p<0.05). CONCLUSION: Thus, the effectiveness of the proposed technique of transverse imposition of the patch Contractubex on the postoperative scar after surgical intervention was confirmed by a good cosmetic and functional result of scar formation.


Assuntos
Cicatriz/terapia , Bandagens Compressivas , Pré-Escolar , Cicatriz/etiologia , Humanos , Lactente , Ferida Cirúrgica/complicações
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA