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1.
Phys Ther Sport ; 34: 216-226, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30388670

RESUMO

BACKGROUND: The goal was to examine the feasibility of a randomized controlled trial (RCT) on the effect of a therapeutic foot-ankle training program to prevent injury in long-distance runners. First, we evaluated (i) the access to participants and recruitment success; (ii) participants' satisfaction and adherence to the program; (iii) the effect of the training program to improve foot muscle strength and change foot biomechanics; and, second, we used the collected data for a post hoc sample size calculation. METHODS/DESIGN: We randomized 31 healthy long-distance recreational runners to either an 8-week foot-ankle muscle strength-training program (intervention) or a stretching protocol (control). The recruitment rate was the number of eligible participants per week of recruitment; recruitment success, the ratio between scheduled baseline visits and initially eligible participants. Participant satisfaction was assessed by a questionnaire, and adherence to the training program was recorded in a Web-based software, both at the 8-week mark. Program effect was assessed by hallux and toe muscle strength using a pressure platform, foot muscle cross-sectional area using magnetic resonance imaging and foot kinematics during running using 3D gait analysis; assessments were done at baseline and after 8 and 16 weeks. A post hoc power analysis was performed on foot strength and the biomechanical data was collected. RESULTS: In two weeks of recruitment, 112 initially eligible subjects were screened, 81 of whom were deemed eligible and 31 had a baseline study visit, giving a recruitment rate of 40.5 subjects/week and recruitment success of 28%. Participants' adherence was 97%, and satisfaction scored a median >3 out of 5 on a Likert scale on all questions. The cross-sectional area of the abductor hallucis (P = 0.040) and flexor digitorum brevis (P = 0.045) increased significantly at 8 weeks in the intervention group. The post hoc sample sizes for almost all the strength and biomechanical parameters were below those of the 112 subjects calculated as the original sample size for clinical outcome (running-related injury). CONCLUSION: Results show that this RCT is feasible, given an accessible study population that is willing to participate and that perceives the training program as positive and adheres to the program. The training program leads to several positive outcomes on muscle strength that justifies assessing clinical outcomes in this RCT.


Assuntos
Traumatismos em Atletas/prevenção & controle , Terapia por Exercício , Traumatismos do Pé/prevenção & controle , Pé/fisiologia , Treinamento de Resistência , Corrida/lesões , Adulto , Fenômenos Biomecânicos , Estudos de Viabilidade , Feminino , Marcha , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Força Muscular , Exercícios de Alongamento Muscular , Músculo Esquelético/fisiologia
2.
Traffic Inj Prev ; 19(2): 195-200, 2018 02 17.
Artigo em Inglês | MEDLINE | ID: mdl-28696780

RESUMO

OBJECTIVE: Since 2000, numerous improvements have been made to the National Association for Stock Car Auto Racing, Incorporated (NASCAR®) driver restraint system, resulting in improved crash protection for motorsports drivers. Advancements have included seats, head and neck restraints (HNRs), seat belt restraint systems, driver helmets, and others. These enhancements have increased protection for drivers from severe crash loading. Extending protection to the driver's extremities remains challenging. Though the drivers' legs are well contained for lateral and vertical crashes, they remain largely unrestrained in frontal and frontal oblique crashes. METHOD: Sled testing was conducted for the evaluation of an energy-absorbing (EA) toe board material to be used as a countermeasure for leg and foot injuries. Testing included baseline rigid toe boards, tests with EA material-covered toe boards, and pretest positioning of the 50th percentile male frontal Hybrid III anthropomorphic test device (ATD) lower extremities. ATD leg and foot instrumentation included foot acceleration and tibia forces and moments. RESULTS: The sled test data were evaluated using established injury criteria for tibial plateau fractures, leg shaft fractures, and calcaneus, talus, ankle, and midfoot fractures. CONCLUSION: A polyurethane EA foam was found to be effective in limiting axial tibia force and foot accelerations when subjected to frontal impacts using the NASCAR motorsport restraint system.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Traumatismos da Perna/prevenção & controle , Equipamentos de Proteção , Traumatismos do Tornozelo/prevenção & controle , Fenômenos Biomecânicos , Traumatismos do Pé/prevenção & controle , Humanos , Extremidade Inferior , Masculino , Manequins
3.
J Sports Med Phys Fitness ; 58(9): 1296-1303, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28944643

RESUMO

BACKGROUND: Previous studies attempted to identify possible risk factors for acute and overuse injuries in several sports disciplines such as running, gymnastics or team sports. Given the lack of scientific works focused on risk factors for lower limb injuries in martial arts, the present study was aimed to investigate foot anatomy, anthropometric measures, and other background information as possible risk factors of injury in barefoot athletes practicing judo, karate, kung fu, Thai boxing, or aikido. In addition, the injury rates were evaluated in relation with the different martial art styles. METHODS: One group of 130 martial artists was retrospectively evaluated. Data of three morphological variables of the foot were collected: navicular height (NH), navicular drop (ND), and the rear foot (RF). In addition, each participant filled an interview questionnaire providing the following information: age, sex, body weight, height, Body Mass Index, hours of training per week, the kind of injury occurred to the lower limbs in the preceding year. RESULTS: Of 130 subjects, 70 (53.8%) did not sustain injuries, 35 (27.0%) suffered an acute injury and the remaining 25 (19.2%) reported an overuse injury. No significant differences were observed in the injury rates in relation to style and kind of martial art. Age, training volume and BMI were found as significant predictors of injury, while NH, ND, and RF were not able to predict acute or overuse injury at lower limbs. CONCLUSIONS: The injury rates were similar in karate, judo, kung fu, aikido, and Thai boxing. The foot morphology variables were not related with the presence or absence of acute and overuse injuries. Conversely, older and heavier martial artists, performing more hours of barefoot training, are at higher risk of acute and overuse injury. Athletic trainers should strongly take into account the present information in order to develop more accurate and specific injury prevention programs for martial artists.


Assuntos
Transtornos Traumáticos Cumulativos/prevenção & controle , Traumatismos do Pé/prevenção & controle , Artes Marciais/lesões , Adolescente , Adulto , Fatores Etários , Transtornos Traumáticos Cumulativos/epidemiologia , Feminino , Pé/fisiologia , Traumatismos do Pé/epidemiologia , Humanos , Masculino , Artes Marciais/classificação , Estudos Retrospectivos , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
4.
Rev. enferm. UFPE on line ; 11(supl.9): 3558-3566, set.2017.
Artigo em Português | BDENF - Enfermagem | ID: bde-33154

RESUMO

Objetivo: conhecer as práticas de autocuidado das pessoas com pé diabético. Método: Estudo qualitativo, pesquisa ação, com 40 pacientes de uma unidade de Atenção Primária à Saúde. Os dados foram produzidos por meio de entrevista semiestruturada. Para a análise, utilizou-se a Análise de Conteúdo. Resultados: dos discursos, emergiram duas categorias <>. Os pacientes sabem que cuidados com os pés são necessários, porém, o autocuidado não é realizado corretamente. As dificuldades baseavam-se no desconhecimento do calçado adequado, no corte correto das unhas e na importância do exame dos pés. Conclusão: a finalidade do conhecimento produzido não foi somente prestar informações e trocar experiências, mas, sobretudo, sensibilizar os pacientes sobre os riscos de complicações nos pés. (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Pé Diabético , Autocuidado , Cuidados de Enfermagem , Traumatismos do Pé/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Educação em Saúde , Higiene
5.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde, LIS-bvsms | ID: lis-LISBR1.1-45031

RESUMO

Informações de utilidade pública sobre doenças, prevenção de acidentes, cuidados com a higiene, entre outros.


Assuntos
Saúde Pública , Promoção da Saúde , Sapatos , Deformidades do Pé/prevenção & controle , Traumatismos do Pé/prevenção & controle
6.
Sports Health ; 9(2): 126-131, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28151702

RESUMO

BACKGROUND: Foot and ankle injuries are common in sports, particularly in cleated athletes. Traditionally, the athletic shoe has not been regarded as a piece of protective equipment but rather as a part of the uniform, with a primary focus on performance and subjective feedback measures of comfort. Changes in turf and shoe design have poorly understood implications on the health and safety of players. EVIDENCE ACQUISITION: A literature search of the MEDLINE and PubMed databases was conducted. Keywords included athletic shoewear, cleated shoe, football shoes, and shoewear, and search parameters were between the years 2000 and 2016. STUDY DESIGN: Clinical review. LEVEL OF EVIDENCE: Level 5. RESULTS: The athletic shoe is an important piece of protective sports equipment. There are several important structural considerations of shoe design, including biomechanical compliance, cleat and turf interaction, and shoe sizing/fit, that affect the way an athlete engages with the playing surface and carry important potential implications regarding player safety if not understood and addressed. CONCLUSION: Athletic footwear should be considered an integral piece of protective equipment rather than simply an extension of the uniform apparel. More research is needed to define optimal shoe sizing, the effect that design has on mechanical load, and how cleat properties, including pattern and structure, interact with the variety of playing surfaces.


Assuntos
Traumatismos do Tornozelo/prevenção & controle , Traumatismos do Tornozelo/fisiopatologia , Traumatismos do Pé/prevenção & controle , Traumatismos do Pé/fisiopatologia , Futebol Americano/lesões , Sapatos , Fenômenos Biomecânicos , Desenho de Equipamento , Humanos
7.
J Am Podiatr Med Assoc ; 107(2): 119-123, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28198638

RESUMO

BACKGROUND: The correlation between arch structure and injury may be related to the fact that foot structure influences foot function. Foot structure is often defined by arch height, although arch flexibility may be just as important to form a more complete description. We propose an arch flexibility classification system, analogous to arch height classification, and then use the classification system to examine the relationship between arch flexibility and arch height. METHODS: Arch height index was calculated in 1,124 incoming military cadets, of whom 1,056 had usable data. By measuring arch height during both sitting and standing, a measurement of arch flexibility could also be calculated. These values were used to create five arch flexibility categories: very stiff, stiff, neutral, flexible, and very flexible. The distribution of arch flexibility types among arch height categories was statistically compared. RESULTS: The goodness of fit test showed a disproportionate number of each arch flexibility type in each of the arch height categories (P < .01). The largest proportion of cavus feet was very stiff and the smallest proportion was very flexible. Conversely, the largest proportion of planus feet was very flexible and the smallest proportion was very stiff. CONCLUSIONS: The results of this research support the common belief that cavus feet tend to be very stiff and planus feet tend to be very flexible.


Assuntos
Pé Chato/diagnóstico , Traumatismos do Pé/prevenção & controle , Pé/anatomia & histologia , Militares , Adulto , Antropometria , Fenômenos Biomecânicos , Estudos de Coortes , Feminino , Humanos , Masculino , Podiatria/métodos , Sensibilidade e Especificidade , Estresse Mecânico , Suporte de Carga/fisiologia
8.
Int J Occup Saf Ergon ; 23(3): 424-430, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28041533

RESUMO

A sample of 300 migrating peasant workers from 15 Chinese building construction sites completed a demographic questionnaire to investigate the usage of safety footwear. The survey form was constructed based on the theory of planned behaviour, and a total of 12 questions focusing on the workers' past experience, attitudes, subjective norms and perceived behavioural control were included in the survey. It was found that 92% of the participants did not wear safety footwear while working on construction sites, although more than 91% of them believed that safety footwear would protect the foot from injury; none of the participants had been provided free safety footwear by their employer. Regression analysis shows that employers' attitude is the most important factor affecting their usage of safety footwear, 'providing free safety footwear' and 'comfortability of the safety footwear' ranking second and third respectively.


Assuntos
Traumatismos do Pé/prevenção & controle , Traumatismos do Pé/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Equipamento de Proteção Individual/estatística & dados numéricos , Adulto , China , Indústria da Construção , Emigração e Imigração , Feminino , , Humanos , Masculino , Pessoa de Meia-Idade , Cultura Organizacional , Análise de Regressão , Assunção de Riscos , Inquéritos e Questionários
10.
J Am Podiatr Med Assoc ; 106(5): 344-351, 2016 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-27762613

RESUMO

BACKGROUND: This study investigated the effect of Vibram FiveFingers Bikila minimalist shoes on intrinsic foot musculature. We hypothesized that a gradual transition into minimalist shoes will increase the thickness of the abductor hallucis muscle. METHODS: Forty-one individuals were divided into four groups: control (traditional shod) (n = 9), restricted walking in Vibram FiveFingers (n = 11), running in Vibram FiveFingers (n = 10), and unlimited walking in Vibram FiveFingers (n = 11). At baseline, 12 weeks, and 24 weeks, the thickness of the abductor hallucis muscle was determined using ultrasound. Statistical analysis was performed to determine the significance of differences in muscle thickness at the three different time points. RESULTS: The mean thickness of the abductor hallucis muscle at 24 weeks was significantly greater than that at baseline for the restricted walking (P = .005) and running (P < .001) groups. In the unlimited walking group, the mean thickness of the muscle at 12 weeks was significantly greater than that at baseline (P < .05) but not at 24 weeks. There were no significant differences in muscle thickness among the three time points for the control group (P = .432). CONCLUSIONS: This study demonstrated that wearing Vibram FiveFinger Bikila footwear over a controlled period of time, an unlimited amount of time, as well as transitioning runners over a 6-month period of time using the 10% philosophy for increasing mileage, significantly increases intrinsic muscle thickness of the abductor hallucis. The abductor hallucis muscle aids in support of the medial longitudinal arch, and an increase in this muscle thickness may help reduce running-related injuries thought to arise from arch weakness.


Assuntos
Pé/fisiologia , Músculo Esquelético/fisiologia , Corrida/fisiologia , Sapatos , Caminhada/fisiologia , Adulto , Análise de Variância , Fenômenos Biomecânicos , Estudos de Casos e Controles , Feminino , Traumatismos do Pé/prevenção & controle , Voluntários Saudáveis , Humanos , Masculino , Valores de Referência , Tendões/fisiopatologia , Suporte de Carga/fisiologia , Adulto Jovem
11.
J Occup Health ; 58(5): 404-412, 2016 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-27488038

RESUMO

OBJECTIVE: Working conditions, such as walking and standing on hard surfaces, can increase the development of musculoskeletal complaints. At the interface between flooring and musculoskeletal system, safety shoes may play an important role in the well-being of employees. The aim of this study was to evaluate the effects of different safety shoes on gait and plantar pressure distributions on industrial flooring. METHODS: Twenty automotive workers were individually fitted out with three different pairs of safety shoes ( "normal" shoes, cushioned shoes, and midfoot bearing shoes). They walked at a given speed of 1.5 m/s. The CUELA measuring system and shoe insoles were used for gait analysis and plantar pressure measurements, respectively. Statistical analysis was conducted by ANOVA analysis for repeated measures. RESULTS: Walking with cushioned safety shoes or a midfoot bearing safety shoe led to a significant decrease of the average trunk inclination (p<0.005). Furthermore, the average hip flexion angle decreased for cushioned shoes as well as midfoot bearing shoes (p<0.002). The range of motion of the knee joint increased for cushioned shoes. As expected, plantar pressure distributions varied significantly between cushioned or midfoot bearing shoes and shoes without ergonomic components. CONCLUSION: The overall function of safety shoes is the avoidance of injury in case of an industrial accident, but in addition, safety shoes could be a long-term preventive instrument for maintaining health of the employees' musculoskeletal system, as they are able to affect gait parameters. Further research needs to focus on safety shoes in working situations.


Assuntos
Traumatismos do Pé/prevenção & controle , Lesões do Quadril/prevenção & controle , Traumatismos Ocupacionais/prevenção & controle , Roupa de Proteção/normas , Sapatos/normas , Adulto , Análise de Variância , Automóveis , Fenômenos Biomecânicos , , Articulações do Pé/fisiologia , Marcha , Articulação do Quadril/fisiologia , Humanos , Indústrias , Articulação do Joelho/fisiologia , Masculino , Pessoa de Meia-Idade , Postura , Pressão , Caminhada , Suporte de Carga
12.
Gac Sanit ; 30(2): 137-9, 2016.
Artigo em Espanhol | MEDLINE | ID: mdl-26763191

RESUMO

This article presents an overview of the work done over the past 12 years in a collaboration between the school communities at various primary and secondary schools and the practical experience managers working in the Preventive and Community Podiatry area of the Podiatry degree at the University of Seville (Spain). The article presents several strategies, which were carried out in the fields of Foot Health for All and Preventive and Community Podiatry as part of the Hermes Research Group (CTS-601) aimed at promoting general foot health. Foot examinations were conducted in a total of 4,630 school pupils, with foot problems being confirmed in 677 of them. Some 7,145 members of the school community were also helped, with these people being reached through educational activities around foot care. The aim of the initiative was to prevent foot damage among children, which could have a harmful impact on their quality of life as adults.


Assuntos
Traumatismos do Pé/prevenção & controle , Educação em Saúde/organização & administração , Promoção da Saúde/organização & administração , Podiatria , Serviços de Saúde Escolar , Humanos , Qualidade de Vida , Espanha
13.
J Spec Oper Med ; 16(4): 74-79, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-28088822

RESUMO

This is the first of a two-part article discussing loadcarriage- related paresthesias, including brachial plexus lesions (rucksack palsy), digitalgia paresthetica, and meralgia paresthetica. Paresthesias are sensations of numbness, burning, and/or tingling, usually experienced as a result of nerve injury, compression, traction, or irritation. Rucksack palsy is a traction or compression injury to the brachial plexus, caused by the shoulder straps of the rucksack. The patient presents with paresthesia, paralysis, cramping with pain, and muscle weakness of the upper limb. Muscle-strength losses appear to be greater in those carrying heavier loads. Hypothetical risk factors for rucksack palsy include improper load distribution, longer carriage distances, and load weight. Nerve traction, compression, and symptoms may be reduced by use of a rucksack hip belt; wider, better-padded, and proper adjustment of the shoulder straps; reduction of weight in the rucksack; a more symmetric distribution of the load; and resistance training to improve the strength and hypertrophy of the shoulder muscles. Assessment and neck joint and nerve mobilization may relieve brachial plexus tension and reduce symptoms. Another load-carriage-related disorder is digitalgia paresthetica, likely caused by compression of the sensory digital nerves in the foot during load carriage. Patients have paresthesia in the toes. Although no studies have demonstrated effective prevention measures for digitalgia paresthetica, reducing loads and march distances may help by decreasing the forces and repetitive stress on the foot and lower leg. Specialty evaluations by a physical therapist, podiatrist, or other healthcare provider are important to rule out entrapment neuropathies such as tarsal tunnel syndrome. Part 2 of this article will discuss meralgia paresthetica.


Assuntos
Neuropatias do Plexo Braquial/prevenção & controle , Traumatismos do Pé/prevenção & controle , Militares , Síndromes de Compressão Nervosa/prevenção & controle , Parestesia/prevenção & controle , Suporte de Carga , Neuropatias do Plexo Braquial/diagnóstico , Neuropatias do Plexo Braquial/fisiopatologia , Traumatismos do Pé/diagnóstico , Traumatismos do Pé/fisiopatologia , Humanos , Síndromes de Compressão Nervosa/diagnóstico , Síndromes de Compressão Nervosa/fisiopatologia , Parestesia/diagnóstico , Parestesia/fisiopatologia
14.
J Dance Med Sci ; 19(2): 57-62, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26045396

RESUMO

Dancers may compensate alignment at the spine, hip, knees, ankles, and feet to achieve a greater turnout than is available at the hip alone. Such compensations are believed to lead to many of the musculoskeletal injuries experienced by dancers, especially overuse injuries. The aim of this study was to explore the relationship between compensated turnout and injury of the lower extremities and low back. Twenty-two university level modern dancers age 19 to 23 participated. Measurements were taken of active hip external rotation (AHER) prone and functional turnout (FTO) in first position. The difference between FTO and AHER was designated as compensated turnout (CTO). A questionnaire was conducted to gather information about dancers' injuries within the past 2 years. A total of 17 participants (77%) reported experiencing at least one injury in the 24 month period. All dancers compensated turnout. Results revealed a large variability in CTO among participants, ranging from 3° to 72°. Statistical analysis showed a significant relationship (r = 0.45, N = 22, p = 0.04) between CTO and the number of injuries experienced, especially as related to low back pain (r = 0.50, N = 22, p = 0.02). Students with no injury had a CTO mean of 26°, while those with two or more injuries had a CTO mean of 43°. Results contribute to previous studies that have examined the effects of CTO in ballet dancers and further indicate that compensatory patterns of turnout may increase the risk of experiencing more than one injury in university level modern dancers.


Assuntos
Dança/lesões , Traumatismos da Perna/prevenção & controle , Amplitude de Movimento Articular/fisiologia , Artrometria Articular/métodos , Fenômenos Biomecânicos , Feminino , Traumatismos do Pé/etiologia , Traumatismos do Pé/prevenção & controle , Lesões do Quadril/etiologia , Lesões do Quadril/prevenção & controle , Humanos , Traumatismos do Joelho/etiologia , Traumatismos do Joelho/prevenção & controle , Traumatismos da Perna/etiologia , Valores de Referência , Fatores de Risco , Adulto Jovem
15.
Res Sports Med ; 23(3): 278-88, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26061909

RESUMO

This study investigated the effectiveness of functional insoles on plantar pressure distribution during race walking so as to reduce the high plantar pressure and force on race walkers, who tend to suffer from overuse injury. A total of 20 male race walkers aged 21.19 ± 3.66 years and with a mean height of 178.85 ± 14.07 cm were recruited as participants. Each participant completed a race walking with functional or normal insoles. Plantar pressure insoles were used to collect vertical plantar pressure data. A two-way analysis of variance with a mixed design was used to determine the difference between the two conditions. Results showed that the use of functional insoles reduces the peak pressure and the impulse in the metatarsophalangeal joints and heels and thus suggest that functional insoles reduce the overuse injury risks of these parts. The first ground reaction force peak also decreased. This result suggested that functional insoles reduce the risks of foot and leg injuries.


Assuntos
Órtoses do Pé , Pé/fisiologia , Pressão , Caminhada/fisiologia , Adolescente , Transtornos Traumáticos Cumulativos/prevenção & controle , Traumatismos do Pé/prevenção & controle , Humanos , Masculino , Equipamentos Esportivos , Caminhada/lesões , Adulto Jovem
16.
Burns ; 41(5): 1122-5, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25687835

RESUMO

Nowadays, despite improvements in safety rules and inspections in the metal industry, foundry workers are not free from burn accidents. Injuries caused by molten metals include burns secondary to molten iron, aluminium, zinc, copper, brass, bronze, manganese, lead and steel. Molten aluminium is one of the most common causative agents of burns (60%); however, only a few publications exist concerning injuries from molten aluminium. The main mechanisms of lesion from molten aluminium include direct contact of the molten metal with the skin or through safety apparel, or when the metal splash burns through the pants and rolls downward along the leg. Herein, we report three cases of deep dermal burns after 'soaking' the foot in liquid aluminium and its evolutive features. This paper aims to show our experience in the management of burns due to molten aluminium. We describe the current management principles and the key features of injury prevention.


Assuntos
Alumínio , Queimaduras/patologia , Traumatismos do Pé/patologia , Metalurgia , Traumatismos Ocupacionais/patologia , Sapatos , Adulto , Queimaduras/prevenção & controle , Traumatismos do Pé/prevenção & controle , Humanos , Masculino , Traumatismos Ocupacionais/prevenção & controle , Adulto Jovem
17.
Foot Ankle Surg ; 20(4): 237-40, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25457658

RESUMO

BACKGROUND: Foot and ankle injuries are common in football. Prevention strategies exist in order to decrease the incidence of such injuries and minimize the number of days that a player is unavailable for selection. METHODS: Injuries were recorded over a 4-season period while the team was playing in the English Premier League (EPL). We present the epidemiology of foot and ankle injuries within a professional football club and offer a calculation that may be of use in the future to identify areas of injury prevention. RESULTS: Anterior Talo-Fibular Ligament (ATFL) injuries and fifth metatarsal fractures were of high impact as they were both common and resulted in significant time periods where the player was unavailable. CONCLUSIONS: This is the first time an EPL club has been prepared to publish data regarding injury. Our findings may be used by others to focus their prevention strategies on the injuries with the highest impact.


Assuntos
Traumatismos do Tornozelo/epidemiologia , Traumatismos do Pé/epidemiologia , Futebol/lesões , Absenteísmo , Adulto , Traumatismos do Tornozelo/prevenção & controle , Traumatismos do Pé/prevenção & controle , Humanos , Masculino , Estudos Prospectivos , Recuperação de Função Fisiológica , Recidiva , Reino Unido/epidemiologia , Adulto Jovem
18.
J Spec Oper Med ; 14(4): 131-5, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25399383

RESUMO

Since the beginning of recorded history, Soldiers have carried arms and equipment on their bodies. More recently, loads have substantially increased, driven by improvements in weapons technology and personal protection. As Soldier loads increase, there are increases in energy cost, altered gait mechanics, increased stress on the musculoskeletal system, and more rapid fatigue, factors that may increase the risk of injury. Common injuries and symptoms experienced by Soldiers on load-carriage missions include foot blisters, metatarsalgia, knee problems, and back problems. This article discusses these problems, providing diagnoses, injury mechanisms, and preventive measures. In general, lighter loads, improving load distribution, using appropriate physical training, selecting proper equipment, and using specific prevention techniques will facilitate load carriage and provide Special Operations Forces with a higher probability of mission success.


Assuntos
Dor nas Costas/prevenção & controle , Vesícula/prevenção & controle , Traumatismos do Pé/prevenção & controle , Traumatismos do Joelho/prevenção & controle , Metatarsalgia/prevenção & controle , Militares , Caminhada/lesões , Dor nas Costas/terapia , Vesícula/terapia , Traumatismos do Pé/terapia , Humanos , Traumatismos do Joelho/terapia , Metatarsalgia/terapia , Suporte de Carga
20.
Infect Disord Drug Targets ; 14(2): 140-7, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25019236

RESUMO

Pilgrims attending Hajj in Makkah are at high risk of suffering from trauma and foot injury as they are required to make circuits barefooted on scorching marbles around the Holy Mosque, and march between two hillocks for hours. No study has systematically described the pattern of foot wounds among them. This observational study aimed to determine the spectrum of foot injuries among diabetic and non-diabetic Hajj pilgrims and the preventive measures adopted by them. Pilgrims who attended the Hajj 2013 and sought medical care for foot wounds at mobile podiatric clinics in Mina during the peak days of Hajj were invited to participate in the study and fill out a questionnaire while they were serviced. Podiatric carers noted down the significant signs of foot injuries. Out of 197 pilgrims from 21 different countries who participated in this study, 60 (31%) were diabetic. The two most common injuries observed were blisters (34%) and erythema (25%). Both diabetic and non-diabetic Hajj pilgrims were at high risk of developing infectious wounds, however a significantly higher proportion of diabetic pilgrims had callosities. Use of appropriately fitting protective footwear, and regularity in diets and drugs are highly recommended for pilgrims' optimum foot care. Tailored educational advice on foot hygiene before and during travel could be beneficial for Hajj pilgrims.


Assuntos
Diabetes Mellitus/epidemiologia , Traumatismos do Pé/epidemiologia , Controle de Infecções/métodos , Islamismo , Adulto , Idoso , Idoso de 80 Anos ou mais , Austrália , Vesícula/epidemiologia , Eritema/epidemiologia , Feminino , Traumatismos do Pé/prevenção & controle , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Arábia Saudita , Inquéritos e Questionários , Viagem , Infecção dos Ferimentos/epidemiologia , Infecção dos Ferimentos/prevenção & controle , Adulto Jovem
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