Classification of Digital and Lower Limb Ulcers in SSc

2018 ◽  
pp. 15-24
Author(s):  
Jelena Blagojevic
Keyword(s):  
Lower Limb

Leg Varices Originating from the Pelvis: Diagnosis and Treatment

Vascular ◽  
2007 ◽  
Vol 15 (2) ◽  
pp. 70-78 ◽  
Author(s):  
Milka Greiner ◽  
Geoffrey L. Gilling-Smith
Keyword(s):  
Effective Treatment ◽  
Lower Limb ◽  
Varicose Veins ◽  
Diagnosis And Treatment ◽  
Repeat Surgery ◽  
Recurrent Reflux ◽  
Venous Circulation ◽  
Platinum Coils

This article reports the investigation and treatment of 24 women presenting with recurrent lower limb varicosities secondary to reflux within the pelvic venous circulation. Diagnosis based on selective retrograde pelvic phlebography enabled precise identification and classification of sites of incompetence. A total of 74 veins were treated by embolization with platinum coils and glue prior to repeat surgery to the lower limb veins. At 4-year follow-up, signs of stasis had disappeared in all patients. Repeat phlebography revealed no evidence of recurrent reflux at the sites of treatment. One patient developed recurrent varices due to incomplete embolization of incompetent pelvic veins. Endovascular occlusion of incompetent pelvic veins is an effective treatment for varicose veins secondary to pelvic venous incompetence.

IS DISTRIBUTION OF PAIN RELATED WITH CENTRAL SENSITIZATION IN PATIENTS WITH LOWER LIMB OSTEOARTHRITIS?

2021 ◽  
pp. 2150019
Author(s):  
Andriana Koufogianni ◽  
Asimakis K. Kanellopoulos ◽  
Konstantinos Vassis ◽  
Ioannis A. Poulis
Keyword(s):  
Lower Limb ◽  
Central Sensitization ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
The Body ◽  
Cross Sectional ◽  
Numeric Pain Rating Scale ◽  
The Relationship ◽  
Pain Distribution

Design: Cross-sectional study. Background: Osteoarthritis is one of the most common conditions in our society. A growing number of studies suggest the existence of central sensitization (CS) in a subgroup of osteoarthritic patients. One of the criteria included for the classification of CS pain is the expanded distribution of pain. As this criterion is a well-recognized sign of CS, a digital pain drawing (DPD) analysis would be useful to easily identify possible extended areas of pain distribution (PD) in patients with OA. Objective: To study the relationship between the percentage of distribution of pain in the lower limb for both knee and hip, in patients before hip or knee arthroplasty, and the Central Sensitization Inventory Questionnaire. Methods: Twenty women (mean [Formula: see text] years) with diagnosed chronic (over 3 months) knee ([Formula: see text]) and hip ([Formula: see text]) OA participated in the study, with intensity of pain from mild to severe, meaning pain [Formula: see text]/10 using the Numeric Pain Rating Scale (NPRS). The PD was analyzed via software created for this research, called “Pain Distribution Application”. Results: A statistically significant positive correlation between CSI and PD to the lower extremity OA (hip and knee) ([Formula: see text], [Formula: see text]) was found. The distribution of pain has a linear correlation with the results in CSI, of patients who tested positive for CS, i.e. with a score of [Formula: see text]. Conclusions: As the distribution of pain on the surface of the body (diffusion) increases, so does the score of people who test positive for CSI. Our results showed that calculating the distribution of pain with our application may have a utility as a CS screening tool. The PD threshold of 10% of the body area is an index for CS for chronic pain lower limb OA patients.

Walking Classification of Hip Joint Lower Limb Exoskeleton

2019 ◽  
Author(s):  
Riska Analia ◽  
Joshua Ferdinand M. ◽  
Susanto ◽  
P. Daniel Sutopo ◽  
Hendawan Soebhakti ◽  
...  
Keyword(s):  
Hip Joint ◽  
Lower Limb ◽  
Lower Limb Exoskeleton

The use of the International Classification of Functioning, Disability and Health to classify the factors influencing mobility reported by persons with an amputation: An international study

2016 ◽  
Vol 41 (4) ◽  
pp. 412-419 ◽  
Author(s):  
Seema Radhakrishnan ◽  
Friedbert Kohler ◽  
Christoph Gutenbrunner ◽  
Arun Jayaraman ◽  
Jianin Li ◽  
...  
Keyword(s):  
Focus Groups ◽  
Lower Limb ◽  
International Classification ◽  
Lower Limb Amputation ◽  
International Classification Of Functioning ◽  
Limb Amputation ◽  
Common Language ◽  
Disability And Health ◽  
Individual Interviews

Background: Amputation of lower limb results in limitations in mobility which are amenable to multiple rehabilitation interventions. The challenges faced by the persons with lower limb amputation vary internationally. The International Classification of Functioning, Disability and Health provides a common language to describe the function of persons with lower limb amputation across various countries. Objectives: This article reports the concepts in mobility important to persons with lower limb amputation across six countries using the International Classification of Functioning, Disability and Health. Study design: Qualitative study using focus groups and individual interviews. Methods: Focus groups and individual interviews of persons with lower limb amputation were organised across six countries to identify the issues faced by patients with an amputation during and after their amputation, subsequent rehabilitation and on an ongoing basis in their daily life. Meaningful concepts were extracted from the responses and linked to suitable second-level and where applicable third-level International Classification of Functioning, Disability and Health categories. International Classification of Functioning, Disability and Health categorical frequencies were analysed to represent the prevalence and spread of International Classification of Functioning, Disability and Health categories by location. Results: A total of 133 patients were interviewed. A large percentage (93%) of the identified concepts could be matched to International Classification of Functioning, Disability and Health categories for quantitative analysis. Conclusion: The important concepts in mobility were similar across different countries. The comprehensiveness of International Classification of Functioning, Disability and Health as a classification system for human function and its universality across the globe is demonstrated by the large proportion of the concepts contained in the interviews from across the study centres that could be matched to International Classification of Functioning, Disability and Health categories. Clinical relevance The activity and participation restrictions faced by a person with lower limb amputation vary internationally and are amenable to multiple rehabilitation interventions. The International Classification of Functioning, Disability and Health may provide a common language to report and quantify the various concepts important to the patient in their rehabilitation journey.

scholarly journals Performance of elite seated discus throwers in F30s classes: part II: does feet positioning matter?

2012 ◽  
Vol 37 (3) ◽  
pp. 192-202 ◽  
Author(s):  
Laurent A Frossard ◽  
Alison O’Riordan ◽  
James Smeathers
Keyword(s):  
Lower Limb ◽  
Descriptive Analysis ◽  
Whole Body ◽  
Limb Amputation ◽  
Current Debate ◽  
Coefficient Corrélation ◽  
Body Positioning ◽  
Foot Position ◽  
The Relationship

Background: Studies on the relationship between performance and design of the throwing frame have been limited. Part I provided only a description of the whole body positioning. Objectives: The specific objectives were (a) to benchmark feet positioning characteristics (i.e. position, spacing and orientation) and (b) to investigate the relationship between performance and these characteristics for male seated discus throwers in F30s classes. Study Design: Descriptive analysis. Methods: A total of 48 attempts performed by 12 stationary discus throwers in F33 and F34 classes during seated discus throwing event of 2002 International Paralympic Committee Athletics World Championships were analysed in this study. Feet positioning was characterised by tridimensional data of the front and back feet position as well as spacing and orientation corresponding to the distance between and the angle made by both feet, respectively. Results: Only 4 of 30 feet positioning characteristics presented a coefficient correlation superior to 0.5, including the feet spacing on mediolateral and anteroposterior axes in F34 class as well as the back foot position and feet spacing on mediolateral axis in F33 class. Conclusions: This study provided key information for a better understanding of the interaction between throwing technique of elite seated throwers and their throwing frame. Clinical relevance This study aimed at improving the understanding of the relationship between performance and the design of the throwing frame of seated discus throwers, with a particular emphasis on the importance of feet positioning. This knowledge is particularly important in the current debate around general principles underlying design of throwing frame and classification of athletes with a disability, including those with lower limb amputation.

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