Investigating the impact of passive external lower limb compression on central and peripheral hemodynamics during exercise

2016 ◽  
Vol 116 (4) ◽  
pp. 717-727 ◽  
Author(s):  
Jennifer Book ◽  
Chekema N. Prince ◽  
Rodrigo Villar ◽  
Richard L. Hughson ◽  
Sean D. Peterson
Keyword(s):  
Lower Limb ◽  
Peripheral Hemodynamics ◽  
The Impact ◽  
Limb Compression

scholarly journals Incidence and causes of lower-limb amputations in the city of Ribeirão Preto from 1985 to 2008: evaluation of the medical records from 3,274 cases

2016 ◽  
Vol 19 (2) ◽  
pp. 317-325 ◽  
Author(s):  
Bruna Maria Bueno Barbosa ◽  
Rosane Aparecida Monteiro ◽  
Lucas Françolin Sparano ◽  
Rodolfo Fabiano Niz Bareiro ◽  
Afonso Dinis Costa Passos ◽  
...  
Keyword(s):  
Traffic Safety ◽  
Lower Limb ◽  
Population Aging ◽  
Average Rate ◽  
Control Program ◽  
Diabetes Control ◽  
Ischemic Complications ◽  
The Impact ◽  
The City ◽  
Alcohol Laws

ABSTRACT: Objective: It was to identify trends of traumatic and non-traumatic causes of lower limb amputations, as well as the role played by population aging, traffic violence increase, public health policy of diabetes control program and drivers anti-alcohol laws on these amputations. Method: Hospitalization data recorded in the discharge forms of 32 hospitals located in the region of Ribeirão Preto, Brazil, from 1985 to 2008 were analyzed. Result: A total of 3,274 lower-limb amputations were analyzed, of which 95.2% were related to non-traumatic causes, mainly infectious and ischemic complications of diabetes mellitus. Cancer (2.8%) and congenital (1.3%) causes were included in this group. Only 4.8% were related to traumatic causes. Traumatic amputation average rate was 1.5 amputations in 100,000 habitants with a slight tendency of increase in the last 5 years. Non-traumatic causes showed an average rate of 30.0 amputations for 100,000 habitants and remained relatively constant during the whole period. Non-traumatic were much more predominant in patients older than 60 years and traumatic amputations occurred more frequently in patients younger than 39 years. Conclusion: The overall rates of amputation and the rates of traumatic and non-traumatic amputations remained nearly constant during the study period. The impact of diabetes control policies and the introduction of traffic safety laws could not be identified on the amputation rates.

scholarly journals From guidelines to standards of care for open tibial fractures

2015 ◽  
Vol 97 (6) ◽  
pp. 469-475 ◽  
Author(s):  
RW Trickett ◽  
S Rahman ◽  
P Page ◽  
I Pallister
Keyword(s):  
Surgical Procedures ◽  
Lower Limb ◽  
Tibial Fractures ◽  
Standards Of Care ◽  
Open Tibial Fractures ◽  
Open Injury ◽  
Initial Surgery ◽  
Transferred Patients ◽  
Combined Strategy ◽  
The Impact

Introduction The standards for the management of open fractures of the lower limb published by the British Association of Plastic, Reconstructive and Aesthetic surgeons (BAPRAS) and British Orthopaedic Association (BOA) were introduced to improve the treatment received by patients after open injury to the lower limb. These Standards were released after BAPRAS/BOA published Guidelines for the management of open tibial fractures. Methods We wished to determine the impact of these Standards upon the surgical management of open tibial fractures by comparing patients admitted to an orthoplastic centre in the 45 months concluding December 2009 (the Guidelines era) with those admitted during 2011 (the Standards era). Surgical procedures required during the first 30 days and 12 months after injury were determined. Cases were divided into ‘directly admitted patients’ (DAP) and ‘transferred patients’ (TP). Standards-era patients were divided further into those who had surgery exclusively at the orthoplastic centre (orthoplastic patients (OPP)) and those transferred after surgery (TASP). Results The number of TP trebled in frequency in the Standards era, 25% of whom were transferred before surgery. Significantly fewer surgical procedures were required for DAP and OPP groups compared with TP (and TASP) groups in both eras (Mann–Whitney U-test, p=0.05). DAP and OPP groups during the Standards era underwent the fewest procedures, with the vast majority of cases treated with two or fewer procedures in the first 12 months (88% and 80%, respectively, compared with 61% in the Guidelines era). In the Guidelines era, 44% of TP cases and in the Standards era 39% of TP and 29% of TASP groups underwent two or fewer procedures. Approximately two-thirds of open tibial fractures managed in our orthoplastic centre were patients transferred after surgery. The greatest impact of the Standards was evident for those who underwent surgery exclusively in the orthoplastic centre, reflecting a more deliberate combined strategy. Conclusion These findings vindicate the Standards as well as mandating reorganisation and resourcing of orthoplastic services to ensure immediate transfer and early combined surgery. By increasing the capacity to deal with time-dependent initial surgery, the surgical burden that the patient must endure, and which the service must provide, are reduced.

scholarly journals A Patient Satisfaction Survey Investigating Pre- and Post-Operative Information Provision in Lower Limb Surgery

2020 ◽  
Author(s):  
Maxwell Stanley Renna ◽  
Andrew Metcalfe ◽  
David Ellard ◽  
David Davies
Keyword(s):  
Patient Satisfaction ◽  
Lower Limb ◽  
Cruciate Ligament ◽  
Recovery Period ◽  
Information Provision ◽  
Free Text ◽  
Healthcare Provision ◽  
Major Trauma Centre ◽  
Lower Limb Surgery ◽  
The Impact

Abstract BackgroundPlanned lower limb surgery is common, with over 90,000 hip replacements, 95,000 knee replacements and 15,000 anterior cruciate ligament reconstructions performed in the UK each year. Patient satisfaction an important element of healthcare provision that is usually measured by functional outcomes but influenced by many other factors. Few studies have assessed patients’ views on the information given to them pertaining surgery and patients are infrequently consulted when designing leaflets and information packs which can lead to confusion during the recovery period and poor long-term outcomes. We aimed to assess if patients were satisfied with the information they received around their operations and identify potential improvements.MethodsSet in a major trauma centre in the West Midlands, a multiple choice and free-text answer survey was administered to patients who used the orthopaedic service over the course of one month. Surveys were designed in Qualtrics and administered face-to-face on paper. Thematic content analysis was performed. ResultsEighty patients completed the survey, of which 88.8% of patients were satisfied with the information they received. Discussions with surgeons were the most useful resource and 53% of patients requested more internet resources. Post-operative patients were statistically more likely to be dissatisfied with information provision. Over 20% of patients requested more information on post-op pain and recovery timelines. ConclusionsAlthough patients were satisfied in general, areas for change were identified. Suggested improvements take the form of webpages, a mobile platform or forum for asking healthcare professionals questions. Extra resources could contain educational videos, patient experiences and an interactive recovery timeline. These suggestions may enable NHS Trusts to “get into the digital age”, however, more research on patient satisfaction around information provision and the impact it has on recovery and decision making is needed.

scholarly journals Obesity and Skin Problems in Persons With a Lower Limb Amputation: An Observational Study

2021 ◽  
Author(s):  
Terezka S. Mollee ◽  
Pieter U. Dijkstra ◽  
Rienk Dekker ◽  
Jan H.B. Geertzen
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Confidence Interval ◽  
Body Mass ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Residual Limb ◽  
Prevalence Of Obesity ◽  
The Impact

Abstract Background: A lower limb amputation can lead to weight gain and obesity. However, data regarding the prevalence of obesity in the Dutch population with a lower limb amputation are lacking. Furthermore, the impact of obesity on skin problems of the residual limb and the need of prosthetic repairs is unknown. The aim of this study was to determine the prevalence of obesity in Dutch persons with a lower limb amputation and to investigate the relationship between body weight, body mass index and skin problems of the residual limb and the frequency of prosthetic repairs. Methods: A survey was performed among adults with a unilateral lower limb amputation due to any cause, and who are user of a prosthesis. The survey consisted of measurement of the subjects’ body height and weight, a questionnaire which assessed self-reported skin problems in the previous month and factors potentially associated with these skin problems, and assessment of the frequency of visits to the orthopedic workshop. Results: In total, 413 persons were enrolled. Of them, 39% (95% confidence interval 35%−44%) was overweight and 28% (95% confidence interval 24%−33%) was obese. A total of 77% (95% confidence interval 73%−81%) reported one or more skin problems in the past month. Body weight and body mass index were neither associated with the presence of skin problems in general nor with the number of prosthetic repairs. Persons with severe skin problems had a slightly lower body mass index (26.6 kg/m2 vs. 28.0 kg/m2, p = 0.012). Persons with skin problems were younger than those without (difference in means 6.0 years (95% confidence interval 3.0−8.9)). Conclusion: Our findings show that obesity is common in the ambulant population with a lower limb amputation, with a prevalence being higher than in the general Dutch adult population. However, its negative impact on the presence of skin problems and the frequency of prosthetic repairs may be limited.

The effect of lower limb muscle contractions on the impact acceleration behaviour of medial knee in low-speed pedestrian impact

2009 ◽  
Vol 51 (3/4) ◽  
pp. 359
Author(s):  
Junghwa Hong ◽  
Sung Ki Min ◽  
Gwang Mun Eom ◽  
Byung Kyu Park ◽  
Soo Won Chae ◽  
...  
Keyword(s):  
Lower Limb ◽  
Muscle Contractions ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Medial Knee ◽  
Low Speed ◽  
Impact Acceleration ◽  
Pedestrian Impact ◽  
The Impact

Hipoterapia w usprawnianiu dziecka z mózgowym porażeniem dziecięcym

2018 ◽  
Vol 21 (2A) ◽  
Author(s):  
Bartek Czokało ◽  
Joanna Chojnowska ◽  
Wioletta Pogroszewska
Keyword(s):  
Upper Limb ◽  
Mental State ◽  
Lower Limb ◽  
Rehabilitation Process ◽  
Self Confidence ◽  
Horse Riding ◽  
Time Stage ◽  
Block Test ◽  
The Impact

Introduction. Hippotherapy is diversified therapeutic treatment using a horse. Horse riding is a final and at the same time one of the most stretched in time stage of improving athleticism. It is a replenishment of the rehabilitation process and it gives an opportunity to acquire new skills. Aim. 1. Evaluating the impact of hippotherapy on prehensile functions of an upper limb. 2. Evaluating the impact of hippotherapy on lower limb range of motion. 3. Evaluating the impact of hippotherapy on a mental state of a child with CP. Material and methods. The author of the thesis conducted a study of a 6-year-old child with CP based on: a questionnaire, Lovett’s test, Box and Block Test and the measurement of the limbs circuits. Results. The exercises conducted improved the balance and attentiveness. Marginally the quality of the exercises was improved, as well. Conclusions. Hippotherapy gives an opportunity to overcome the discouragement and the lack of self-confidence in personal movement capabilities. It has an impact on a cognitive and emotional sphere of a child.

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