145 Positioning of Multiple Burned Joints- It Takes a Team

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S96-S96
Author(s):  
Michelle N Dwertman ◽  
Catherine Gallagher ◽  
Michelle Smith
Keyword(s):  
Lower Extremity ◽  
Educational Resources ◽  
Orthotic Devices ◽  
Environment Management ◽  
Successful Execution ◽  
Burn Patient

Abstract Positioning of a burn patient with upper and lower extremity involvement is challenging and maintaining that position requires burn team support. This video displays positional strategies for the burn team to utilize to optimize recovery for the acute burn patient. Interventions strategies will include modifying the patient’s environment, management of orthotic devices and additional educational resources for successful execution of positional goals.

Medial Unloader Braces and Lateral Heel Wedges Do not Alter Gait Biomechanics in Healthy Young Adults

2019 ◽  
Vol 28 (4) ◽  
pp. 354-359 ◽  
Author(s):  
Jonathan S. Goodwin ◽  
Robert A. Creighton ◽  
Brian G. Pietrosimone ◽  
Jeffery T. Spang ◽  
J. Troy Blackburn
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Lower Extremity ◽  
Frontal Plane ◽  
Heel Strike ◽  
Orthotic Devices ◽  
Healthy Individuals ◽  
Gait Biomechanics ◽  
Orthopedic Injury ◽  
Unloader Brace

Context: Orthotic devices such as medial unloader knee braces and lateral heel wedges may limit cartilage loading following trauma or surgical repair. However, little is known regarding their effects on gait biomechanics in young, healthy individuals who are at risk of cartilage injury during physical activity due to greater athletic exposure compared with older adults. Objective: Determine the effect of medial unloader braces and lateral heel wedges on lower-extremity kinematics and kinetics in healthy, young adults. Design: Cross-sectional crossover design. Setting: Laboratory setting. Patients: Healthy, young adults who were recreationally active (30 min/d for 3 d/wk) between 18 and 35 years of age, who were free from orthopedic injury for at least 6 months, and with no history of lower-extremity orthopedic surgery. Interventions: All subjects completed normal over ground walking with a medial unloader brace at 2 different tension settings and a lateral heel wedge for a total of 4 separate walking conditions. Main Outcome Measures: Frontal plane knee angle at heel strike, peak varus angle, peak internal knee valgus moment, and frontal plane angular impulse were compared across conditions. Results: The medial unloader brace at 50% (−2.04° [3.53°]) and 100% (−1.80° [3.63°]) maximum load placed the knee in a significantly more valgus orientation at heel strike compared with the lateral heel wedge condition (−0.05° [2.85°]). However, this difference has minimal clinical relevance. Neither of the orthotic devices altered knee kinematics or kinetics relative to the control condition. Conclusions: Although effective in older adults and individuals with varus knee alignment, medial unloader braces and lateral heel wedges do not influence gait biomechanics in young, healthy individuals.

scholarly journals Software engineering of interactive educational resources for university student training in urban development courses

2018 ◽  
Vol 170 ◽  
pp. 01062 ◽  
Author(s):  
Olga Solnyshkova ◽  
Elena Dudysheva
Keyword(s):  
Learning Styles ◽  
Urban Development ◽  
Experimental Work ◽  
Interactive Multimedia ◽  
Educational Resources ◽  
Successful Execution ◽  
Initial Work ◽  
The Difference ◽  
The University ◽  
Interactive Operations

The article is devoted to the issues of improving the quality of training specialists in urban development with using interactive educational resources simulated work with geodetic instruments. We considered conditions for increasing the effectiveness of the university students’ initial work with the equipment during software design of interactive multimedia educational resources. One is modelling of the industrial operation with the possibility of students performing correct and erroneous actions receiving feedback. Another condition is the design of interactive multimedia educational resources by lecturers of engineering courses with students' engagement. The third condition is the possibility to support different learning styles. We carried out experimental work on the example of initial work with a theodolite in the course of engineering geodesy. Results showed that the application of interactive multimedia educational resources designed with these conditions led to a more successful execution of tasks with a shorter time for performing operations. We concerned the difference in grades of educational resources interactivity based on user- centered taxonomies. Results of experimental work showed that educational resources with a higher interactivity, allowing to perform creative tasks, led to a faster acquisition of engineering skills by students and, as a result, to the optimization of interactive operations

Hexachlorophene Storage in a Burn Patient Associated With Encephalopathy

PEDIATRICS ◽  
1977 ◽  
Vol 59 (3) ◽  
pp. 457-459
Author(s):  
Robert Chilcote ◽  
August Curley ◽  
Howard H. Loughlin ◽  
John A. Jupin
Keyword(s):  
Lower Extremity ◽  
Human Skin ◽  
Cerebral Edema ◽  
Human Toxicity ◽  
Post Mortem ◽  
Fat Storage ◽  
Lower Extremity Weakness ◽  
Experimental Animals ◽  
Burn Patient ◽  
Topical Applications

Hexachlorophene (HCP), a chlorinated phenolic hydrocarbon with bacteriostatic properties against Staphylococcus, is used in a number of topical products. Absorption through normal and damaged human skin has been appreciated and neurologic changes have been described in experimental animals, but instances of human toxicity have been reported infrequently. A 10-year-old boy who sustained a 25% burn did well initially but died in the second week of convalescence with hyperthermia, lower-extremity weakness, and cerebral edema. His treatment had included frequent applications of HCP. Analysis of post-mortem tissue revealed the presence of toxic levels of HCP in the blood (2.2µg/gm) and brain (2.2µg/gm), with storage in skin (25µg/gm). liver (4.4µg/gm), and fat (6.0µg/gm). This case suggests that topical applications of HCP in man may result in an extensive absorption with fat storage and may cause fatal encephalopathy.

Lower-Extremity Overuse Injury and Use of Foot Orthotic Devices in Women’s Basketball

2006 ◽  
Vol 96 (5) ◽  
pp. 408-412 ◽  
Author(s):  
Walter L. Jenkins ◽  
Susanne G. Raedeke
Keyword(s):  
Treatment Group ◽  
Lower Extremity ◽  
Overuse Injury ◽  
Density Ratio ◽  
Incidence Density ◽  
Control Group ◽  
Orthotic Devices ◽  
Basketball Players ◽  
Injury Rates ◽  
Foot Orthotic

One hundred thirty-two female basketball players were observed for lower-extremity overuse injury between 1993 and 2004. Athletes studied between 1993 and 1996 did not receive foot orthotic devices and composed the control group. The treatment group comprised athletes studied between 1996 and 2004. Athletes in the treatment group were given a foot orthotic device before participation in basketball. Data analysis included lower-extremity overuse injury rates and the effect of foot orthotic devices on lower-extremity overuse injury rates by means of an incidence density ratio. The control group had a lower-extremity overuse injury rate of 5.37 per 1,000 exposures, and the treatment group had a rate of 6.44 per 1,000 exposures. The incidence density ratio was not significant (P = .44). This study rejects the concept that foot orthotic devices may assist in prevention of lower-extremity overuse injury in female basketball players. (J Am Podiatr Med Assoc 96(5): 408–412, 2006)

Foot orthotic devices to modify selected aspects of lower extremity mechanics

1979 ◽  
Vol 7 (6) ◽  
pp. 338-342 ◽  
Author(s):  
B.T. Bates ◽  
L.R. Osternig ◽  
B. Mason ◽  
L.S. James
Keyword(s):  
Lower Extremity ◽  
Orthotic Devices ◽  
Foot Orthotic

Forces Produced by Ground Contact Rotational Orthotic Devices

1974 ◽  
Vol 96 (2) ◽  
pp. 127-130
Author(s):  
C. A. Rodenberger
Keyword(s):  
Lower Extremity ◽  
Adult Male ◽  
Applied Load ◽  
The Other ◽  
Normal Adult ◽  
Orthotic Devices ◽  
Ground Contact ◽  
Circular Array ◽  
Normal Walking ◽  
Femoral Torsion

The correction of lower extremity rotational deformities, such as tibial and femoral torsion, requires the application of derotational forces. One method of applying such rotational forces during ambulation is through the use of ground contact rotational orthotic devices. Two devices were tested. One device uses parallel rows of slanted rubber ribs and the other has slanted rubber ribs located in a circular array to produce rotational forces when the device strikes the ground during normal walking. It was found that the parallel rowed rib produced a rotation of 5.5 deg during walking and when rotation was prevented, torsional force produced by the device was approximately 20 in-lb. The circular array of ribs produced a complete rotation of 18 deg. When rotation was prevented, the heel produced 21.5 in-lb of torsion. The possible resisting torsion of a normal adult male was determined to be 11 in-lb at an 80 lb applied weight. Therefore it is concluded that the ground contact rotational devices will either provide rotation to the extent of the applied load or will apply torsional force greater than that encountered by normal leg structure.

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