Relevant bibliographies by topics / Lower limb elevation

Academic literature on the topic 'Lower limb elevation'

Author: Grafiati
Published: 4 June 2021
Last updated: 20 February 2023

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Journal articles on the topic "Lower limb elevation"

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Kawasaki, Tota, Tetsuji Uemura, Kiyomi Matsuo, Kazuyuki Masumoto, Yoshimi Harada, Takahiro Chuman, and Tomoyuki Murata. "The effect of different positions on lower limbs skin perfusion pressure." Indian Journal of Plastic Surgery 46, no. 03 (September 2013): 508–12. http://dx.doi.org/10.4103/0970-0358.121995.

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ABSTRACTWe have encountered situations of patients with critical limb ischemia accompanied by pain at rest and necrosis, who hang their legs down from the bed during sleep. This lower limb position is known to be a natural position, which reduces pain in the lower extremity induced by ischemia. However, the effect of this position on blood flow of the lower extremity is poorly understood. We studied whether measurements of skin perfusion pressure (SPP) changes by leg position and the difference between healthy adults and patients with critical limb ischemia. The subjects of this study were 10 healthy adults and 11 patients with critical limb ischemia. Patients with critical limb ischemia, including both dorsum of foot and plantar of foot, having SPP of lower limbs of less than 40 mmHg (supine position) were the object of this study. SPP was measured on four positions (supine position, lower limbs elevation position, sitting position, and reclining bed elevation of 20° position). In sitting position, both the number of healthy adults and critical patients show significant increases in SPP compared with the other three positions. These results suggest that sitting position is effective to keep good blood stream of lower limbs not only in healthy adults but also in patients with critical limb ischemia. However, an appropriate leg position should not have lower limbs hang downwards for long periods time because edema is caused by the fall in venous return in lower limbs, and the wound healing is prolonged.Our clinical research could be more useful in the future, particularly in developing countries, for surgeons managing wounds in leg and foot and preserving ischemic limbs.
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Nakamura, Kensuke, and Norihiko Saga. "A Symmetry Evaluation Method, Using Elevation Angle, for Lower Limb Movement Patterns during Sitting-to-Standing." Applied Sciences 12, no. 19 (September 21, 2022): 9454. http://dx.doi.org/10.3390/app12199454.

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In this paper, we propose a method that uses the femoral and tibial elevation angles to quantitatively evaluate the symmetry of lower limb movement during the transition from a sitting position to a standing position. In kinematic analysis of the transition from sitting to standing, the angles of the three joints of the lower limb are often measured. However, due to the large number of variables, it is difficult to evaluate the symmetry of the lower limb movement by comparing data from the six joints of the left and right lower limbs. In this study, therefore, we measured the femoral and tibial elevation angles of healthy participants and rehabilitation patients and visually and numerically evaluated the symmetry and asymmetry of the movement of the left and right lower limbs. We were able to identify the kinematically major lower limbs in the transition from sitting to standing and quantify the symmetry of the movement patterns of the left and right lower limbs. Furthermore, we examined the possibility that the method could be effectively used in the rehabilitation field to evaluate the motor co-ordination that constitutes the lower limb movement pattern in the transition from the sitting to standing position, such as the gait plane rule.
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Barnes, M. D., R. Mani, D. F. Barrett, and J. E. White. "Changes in Skin Microcirculation at Periulcerous Sites in Patients with Chronic Venous Ulcers during Leg Elevation." Phlebology: The Journal of Venous Disease 7, no. 1 (March 1992): 36–39. http://dx.doi.org/10.1177/026835559200700111.

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Objective: To investigate the effect of limb elevation on the microcirculation of the skin in patients with venous ulceration of the leg. Design: Prospective study in patients receiving in patient treatment for venous ulceration. Setting: Health Service teaching hospital. Patients: Thirteen patients with venous ulceration of the lower limb for more than two years were investigated. Interventions: Patients were admitted to hospital and treated by bedrest with elevation of the lower limbs by 10° above the horizontal. Main outcome measures: Laser Doppler fluximetry and transcutaneous oximetry of the skin surrounding the venous ulcers was undertaken. Results: The laser Doppler fluximetry in the periculcerous region increased by 10.8 A.U. (95% CI 17 to 4.54). However, the transcutaneous oxygen measurements did not change during the period of treatment. Conclusions: Admission to hospital with elevation of the limb for patients with venous ulceration results in ***microcirculatory changes which are probably attributable to reduction in lower limb oedema.
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Masu, Yujiro, and Masanori Nagai. "Characteristics of lower limb muscle activity during upper limb elevation in badminton players." Journal of Physical Therapy Science 28, no. 9 (2016): 2510–14. http://dx.doi.org/10.1589/jpts.28.2510.

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Barnes, M. D., R. Mani, D. F. Barrett, and J. E. White. "How to Measure Changes in Oedema in Patients with Chronic Venous Ulcers?" Phlebology: The Journal of Venous Disease 7, no. 1 (March 1992): 31–35. http://dx.doi.org/10.1177/026835559200700109.

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objective: To assess changes in limb volume and oedema in Patients admitted to hospital for treatment of venous ulceration. Design: Prospective study in thirteen patients. Setting: Health Service teaching hospital. Patients: Thirteen patients with venous ulceration for 2 years. Interventions: Patients were admitted to hospital for bed-rest and lower limb elevation for a period of 24 hours Main outcome measures: Limb volume was measured by water displacement and impedance plethysmography. Results: During limb elevation there was a mean reduction limb volume of 524 mls (95% CI 377–671 mls) after 24 hours of bedrest. This corresponded with a reduction in impedance measured by the impedance plethysmograph of 19–0 ohms (95% CI 24.3 to 15.6 ohms). Conclusion: Measurement of the lower limb volume by water displacement and by impedance plethysmography are likely to be useful methods in the investigation of Patients with chronic venous insufficiency.
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Koutouzis, Sfyroeras, Moulakakis, Kontaras, Nikolaou, Besias, Maras, Pavlidis, Andrikopoulos, and Kyriakides. "Cardiac troponin I in patients with acute upper and lower limb ischemia." Vasa 37, no. 4 (November 1, 2008): 327–32. http://dx.doi.org/10.1024/0301-1526.37.4.327.

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Background: The aim of this study was to investigate the presence, etiology and clinical significance of elevated troponin I in patients with acute upper or lower limb ischemia. The high sensitivity and specificity of cardiac troponin for the diagnosis of myocardial cell damage suggested a significant role for troponin in the patients investigated for this condition. The initial enthusiasm for the diagnostic potential of troponin was limited by the discovery that elevated cardiac troponin levels are also observed in conditions other than acute myocardial infarction, even conditions without obvious cardiac involvement. Patients and Methods: 71 consecutive patients participated in this study. 31 (44%) of them were men and mean age was 75.4 ± 10.3 years (range 44–92 years). 60 (85%) patients had acute lower limb ischemia and the remaining (11; 15%) had acute upper limb ischemia. Serial creatine kinase (CK), isoenzyme MB (CK-MB) and troponin I measurements were performed in all patients. Results: 33 (46%) patients had elevated peak troponin I (> 0.2 ng/ml) levels, all from the lower limb ischemia group (33/60 vs. 0/11 from the acute upper limb ischemia group; p = 0.04). Patients with lower limb ischemia had higher peak troponin I values than patients with upper limb ischemia (0.97 ± 2.3 [range 0.01–12.1] ng/ml vs. 0.04 ± 0.04 [0.01–0.14] ng/ml respectively; p = 0.003), higher peak CK values (2504 ± 7409 [range 42–45 940] U/ml vs. 340 ± 775 [range 34–2403] U/ml, p = 0.002, respectively, in the two groups) and peak CK-MB values (59.4 ± 84.5 [range 12–480] U/ml vs. 21.2 ± 9.1 [range 12–39] U/ml, respectively, in the two groups; p = 0.04). Peak cardiac troponin I levels were correlated with peak CK and CK-MB values. Conclusions: Patients with lower limb ischemia often have elevated troponin I without a primary cardiac source; this was not observed in patients presenting with acute upper limb ischemia. It is very important for these critically ill patients to focus on the main problem of acute limb ischemia and to attempt to treat the patient rather than the troponin elevation per se. Cardiac troponin elevation should not prevent physicians from providing immediate treatment for limb ischaemia to these patients, espescially when signs, symptoms and electrocardiographic findings preclude acute cardiac involvement.
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Tanpowpong, T., P. Kitidumrongsook, and A. Patradul. "The deleterious effects of exsanguination with a tight bandage on tourniquet tolerance in the upper arm." Journal of Hand Surgery (European Volume) 37, no. 9 (March 28, 2012): 839–41. http://dx.doi.org/10.1177/1753193412442288.

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Tourniquet tolerance is affected by the method of exsanguination. Two commonly used methods, tight elastic bandaging and limb elevation, were tested to determine their effects on upper extremity tourniquet tolerance in 23 healthy adult volunteers. We found that tourniquet tolerance was significantly lower among the bandaging group compared with the limb elevation group (average 19.4 min and 24.1 min, respectively). Overall, the tourniquet tolerance was not affected by hand dominance or arm circumference.
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Gillette, Cordial M., Scott T. Doberstein, Danielle L. DeSerano, and Eric J. Linnell. "The Effect of Elevation on Volumetric Measurements of the Lower Extremity." International Journal of Kinesiology and Sports Science 5, no. 3 (July 31, 2017): 1. http://dx.doi.org/10.7575/aiac.ijkss.v.5n.3p.1.

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Background: The empirical evidence for the use of RICE (rest, ice, compression, elevation) has been questioned regarding its clinical effectiveness. The component of RICE that has the least literature regarding its effectiveness is elevation. Objective: The objective of this study was to determine if various positions of elevation result in volumetric changes of the lower extremity. Methodology: A randomized crossover design was used to determine the effects of the four following conditions on volumetric changes of the lower extremity: seated at the end of a table (seated), lying supine (flat), lying supine with the foot elevated 12 inches off the table (elevated), and lying prone with the knees bent to 90 degrees (prone). The conditions were randomized using a Latin Square. Each subject completed all conditions with at least 24 hours between each session. Pre and post volumetric measurements were taken using a volumetric tank. The subject was placed in one of the four described testing positions for 30 minutes. The change in weight of the displaced water was the main outcome measure. The data was analyzed using an ANOVA of the pre and post measurements with a Bonferroni post hoc analysis. The level of significance was set at P<.05 for all analyses. Results: The only statistically significant difference was between the gravity dependent position (seated) and all other positions (p <.001). There was no significant difference between lying supine (flat), on a bolster (elevated), or prone with the knees flexed to 90 degrees (prone). Conclusions: From these results, the extent of elevation does not appear to have an effect on changes in low leg volume. Elevation above the heart did not significantly improve reduction in limb volume, but removing the limb from a gravity dependent position might be beneficial.
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Cavadas, Pedro. "Use of limited external fixation for limb elevation in lower extremity free flaps." Journal of Plastic, Reconstructive & Aesthetic Surgery 61, no. 11 (November 2008): 1411–12. http://dx.doi.org/10.1016/j.bjps.2008.02.037.

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Angadi, Darshan S., Jose Blanco, Ajit Garde, and Simon C. West. "Lower limb elevation: useful and effective technique of exsanguination prior to knee arthroscopy." Knee Surgery, Sports Traumatology, Arthroscopy 18, no. 11 (June 5, 2010): 1559–61. http://dx.doi.org/10.1007/s00167-010-1165-6.

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Dissertations / Theses on the topic "Lower limb elevation"

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Mungovan, Sean F., and n/a. "The Effect of Elevation and Venous Occlusion Pressure on Cardiovascular Function in Physically Active Men Who Are Paraplegic." Griffith University. School of Physiotherapy and Exercise Science, 2004. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040917.084824.

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The purpose of the present investigation was to: 1) Determine the relationship between cardiac output (estimated using the acetylene rebreathing methodology) and oxygen consumption in a homogeneous group of men who are paraplegic. 2) Investigate whether lower limb elevation increases stroke volume and decreases heart rate at rest and during submaximal arm exercise. 3) Investigate whether the application of constant circumferential pneumatic pressure applied to dependent lower limbs increases stroke volume and decreases heart rate at rest and during submaximal arm exercise.
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Mungovan, Sean F. "The Effect of Elevation and Venous Occlusion Pressure on Cardiovascular Function in Physically Active Men Who Are Paraplegic." Thesis, Griffith University, 2004. http://hdl.handle.net/10072/365190.

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The purpose of the present investigation was to: 1) Determine the relationship between cardiac output (estimated using the acetylene rebreathing methodology) and oxygen consumption in a homogeneous group of men who are paraplegic. 2) Investigate whether lower limb elevation increases stroke volume and decreases heart rate at rest and during submaximal arm exercise. 3) Investigate whether the application of constant circumferential pneumatic pressure applied to dependent lower limbs increases stroke volume and decreases heart rate at rest and during submaximal arm exercise.
Thesis (Masters)
Master of Philosophy (MPhil)
School of Physiotherapy and Exercise Science
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Book chapters on the topic "Lower limb elevation"

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Zhou, Lan. "A 54-Year-Old Man with Progressive Lower Limb Weakness and CK Elevation." In A Case-Based Guide to Neuromuscular Pathology, 233–41. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-25682-1_21.

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Old, Oliver. "Vascular surgery." In Oxford Assess and Progress: Clinical Surgery. Oxford University Press, 2014. http://dx.doi.org/10.1093/oso/9780199696420.003.0025.

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As the patient in clinic describes the cramp-like pain that he gets in his calf when he walks, a pain that disappears on resting but which is exac­erbated by walking up hills and necessitates him stopping to look in shop windows when out and about, you will be thinking about questioning him for risk factors for vascular disease. Atherosclerosis is a systemic disease. Identification and early treatment of diabetes, hypercholesterolaemia, hypertension, and provision of antiplatelet agents and smoking cessation therapy will confer important cardio- and cerebroprotective benefits. Acute vascular emergencies requiring an urgent response include the patient with sudden onset, limb-threatening ischaemia; the collapsed patient with a ruptured aortic aneurysm; and the patient in whom haemorrhage or ischaemia comprises part of the picture of complex trauma. Rapid, but thorough examination, appropriate resuscitation, and judicious use of diagnostic imaging will help to underpin urgent manage­ment and interventions necessary to obtain the best outcomes for these patients. Despite increasing reliance on minimally invasive diagnostic modali­ties including duplex Doppler ultrasound, magnetic resonance angiog­raphy, and computed tomography angiography, principles of history taking and good clinical examination remain of paramount importance. Observation to detect nuances of ischaemic trophic changes and skin colour, as well as more overt signs of necrosis, gangrene, and ulceration, complements palpation of pulses, detection of subtle changes in skin temperature, delayed capillary refill, and presence of sensory neuropa­thy. A positive Buerger’s test, with pallor of the foot and venous gutter­ing on leg elevation, and rubor (redness), due to reactive hyperaemia on dependency, may help clinch the diagnosis of critical limb ischaemia when other diagnostic features are equivocal. Careful distinction between features of arterial insufficiency, venous hypertension, and diabetic neuropathy may help to determine aetiol­ogy of a recalcitrant lower limb ulcer and the consequent course of management. In the UK, vascular surgery has recently become an independent surgi­cal specialty. This chapter will test your understanding of signs and symp­toms of vascular disease and will hopefully stimulate your understanding of priorities for investigation and management of the range of conditions comprising this exciting sphere of surgery.
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Conference papers on the topic "Lower limb elevation"

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Ranaldi, Simone, Silvia Conforto, and Cristiano De Marchis. "Estimating Spatial Gait Parameters from the Planar Covariation of Lower Limb Elevation Angles: a Pilot Study." In 2022 IEEE International Symposium on Medical Measurements and Applications (MeMeA). IEEE, 2022. http://dx.doi.org/10.1109/memea54994.2022.9856500.

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Ivanov, Ivan, Lyudmil Trenev, Zdravko Stefanov, Galina Rusimova, Dimitar Zagorski, Ivan Janakiev, Ognian Tishinov, Danail Trenev, and Antonio Antonov. "BIOMECHANICAL JUMP CHARACTERISTICS OF CHILDREN (9 - 12 YEARS) BASEBALL PLAYERS AFTER STRETCHING PROGRAM." In INTERNATIONAL SCIENTIFIC CONGRESS “APPLIED SPORTS SCIENCES”. Scientific Publishing House NSA Press, 2022. http://dx.doi.org/10.37393/icass2022/89.

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ABSTRACT The correlation of lower extremity technique with upper extremity performance of adolescent baseball players is essential for the overall sporting achievement. The purpose of this study was to estimate and compare the important biomechanical jump characteristics of children (9-12-year-old) baseball players (n=14) with control children group (n=17) at the same age. Chronojump contact platform, detecting a single jump with one phase of flight, was used to evaluate five important biomechanical jump characteristics – jump height at squat, countermovement and Abalakov jumps, lower limb elasticity index (IE) and use of arms index (AUI). The results obtained showed statistically significant elevation of jump height in the three jumps used at baseball team. Interesting tendencies were received for the other two calculated indices as well. The lack of statistically significant difference for the IE allows us to suggest an increase of the duration, frequency, and number of stretching exercises in the athletes training program. This would increase the lower limbs elasticity index and will improve force increment due to the elastic energy accumulated during the shortening-stretching cycle. The trend for AUI index is elevated in the control group relative to the team. In addition, the presented data draw attention to improving coordination between the lower and upper body, emphasizing the individual characteristics of each athlete. From the presented relations it is clear that the excellent sports achievement is a result from the complete set of all factors that determine it. However, a more comprehensive analysis, using similar biomechanical methods, is needed for a complete comparison.
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Baez, Mercedes, Rocio Duarte, and Jose Nunez. "Wheelchair prototype with elevator based on scissors system for people with lower limb disabilities." In 2021 IEEE CHILEAN Conference on Electrical, Electronics Engineering, Information and Communication Technologies (CHILECON). IEEE, 2021. http://dx.doi.org/10.1109/chilecon54041.2021.9702892.

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Nunes, Lília Tereza Diniz, Flávia S. Silva, Karyme G. Aota, Maria Beatriz Miranda S. B. de Assis, João Fellipe B. Bento, Oscar Nunes Alves, and Pedro Henrique C. V. Silva. "Elsberg Syndrome." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.389.

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Context: Elsberg Syndrome (ES) is a rare syndrome associated with acute or subacute infections, often accompanied by myelitis confined to the lower spinal cord, in addition to paresthesia, weakness in the lower limbs, urinary retention, constipation, among others. It is a self-limiting disease, manifested through primary HSV type 2 infection, especially in immunocompetent patients. Case report: Male patient J.F.C., 58 years old, reports a sudden paresthesia in the lower limbs without other associated clinical conditions for approximately 2 months that progressed to paresis, cramps and loss of sphincter control. Admitted to the General Hospital of Palmas, Tocantins on 02/18/2020 with suspicion of Peripheral Polyneuropathy that was discarded after electroneuromyography. Imaging exams without relevant findings. After a week of hospitalization, multiple lesions appeared in the region of the lower third of the dorsum and buttocks, compatible with lesions by HSV (herpes simplex virus) and the diagnosis of ES was concluded. At the moment, he was undergoing treatment with acyclovir and awaiting the evolution of the condition. Conclusion: ES is an often unrecognized cause of lumbosacral radiculitis, which is why it is important to establish as a diagnosis differential. The analysis of CSF, PCR and MRI confirm the diagnosis in cases of HSV-2 lumbosacral radiculomyelitis. CSF usually reveals a lymphocytic pleocytosis and a slight elevation of proteins.
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Whitaker, A. N., P. Masci, B. Rowbotham, P. Reasbeck, S. M. Guerrini, J. McCaffrey, K. Lee, et al. "APPLICATIONS OF PLASMA ASSAYS OF CROSSLINKED FIBRIN DEGRADATION PRODUCTS (XLFDP) IN THE DIAGNOSIS OF THROMOEMBOLIC DISEASE." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643650.

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The presence of XLFDP in plasma, a consequence of the balance between fibrin generation and dissolution, is an indirect index of the presence of fibrin and raised levels accompany intravascular thrombosis. The potential of an enzyme immunoassay (EIA) for XLFDP, using the monoclonal antibody DD-3B6/22 was evaluated in 104 patients with suspected DVT receiving lower limb venography. Using a reference level of 400 ng/ml of XLFDP, all patients with a positive venogram had elevated levels (sensitivity 100%), although levels were also elevated due to causes other than DVT in some patients with negative venograms (specificity 52%). Higher elevations of XLFDP occurred in proximal than in calf DVT.A second study of another 48 patients receiving venography for suspected DVT confirmed the sensitivity of EIA while the complementary latex "Dimertest", also based upon DD-3B6/22, was positive in 19 and negative in 3 patients with confirmed DVT. In an ongoing study, 130 patients have been followed after abdominal operations with 125I-fibrinogren leg scanning and venography when appropriate. Levels of XLDFP (EIA) were elevated in all patients developing thrombosis. Latex assays were positive in 42/48 patients with positive leg scans. While elevated levels of XLDFP do not specifically define the location or even the presence of a thrombus they reliably indicate the possibility of thrombosis in patients without antecedent medical or surgical illnesses. In complicated surgical patients,an arbitrary cut-off of 1000 ng/ml is more appropriate for screening for the possibility of DVT. A positive latex test is also suggestive, although it is negative in some patients with calf thrombi. Measurements of XLFDP, with high sensitivity but moderate specificity, are potentially valuable in selecting patients for invasive investigations such as venography, and combinations with other noninvasive screening tests for require evaluation
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Silva, Tarcisio Rubens da, Rayana Elias Maia, and Taísa de Abreu Marques Nogueira. "Progressive thoracolumbar scoliosis culminating in the diagnosis of young pompe disease: case report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.044.

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Introduction: Pompe’s disease is a neuromuscular condition caused by a metabolic disorder of autosomal recessive inheritance. The deficit of acid alpha-glucosidase causes accumulation of glycogen in the lysosomes of the striated and cardiac muscle. It presents in childhood: hypotonia and cardiorespiratory impairment; but at late-onset: axial and waist muscle weakness. Case report: Patient, female, 20 years old, non-consanguineous parents, with good intra-uterus fetal mobility, was born by cesarean delivery weighing 3.7 kilograms and 51 centimeters. She first walked without support and spoke her first words at 13 months of age. By the age of 12, she started progressive thoracolumbar scoliosis and underwent posterior spinal arthrodesis two years later. During the follow-up, muscle weakness was found. Furthermore, she presented macrocephaly, high myopia, fusion of cervical vertebrae, progressive scoliosis, dolichostenomelia and joint hypermobility. Extensive investigation was carried out with laboratory tests that showed CPK elevation, imaging tests and mutation research for facio-scapular-humeral muscular dystrophy and type 2A waistband muscular dystrophy. The incisional biopsy found mixed muscle changes with deposit of amorphous material. Pompe’s disease was confirmed by a significant reduction in alpha-glucosidase activity. The patient evolved with weakness in the legs and fatigue on moderate efforts, but also weakness in the lower limbs, detachable on the right and hyporeflexia, on physical examination. Conclusions: Progressive thoracolumbar scoliosis, refractory to postural and surgical corrections, should be an alert for differential diagnoses. Changes in axial musculature can be suggested and Pompe’s disease, a potentially treatable condition, must become relevant.
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