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Ruck, Meredith L. "A comparision of cryopress and cryo/cuff effects on ankle edema and pain". Ohio : Ohio University, 2005. http://www.ohiolink.edu/etd/view.cgi?ohiou1126214268.
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Lee, Kwai-ping, e 李貴萍. "An evidence-based protocol of using compression bandaging in promotinghealing of venous leg ulcer". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46582435.
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Santhanam, Ramya. "LOCALIZED WOUND HEALING: A MATHEMATICAL MODEL FOR ELECTROMAGNETIC INDUCTION ON COATED NANOFIBER WOUND DRESSINGS". Akron, OH : University of Akron, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=akron1147883471.
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Thesis (M.S.)--University of Akron, Dept. of Biomedical Engineering, 2006."May, 2006." Title from electronic thesis title page (viewed 12/03/2007) Advisor, S.I. Hariharan; Committee members, Daniel B. Sheffer, Narender P. Reddy; Department Chair, Daniel B. Sheffer; Dean of the College, George K. Haritos; Dean of the Graduate School, George R. Newkome. Includes bibliographical references.
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Grambo, Laura B. "Heavy elastic vs. white tape : the effect of ankle taping on ankle range of motion /". Online version, 2010. http://content.wwu.edu/cdm4/item_viewer.php?CISOROOT=/theses&CISOPTR=340&CISOBOX=1&REC=5.
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Hatzel, Brian M. "Effects of cryotherapy and ankle taping on mechanical power and velocity". Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1136705.
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Athletic trainers frequently are required to design rehabilitation and treatment programs for injured athletes. These treatment programs oftentimes involve the use of cryotherapy or ankle taping to create an optimal environment for healing. The purpose of this study was to identify the individual and simultaneous effects of ankle taping and cryotherapy on mechanical power and velocity.Sixteen (16) Division IA Baseball players (Age 20.53+/- 1.15 yrs, Wt 878.45+/105.68 N, Ht 1.85+/- 0.087 m) served as subjects for this study. Subjects met the following criteria: 1) all were asymptomatic from any lower extremity injury for at least six months prior to testing. 2) none had any known cold allergy (ie. hives, hypersensitivity to cold).This study utilized a counterbalanced repeated measures design, in which subjects participated in three treatments, cryotherapy, ankle taping and a combination treatment of cryotherapy and ankle taping. For the taping treatment, each subject was taped using a standard closed basket weave technique` with porous 1.5" cloth athletic tape (Johnson and Johnson, Coach). The cryotherapy treatment was administered a 20 minute ice immersion treatment at 10 deg Celsius to the leg and ankle. In the combination treatment, both treatments were administered with the ice immersion preceding ankle taping. The effects of these treatments on mechanical power and velocity were measured by a Kistler amplifier and force plate platform during a one leg standing vertical jump.The two-way repeated measures ANOVA's for power and velocity showed no significant interaction between cryotherapy, taping or combination treatment. However, significant pre-post treatment effects for power were discovered after cryotherapy and combination treatment. As a result of these findings, it is evident that immediate return to participation after cryotherapy or combination treatment will lead to decreases in muscular performance or injury.School of Physical Education
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Sanders, Jennifer Shea Gillette Robert L. "Effect of two bandage protocols on equine fetlock kinematics". Auburn, Ala, 2009. http://hdl.handle.net/10415/1643.
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Comer, Shawn. "A comparison of the protective characteristics of selected ankle braces". Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845941.
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The purpose of this study was to compare the protective characteristics of four different ankle braces and one form of ankle taping. An inversion and plantar flexion platform was used to induce ankle movements. The subjects used in this study consisted of 10 volunteer male students. The subjects had no sprains five months prior to testing. All subjects were tested in the same size 10 shoes, high tops and low tops. A Certified Athletic Trainer applied all ankle braces and ankle tapings. A closed basketweave with heel locks, adherent spray, and pre-wrap was used for all taping conditions.After the application of the ankle braces or taping, each subject performed two tests on the inversion and plantar flexion platform. A random order was used among the subjects. An ankle inversion platform was modified to induce 30 degrees of inversion and 35 degrees of plantar flexion simultaneously. The subjects will be filmed using a Locam 16mm at 200 frame/second. All subjects were filmed from the posterior plane with markings on the posterior aspect of the lower leg to help analyze the movement at the subtalar joint. A Calcomp 9100 series digitizer that was interfaced with a VAX computer was used to analyze the data and calculate the amount of angular displacement at the subtalar joint. An ANOVA with repeated measures was used to determine significant differences between support techniques. University procedures for the protection of human subjects was followed. ANOVA procedures indicated no significant difference in angular displacement between braces. A statistical analysis indicated that low top shoes provided significantly more support than high top shoes in braced ankles.School of Physical Education
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Mizutani, Hoshito. "Immediate and Short-Term Effects of Kinesio® Taping on Lower Trunk Range of Motion in Division I Athletes". PDXScholar, 2016. https://pdxscholar.library.pdx.edu/open_access_etds/3377.
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Low back pain (LBP) is a common health problem that contributes to the high cost of health care. Improvement in trunk range of motion has been considered to be an important factor in ameliorating the symptoms of LBP. Kinesio® taping is a prominent therapeutic modality commonly used in the variety of populations for treating musculoskeletal conditions. However, previous research on the efficacy of Kinesio® taping for LBP is limited. The purpose of this study was to investigate the immediate and short-term effects of Kinesio® taping with the muscle inhibition technique on active trunk flexion range of motion. Twenty-five subjects with no history of LBP in the past 6 months or LBP lasting over six weeks at any point in past were recruited from a Division I athlete population. Each subject underwent two Kinesio® taping trials in a cross-over design with a 7-10 day washout period (placebo application and inhibition technique application), during which several trunk flexion range of motion measurements were made. Subjects wore the tape for 48 hours, and active trunk flexion range of motion was measured at baseline, immediate post-tape application, and 48 hours post-tape application. A significant trial by time interaction was found (F = 9.629; p = 0.002), and follow-up analysis of the inhibition technique trial revealed a significant increase in active trunk range of motion between baseline and 48-hours post-tape. No significant differences were noted in the placebo trial. The findings suggest that the inhibition Kinesio® taping technique may eventually prove to be a beneficial therapeutic modality for improving active trunk flexion range of motion in patients with LBP.
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Leibbrandt, Dominique Claire, e Quinette Louw. "The effect of McConnell taping on knee biomechanics : what is the evidence?" Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/96949.
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Thesis (MScPhysio)--Stellenbosch University, 2015.ENGLISH ABSTRACT: This review aims to present the available evidence for the effect of McConnell taping on knee biomechanics in individuals with Anterior Knee Pain (AKP). Pubmed, Medline, Cinahl, Sportdiscus, Pedro and Science Direct electronic databases were searched from inception until September 2014. Experimental research into knee biomechanical or EMG outcomes of McConnell taping compared to no tape or placebo tape were included. Two reviewers completed the searches, selected the full text articles and assessed the risk of bias of eligible studies. Authors were contacted for missing data. Eight heterogeneous studies with a total sample of 220 were included in this review. All of the studies had a moderate to low risk of bias and compared taping to no tape and/ or placebo tape. Pooling of data was possible for three outcomes; average knee extensor moment, average VMO/VL ratio and average VMO-VL onset timing. None of these outcomes revealed significant differences. The evidence is currently insufficient to justify the routine use of the McConnell Taping technique in the treatment of Anterior Knee Pain. There is a need for more evidence on the aetiological pathways of Anterior knee Pain; level one evidence and studies investigating other potential mechanisms of McConnell taping.
AFRIKAANSE OPSOMMING: Die objektief van hierdie resensie was om te bepaal wat die effekte van McConnell Patellar Vasbinding is op knie kinematika, kinetiek en spier aktivering in diegene met Voorafgaande Knie Pyn (VKP). Die navorsers het elektroniese databases soos Pubmed, Medline, Cinahl, Sportdiscus, Pedro en Science Direct, van aanvang tot September 2014, ondersoek. Eksperimenteel studie ontwerpe wat biomeganiese of EMG gevolge van McConnell Vasbinding vergelyk met geen vasbinding of placebo vasbinding, is ingesluit. Twee resente het die ondersoek voltooi, die volle tekse artikels gekies en die partydigheid risiko van die ingeslote studies, geskat. Skrywers is gekontak vir enige verlore data. Agt heterogeen studies uit ‘n totalle monster van 220 is in hierdie resensie ingesluit. Al die studies het ‘n gematigde tot laag risiko vir eensydigheid en vergelyk vasbinding met geen of placebo vasbinding. Data saamvoeging was moontlik vir drie uitslae, naamlik: gemiddelde knie ekstensor moment; gemiddelde VMO/VL ratio en gemiddelde aanval tydmeting. Geen gevolge het veelseggende verskille of afwykings vertoon. Tans is die bewys nie genoegsaam om die routiene gebruik van McConnell Vasbinding tegniek te regverdig nie in die behandeling van VKP. Meer bewyslewering op die etiologiese paaie van VKP; Graad een bewys en studies wat ander moontlike meganisme van Mc Connell Vasbinding ondersoek, is noodsaaklik.
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Wagana, Viviane Morbelli. "Efeitos da compressão abdominal com faixa nos parâmetros respiratórios em voluntários normais". Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/5/5160/tde-14102014-123442/.
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Introdução: Durante a inspiração, o diafragma contrai e abaixa o centro frênico aumentando o diâmetro vertical do tórax. Entretanto, o conteúdo abdominal impede a excursão diafragmática. Os músculos abdominais funcionam como uma cinta segurando as vísceras abdominais, ajudando a o diafragma a aumentar a pressão intra-abdominal. Na expiração forçada, os músculos abdominais contraem e comprimem o abdômen elevando o diafragma. Objetivo: Analisar os efeitos da compressão abdominal com faixa, até diminuir de -10% e -15% da circunferência abdominal inicial, avaliando a freqüência respiratória (FR),volume corrente (VC), capacidade vital forçada (CVF), pressão inspiratória máxima (PImax) e pressão expiratória máxima (PEmax) em voluntários normais. Métodos: Foram avaliados 26 voluntários normais, idade média de 24 anos ? 4anos, 14 mulheres e 12 homens, em respiração espontânea foram submetidos à medida da circunferência abdominal. Foram medidos também FR, VC, CVF, Pimax e PEmax. Depois, repetimos as medidas após a compressão abdominal com -10% e -15% da circunferência de base. Depois, retiramos a faixa compressiva e medimos novamente os parâmetros. Resultados: Com compressão de -10%, houve diminuição do VC de 517 mL 456,86 mL (p < 0,005) e Pimax de -111cmH20 para -96 cmH20 (p < 0,005). Após a compressão de -15%, além da diminuição dos parâmetros anteriores, observamos também a diminuição da PEmax de 120 cmH20 para 100 cmH20 (p < 0,005). Após a retirada da faixa, os valores voltaram próximos aos iniciais. Conclusão: A compressão abdominal de -10 e -15% com faixa diminui o VC, PImax e PEmax (a última apenas com -15%) e não afeta a FR e a CVFBackground: During the inspiration, the diaphragm contracts and pulls down the central tendon and rises the vertical thoracic diameter. However, the abdominal container resistance forbids the diaphragmatic excursion. The abdominal organs are contained by a strong muscle binder that helps the diaphragm increasing the intra-abdominal pressure, allowing the inferior rib cage to go upward. In deep expiration, strong contractions of abdominal muscles constrict and compress the abdomen, helping to elevate the relaxing diaphragm. Objectives: To analyse the effects of -10% and -15% of the baseline abdominal circumference compression with a band in the respiratory rate (RR), tidal volume (TV), forced vital capacity (FVC) and maximal inspiratory (MIP) and expiratory pressures (MEP) in normal volunteers. Methods: Twenty six normal volunteers, mean age of 24 ? 4 years, 14 female and 12 male, in spontaneous breathing were submitted to abdominal circunference measurement. Thereafter, we obtained their RR, TV, FVC, MIP and MEP. Then, we repeated the measures after compression of abdomen using an external band to achieve - 10% and - 15% of the basal abdominal circumference. Then, we took out the band and measured the respiratory parameters again. Results: With -10% abdominal compression, TV decreased from 517 mL to 456,86 mL (p < 0,005) and MIP decreased from -111 cmH20 to -96 cmH20 (p < 0,005). Then, after -15% abdominal compression, we could observe a decrease in MEP: 120 cmH20 to 100 cmH20 (p < 0,005). After taking out the band, the respiratory parameters returned next to the basal measurements. Conclusion: The abdominal compression of -10% and -15% with an external band decreased TV, MIP and MEP (the last one only with - 15% compression) and didn\'t affect RR and FVC.
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Melin, Giovanna Rodrigues. "Desenvolvimento de membranas à base de quitosana e de carboximetilcelulose para aplicação na área biomédica". Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/100/100133/tde-28102013-120032/.
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A quitosana é um polissacarídeo produzido pela desacetilação da quitina e tem sido estudada para aplicação como biomaterial por apresentar características, tais como: biocompatibilidade, atoxidade e ação antimicrobiana. O objetivo deste estudo foi o desenvolvimento e caracterização química, física e biológica de membranas à base de quitosana (QUI) e carboximetilcelulose (CMC) para aplicação na área biomédica. Foram realizados ensaios de resistência, capacidade de absorção de água e perda de massa em solução salina de tampão fosfato (PBS) e saliva artificial, infravermelho por transformada de Fourier (FTIR), calorimetria exploratória diferencial (DSC), bioatividade, citoxicidade e degradação. Nos ensaios de citotoxidade, observou-se que as membranas desenvolvidas são atóxicas e nos ensaios de absorção de água que a carboximetilcelulose aumentou significamente a capacidade de absorção da membrana. As características naturais dos polímeros não foram alteradas, como observado no ensaio térmico (DSC) e no FTIR. Referente à liberação da lisozima, as membranas de QUI e QUI/CMC/QUI obtiveram melhores resultados, tanto na liberação quanto na atividade da enzima. As principais aplicações das membranas estudadas na área biomédica são como bandagens.Chitosan is a polysaccharide produced from chitin by deacetylation and has been studied for application as biomaterial for presenting characteristics, such as biocompatibility and antimicrobial atoxidade. The objective of this study was the development and characterization chemical, physical and biological of membranes based on chitosan and carboxymethylcellulose (CMC) for application in the biomedical area. Tests of resistance, water absorption capacity and mass loss in phosphate buffered saline (PBS) and artificial saliva, Fourier transform infrared (FTIR), differential scanning calorimetry (DSC), bioactivity and cytotoxicity. The tests of cytotoxicity revealed that the membranes developed are non toxic and water absorption test the CMC increased significantly absorption capacity of membrane. The natural characteristics of the polymers were not changed, as observed on DSC and FTIR. With regard to the release of lysozyme, membranes CHI and CHI/CMC/CHI obtained better results in both the release and in the activity of the enzyme. The main applications of the membranes studied in the biomedical field are like bandages.
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Santos, Maikon Gleibyson Rodrigues dos. "Efeito das bandagens elástica e hiperelástica na pronação excessiva de mulheres jovens". reponame:Repositório Institucional da UnB, 2017. http://repositorio.unb.br/handle/10482/31785.
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Dissertação (mestrado)—Universidade de Brasília, Faculdade de Ceilândia, Programa de Pós-Graduação em Ciências e Tecnologias em Saúde, 2017.Submitted by Raquel Almeida (raquel.df13@gmail.com) on 2018-04-16T17:59:52Z No. of bitstreams: 1 2017_MaikonGleibysonRodriguesdosSantos.pdf: 13917690 bytes, checksum: 8a13d94f55c8a10bff1aa2d64cf90965 (MD5)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES).
A pronação excessiva tem sido relacionada ao aumento do risco de desenvolver lesões nos membros inferiores tornando-se relevante, nesse sentido, verificar a efetividade de recursos terapêuticos para evitá-la. Nesse sentido, a utilização de banagens elásticas e/ou hiperelásticas na prática clínica tem sido frequentemente considerana, porém com pouca evidência científica acerca de sua efetividade. Portanto, o objetivo deste estudo foi avaliar a influência da bandagem elástica e da bandagem hiperelástica na pronação excessiva do complexo tornozelo-pé em jovens. Trata-se de um ensaio clínico cruzado autocontrolado com avaliador cego e randomização do tratamento que teve a participação de dez mulheres com pronação excessiva (Foot Posture Index ≥ 6). Realizou-se então avaliação tridimensional da marcha de acordo com o modelo Oxford Foot Model da Vicon em quatro momentos: antes e após a bandagem elástica; antes e após a bandagem hiperelástica, cujas intervenções foram realizadas com 48 horas de intervalo de forma randomizada. Foi aplicada bandagem no lado com maior pronação (lado experimental) e o lado oposto foi utilizado como controle (lado controle). Os seguimentos avaliados foram o retropé, antepé e mediopé com as variáveis de: eversão e inversão no retropé, eversão e inversão no antepé e índice do arco longitudinal medial no mediopé. Os dados foram submetidos aos testes: normalidade de Shapiro Wilk, t pareado e Wilcoxon. O nível de significância foi estabelecido em p<0,05. Quanto aos resultados, observaram-se os seguintes: a bandagem elástica promoveu redução significativa na eversão do antepé e na deformação do arco longitudinal medial (p<0,05), do lado experimental. Já a bandagem hiperelástica promoveu redução significativa apenas na eversão do antepé (p<0,05), do lado experimental. Dessa forma, verificou-se que as bandagens elástica e hiperelástica influenciam na pronação excessiva sendo capazes de reduzir a eversão no antepé em mulheres jovens. Somente a bandagem elástica foi capaz de reduzir a deformação do arco longitudinal medial.
Over-pronation has been related to the increased risk of developing lesions in the lower limbs making it relevant, in this sense, to verify the effectiveness of therapeutic resources to avoid it. In this sense, the use of elastic and/or hyperelastic tape in clinical practice has been frequently considered, but with little scientific evidence about its effectiveness. Therefore, the objective of this study was to evaluate the influence of elastic and hyperelastic adhesive taping on the over-pronation of the ankle-foot complex in young adults. This is a selfcontrolled crossover clinical trial with blind assessment and randomization of the treatment involving ten women with excessive pronation (Foot Posture Index ≥ 6). Three-dimensional gait evaluation was performed according to Vicon's Oxford Foot Model in four moments: before and after elastic tape; before and after hyperelastic tape, whose interventions were performed at 48-hour intervals in a randomized fashion. Adhesive tape was applied on the side with greater pronation (experimental side) and the opposite side was used as control (control side). The evaluated segments were the hindfoot, midfoot and forefoot with the variables: eversion and inversion of the hindfoot, eversion and inversion in the forefoot and medial longitudinal arch index in the midfoot. The data were submitted to the tests: normality of Shapiro Wilk, t paired and Wilcoxon. As the results, there were the following: The elastic bandage caused a significant reduction in the eversion of the forefoot and the deformation of the medial longitudinal arch (p <0.05) of experimental side. The hyperelastic bandage promoted a significant reduction only in the eversion of the forefoot (p <0.05), on the experimental side. Thus, elastic and hyperelastic bandages have been shown to influence excessive pronation and are able to reduce the eversion in the forefoot in young women. Only the elastic bandage was able to reduce the deformation of the medial longitudinal arch.
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Vendrusculo, Tatiane Meda. "Ocorrência de infecção da corrente sanguínea relacionada ao cateter venoso central no paciente adulto crítico utilizando no sítio de saída o curativo gel de clorexidina ou filme transparente de poliuretano". Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/22/22134/tde-04042017-150920/.
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Curativos gel de clorexidina (CGCHX) são uma tecnologia inovadora e com custo financeiro alto no que tange os cuidados do Cateter Venoso Central (CVC), são benéficos na prevenção das Infecções da Corrente Sanguínea Relacionadas ao Cateter (ICSRC). Tal curativo pode ser compreendido como uma recomendação do Programa Nacional de Segurança do Paciente, o qual prioriza a prevenção de infecções relacionadas à saúde. O presente estudo teve como objetivo identificar a ocorrência de ICSRC em paciente adulto crítico com CVC de curta duração que utilizou como cobertura no sítio de saída o CGCHX ou Filme Transparente de Poliuretano (FTP). Trata-se de um estudo de corte transversal prospectivo realizado no Centro de Terapia Intensiva e Unidade Coronariana de um hospital de ensino do interior do estado de São Paulo. A coleta de dados foi realizada pelo próprio pesquisador ou pelos auxiliares de pesquisa. No momento da retirada do cateter intravascular foram obtidas duas amostras de hemocultura e a ponta do cateter. A coleta de dados foi realizada no período de 1º de setembro a 31 de dezembro de 2014. A população do estudo foi constituída por 56 pacientes que tiveram um CVC e utilizaram o CGCHX ou FTP como cobertura do sítio de saída do CVC. Desses 56 pacientes, 11 foram excluídos, sendo seis devido a não ter sido coletado a ponta do cateter e cinco pela falta da coleta de hemocultura, sendo então a amostra final de 45 pacientes. Utilizaram-se CGCHX em 18 pacientes e o FTP em 27. Houve a presença de dois casos de ICSRC identificados no grupo de pacientes que utilizaram o FTP e os microrganismos isolados foram o Acinetobacter baumannii e Klebsiella pneumoniae. Diante dos resultados obtidos nesse estudo acredita-se que antes de incorporar novas tecnologias de alto custo deve-se implementar as medidas padrões para inserção e manutenção dos cateteres intravasculares com o objetivo de prevenir infecções relacionadas ao cateterChlorhexidine gel dressings (CGCHX) are an innovative technology with a high financial cost as it regards care related to central venous catheters (CVC), being beneficial in the prevention of catheter-related bloodstream infections (ICSRC). This dressing is a recommendation of the National Patient Safety Program, which prioritizes the prevention of health-related infection. The aim of the present study was to identify the occurrence of ICSRC in adult critical patients with a short-term CVC using CGCHX or polyurethane transparent film (FTP) at catheter the exit site. A prospective cross-sectional cohort study was conducted in the Coronary and Intensive Care Unit of a teaching hospital in the interior of the state of São Paulo. Data were collected by the researcher and by research assistants. At the time of removing the intravascular catheter, two blood culture samples and the catheter\'s tip were collected. Data collection took place between September 1st and December 31st , 2014. The study population was made up of 56 patients who had a CVC and used CGCHX or FTP as coverage for the CVC exit site. Of these 56 patients, 11 were excluded, six for not being possible to collect their catheter\'s tip and five due to the lack of a blood culture sample, thus the final sample consisted of 45 patients. Eighteen patients used CGCHX and 27 used FTP. There were two cases of ICSRC identified in the group of patients who used FTP and the microorganisms isolated were Acinetobacter baumannii and Klebsiella pneumoniae. In face of the results obtained in this study, it is believed that before incorporating new high cost technologies it is necessary to implement standard measures for insertion and maintenance of intravascular catheters, with the aim of preventing catheter-related infections
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Barbanera, Marcia. "Avaliação dinamométrica e eletromiográfica do efeito das bandagens funcionais na articulação do tornozelo". Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/5/5160/tde-23012009-120117/.
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O entorse de tornozelo está entre as lesões mais comuns durante as atividades esportivas. Apesar de extensas pesquisas clínicas e experimentais, a recorrência da lesão permanece alta. A prevenção do entorse de tornozelo só é possível uma vez que os fatores de risco forem identificados. Alterações no posicionamento do pé, déficits proprioceptivos, frouxidão mecânica lateral do tornozelo e déficits de força muscular são os possíveis fatores de risco para o entorse de tornozelo, mas os seus verdadeiros mecanismos ainda não estão esclarecidos. O entendimento desses mecanismos pode auxiliar os profissionais de saúde, principalmente os fisioterapeutas, a elaborar um programa de tratamento mais direcionado, levando a uma reabilitação mais eficaz. O objetivo deste estudo foi avaliar os fatores mecânicos e eletromiográficos associados ao entorse de tornozelo. Trinta e duas atletas de basquetebol e voleibol do gênero feminino (16.06±0.8 anos; 67.63±8.17 kg; 177.8±6.47 cm) participaram do estudo. As atletas foram separadas em dois grupos: um grupo controle, sem sintomas (29 tornozelos), e atletas que tinham sofrido entorse de tornozelo (29 tornozelos). A avaliação do alinhamento do retropé foi realizada por meio de fotogrametria, pelo programa SAPO® v.0.63, com as atletas em pé. A propriocepção, o torque passivo gerado pela resistência do movimento do tornozelo e a força muscular foram avaliados no dinamômetro isocinético Biodex®, e a atividade eletromiográfica de superfície pelo sistema Noraxon®. O senso de posição articular (15° inversão, 0°, 15° eversão), a cinestesia (2°/s, 4°/s, 10º/s) e o torque passivo (5°/s, 10º/s, 20°/s) foram avaliados durante os movimentos passivos de eversão e inversão. O torque eversor e inversor foi testado isometricamente (15° inversão, 0°, 15° eversão), concentricamente e excentricamente (60°/s, 180°/s, 300°/s), simultaneamente à medida do sinal eletromiográfico dos músculos fibular longo e tibial anterior. Os dados foram analisados pela ANOVA de dois e três fatores e teste post hoc Tukey. Os resultados mostraram que o alinhamento do retropé e o senso de posição não estão associados ao entorse de tornozelo em atletas do gênero feminino. Os resultados do grupo com entorse do tornozelo que indicaram diferenças significativas em relação ao grupo controle foram: atraso no tempo de percepção do movimento, menor torque passivo e menor torque isométrico e isocinético concêntrico. Além disso, a atividade eletromiográfica do músculo fibular longo e tibial anterior, durante o teste isocinético concêntrico, foi menor no grupo com entorse do tornozelo. Baseado nesses resultados, as atletas que tiveram entorse de tornozelo apresentaram déficits proprioceptivos, frouxidão mecânica e fraqueza muscular.Ankle sprain are among the most common injuries during athletic activities. Despite extensive clinical and basic science research, the recurrence rate remains high. Prevention of ankle sprain is only possible once risk factors had been identified. Changes in foot positioning, impaired proprioception, mechanical lateral ankle laxity and muscle strength deficits are possible ankle sprain risk factors, but its real mechanisms remain unclear. Understanding such mechanisms will help health professionals, mainly physiotherapists, identify where to focus treatment efforts, leading to more effective rehabilitation. The aim of this study was to evaluate mechanical and electromyographic factors associated with ankle sprain. Thirty-two basketball and volleyball female athletes (16.06±0.8 years; 67.63±8.17 kg; 177.8±6.47 cm) participated in this study. Their ankles were divided into two groups: a symptom-free control group (29) and athletes who had suffered ankle sprain (29). Assessment of hindfoot alignment was performed by means of photogrammetry SAPO® v.0.63 software, with the athletes standing up. The proprioception, resistive torque at maximum passive ankle movement and muscle strength were assessed on the Biodex® isokinetic dynamometer and the surface electromyographic activity through the Noraxon® system. The joint position sense (15° inversion, 0°, 15° eversion), kinesthesia (2°/s, 4°/s, 10°/s) and resistive torque (5°/s, 10°/s, 20°/s), were evaluated during passive ankle inversion and eversion movements. Evertor and invertor torques were assessed isometrically (15° inversion, 0°, 15° eversion), concentrically and eccentrically (60°/s, 180°/s, 300°/s) measured simultaneously with electromyographic signal of peroneus longus and tibialis anterior muscles. The data were analyzed using 2 and 3-way ANOVA with Tukeys test for post hoc analysis. The results showed that the hindfoot alignment and the joint position sense were not associated with the ankle sprain in female athletes. The results of the ankle sprain group showed significant differences from the control group: delay in the time to detection passive motion, lower resistive torque and lower isometric and concentric torque. In addition, the electromyographic activity of peroneus longus and tibialis anterior muscles during isokinetic concentric test was lower in the ankle sprain group. Based on these results, the athletes who had ankle sprain have proprioceptives deficits, mechanical laxity and muscle weakness.
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Lucas, Peter [Verfasser], N. [Gutachter] Modler e A. [Gutachter] Höß. "Zur Auslegung von Faserverbund-Bandagen für Elektromotoren / Peter Lucas ; Gutachter: N. Modler, A. Höß". Dresden : Technische Universität Dresden, 2020. http://d-nb.info/1227832745/34.
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Laufer, Christine [Verfasser]. "Beeinflussen Meniskusverletzungen die posturale Stabilität und kann diese durch Bandagen verbessert werden? / Christine Laufer". Ulm : Universität Ulm. Medizinische Fakultät, 2015. http://d-nb.info/1076321259/34.
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Abreu, Alcione Matos de. "Uso da Bota de Unna comparado à bandagem elástica em úlceras venosas: estudo clínico". Universidade Federal Fluminense, 2012. https://app.uff.br/riuff/handle/1/983.
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Universidade Federal Fluminense. Escola de Enfermagem Aurora de Afonso Costa
Este estudo teve os objetivos de avaliar os resultados clínicos e evolutivos do processo de reparo teci-dual em pacientes com úlcera venosa em uso da terapia compressiva inelástica (Bota de Unna) em comparação ao uso da terapia compressiva elástica (atadura elástica); e, analisar se existe variação significativa na área da úlcera ao longo de 13 semanas de tratamento nos dois grupos. Metodologia: Trata-se de um estudo clínico experimental randomizado e controlado, aberto, prospectivo, com abor-dagem quantitativa, realizado em um hospital universitário. A amostra foi de 18 pacientes, acompa-nhados por 13 semanas. Para alocação aleatória foi realizada uma lista através do software Biostat 5.0 que realizou o sorteio dos participantes em um dos grupos, onde metade destes utilizaram como trata-mento para as úlceras venosas a Bota de Unna, e a outra metade a atadura elástica. Todos os voluntá-rios atenderam aos critérios de inclusão. Este estudo foi aprovado pelo Comitê de Ética em Pesquisa da Faculdade de Medicina, sob o protocolo nº 327/2010 e CAAE:0252.0.258-000-10, os termos de consentimento e fotografia encontram-se de acordo com as Resoluções 196/96. A coleta de dados foi realizada durante seis meses, pela enfermeira pesquisadora e por uma bolsista de iniciação científica. Os dados foram analisados no SPSS 14.0 Windows, através de estatística descritiva e inferencial, e apresentados na forma de tabelas, quadros e gráficos. Entre os pesquisados, pôde-se identificar que (61,1%) eram homens e adultos, moradores de Niterói /RJ (66,6%) e com baixo grau de escolaridade (55,5%). Em relação às características clínicas das úlceras, encontrou-se que no grupo B, úlceras mais exsudativas, com maior tempo de evolução e maiores áreas. Já o Grupo A apresentou o maior numero de úlceras com presença no leito com tecido de hipergranulação e ou desvitalizado e destacou-se como a terapia compressiva mais confortável. O uso da Bota de Unna macerou as bordas das úlceras e a Gaze Petrolatum® levou a formação de crostas perilesional. Em relação a redução da área das úlceras venosas, pelo teste de ANOVA de Friedman, observou-se que existe queda significativa, ao nível de 5%, na área da úlcera apenas no grupo B (p < 0,0001) ao longo de todo o tratamento, mas pode-se dizer, que existe uma tendência do grupo A apresentar queda na área da lesão (p = 0,06), após a 5ª consulta. Conclui-se que a Bota de Unna apresentou melhor resultado em úlceras venosas com áreas superiores a 10 cm² e o uso da Gaze Petrolatum® com a atadura elástica em úlceras venosas inferiores a 10 cm².
This study aimed to evaluate clinical and evolutionist results of the process of tissues repairing in pa-tients with venous ulcer using the compressive inelastic (Unna Boot) comparing the usage of compres-sive elastic therapy (elastic bandage) and analyzing if there is a meaningful variation in the ulcer area with 13 weeks of treatment in both groups. Methodology: Concerning in a experimental, randomized and controlled, opened, prospective study with quantitative approach in a College Hospital. A sample of 18 patients was monitoring for 13 weeks. It was achieved a list of two groups in randomized draw by Biostat 5.0 software where half of participants used as therapy Unna Boot in venous ulcer and the other half of them used the elastic bandage one. All volunteers followed the inclusion criteria. This study was approved by The Committee of Ethics in research of Medical College; under the protocol number no 327/2010 and CAAE: 0252.0.258-000-10, terms of authorization and photography are in agreement to the resolutions 196/96. The data collection was done for six months by researcher nurse and a scholarship student of scientific study. Such data were analyzed in SAS 6.11, through descrip-tive and inferential statistic and performed in tables, squares and graphs. Among participants could identify that (61%) were adult male; inhabitants from Niteroi/RJ (66,6%) with a low degree of educa-tion (55,5%). Regarding to the ulcer clinical characteristics in Unna Boot group was found ulcers with more exsudation, with longer evolution time and larger areas. In elastic bandage group, a great number of ulcers with hyper-granulation and or desvitalization tissue on the bed was remarkable as the most comfortable compressive therapy. The usage of Unna Boot softened the ulcer borders and in the Petro-latum® Gaze took as a result a formation of a scab around the lesion. In relation to the reduction of venous ulcer area due to the ANOVA Friedman Test, analyzed that there is a meaningful decrease to the level of 5%, in the ulcer area in group B (p<0,0001) along of all the treatment, but there is a ten-dency of group A in performing a reduction in the affected area after the 5th consultation. Concluding that the Unna Boot performed better/satisfactory results in venous ulcer with area superior to 3.93 in². and the usage of Petrolatum® Gaze with elastic bandage in venous ulcer was inferior to 3.93 in².
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Silva, Adriana Peixoto da. "Tecnologia dos curativos no tratamento das feridas cirúrgicas infectadas: elementos essenciais no processo de escolha do(a) enfermeiro(a)". SILVA, Adriana Peixoto da. Tecnologia dos curativos no tratamento das feridas cirúrgicas infectadas: elementos essenciais no processo de escolha do(a) enfermeiro(a). 2004. 93 f. Dissertação (Mestrado em Saúde da Criança e da Mulher)-Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, 2004, 2004. https://www.arca.fiocruz.br/handle/icict/7359.
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Previous issue date: 2013-07-22Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Ensino. Programa de Pós-Graduação em Saúde da Criança e da Mulher. Rio de Janeiro, RJ, Brasil.
Trata-se de uma pesquisa qualitativa e exploratória que pretende produzir conhecimentos que possam fundamentar e aperfeiçoar a escolha do(a) enfermeiro(a) frente ao tratamento de feridas cirúrgicas infectadas, isto é, a escolha por uma tecnologia de curativos apropriada ao tipo de ferida. Os sujeitos do estudo são oito enfermeiras que desenvolvem atividades assistenciais no Departamento de Neonatologia do Instituto Fernandes Figueira, sendo cinco diaristas e três plantonistas diurnas. O estudo identificou sete fases que o(a) enfermeiro(a) deve percorrer para sistematizar o processo de escolha da tecnologia apropriada aos curativos no tratamento de feridas cirúrgicas infectadas. O estudo concluiu que, pelos menos, três fases deste processo devem ser necessariamente cumpridas: a identificação do problema, a análise das causas e dos fatores relacionados com o problema e a fase de decisão propriamente dita. Com o domínio destas três fases do processo, o(a) enfermeiro(a) deverá estar suficientemente capacitado(a) a desenvolver as demais fases.
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Rodrigues, Juliana Rocha. "Pressões plantares de corredores pronadores frente à aplicações de bandagens para sustentação do arco do meidopé". reponame:Repositório Institucional da UnB, 2013. http://repositorio.unb.br/handle/10482/15229.
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Dissertação (mestrado)—Universidade de Brasília, Faculdade de Ceilândia, Pós-graduação de Ciências e Tecnologia em Saúde, 2013.Submitted by Albânia Cézar de Melo (albania@bce.unb.br) on 2014-02-03T12:54:31Z No. of bitstreams: 1 2013_JulianaRochaRodrigues.pdf: 790103 bytes, checksum: c3af6d8e8601cb8771b7dc955f590e44 (MD5)
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No pé, o movimento de pronação subtalar, quando excessivo, pode causar estresse e sobrecarga nos tecidos da região, dando origens a dores e micro traumas. Na prática clínica, o movimento excessivo tem sido limitado com a utilização de diferentes técnicas de bandagens, aplicadas sobre o arco plantar. Assim, o objetivo desse estudo foi comparar a influência das bandagens rígida e elástica na distribuição da pressão plantar de corredores pronadores. Trata-se de um ensaio clinico randomizado, controlado, crossover, com vinte corredores pronadores (33±7 anos; 71±7 kg; 174±6 cm). Foram aplicadas técnicas de bandagens (rígida - BR ou elástica - BE) para a sustentação do arco plantar, descritas como antipronadoras. Os dados da pressão plantar foram coletados utilizando o sistema F-scan em três testes de corrida a 9 km/h sendo: sem bandagens, com bandagem elástica e com bandagem rígida, aleatorizados. Foram consideradas sete áreas de pressão plantar para a análise dos dados, realizada por meio do teste ANOVA para medidas repetidas, seguida do teste t pareado. A BE e a BR proporcionaram reduções significativas (p<0,05) em pressões de contato e de pico do retropé. Ainda, enquanto a BE proporcionou maiores efeitos sobre as pressões do mediopé a BR foi mais efetiva nas pressões do retropé. Assim, é possível concluir que tanto a BR como a BE proporcionam diminuição em pressões de contato e de pico do pé, sendo a BE mais significativa sobre o mediopé e a BR sobre o retropé. ______________________________________________________________________________ ABSTRACT
The excessive motion of subtalar pronation of the foot, can cause stress and burden in tissues of the region, giving origin to aches and microtrauma. In clinical practice, excessive movement has been limited to the use of different techniques of bandages applied to the plantar arch. The objective of this study was to compare the influence of rigid and elastic bandages in plantar pressure distribution runners pronators. This is a randomized clinical trial, controlled, crossover, with twenty runners pronators (33±7 y, 71±7 kg, 174±6 cm). Techniques were applied bandages (rigid - BR or elastic - BE) to support the plantar arch, described as antipronation. Plantar pressure data were collected using the F -scan system in three tests run at 9 km/h being: no bandages, elastic taping and rigid taping, randomized . We considered seven areas of pressure for data analysis, performed by means of ANOVA for repeated measures followed by paired t test. BE and BR resulted in significant reductions (p<0.05) in contact pressures and peak rearfoot. Still, while the BE provided greater effects on the pressures of the midfoot BR was more effective in the hindfoot pressures. Thus, we conclude that both BR and BE provide decrease in contact pressures and peak foot, and BE more significant on the midfoot and hindfoot about BR.
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Santos, Bruna Nogueira dos. "Adesividade e irritação cutânea do filme transparente gel de clorexidina em pacientes submetidos ao transplante de células tronco hematopoiéticas". Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-23122015-103236/.
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O Transplante de Células-Tronco Hematopoéticas (TCTH) trata-se da substituição das Células-Tronco Hematopoéticas (CTH) doentes de um indivíduo por CTH normais com o objetivo de normalizar a hematopoese do receptor. O cateter venoso central (CVC) tornou-se indispensável para viabilizar tal terapêutica pela segurança na infusão das CTH e dos quimioterápicos. Para o TCTH são utilizados cateteres do tipo Hickman ou duplo lúmen, ambos de longa permanência. O curativo adesivo utilizado no sítio de inserção do cateter é essencial para a fixação do cateter, proteção contra agentes externos e prevenção de infecção. Há forte evidência clínica no uso do filme transparente gel de clorexidina (CHX) como uma alternativa no controle de infecções relacionadas ao cateter. A adesividade deste curativo confere-lhe uma possível permanência de até sete dias aderido à pele, o que evita repetidas aplicações e remoções do curativo, diminui a frequência na manipulação do cateter, a ocorrência de infecção e irritação cutânea local. Observa-se que a adesividade do curativo nem sempre permite a permanência por sete dias, sendo necessárias trocas não planejadas, podendo causar lesões à integridade cutânea. Neste estudo, objetivou-se avaliar a adesividade e a irritação cutânea do filme transparente gel de CHX aplicado no sítio de inserção do CVC por meio de um estudo transversal, prospectivo, realizado em um hospital público de ensino, no período de novembro de 2013 a junho de 2014, com crianças e adultos de ambos os sexos com doenças autoimunes ou onco-hematológicas submetidos ao TCTH. A amostra desta pesquisa foi constituída por 25 pacientes. Onze (44%) apresentaram irritação cutânea caracterizada por perda de pele de extensão <=0,5cm, perda de pele de extensão > 0,5cm, placa eritematosa e vesículas. Destes, seis tiveram necessidade de suspensão do uso do curativo. A pele fragilizada devido ao uso de agentes quimioterápicos pode aderir fortemente ao curativo adesivo, sendo desprendida com o mesmo quando este é removido. A perda da integridade cutânea com remoção da camada protetora da pele facilita a entrada de microrganismos aumentando a susceptibilidade a infecções em pacientes imunossuprimidos. Em 55,6% das avaliações foi observado desprendimento do curativo e a região da fenda foi onde mais ocorreu desprendimento (43,4%). Esta é uma região da margem do curativo, assim denominada por possuir uma abertura no adesivo onde são posicionadas as vias do cateter. Infere-se que devido à mobilidade do paciente e manuseio das vias do cateter, com o passar dos dias, essa região da borda do curativo apresenta maior desprendimento. Em 8,4% das observações havia bolha de ar no gel de clorexidina envolvendo o sítio de inserção do cateter. A bolha de ar no gel de clorexidina significa que este não está em contato com a pele do paciente o que é preocupante quando envolve o sítio de inserção do cateter, pois a CHX não está exercendo sua função antisséptica neste local, onde há possibilidade de migração extra- lúmen de microrganismos à corrente sanguíneaHematopoietic stem cell transplantation (HSCT) involves the replacement of sick hematopoietic stem cells (HSC) from an individual with normal HSC, with the aim to restore the recipient\'s hematopoiesis. Central venous catheters (CVC) have become indispensable to make this therapy feasible due to the safety of infusion of the HSC and the chemotherapeutic agents. In HSCT, long-term Hickman or long-term double lumen catheters are used. The adhesive dressing used in the site of insertion of the catheter is essential for the catheter fixation, protection against external agents and prevention of infection. There is strong clinical evidence on the use of transparent film dressing with chlorhexidine gel (CHX) as an alternative in the control of catheter-related infections. The adhesiveness of this dressing allows it to be used up to seven days once it adheres to the skin, which avoids repeated dressing applications and removals, and reduces the frequency of catheter handling, the occurrence of infection, and local skin rash. However, as observed, the dressing adhesiveness does not always allow it to be used for seven days, and unplanned replacements may be needed, which can cause lesions to the skin integrity. The objective of this study was to evaluate the adhesiveness and skin rash related to the transparent film dressing with CHX gel applied at the site of insertion of the CVC by means of a cross-sectional, prospective study developed at a public teaching hospital, between November 2013 and June 2014, with children and adults of both genders with autoimmune or onco-hematological diseases who were submitted to HSCT. The sample comprised 25 patients. Eleven (44%) presented skin rash characterized by skin loss to an extension of <=0.5 cm, skin loss to an extension of > 0.5 cm, erythematous plaque and vesicles. Of these, six had to interrupt the use of the dressing. Frail skin due to the use of chemotherapeutic agents can adhere strongly to the adhesive dressing, coming off with the dressing at its removal. The loss of skin integrity with the removal of the skin\'s protective layer facilitates the entrance of microorganisms, increasing susceptibility to infections in immunosuppressed patients. In 55.6% of the evaluations, there was dressing detachment, and it was greater in the opening region (43.4%), which is a region in the dressing border with a break in the adhesive where the catheter is placed. Given the mobility of the patient and the handling of the catheter, over the days, this region of the dressing border presents greater detachment. In 8.4% of the observations there were air bubbles in the chlorhexidine gel involving the site of insertion of the catheter. Air bubbles in the chlorhexidine gel means that it is not in contact with the patient\'s skin, which is a cause of concern when the site of insertion of a catheter is involved, since CHX is not exerting its antiseptic function in this location, which can lead to extra-lumen migration of microorganisms to the bloodstream
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Veiga, Filho Joel [UNIFESP]. "Tempo de permanência do curativo após mamoplastia redutora: influência na colonização, na infecção da ferida operatória e na opinião das pacientes". Universidade Federal de São Paulo (UNIFESP), 2010. http://repositorio.unifesp.br/handle/11600/10107.
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Previous issue date: 2010-08-25Introdução: o cuidado com a ferida operatória é controverso na literatura, com recomendações diversas, desde não se colocar curativo, mantê-lo por 24 a 48h, ou mantê-lo até a retirada das suturas. Objetivo: Avaliar a influência do tempo de permanência do curativo após mamoplastia redutora na colonização cutânea, na infecção da ferida operatória e na opinião das pacientes. Métodos: 70 pacientes com indicação para mamoplastia redutora foram distribuídas aleatoriamente em dois grupos. No grupo PO1 o curativo foi retirado no 1o dia pós-operatório e no grupo PO6 o curativo foi retirado no 6º dia pós-operatório. A colonização cutânea foi verificada por meio de culturas de coletas em momentos padronizados. A avaliação da ferida operatória quanto à infecção seguiu os critérios definidos pelo Centers for Disease Control and Prevention (CDC). A opinião das pacientes quanto ao curativo foi verificada no 13º dia pós- operatório. Resultados: no 6º dia pós-operatório houve um maior número de unidades formadoras de colônias, no grupo PO1. Nove pacientes (12,9%) apresentaram infecção, sete no grupo PO1 (20%) e duas no grupo PO6 (6%). Das pacientes do grupo PO1, 66% prefeririam manter o curativo por um dia e do grupo PO6, 83% prefeririam manter o curativo por seis dias. Conclusões: a colonização no 6º dia pós-operatório foi maior no grupo PO1. Não houve diferença entre os grupos quanto à ocorrência de infecção da ferida operatória. As pacientes demonstraram preferência e acharam mais seguro a permanência do curativo até o sexto dia pós-operatório.
Background: There is controversy in the literature regarding the treatment of surgical wounds, which includes different approaches to wound management, such as “not to dress the wound” to “leave the dressing in place for 24-48 hours” or “until sutures are removed”. Objective: To evaluate the effect of the length of time the dressings were left in place after reduction mammaplasty on skin colonization, surgical site infection, and patient opinion. Methods: Seventy patients undergoing reduction mammaplasty were randomly divided into two groups: group PO1 (dressing was removed on the first postoperative day) and group PO6 (dressing was removed on the sixth postoperative day). Skin colonization was detected by culture of samples collected at predefined time points. Surgical site infections were classified according to the guidelines of the Centers for Disease Control and Prevention (CDC). Patient satisfaction was assessed on postoperative day 13. Results: A larger number of colony-forming units were measured in group PO1 on postoperative day 6. Nine (12.9%) patients had surgical site infection (seven from group PO1, and two from group PO2). In group PO1, 66% of the patients chose to keep the dressing for one day, while 83% of the patients in group PO6 chose to keep the dressing for six days. Conclusions: Higher colonization levels were observed in group PO1 on the sixth postoperative day. There was no difference in surgical site infection between groups. Most of the patients chose to keep the dressing in place for six days postoperatively, and felt it was safer.
TEDE
BV UNIFESP: Teses e dissertações
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SILVA, Roberta de Oliveira e. "Efeito da bandagem Dynamic Tape™ na atividade eletromiográfica do músculo glúteo médio e no desempenho funcional do membro inferior em mulheres saudáveis: estudo controlado e randomizado". Universidade Federal de Alfenas, 2016. https://bdtd.unifal-mg.edu.br:8443/handle/tede/850.
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A bandagem funcional Dynamic Tape™ consiste em um promissor instrumento de intervenção neuro-músculo-esquelética, de origem australiana, com princípios similares aos da Kinesio taping®, porém com propriedades mecânicas superiores. Poucos estudos dedicaram-se a avaliar os efeitos da bandagem funcional sobre a função do músculo glúteo médio, sendo que nenhum deles utilizou a bandagem funcional Dynamic Tape™. Deste modo, o objetivo do presente estudo foi avaliar o efeito da aplicação da bandagem funcional por Dynamic Tape™ na atividade eletromiográfica do músculo glúteo médio e sobre o desempenho funcional do membro inferior em testes de corrida e salto em mulheres saudáveis. Cinquenta e duas mulheres entre 18 e 30 anos, ativas, foram alocadas aleatoriamente em três grupos: aplicação da Dynamic Tape™ no glúteo médio – grupo bandagem (GB, n = 17), aplicação da Dynamic Tape™ na forma placebo no glúteo médio – grupo placebo (GP, n = 18) e sem qualquer intervenção – grupo controle (GC, n = 17). Após avaliação física e verificação de critérios de inclusão e exclusão, foi realizada a avaliação eletromiográfica do músculo glúteo médio do membro dominante em repouso, contração isométrica voluntária máxima, agachamento unipodal, aterrissagem da plataforma e salto da plataforma seguido de salto vertical máximo. Posteriormente, foi avaliado o desempenho funcional em três testes: shuttle run, triple hop test e six-meter timed hop test. A análise de variância com medidas repetidas não revelou diferenças significativas entre os grupos e entre os períodos de avaliação quanto a atividade eletromiográfica do músculo glúteo médio durante o repouso (GBpré 2,03±1,01, GBpós 2,01±0,88; GCpré 1,55±0,96, GCpós 1,29±0,81; GPpré 1,78±0,92, GPpós 1,36±0,75) durante o agachamento unipodal (GBpré 44,36±21,22, GBpós 40,28±16,18; GCpré 31,38±12,22, GCpós 34,74±19,90; GPpré 34,73±14,48, GPpós 29,43±11,01), durante a aterrissagem anterior da plataforma (GBpré 27,98±12,95, GBpós 30,20±14,19; GCpré 22,62±8,68, GCpós 22,93±11,88; GPpré 21,56±6,87, GPpós 26,05±13,89) e durante o salto anterior seguido do salto vertical máximo (GBpré 43,54±18,40, GBpós 47,98±18,68; GCpré 39,23±16,99, GCpós 63,34±63,77; GPpré 79,64±177,49, GPpós 35,42±14,81). Do mesmo modo, não foram encontradas diferenças significativas entre os grupos e os períodos de avaliação quanto aos testes sutlle run (GBpré 9,99±0,83, GBpós 9,94±0,65; GCpré 9,78±0,73, GCpós 10,19±0,66; GPpré 9,76±0,82, GPpós 9,63±0,53), triple hop test (GBpré
2,71±0,37, GBpós 2,74±0,32; GCpré 2,75±0,51, GCpós 2,56±0,50; GPpré 2,76±0,47, GPpós 2,76±0,39) e six-meter timed hop test (GBpré 3,34±0,55, GBpós 3,26±0,57; GCpré 3,47±0,57, GCpós 3,70±0,54; GPpré 3,18±0,59, GPpós 3,22±0,56).Portanto, conclui-se que seu uso não favorece a atividade eletromiográfica do músculo glúteo médio e o desempenho do membro inferior em testes de corrida e salto em mulheres saudáveis.The Dynamic Tape ™ is a promising tool for neuro-musculoskeletal intervention of Australian origin, with similar principles as Kinesio taping®, but with superior mechanical properties. Few studies were dedicated to assess the effects of taping on the gluteus medius muscle function, and none of them used the taping Dynamic Tape ™. Thus, the aim of this study was to evaluate the effect of application of taping by Dynamic Tape ™ in electromyographic activity of the gluteus medius muscle and the functional performance of the lower limb in running tests and jump in healthy women. Fifty-two women between 18 and 30 years, active, were randomly allocated into three groups: Application Dynamic Tape ™ in the gluteus medius - banding group (GB, n = 17), application of Dynamic Tape ™ in placebo form the gluteus medius - placebo group (GP, n = 18) and without any intervention - control group (CG, n = 17). After physical assessment and verification of inclusion and exclusion criteria, the electromyographic evaluation of the gluteus medius muscle of the dominant limb at rest was performed maximal voluntary isometric contraction, squat, deck landing and jumping followed by maximum vertical jump platform. Subsequently, the functional performance in three tests were evaluated: shuttle run, triple hop test and six-meter timed hop test. Analysis of variance with repeated measures revealed no significant differences between groups and between the evaluation periods as the electromyographic activity of the gluteus medius muscle during rest (GBpré 2,03±1,01, GBpós 2,01±0,88; GCpré 1,55±0,96, GCpós 1,29±0,81; GPpré 1,78±0,92, GPpós 1,36±0,75) during the single leg squat task (GBpré 44,36±21,22, GBpós 40,28±16,18; GCpré 31,38±12,22, GCpós 34,74±19,90; GPpré 34,73±14,48, GPpós 29,43±11,01) the drop landing task (GBpré 27,98±12,95, GBpós 30,20±14,19; GCpré 22,62±8,68, GCpós 22,93±11,88; GPpré 21,56±6,87, GPpós 26,05±13,89) and during the jump landing + maximum vertical jump task (GBpré 43,54±18,40, GBpós 47,98±18,68; GCpré 39,23±16,99, GCpós 63,34±63,77; GPpré 79,64±177,49, GPpós 35,42±14,81). Similarly, there were no significant differences between groups and periods of assessment as to sutlle run tests (GBpré 9,99±0,83, GBpós 9,94±0,65; GCpré 9,78±0,73, GCpós 10,19±0,66; GPpré 9,76±0,82, GPpós 9,63±0,53), triple hop test (GBpré 2,71±0,37, GBpós 2,74±0,32; GCpré 2,75±0,51, GCpós 2,56±0,50; GPpré 2,76±0,47, GPpós 2,76±0,39) and six-meter timed hop test (GBpré 3,34±0,55, GBpós 3,26±0,57; GCpré 3,47±0,57, GCpós 3,70±0,54; GPpré 3,18±0,59, GPpós 3,22±0,56) .Therefore it follows that their use does not favor the electromyographic activity of the gluteus medius muscle and the performance of the lower limb in running tests and jump in healthy women.
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
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Thumm, Stefan [Verfasser], e Ingmar [Akademischer Betreuer] Ipach. "Einfluss des Tragens von Hüft- und Wirbelsäulenorthesen sowie -bandagen auf die Brems-Reaktionszeit von Fahrern eines Kraftfahrzeuges / Stefan Thumm ; Betreuer: Ingmar Ipach". Tübingen : Universitätsbibliothek Tübingen, 2017. http://d-nb.info/1199465291/34.
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Jørgensen, Ditte Martine Skovhaur, e Katrine Nielsen. "Prævalensen af selvrapporteret muskel-skelet besvær blandt bandagister i Danmark : En spørgeskemaundersøgelse". Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för rehabilitering, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-47275.
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Formål: Dette studie har til formål at kortlægge prævalensen af muskel skelet besvær i danske bandagistvirksomheder. Et spørgeskema er udsendt til bandagister i Danmark for at afdække omfanget af MSB. Metode: Selvadministreret spørgeskema er udsendt til medlemmer af foreningen Danske Bandagister. Spørgeskemaet er baseret på hypoteser omhandlende associationer mellem risikofaktorer som er identificeret gennem litteratursøgning. Resultat: 19 spørgeskemabesvarelser indgår i statistisk analyse (RR=25%). Undersøgelsen påviser en prævalens på 79% af MSB for de responderende medlemmer af foreningen Danske Bandagister (N=19). Udvalgte risikofaktorer er testet for association med forekomsten af selvrapporteret MSB. Statistisk analyse er foretaget med Fichers’ Exact test, med signifikansniveau 5% (p=0,05). Køn er den eneste risikofaktor som signifikant associeres med forekomsten af MSB (p=0,033) Det er kvinder som i vores undersøgelse primært rapporterer MSB. Konklusion: Undersøgelsen viser en høj prævalens blandt de responderende medlemmer af Danske Bandagister. Dette er dog ikke nok til at kunne generalisere i populationen og der opfordres til yderligere studier for at bekræfte denne undersøgelses fund.Objectives: The aim of the project was to investigate the occurrence of musculoskeletal problems among P&O’s in Denmark and a questionnaire was made and sent out. Methods: Members of the union “Danske Bandagister” was asked to fill out a self-administrated questionnaire. The questionnaire was constructed based on hypothesis about associations between risk factors identified in literature review. Results: The statistical analysis consisted of 19 responses (RR=25%). The study shows a prevalence of 79% of musculoskeletal problems. Relevant risk factors were tested to be associated with the occurrence of the self-reported musculoskeletal problems. Tests was made with Fichers’ Exact test and a significance level at 5% (p=0.05). Only Gender proved a significant association with the occurrence of musculoskeletal problems (p=0,033). In this project women has the highest occurrence of self-reported musculoskeletal problems. Conclusion: The study shows a high prevalence of musculoskeletal problems among the responding Danish P&Os. It is not possible to do any generalization in the population. However; to confirm the result of the study, we encourage to examine the subject more.
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Olsen, Nynne, e Nanna Hørdum. "”Jeg var faktisk meget i tvivl om jeg var dygtig nok” : Et fænomenologisk kvalitativt studie af overgangen fra studie til klinisk arbejde". Thesis, Jönköping University, Hälsohögskolan, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49649.
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Introduktion: Tidligere studier indikerer, at overgangen fra studie til klinisk arbejde kan være udfordrende for nyuddannede. Litteraturen viser, at overgangen er præget af følelsen af utilstrækkelighed og manglende vejledning, som fører til højt frafald af sygeplejersker. Ingen tidligere studier har undersøgt nyuddannede bandagisters oplevelse af overgangen fra studie til klinisk arbejde. Formål: Formålet med studiet er at undersøge danske turnuskandidaters oplevelse af overgangen fra studie til klinisk arbejde. Ydermere er målet at få mere viden om oplevelsen af de to første år af det kliniske arbejde inden for bandagistfaget. Metode: Det er et kvalitativt studie, der anvender en fænomenologisk tilgang. Dataindsamlingen sker gennem semi-struktureret interviews. Data består af transskriberede interviews fra 8 deltagere, som alle arbejder på danske bandagerier. Til dataanalysen anvendes en induktiv analysemetode. Resultat: Analysen resulterede i 8 subkategorier hvorfra 2 hovedkategorier opstod; Turnusprogrammets effekt på overgangen og Faglig progression. Konklusion: Turnuskandidaterne oplever, at turnusprogrammet har en positiv effekt på overgangen. Det at modtage vejledningen fra starten af, er ifølge dem en god måde at blive introduceret til faget på. Især fordi de ikke følte sig forberedt til det fulde ansvar direkte efter studiet. Den kliniske hverdag gennem de første to år præges af turnuskandidatens udvikling mod selvstændighed.
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Pedrolo, Edivane. "Custo-efetividade das coberturas para cateter venoso central de curta permanência". reponame:Repositório Institucional da UFPR, 2017. http://hdl.handle.net/1884/51269.
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Orientadora: Drª Mitzy Tannia Reichembach DanskiCoorientadora: Drª Astrid Wiens Souza
Tese (doutorado) - Universidade Federal do Paraná, Setor de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem. Defesa: Curitiba, 09/08/2017
Inclui referências : f. 99-117
Resumo: A infecção primária de corrente sanguínea relacionada ao cateter venoso central de curta permanência (IPCS-CVC) tem elevada incidência nas instituições hospitalares brasileiras e seu tratamento representa elevado custo para os sistemas de saúde. Prevenir esta complicação é a melhor estratégia. Diversas tecnologias estão disponíveis no mercado com esta finalidade, dentre elas as coberturas para cateter venoso central. A presente pesquisa teve como objetivo geral avaliar o custo-efetividade da gaze e fita adesiva, filme semipermeável transparente e cobertura impregnada com clorexidina para cateter venoso central de curta permanência. Como objetivos específicos: elencar evidências científicas relativas aos custos decorrentes da IPCS-CVC; estimar os custos da IPCS-CVC no âmbito do sistema público de saúde; construir a árvore de decisão para as tecnologias estudadas e analisar a relação custo-efetividade de cada alternativa para cobertura do cateter venoso central de curta permanência. A pesquisa foi realizada em três etapas. A primeira consistiu em uma revisão integrativa desenvolvida nas bases de dados LILACS e EMBASE com MEDLINE, publicadas entre jun/2005 e jun/2015 com os descritores: cateteres venosos centrais, infecções relacionadas a cateter e custos e análises de custos. Foram elencadas 13 publicações e houve predomínio de estudos de coorte retrospectiva, desenvolvidos na Europa ou Estados Unidos com pacientes críticos. O custo para um episódio de infecção variou de $24.090 até $34.544. Estudos europeus encontraram valores entre €16.814 e €29.909. A infecção aumentou os dias de internação entre 1,5 e 26 dias, e a mortalidade entre 1,8% e 34%. Na segunda etapa foi desenvolvido um estudo de custo da doença mediante uma pesquisa observacional retrospectiva, realizada em um hospital de ensino da região Sul do Brasil, referente aos pacientes com IPCS-CVC diagnosticados nos anos de 2014 e 2015. Foram incluídos 44 pacientes, os quais representaram um custo total de R$ 417.609,32 para o hospital, com média de R$ 9.711,84 ± R$ 7.008,94 por episódio. Do custo total, a maior parte refere-se aos gastos com internamento (60,98%), seguido do tratamento (37,72%). Custos com a substituição do cateter (0,78%) e com a realização de culturas (0,52%) tiveram pouca representatividade. As infecções causadas por fungos, por microrganismos resistentes e por bactérias gram positivas foram significativamente mais dispendiosas para o hospital. A terceira etapa consistiu em uma análise de custo-efetividade, realizada mediante a construção de uma árvore de decisão na perspectiva do sistema único de saúde brasileiro. Neste cenário a estratégia mais custo-efetiva é a cobertura impregnada com clorexidina, com custo de R$ 2.165,54 por caso evitado e efetividade de 99%. As variáveis custo mínimo, tempo de permanência da cobertura, índice de infecção e de óbito interferiram na relação custo-efetividade. Conhecer o real impacto econômico da IPCS-CVC é importante para que sejam estabelecidos programas e políticas que visem à redução deste agravo. Da mesma forma, estudos de custo-efetividade permitem melhor gestão dos escassos recursos da área da saúde e podem contribuir para que mais indivíduos sejam beneficiados com o uso de tecnologias que, além de efetivas, representam economia para o hospital. PALAVRAS-CHAVE: Enfermagem Baseada em Evidências; Infecções Relacionadas a Cateter; Cateterismo Venoso Central; Custos e Análise de custos; Curativos oclusivos; Tecnologia biomédica.
Abstract: Central-venous-catheter-related bloodstream primary infections (CRBSIs) has a high incidence in Brazilian hospital institutions and its treatment represents a high cost for health systems. Preventing this complication is the best strategy. Many technologies are available in the market for this purpose, among them the central venous catheter coverage. The objective of the present study was to evaluate the cost-effectiveness of gauze and micropore tape, transparent semipermeable film, and chlorhexidine-impregnated coating for short-term central venous catheter. This study has as specific objectives: (1) to list scientific evidence regarding the costs resulting from a CRBSIs; (2) to estimate the costs of a CRBSIs for the public health system; (3) to construct the decision tree for the studied technologies; and (4) to analyze the cost-effectiveness of each alternative for the short-term central venous catheter coverage. The research was carried out in three stages: (1) the first one consisted of an integrative review carried out in the LILACS and EMBASE databases with MEDLINE, published between June 2005 and June 2015 with the descriptors: central venous catheters, catheter-related infections and costs and cost analyses. Results: thirteen publications were included, and there was predominance of retrospective cohort studies conducted in Europe and the United States with critical patients. The cost for an episode of infection ranged from $ 24,090 to $ 34,544. European studies found values between € 16,814 and € 29,909. The infection increased the length of hospitalization between 1.5 and 26 days, and the mortality between 1.8% and 34%; (2) in the second stage, a cost-of-disease study was developed through a retrospective observational research, referring to the patients with CRBSIs diagnosed in 2014 and 2015, and it was carried out in a teaching hospital in the southern region of Brazil. Forty-four patients were included, representing a total cost of R$ 417,609.32 for the hospital, average cost of R$ 9,711.84 ± R$ 7,008.94 per infection episode. Most of the total cost refers to hospitalization expenses (60.98%) followed by treatment (37.72%). Cost with catheter replacement (0.78%) and cultures (0.52%) had little representativeness. Infections caused by fungi, resistant microorganisms, and gram-positive bacteria were significantly more expensive for the hospital; (3) the third stage consisted of a cost-effectiveness analysis, performed through the construction of a decision tree from the perspective of the Brazilian Unified Health System. In this scenario, the most cost-effective strategy is the chlorhexidine-impregnated coating, with a cost of R$ 2,165.54 per avoided case and 99% effectiveness. Knowing the real economic impact of CRBSIs is important to establish programs and policies aiming to reduce this aggravation. Likewise, cost-effectiveness studies allow better management of the scarce health resources and also can contribute to benefit a greater number of individuals, by using technologies that, in addition to being effective, represent expenses saving for the hospital. KEYWORDS: Evidence-Based Nursing; Catheter-Related Infections; Catheterization, Central Venous; Costs and Cost Analysis; Occlusive Dressings; Biomedical Technology.
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Essa, Michael Steven. "Long term ankle bracing does not affect muscle pre-activation amplitude in the lower leg". 2005. http://www.oregonpdf.org.
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Thesis (M.A.)--University of North Carolina at Chapel Hill, 2005.Includes bibliographical references (leaves 102-106). Also available online (PDF file) by a subscription to the set or by purchasing the individual file.
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Pearl, Megan L. "The effect of knee bracing on lower extremity muscle activation during functional activity". 2005. http://www.oregonpdf.org.
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Hunt, Erika J. "Collegiate athletes' psychological perceptions of adhesive ankle taping a qualitative analysis /". 2005. http://www.oregonpdf.org.
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Thesis (M.S.)--University of North Dakota, 2005.Includes bibliographical references (leaves 43-44). Also available online (PDF file) by a subscription to the set or by purchasing the individual file.
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Souliere, Todd A. "Differences between pain among patellofemoral dysfunctional student-athletes comparing the use of bracing and taping". 2005. http://www.oregonpdf.org.
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Nelson, Dani Keren. "The effect of Kinesioª tape on quadriceps muscle power output, length/tension, and hip and knee range of motion in asymptomatic cyclists". Thesis, 2011. http://hdl.handle.net/10321/702.
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Dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, 2011.Background: As Kinesio® tape may increase range of motion, facilitate muscle function, enhance circulation, and normalize muscle length/tension ratios creating optimal force, use of this athletic tape has gained popularity in various sporting disciplines. Cycling is a highly competitive sport that continually seeks ways of improving performance. There are, however, no controlled, published studies examining the effects of Kinesio® tape on a cyclist‟s performance. Objectives: To determine the participants‟ power output, bicycle speed, and cadence, quadriceps length/tension, and hip and knee flexion and extension range of motion in terms of the objective findings without the use of Kinesio® tape and then following the application of Kinesio® tape to the quadriceps muscles. To determine the participants‟ perception of a change in their power output, speed, and cadence post- intervention. Method: Forty asymptomatic trained amateur cyclists performed two 1.5 km time trials pre- and post- Kinesio® tape application. The pre- and post- intervention range of motion measurements and the average and maximum power output (watts), cadence (rpm), and speed (km/h) were measured using a universal goniometer and cycle ergometer respectively. The participants‟ perception of a change in power, cadence, and speed following the application of Kinesio® tape was also recorded. SPSS version 18 (SPSS Inc.) was used to analyse the data. Results: There was a significant decrease in maximum power (p = 0.007) post- intervention, but no significant differences in the average power, or average and maximum speed and cadence measurements. Range of motion measurements post- intervention showed a significant flexion (p < 0.021). The majority of the participants (60%) perceived an increase in power and speed post- intervention. Conclusions: There was a visual trend showing an increase in most of the power, speed, and cadence parameters assessed. The range of motion parameters revealed conflicting results and warrant further research
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Venter, Macheré. "Chiropractic manipulative therapy combined with Kinesio Tape™ versus elastic bandage in treatment of chronic lower back pain". Thesis, 2014. http://hdl.handle.net/10210/11031.
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M.Tech. (Chiropractic)Chronic lower back pain (LBP) is considered as one of the most prevalent conditions in our society with 70-85% of the population experiencing pain at some point in their lives and 80% having recurrent episodes. The majority of chronic LBP is treated with conservative care, with spinal manipulation being a treatment modality shown to be beneficial resulting in restoration of normal ranges of movement, decrease of muscle spasm and there is an overall biomechanical change. One of the more modern trends is combining manipulation with taping. It has been shown that with the application of Kinesio tape to the lumbar para-spinal muscles effectively increases lumbar range of motion and decreases pain with the relaxation of tense muscles as well as increase in proprioception as the tape increasingly stimulates cutaneous mechanoreceptors. Elastic bandage has been shown to improve proprioceptive acuity as it stimulates cutaneous mechanoreceptors, as well as providing support to joint structure. The purpose of this study was to determine the superiority of one tape versus the other as well as the efficacy of the individual tape and whether the combination treatment of spinal manipulative therapy and taping of the lumbar paraspinal muscles are possibly a more effective treatment protocol in the treatment of chronic lower back pain. Method: This clinical study was a comparative study and consisted of two groups of fifteen participants who met the inclusion and exclusion criteria. The participants were between the ages of eighteen and forty-five years of age. Group 1 was treated with lumbar spine and sacroiliac joint adjustments and the application of Kinesio tape. Group 2 was treated with lumbar spine and sacroiliac joint adjustments and the application of elastic bandage. Treatment took place over a period of three weeks and participants were treated six times out of a total of seven consultations. Procedure: Subjective data was recorded at the first and fourth consultation prior to treatment and on the seventh consultation by means of a Numerical Pain Rating Scale and an Oswestry Low Back Pain Disability Questionnaire to assess pain and disability. Objective data was recorded at the first and fourth consultation prior to treatment and on the seventh consultation by means of a digital inclinometer for assessing lumbar spine range of motion. Data recorded was analyzed by a statistician. Results: Clinically and statistically significant improvements were noted in both groups over the course of the study with regards to pain, disability and lumbar spine range of motion. Conclusion: The results show that both combination treatments of spinal manipulative therapy and the application of Kinesio™ tape or elastic adhesive bandage are effective treatment protocols, both clinical and statistical in decreasing pain, disability and improving lumbar range of motion in patients with chronic lower back pain. However neither treatment protocols proved to be superior over the other.
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"Comparison of four-layer compression bandage, short-stretch compression bandage, and usual care in the treatment of venous ulcer for older people in the community". Thesis, 2007. http://library.cuhk.edu.hk/record=b6074460.
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A total of 180 patients participated in the study, with 30 withdrawn due to various reasons. At 12 weeks, 76% patients treated with SSB, 78% patients treated with 4LB, and 31% patients treated with usual care alone had completed ulcer healing. The hazard ratios for healing for 4LB and SSB relative to the control group were 3.14 (95% CI = 1.74-5.67) and 2.72 (95% CI = 1.53-4.86), respectively. The key findings indicated the significant effects of compression bandaging resulted in a higher proportion of complete ulcer healing; reduction in ulcer size, pain severity, and pain interference; and improvement in quality of life and lifestyle activity. Across the 12-week study period, the present study also highlighted the significant improvement of the psychosocial composite outcome among the three study groups. Furthermore, the reduction in pain severity and pain interference accounted for the major contribution to the total effect of the psychosocial composite outcome. Therefore, effective pain control and minimizing the effect of pain on daily life is essential in promoting ulcer healing. It is evident that the application of compression bandaging with either 4LB or SSB is feasible and more effective than the current usual care with no compression. This study add new knowledge to the psychosocial benefit of compression bandaging for venous ulcer patients living in the community; and support incorporating compression bandaging in the routine venous ulcer care. Further studies are therefore suggested to focus on the assessment of the cost-effectiveness of and the satisfaction and experience of both patients and nurses with compression bandaging using different high compression bandage systems.The study was a randomized controlled trial. Those patients who participated in the experimental groups received compression bandaging with either the 4LB or SSB along with a local usual care. In contrast, the control group participants received usual care. A 12-week study intervention was given individually to the study participants. The research outcome of this study was the proportion of complete ulcer healing, ulcer size, pain severity, pain interference, disease-specific and generic health-related quality of life measures, and lifestyle activity. The instruments used include VeV MD stereophotogrammetry, Brief pain Inventory, The SF-12 Health Survey, Charing Cross Venous Ulcer Questionnaire, and the Frenchay Activity Index. Data analysis involved the use of descriptive statistics and inferential statistics such as survival analysis, one way analysis of variance (ANOVA), multivariate analysis variance (MANOVA), doubly multivariate analysis of variance (Doubly MANOVA), and Roy-Bargman stepdown analysis were used.
Venous ulcer is the most serious clinical consequence of chronic venous insufficiency. It is a chronic health problem that afflicts older people as well as health care professions. Its chronicity, together with its high recurrent rate, creates not only a big challenge to nurses' workload and health cost, but it also has a direct impact on patients' physiological and psychosocial well-being. Compression bandaging has been identified as the mainstream form of treatment for venous ulcer in previous literature, although this is not very well known by the nurses in Hong Kong. Previous studies have confirmed that the proportion of complete ulcer healing is improved with high compression as compared to no compression. However, a definite conclusion on the effectiveness of different high compression systems, such as the four-layer compression system (4LB) and short-stretch compression system (SSB), was not found. Most importantly the treatment impacts on proportion of complete ulcer healing, ulcer size, pain severity and pain interference, health-related quality of life, and lifestyle activities are essential influences on patients' participation in venous ulcer care and treatment choice. These limited data leave a gap in today's knowledge on venous ulcer management in relation to both patients and health care providers. Therefore, the aim of this study is to examine the effect of two compression bandage systems, the 4LB and SSB, in promoting ulcer healing in terms of the proportion of complete ulcer healing and ulcer size, as well as the psychosocial well-being including pain, heath-related quality of life, and lifestyle activity for older people in the community.
Wong, Kit Yee Irene.
"December 2007."
Adviser: Diana T. F. Lee.
Source: Dissertation Abstracts International, Volume: 69-08, Section: B, page: 4672.
Thesis (Ph.D.)--Chinese University of Hong Kong, 2007.
Includes bibliographical references (p. 248-268).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Abstract in English and Chinese.
School code: 1307.
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Humphries, Trudy. "Second skin". Thesis, 2004. https://eprints.utas.edu.au/20582/1/whole_HumphriesTrudy2004_thesis.pdf.
Texto completo da fonteResumo:
The project examines the textile component of surgical dressing - the
bandage. My search for the meaning of bandage has concentrated on
three main areas: the performance of care in relation to bandage, the
concept of bandage as a metaphor for healing, and bandage as an
object that signifies both absence and presence.
I found textile, with its capacity to convey meaning, to be the most
appropriate medium to make the intangible 'seen' or 'felt'. Bandage
has an alliance with the body where its ability to temporarily replace
skin, together with its ability to record, absorb and imprint from the
body, makes it suitable for the construction of bodily memory. These
characteristics have been deliberately intensified through the scale of
the artwork.
A survey of long-term wearers of bandage revealed an array of
personal thoughts and feelings of personal physical and emotional
conditions. The data provided the primary focus for the work. This
was further informed by a study of the history of bandage that revealed
a history shrouded within literature on ancient dressings and colonial
medicine - as well as those of textile and cultural origins. My bandages were created from gauze, cotton, linen, silk and hemp, as
well as many synthetic fabrics that were either woven or non-woven.
The fabrics have been dyed with natural dyes that I have extracted
from the bark of Tasmanian trees, and commercial synthetic dyes,
before being painted, stitched and sutured. They were then moulded
with glues and varnishes. In my interpretation of the bandage
experience, I have endeavoured to unravel the impalpable and
unseeable effects and implications of wearing bandage. I have
represented the effects as a void within each of the three dimensional
textile bandage husks. This space was created with the aim of allowing viewers time to reflect on their own experience of bandage as well as
the experience of others.
These textile wrappings are second skins, vessels of remembered
experience assembled in the format of a collection.
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"A study to determine the efficacy of chiropractic manipulation combined with Kinesio® taping in the treatment of chronic lower back pain". Thesis, 2012. http://hdl.handle.net/10210/8146.
Texto completo da fonteResumo:
M.Tech. (Chiropractic)Chronic lower back pain is a very common condition affecting 60-80% of the worlds’ population at sometime in their lives. Manual therapy, including chiropractic manipulation, has been proven to be very successful in the treatment of chronic lower back pain and reduction in muscle tension. Although chiropractic treatment alone is effective in the treatment of chronic lower back pain, chiropractors often search for adjunctive modalities to enhance the positive outcomes of their treatment. Kinesio® tape application to the lumbar para-spinal muscles has been proven to be effective in increasing lumbar range of motion and in decreasing lower back pain. The purpose of this study was to determine whether the combination of Chiropractic manipulation and Kinesio® taping of the lumbar para-spinals is a more efficient, and possibly effective, treatment protocol in the treatment of chronic lower back pain. Method: This study was a comparative study and consisted of three groups of ten participants. The participants were between the ages of eighteen and forty years of age, with a male to female ration of 1:1. The potential participants were examined and accepted according to the inclusion and exclusion criteria. Group 1 received chiropractic manipulative therapy to the lumbar spine and sacroiliac joints. Group 2 only received the application of Kinesio® tape to the lumbar para-spinal muscles. Group 3 was the combination group, and received chiropractic manipulative therapy to the lumbar spine and sacroiliac joints together with the application of Kinesio® tape to the lumbar para-spinal muscles. Subjective measurements consisted of the Numerical Pain Rating Scale and the Oswestry Pain and Disability Index and objective measurements was range of motion of the lumbar spine. Procedure: Treatment consisted of seven consultations over a three week period. Objective and subjective readings were taken at the beginning of the first, fourth and seventh consultations before treatment. Subjective readings were taken from the Numerical Pain Rating scale and the Oswestry Pain and Disability index.Objective Readings were taken from measurements taken from the Digital Inclinometer device measuring lumbar range of motion. At the first to sixth consultation participants each received their groups’ specific treatment protocol, the seventh consultation consisted of data collection only.
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De, Beer Quintin Hardus. "The relative effectiveness of Kinesio® taping methods as an adjunct to a single sacroiliac joint manipulation in the treatment of chronic sacroiliac joint syndrome". Thesis, 2013. http://hdl.handle.net/10321/939.
Texto completo da fonteResumo:
Dissertation submitted in partial compliance with the requirements for the Master’s
Degree in Technology: Chiropractic, Durban University of Technology, 2013.The lifetime incidence of low back pain is between 48% to 79% in South Africa. Globally, chronic Sacroiliac Joint Syndrome occurs in 13% to 63% of the world’s population. Therefore, chronic Sacroiliac Joint Syndrome is a significant health problem that has the potential to have a major impact on quality of life. Chronic Sacroiliac Joint Syndrome is described as an alteration in normal motion or mechanics. The Sacroiliac Joint fibrous capsule contributes to proprioceptive and nociceptive output, which may be exacerbated when the joint is in a dysfunctional state. Chronic Sacroiliac Joint Syndrome may be effectively treated by spinal manipulative therapy. Spinal manipulative therapy is professed to have four therapeutic effects – mechanical correction, pain reducing effects, circulatory increase and neurobiologic effects. Similarly, Kinesio Tex® Tape therapy is professed to have comparable therapeutic effects – circulatory increase, pain reduction and stimulation of proprioceptive systems. Spinal manipulative therapy and Kinesio Tex® Tape therapy may, therefore, have similar therapeutic effects which, if used in adjunction, may produce enhanced therapeutic effects and accelerated results regarding reduction of symptoms in patients with chronic Sacroiliac Joint Syndrome. This investigation aimed to determine whether Kinesio ® Taping methods would have any relative effect on the Sacroiliac Joint, and whether it would be appropriate to use as an adjunct to spinal manipulative therapy in the treatment of chronic Sacroiliac Joint Syndrome. The study was a prospective stratified clinical trial with three intervention groups, twenty participants in each (n = 60). All participants were 18-50 years of age and suffering from chronic Sacroiliac Joint Syndrome. Subjective measurements included the Numerical Rating Scale and Oswestry Low Back Pain Disability Index. Objective measurements included the Algometer Scores. Numerical Rating Scale and Algometer measurements were taken before and immediately after treatment at the first consultation and at the second consultation. Oswestry Low Back Pain Disability Index measurements were taken at the first and second consultation. Group One underwent spinal manipulative therapy alone, Group Two underwent Kinesio Tex® Tape therapy alone and Group Three underwent both spinal manipulative therapy and Kinesio Tex® Tape therapy in combination. Comparisons were made using the Unpaired and Paired t-tests. The results for the Inter-group analyses suggested that most comparisons were statistically insignificant (p ≥ 0.05) which indicated that all treatment groups appeared to improve to a similar degree. The results for the Intra-group analyses suggested that most comparisons were statistically significant (p < 0.05) which indicated that Kinesio Tex® Tape therapy was effective as an adjunct to spinal manipulative therapy, however not statistically more or less effective that spinal manipulative therapy or Kinesio Tex® Tape therapy alone. In conclusion, it was found that some differences did occur, however these differences were not sufficient enough to conclude that one treatment was more effective than the other. Further research with a larger sample size, more frequent treatments and follow-ups, a more homogenous stratification of age, ethnic group, gender, side of diagnosis and categorizing participant occupation is needed in order for the power of the study to be amplified and, therefore, any results would carry more weight.
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Radford, Joel A., University of Western Sydney, College of Health and Science e School of Biomedical and Health Sciences. "The effectiveness of low-Dye taping and calf muscle stretching for plantar heel pain". 2007. http://handle.uws.edu.au:8081/1959.7/20153.
Texto completo da fonteResumo:
Plantar heel pain is a common disorder that can involve considerable pain. Many treatments have been suggested to manage the condition however few have been rigorously evaluated. Two treatments commonly recommended in clinical practice are adhesive taping applied to the foot and calf muscle stretching. The effectiveness of neither treatment is supported by good quality evidence. Aim: To examine the effectiveness of two short-term interventions, low-Dye taping and calf muscle stretching, for the treatment of plantar heel pain. In addition, the effect of the interventions on biomechanical variables was investigated. Design: Four studies were undertaken in the thesis. The first study in the thesis (Chapter 3) investigated the biomechanical effect of low-Dye taping on the lower limb by systematically reviewing appropriate clinical trials. Meta-analyses were undertaken where appropriate. The second study (Chapter 4) was a blinded randomised trial conducted to evaluate the effectiveness of low-Dye taping for the short-term treatment of plantar heel pain. The third study (Chapter 5) investigated the effect of calf muscle stretching on ankle joint range of motion by systematically reviewing appropriate clinical trials. Meta analyses were again undertaken where appropriate. The fourth and final study (Chapter 6) was another blinded randomised trial conducted to evaluate the effectiveness of calf muscle stretching for the short-term treatment of plantar heel pain. Setting: Both randomised trials were conducted at a university-based clinic in Sydney, Australia. Participants In the randomised trials, 184 participants who met the inclusion and exclusion criteria for plantar heel pain were recruited from the local community. In the first trial 92 participants were evaluated over a one-week period and randomly allocated to receive either low-Dye taping or a sham intervention. In the second trial 92 participants were evaluated over a two-week period and randomly allocated to receive either calf muscle stretching or a sham intervention. Outcome measures In the first systematic review, all trials that met the inclusion and exclusion criteria evaluated the effect of low-Dye taping on kinematic, kinetic and electromyographic outcomes. For the second systematic review, all trials that met the inclusion and exclusion criteria examined the effect of calf muscle stretching on the outcome of ankle joint dorsiflexion range of motion. Both randomised trials in this thesis used the Visual Analogue Scale and the Foot Health Status Questionnaire as primary outcomes. In the stretching randomised trial secondary outcomes were also assessed, namely the Foot Posture Index-6 and the Ankle Lunge Test. Results: The first systematic review found that low-Dye taping provides a small, statistically significant increase in navicular height immediately after application (weighted mean difference 5.90mm; 95% confidence interval 0.41 to 11.39; p=0.04)1 indicating a reduction in foot pronation. However, after exercise, taping had no statistically significant effect on navicular height (weighted mean difference 4.70mm; 95% confidence interval –0.61 to 10.01; p=0.08). In addition, taping had no statistically significant effect on maximum rear foot eversion (weighted mean difference –0.59°; 95% confidence interval ����2.53 to 1.35; p=0.55) or total rear foot range of motion while walking (weighted mean difference 2.3°; 95% confidence interval –0.64 to 5.24; p=0.13). The first randomised trial found that low-Dye taping had a significantly greater decrease in ‘first-step’ pain compared to a control group. The estimate of the mean difference between the groups (measured on 100mm Visual Analogue Scale) favoured the taping group (-12.3mm; 95% confidence interval -22.4 to -2.2; p=0.017). There 1 P values are provided to three decimal places except when values were generated using systematic review software, Review Manager 4.2.7, which sometimes only calculates results to two decimal places. were no differences detected in any of the other outcome measures. The taping was associated with mild to moderate short-lived adverse events that could be minimised with the use of hypoallergenic tape and careful application of the tape to reduce tightness. The second systematic review found that calf muscle stretching provides a small, statistically significant increase in ankle joint dorsiflexion. Stretching for ≤15 minutes (in a single session or accumulated over multiple sessions) provides a weighted mean difference of 2.07° (95% confidence interval 0.86 to 3.27; p(less than)0.001). 15 to 30 minutes (accumulated over multiple sessions) increased dorsiflexion by a weighted mean difference of 3.03° (95% confidence interval 0.31 to 5.75; p=0.03), and >30 minutes of stretching (accumulated over multiple sessions) increased dorsiflexion by a weighted mean difference of 2.49° (95% confidence interval 0.16 to 4.82; p=0.04) indicating no further increase in dorsiflexion is achieved by stretching for >30 minutes. The second randomised trial found that calf muscle stretching compared to a control group, had no significant effect on ‘first-step’ pain, foot pain, foot function or general foot health. Stretching was associated with mild to moderate adverse effects that were short-lived once stretching ceased. Conclusion: When used for the treatment of plantar heel pain, low-Dye taping provides a small increase in navicular height, and after one week, produces a small reduction in the ‘first-step’ pain. Calf muscle stretching increases ankle joint dorsiflexion approximately 2 to 3 degrees but has no effect on plantar heel pain after two weeks. It can therefore be concluded that low-Dye taping is effective for the short-term treatment of the ‘first-step’ pain associated with plantar heel pain, but calf muscle stretching is not effective for plantar heel pain.Doctor of Philosophy (PhD)
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Moti, Harsha. "The effect of three types of strapping on chronic ankle instability syndrome". Thesis, 2017. http://hdl.handle.net/10321/2534.
Texto completo da fonteResumo:
Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, Durban, South Africa, 2017.Background: Acute ankle sprains and chronic ankle instability syndrome (CAIS) may be managed effectively through conservative management approaches such as strapping. There are two main types of strapping viz. rigid tape which is used to stabilise the joint and limit joint motion and elastic tape which permits joint motion but provides dynamic support. Kinesio™ tape is becoming increasingly popular in the management of various conditions. It is reportedly beneficial in reducing pain, improving circulation, increasing proprioception and correcting muscle function. Due to claimed benefits of Kinesio™ tape, it should, in theory, be beneficial in the management of individuals with CAIS particularly in terms of reducing pain and improving proprioception. AIM: To investigate the effect of three types of strapping applied in the method described for the application of Kinesio™ tape in the management of CAIS. METHODS This study consisted of three groups of 15 participants (recruited through convenience sampling) with each group receiving a different tape (i.e. rigid, elastic or Kinesio™ tape), all three groups, however, received the same taping method which was the Kinesio™ tape functional correction application. After obtaining informed consent each participant underwent a case history, physical examination and a foot an ankle orthopaedic examination. Thereafter, baseline measurements of subjective pain rating (NRS-101), pain threshold (analogue algometer), ankle dorsiflexion, plantarflexion and inversion (analogue goniometer) and proprioception (Biodex Biosway portable balance system) were documented. Depending on the group, the particular tape was then applied and a follow up consultation was made for two to three days later where the tape was removed, measurements were reassessed and the tape was reapplied. At the final consultation three to four days later, the tape was removed and final measurements were assessed and documented. Statistical intra- (using Wilcoxon Signed Ranks Test) and inter-group (using the Mann-Whitney U-test) analyses of the data were performed due to a skewed distribution of the variables. Data was analysed using SPSS version 21.0 with the level of significance set at 0.05. RESULTS The mean (± SD) age of the participants was 24.8 (4.7) and there were 23 male participants in total. Intra-group analyses of subjective outcome measurements showed significant increases (p < 0.05) in subjective pain rating in all three groups across all consultations. Similarly, intra-group analyses of objective outcome measurements found significant increases (p < 0.05) in pain threshold and dorsiflexion range of motion in all three groups across all consultations. Plantarflexion and inversion range of motion also showed significant increases (p < 0.05) but these were not consistent across all consultations. Intra-group analyses of the sway index showed no significant improvements (p > 0.05) in Groups Two and Three across the three consultations. Only Group One showed significant increases during the eyes open foam surface (EOFoS) (p = 0.013) and eyes closed foam surface (ECFoS) (p = 0.047) test conditions between Consultations One and Two. Inter-group analyses of subjective outcome measurements showed no significant increases (p > 0.05) in subjective pain rating across each of the three consults in all three groups. Inter-group analyses of objective outcome measurements revealed a significant increase in pain threshold (p = 0.040) between Groups Two and Three at Consultation One. There was a significant increase in plantarflexion between Groups One and Three at Consultation Two (p = 0.021) and Consultation Three (p = 0.030). There were no other significant results amongst the three groups. CONCLUSION The results suggest that pain rating, pain threshold and ankle dorsiflexion would improve if taping is applied in the manner described for Kinesio™ tape irrespective of the type of taping used in the management of CAIS. The taping method did not result in a significant difference in proprioception. Further studies, with larger sample sizes are required to confirm the findings of this study and to determine the role of taping in the management of CAIS.
M
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French, Juandre. "The efficacy of utilizing Kinesio® taping in isolation or in combination with spinal manipulation in the treatment of chronic neck pain". Thesis, 2014. http://hdl.handle.net/10210/10348.
Texto completo da fonteResumo:
M.Tech. (Chiropractic)Introduction: Neck pain is a common condition which affects up to 70 percent of people at some point in their lives, and at any given time about 10 to 20 percent of the population reports neck problems. Although spinal manipulation on its own is effective in the treatment of chronic neck pain, chiropractors continue to search adjunctive modalities to improve the positive outcomes of their treatment. Therefore, it is important to look for the best possible treatment protocol as well as research alternatives, should contraindications for present protocols, such as spinal manipulation, arise. One such alternative could be Kinesio® taping. The purpose of this study was to determine the efficacy of utilising Kinesio® taping, spinal manipulation or the two therapies combined, for the treatment of chronic neck pain. It will also provide further evidence on the efficacy of spinal manipulation and Kinesio® taping in isolation. Method: This study was a comparative study consisting of three groups of ten participants. The method of treatment was determined by random group allocation. Group 1 received spinal manipulation to restriction(s) of the cervical spine only. Group 2 received Kinesio® taping to the longissimus cervicis muscles only. Group 3 received a combination of spinal manipulation and Kinesio® taping as previously described. Subjective measurements consisted of the Vernon-Mior Neck Pain and Disability Index and the Numerical Pain Rating Scale (NPRS) and objective measurements was assessed in degrees by making use of the Cervical-range-of-motion (CROM) instrument. Procedure: There were seven consultations in total. There were six treatment consultations over three weeks. The seventh consultation consisted of data collection only. Subjective and objective measurements were taken prior to treatment on the first and fourth consultation, and on the seventh consultation where no treatment took place. Subjective readings were taken from the Vernon-Mior Neck Pain and Disability Index and the NPRS. Objective readings were assessed in degrees by making use of the Cervical-range-of-motion (CROM) instrument. Results: It was evident from the data that all three groups responded well to their respective treatment protocols. With regards to the subjective measurements Group 1, 2 and 3 demonstrated statistically significant improvement in both neck pain severity and functional disability. As Group 1 had the highest clinical improvement with regards to the NPRS, it indicates that the Group 1 treatment protocol was more effective in decreasing the pain intensity throughout the treatment period. All three groups responded similarly with regards to the Vernon-Mior Neck Pain and Disability Index, although Group 1 responded the best clinically. With regards to the objective measurements Group 1, 2 and 3 demonstrated statistically significant improvement in all ranges of motion of the cervical spine. However, it was found that Group 3 clinically responded best to treatments in all the ranges of motion except for right lateral flexion in which Group 2 responded best to treatment. Conclusion: The study showed that the treatment protocols for Group 1, 2 and 3 were effective in treating chronic neck pain. The evidence suggests that the Group 1 treatment protocol, which received spinal manipulation, is more effective than Kinesio® taping alone and the two therapies combined in decreasing pain intensity and functional disability in the treatment of chronic neck pain. The evidence further suggests that the Group 3 treatment protocol, which received spinal manipulation in combination with Kinesio® taping, is more effective than spinal manipulation and Kinesio® taping alone in increasing all cervical spine ranges of motion in the treatment of chronic neck pain.
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Strickland, Lindsay J. "Ankle bracing alters knee and ankle kinematics but not ground reaction forces during a jump-landing". 2005. http://www.oregonpdf.org.
Texto completo da fonteResumo:
Thesis (M.A.)--University of North Carolina at Chapel Hill, 2005.Includes bibliographical references (leaves 109-114). Also available online (PDF file) by a subscription to the set or by purchasing the individual file.
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Maruggi, Marco. "The effect of Kinesio tape® on post dry needling soreness in the treatment of trapezius trigger point one". Thesis, 2014. http://hdl.handle.net/10210/10349.
Texto completo da fonteResumo:
M.Tech. (Chiropractic)Myofascial Pain Syndrome, is a common source of frustration for both healthcare practitioners and patients. It is the second most common reason for patients visiting their health care practitioner and constitutes up to 85% of the reasons for visits to pain clinics (Han and Harrison, 1997). As muscle pain is the most common work-related injury (Hubbard, 1998), it costs billions of dollars in lost revenue every year due to lost productivity (Fricton, 1990). Hong (1994), states that dry needling has been extensively studied and has been shown to decrease or even abolish myofascial pain. However post dry needling soreness is a common side effect of dry needling. Stuart (2010), states that applying kinesio tape® to a musculoskeletal injury during rehabilitation could result in a quicker recovery by allowing the body to biomechanically heal itself. Garcia-Mura et al (2009), results suggest that kinesio tape® is a method highly appropriate in the treatment of myofascial trigger points by normalising muscular function, increasing lymphatic and vascular flow, diminishing pain and aid in the correction of possible articular malalignment. The aim of this study was to determine the effects that kinesio tape® has on the trapezius trigger point one post needling, to determine whether there is an increase in the therapeutic effect of dry needling and an increased recovery time of the myofascial trigger points, with regards to changes in pressure pain threshold, pain and cervical range of motion. Participants for this study were recruited either by an advertisement which was placed on the information board of the Chiropractic Day Clinic at the University of Johannesburg as well as advertisements placed in and around the University of Johannesburg at the Doornfontein Campus. Also, many participants were made aware of this study via word of mouth from candidates already involved in the study. Thirty participants were randomly assigned into one of two groups, each consisting of 15 participants. Group A received dry needling of the trapezius trigger point one followed by the application of kinesio tape® whereas group B received dry needing of trapezius trigger point one only. Participants were treated 5 times with objective and subjective measurements taken at the 1st, 3rd and 5th visits. Objective measurements consisted of readings taken with an algometer and cervical range of motion (CROM) device. The subjective measurements consisted of the Numerical Pain Rating Scale (NPRS) and the Vernon Mior Neck Disability Index. The results of the study showed clinically and statistical significant improvements for both groups in regards to alleviating pain subjectively (Numerical Pain Rating Scale and Vernon-Mior Neck Pain and Disability Index), increasing pressure pain threshold objectively (Algometer) and increasing range of motion objectively (Cervical Range of Motion device). However group A (dry needing and kinesio tape®) showed a greater improvement in both subjective and objective measurements. Based on the results of the study, it could be concluded that both dry needling on its own as well as applying kinesio tape® post dry needling can be effective in the treatment of myofascial trigger points in the upper trapezius muscle, however applying kinesio tape® post dry needling seemed to be more effective.
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Radford, Joel A. "The effectiveness of low-Dye taping and calf muscle stretching for plantar heel pain". Thesis, 2007. http://handle.uws.edu.au:8081/1959.7/20153.
Texto completo da fonteResumo:
Plantar heel pain is a common disorder that can involve considerable pain. Many treatments have been suggested to manage the condition however few have been rigorously evaluated. Two treatments commonly recommended in clinical practice are adhesive taping applied to the foot and calf muscle stretching. The effectiveness of neither treatment is supported by good quality evidence. Aim: To examine the effectiveness of two short-term interventions, low-Dye taping and calf muscle stretching, for the treatment of plantar heel pain. In addition, the effect of the interventions on biomechanical variables was investigated. Design: Four studies were undertaken in the thesis. The first study in the thesis (Chapter 3) investigated the biomechanical effect of low-Dye taping on the lower limb by systematically reviewing appropriate clinical trials. Meta-analyses were undertaken where appropriate. The second study (Chapter 4) was a blinded randomised trial conducted to evaluate the effectiveness of low-Dye taping for the short-term treatment of plantar heel pain. The third study (Chapter 5) investigated the effect of calf muscle stretching on ankle joint range of motion by systematically reviewing appropriate clinical trials. Meta analyses were again undertaken where appropriate. The fourth and final study (Chapter 6) was another blinded randomised trial conducted to evaluate the effectiveness of calf muscle stretching for the short-term treatment of plantar heel pain. Setting: Both randomised trials were conducted at a university-based clinic in Sydney, Australia. Participants In the randomised trials, 184 participants who met the inclusion and exclusion criteria for plantar heel pain were recruited from the local community. In the first trial 92 participants were evaluated over a one-week period and randomly allocated to receive either low-Dye taping or a sham intervention. In the second trial 92 participants were evaluated over a two-week period and randomly allocated to receive either calf muscle stretching or a sham intervention. Outcome measures
In the first systematic review, all trials that met the inclusion and exclusion criteria evaluated the effect of low-Dye taping on kinematic, kinetic and electromyographic outcomes. For the second systematic review, all trials that met the inclusion and exclusion criteria examined the effect of calf muscle stretching on the outcome of ankle joint dorsiflexion range of motion.
Both randomised trials in this thesis used the Visual Analogue Scale and the Foot Health Status Questionnaire as primary outcomes. In the stretching randomised trial secondary outcomes were also assessed, namely the Foot Posture Index-6 and the Ankle Lunge Test. Results: The first systematic review found that low-Dye taping provides a small, statistically significant increase in navicular height immediately after application (weighted mean difference 5.90mm; 95% confidence interval 0.41 to 11.39; p=0.04)1 indicating a reduction in foot pronation. However, after exercise, taping had no statistically significant effect on navicular height (weighted mean difference 4.70mm; 95% confidence interval –0.61 to 10.01; p=0.08). In addition, taping had no statistically significant effect on maximum rear foot eversion (weighted mean difference –0.59°; 95% confidence interval ����2.53 to 1.35; p=0.55) or total rear foot range of motion while walking (weighted mean difference 2.3°; 95% confidence interval –0.64 to 5.24; p=0.13). The first randomised trial found that low-Dye taping had a significantly greater decrease in ‘first-step’ pain compared to a control group. The estimate of the mean difference between the groups (measured on 100mm Visual Analogue Scale) favoured the taping group (-12.3mm; 95% confidence interval -22.4 to -2.2; p=0.017). There 1 P values are provided to three decimal places except when values were generated using systematic review software, Review Manager 4.2.7, which sometimes only calculates results to two decimal places. were no differences detected in any of the other outcome measures. The taping was associated with mild to moderate short-lived adverse events that could be minimised with the use of hypoallergenic tape and careful application of the tape to reduce tightness. The second systematic review found that calf muscle stretching provides a small, statistically significant increase in ankle joint dorsiflexion. Stretching for ≤15 minutes (in a single session or accumulated over multiple sessions) provides a weighted mean difference of 2.07° (95% confidence interval 0.86 to 3.27; p(less than)0.001). 15 to 30 minutes (accumulated over multiple sessions) increased dorsiflexion by a weighted mean difference of 3.03° (95% confidence interval 0.31 to 5.75; p=0.03), and >30 minutes of stretching (accumulated over multiple sessions) increased dorsiflexion by a weighted mean difference of 2.49° (95% confidence interval 0.16 to 4.82; p=0.04) indicating no further increase in dorsiflexion is achieved by stretching for >30 minutes. The second randomised trial found that calf muscle stretching compared to a control group, had no significant effect on ‘first-step’ pain, foot pain, foot function or general foot health. Stretching was associated with mild to moderate adverse effects that were short-lived once stretching ceased. Conclusion: When used for the treatment of plantar heel pain, low-Dye taping provides a small increase in navicular height, and after one week, produces a small reduction in the ‘first-step’ pain. Calf muscle stretching increases ankle joint dorsiflexion approximately 2 to 3 degrees but has no effect on plantar heel pain after two weeks. It can therefore be concluded that low-Dye taping is effective for the short-term treatment of the ‘first-step’ pain associated with plantar heel pain, but calf muscle stretching is not effective for plantar heel pain.
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Zuidewind, Mark. "The effect of Kinesio ª taping space-correction-technique on post-needling soreness in the trapezius muscle trigger point two". Thesis, 2011. http://hdl.handle.net/10321/717.
Texto completo da fonteResumo:
Dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, 2011.Dry needling (DN) fanning technique is an effective treatment for myofascial trigger points (MTP), however, it causes swelling and intramuscular haemorrhage which results in post-needling soreness (PNS). Kinesio ® taping space-correction-technique (KTSCT) is claimed to aid in reducing pain by decreasing inflammation, increasing circulation and lymphatic drainage. This in theory indicates that Kinesio ® taping could reduce/alleviate PNS pain after DN. Objective: The purpose of this study was to determine the effectiveness of KTSCT utilizing Kinesio ® Tex Gold tape in reducing the level of PNS associated with DN a trapezius muscle trigger point two. Method: Forty five patients with active trapezius muscle MTP two were randomly allocated into one of three treatment groups. All groups received a standardized DN treatment. Thereafter, group one received no further treatment and acted as the control group, group two received an application of KTSCT utilizing Kinesio ® Tex Gold tape, while group three received a non-proprioceptive hypoallergenic tape application. Assessments were made pre-, post-treatment and at a follow-up consultation on the following day once the taping application was removed. Assessments included numerical pain rating scale-101 (NRS-101), a pain diary and algometer readings. Results: Group three showed an improvement over the control group, however, it was not a statistically significant improvement in any of the assessments. Group two showed statistically significant improvement over the control in the pain diary and algometer readings overall. Results from the NRS-101, showed that group two had a statistically significant improvement when compared to the control group over the time interval when the Kinesio ® Tex Gold tape was applied to the patient. Conclusion: KTSCT utilizing Kinesio ® Tex Gold tape had a greater effect in reducing the level of PNS associated with DN a trapezius muscle trigger point two, when compared with either a non-proprioceptive hypoallergenic tape application or a control group.
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Petzer, Justin L. "An investigation into the effectiveness of two different taping techniques in the treatment of plantar fasciitis". Thesis, 2015. http://hdl.handle.net/10321/1325.
Texto completo da fonteResumo:
Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Department of Chiropractic, Faculty of Health Sciences, Durban University of Technology, Durban, South Africa. 2015.Background: Plantar fasciitis (PF) is inflammation of the plantar surface of the foot, usually at the calcaneal attachment and is most commonly due to overuse. It is the most common foot condition treated by healthcare providers. Conservative treatment using taping is one of the first lines of treatment for PF. Low-Dye taping and Kinesio taping are two types of taping techniques commonly used to treat PF. Low-Dye taping and Kinesio taping have different intrinsic tape properties as well as different mechanisms of action in the treatment of PF. Low-Dye taping involves the use of a non-stretch, rigid tape. Rigid tape is commonly used by therapists primarily for the mechanical properties the tape provides to support the injured structure as well as to protect against re-injury. Low-Dye taping shortens the distance between origin and insertion of the plantar musculature and fascia, decreasing stress and tensile forces along the plantar plate to protect the plantar fascia and allow healing to occur. Kinesio tape is an elastic tape that allows a one-way longitudinal stretch; it is applied in a specific manner to achieve its therapeutic effects and forms convolutions on the skin. The proposed mechanism of action of Kinesio tape involves improving circulation of blood and lymphatics to resolve oedema caused by the inflammatory component of PF; suppressing pain, and; relieving muscle tension to return fascia and muscle functioning to normal. Both forms of tape have shown effectiveness in the treatment of PF; however the effectiveness of one taping technique versus the other has not yet been explored. Objectives: The purpose of this study was to determine the effectiveness of Kinesio tape alone versus Low-Dye tape alone in the treatment of PF in terms of both objective and subjective measures. Methods: Thirty participants with a diagnosis of PF, between the ages of 20 and 45, were randomly allocated into two treatment groups. Both groups received treatment in the form of a taping technique, either Kinesio tape or Low-Dye tape. Assessments were made pre-treatment at each visit and at a follow up visit, with seven visits in total. Assessments included objective data measures (ultrasonography, algometer readings, weight-bearing ankle dorsiflexion measurements) and subjective measures (the visual analogue scale and the foot function index questionnaire). Data was recorded in a data collection sheet and Statistical Package for the Social Sciences version 21 was used to analyze the data with a p value of < 0.05 considered as being statistically significant. Results: Most outcomes showed a significant improvement over time regardless of which form of treatment they received. For the VAS and pain walking outside, in the disability section of the FFI, there was statistical evidence of the Kinesio tape group improving more than the Low-Dye tape group. For morning pain, in the pain section of the FFI, and pain climbing curbs, in the disability section of the FFI, there was statistical evidence of the Low-Dye tape group improving more than the Kinesio tape group. For all the other outcomes there was a non-significant trend towards the Low-Dye tape group showing a greater improvement than the Kinesio tape group. Conclusion: Kinesio taping and Low-Dye taping were both found to be effective in the treatment of PF with neither form of tape showing superiority to the other in the treatment of PF.
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Lucas, Peter. "Zur Auslegung von Faserverbund-Bandagen für Elektromotoren". 2019. https://tud.qucosa.de/id/qucosa%3A71562.
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Bandagen werden seit Jahrhunderten für statisch sowie dynamisch belastete Bauteile eingesetzt. Neben Metallen bietet sich auch die Nutzung von Faserkunststoffverbunden als Bandagenwerkstoff an, da diese über vergleichsweise hohe spezifische Festigkeiten und Steifigkeiten verfügen. Sehr häufig finden Bandagen bei rotationsbelasteten Körpern wie Zentrifugen, Elektromotoren und Schwungrädern Verwendung, da bei diesen aufgrund ihrer Funktionsweise der eigentliche Rotationskörper zumeist nicht aus hochfesten Werkstoffen bestehen kann. Dabei dienen Bandagierungen dazu, den sicher nutzbaren Einsatzbereich weiter zu steigern. In diesen Fällen werden zumeist Umfangsbandagen aus Faserkunststoffverbunden eingesetzt, welche die aus der Zentrifugalkraft resultierenden radialen Kräfte und die zusätzlichen aus der Funktionsweise resultierenden tangentialen oder axialen Kräfte aufnehmen.
Ausgehend von rotationssymmetrischen Bauteilen mit über den Umfang homogener rotationssymmetrischer Masseverteilung, rotationssymmetrischem Materialverhalten, etwa isotrop oder polarorthotrop, und zentrischer Drehachse kann idealisiert von einer rein radialen Verformung (Aufweitung) ausgegangen werden.
In Abweichung zu den idealisierten Annahmen weisen technische Anwendungen, wie etwa Elektromotoren und Zentrifugen häufig keine homogene rotationssymmetrische Masseverteilung auf. Dies führt zwangsläufig dazu, dass die Aufweitungen dieser Körper unter Rotationslast inhomogen sind. Dadurch werden in applizierten Umfangsbandagen lokale Spannungserhöhungen induziert, welche zu einem vorzeitigen lokalen Materialversagen führen können.
Mit der Promotion wurde ein grundlegendes Verständnis für die auftretenden Effekte innerhalb von inhomogen belasteten, dünnwandigen Faserkunststoffverbund-Bandagen – am Beispiel eines Klauenpolrotors für einen Elektromotor – entwickelt. Dabei wurden die Grundlagen für eine effiziente und sichere Auslegung von dünnwandigen Bandagen für Rotoren mit inhomogener Masseverteilung geschaffen.
Auf Grundlage aller getätigten Untersuchungen wurden Empfehlungen zur geeigneten Werkstoffcharakterisierung, numerischen Analyse, Wahl geeigneter Versagenskriterien, Fertigung und Prüfung von Faserkunststoffverbund-Bandagen mit duroplastischer Matrix für Elektromotoren abgeleitet.:1 Einleitung
2 Elektromotoren für Elektrofahrzeuge
2.1 Elektromotoren
2.1.1 Aufbau und Wirkungsweise von Asynchronmaschinen
2.1.2 Aufbau und Wirkungsweise von Synchronmaschinen
2.2 Anforderungen des MotorBrain-Projekts an den Motor
2.3 Klauenpolrotoren
2.4 Soft-Magnetic-Composites
2.4.1 Herstellung von SMC-Bauteilen aus Somaloy Pulvern
2.4.2 Materialeigenschaften von SMC-Pressbauteilen
2.4.3 Mechanische Kennwerte von ausgewählten SMC
2.5 Hartferrit-Magnete
2.6 Ausgewählte Werkstoffe für die Rotorbandagierung
2.6.1 Nickelbasis-Legierungen
2.6.2 Edelstahl
2.6.3 Titan
2.6.4 Glasfaserverstärkter Kunststoff
2.6.5 Kohlenstofffaserverstärkter Kunststoff
3 Neuartiger Klauenpolrotor mit axialen Ringmagneten
3.1 Randbedingungen
3.2 Konzepte für neuartige Klauenpolrotoren
3.2.1 Klauenpolgrundkörper aus Soft-Magnetic-Composites
3.2.2 Numerische Analyse der vorgestellten Konzepte
3.2.3 Klauenpolgrundkörper aus Elektroblech mit eingesetzten SMC-Klauen
3.3 Weiterentwicklung des hybriden Klauenpolrotors
4 Versagenskriterien für die Auslegung von dünnwandigen Faser-Kunststoff-
Bandagen
4.1 Phänomenologische Unterscheidung der Bruchformen
4.2 Makromechanische Versagenskriterien
4.2.1 Maximalspannungs- und Maximaldehnungshypothesen
4.2.2 Interaktionskriterium nach Hill
4.2.3 Interaktionskriterium nach Tsai-Wu
4.2.4 Kritische Würdigung der makromechanischen Versagenskriterien
4.3 Mesomechanische Kriterien
4.3.1 Versagenskriterium nach Hashin
4.3.2 Versagenskriterium nach Puck
4.3.3 Versagenskriterium nach Langley Research Center – LaRC 05
4.3.4 Versagenskriterium nach Cuntze
4.3.5 Versagenskriterium nach Vogler
4.3.6 Kritische Würdigung der mesomechanischen Versagenskriterien
5 Auslegung des Rotors
5.1 Vorstellung des Berechnungsmodells
5.1.1 Versagenskriterien
5.1.2 Materialkennwerte
5.1.3 Vernetzung und Elementtypen
5.1.4 Kontakt-Definition
5.1.5 Lagerung
5.2 Prinzipielles Spannungs-Verformungs-Verhalten
5.2.1 Einfluss der Rotationsgeschwindigkeit auf die Verformung
5.2.2 Einfluss der Rotationsgeschwindigkeit auf die Spannungen
5.3 Untersuchung der Bandagendicke
5.4 Einfluss der Haftreibung
5.5 Einfluss der magnetischen und rotatorischen Kräfte
5.6 Einfluss der Vorspannung sowie der Rotortemperatur
5.7 Einfluss des Bandagenaufbaus
6 Fertigung und Test der Prototypen
6.1 Gestaltung und Fertigung
6.2 Zerstörungsfreie Untersuchung
6.3 Zerstörende Untersuchung
7 Gegenüberstellung der Berechnungs- und Testergebnisse
7.1 Randbedingungen der Simulation
7.2 Einfluss der Modellierung
7.3 Vergleich der Simulationsergebnisse für Testrotor 1
7.4 Vergleich der Simulationsergebnisse für Testrotor 2
7.5 Schlussfolgerungen
8 Empfehlungen
8.1 Materialkennwerte
8.2 Numerische Analyse
8.3 Fertigung
8.4 Experimentelle Untersuchungen
9 Zusammenfassung
10 Literaturverzeichnis
11 Anhang
46
Henry, Justin Michael. "The relative effectiveness of non-steroidal anti-inflammatory drugs (Ibuprofen®) and a taping method (Kinesio Taping® Method) in the treatment of episodic tension-type headaches". Thesis, 2009. http://hdl.handle.net/10321/521.
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Dissertation submitted in partial compliance with the requirements for a Masters Degree in Technology: Chiropractic, Durban University of Technology, 2009.Headaches are one of the most common clinical conditions in medicine, and 80% of these are tension-type headaches (TTH). TTH has a greater socioeconomic impact than any other type of headache due to its prevalence. Within the TTH category, episodic TTH are more prevalent than chronic TTH. The mainstay in the treatment of TTH are simple analgesics and NSAIDs. Unless contraindicated, NSAIDs are often the most effective treatment for ETTH. However patients suffering with TTH tend to relate their headaches to increased muscle stiffness in the neck and shoulders and thus the non-pharmacological treatment of ETTH could be directed at the associated musculoskeletal components of ETTH. It is therefore proposed that the Kinesio Taping® Method may have an effect in the treatment of the muscular component of ETTH. Method: This study was a prospective randomised clinical trial with two intervention groups (n=16) aimed at determining the relative effectiveness of a NSAID and the Kinesio Taping® Method in the treatment of ETTHs. The patients were treated at 5 consultations over a 3 week period. Feedback was obtained using the: NRS – 101, the CMCC Neck Disability Index and a Headache Diary. Results: The Headache Diary showed a reduction in the presence and number, mean duration and pain intensity of ETTH in both groups. These treatment effects were sustained after the cessation of treatment with the exception of mean pain intensity in the Kinesio Taping® Method group. The mean NRS score decreased in both groups but at a slightly faster rate in the Kinesio Taping® Method group. The CMCC showed an improvement in the functional ability of the patients in both groups. Conclusion: There seems to be no significant difference in the relative effectiveness of the treatment modalities. We can thus state that the overall short-term reduction in symptomatology supports the use of NSAIDs or Kinesio Taping® Method in the treatment of ETTH.
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Korella, Nicole Svenja [Verfasser]. "Bewertung des Einflusses von Bandagen und Gamaschen auf das Volumen der Vorder- und Hintergliedmaßen des Pferdes in Bewegung anhand perometrischer Messungen / vorgelegt von Nicole Svenja Korella". 2007. http://d-nb.info/987890689/34.
Texto completo da fonte
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Bjerregaard, Jørgensen Mille, e Laura Ane Jakobsen. "Description of Orthotists Level of Involvement in Early Post Stroke Management in Denmark: A Cross-Sectional Survey". Thesis, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-52801.
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Background: Following a stroke the ability to walk is often impaired due to compromised motor-control, muscle weakness and spasticity, resulting in deviations during gait. Ankle-foot orthoses (AFO) can be used for people with hemiparesis to improve stability during stance phase and clearance during swing phase. There has been much discussion whether AFOs have a positive effect during early rehabilitation post stroke (in this study defined as six weeks from the initial stroke onset).Objectives: The aim was to describe the level of involvement of Danish Certified Prosthetists and Orthotists (CPO) in early rehabilitation of stroke patients in Denmark, and to describe danish orthotists view on their involvement in early rehabilitation of stroke patients.Method: A cross-sectional survey, in form of a self-administered questionnaire, was conducted during March and April 2021 in Denmark. The survey was sent to Danish CPOs who were currently members of the Danish professional organization for prosthetists/orthotists. A total of 110 members received the questionnaire by e-mail, 80 of which were registered as certified. The questionnaire consisted of 43 items (of which a minimum of 26 questions needed answering) with mainly closed ended questions. Descriptive statistics were used for data analysis, with frequencies, percentage and summarizing tables.Results: The response rate was 31.25 % (n=25). The survey demonstrated that only few participants (n=3) were involved in early gait rehabilitation, stroke patients were seen as out-patients in orthotic clinics (92%, n=23), usually 4–6-month post stoke (44%, n=11) and often with a referral from another member of the multidisciplinary team (MDT) (56%, n=14). Danish CPOs believed that orthotic assessment was an essential part of gait re-education (80% n=20), and that the orthotist should be part of the early gait rehabilitation (88%, n=22). Most of the orthotists (72%, n=18) were confident in recommending a treatment plan including lower extremity orthosis and were confident in advising the multidisciplinary team (MDT) in the use of orthosis (80%, n=20).Conclusion: It is uncommon for danish CPOs to be involved in the early rehabilitation of stroke patients and the Danish CPOs often first meet the patient late in the rehabilitation process. The CPOs believe that they should be part of early gait rehabilitation and that orthotic assessment should be part of gait re-education.