The use of adhesive elastic tape for hand oedema control in patients with a wrist fracture treated in a cast: A pilot study

Massimo Guasconi , Dania Zilli Riboni , Andrea Civardi , Marina Bolzoni , Carlotta Granata , Maurizio Beretta , Anna Genovese , Fabio Mozzarelli , Fabrizio Quattrini , Pietro Maniscalco
{"title":"The use of adhesive elastic tape for hand oedema control in patients with a wrist fracture treated in a cast: A pilot study","authors":"Massimo Guasconi ,&nbsp;Dania Zilli Riboni ,&nbsp;Andrea Civardi ,&nbsp;Marina Bolzoni ,&nbsp;Carlotta Granata ,&nbsp;Maurizio Beretta ,&nbsp;Anna Genovese ,&nbsp;Fabio Mozzarelli ,&nbsp;Fabrizio Quattrini ,&nbsp;Pietro Maniscalco","doi":"10.1016/j.ijotn.2023.101059","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The adhesive elastic tape use is indicated for controlling oedema, although currently there is not the definitive evidence regarding its effectiveness. Wrist fractures are a frequent occurrence, often leading to oedema development in patients treated with forearm casts.</p><p>This pilot study aims to investigate the effects of elastic tape in controlling hand oedema among patients with forearm casts for wrist fractures and the feasibility of a future randomized controlled trial.</p></div><div><h3>Methods</h3><p>The study was conducted on adult patients with unilateral conservatively treated wrist fracture. The tape was applied to the intervention group after cast application, while the control group received the standard treatment. The circumference difference between baseline and the 7-day follow-up of both the 1st finger and the remaining 4 fingers merged together was evaluated. Ethical approval for the study has been obtained.</p></div><div><h3>Results</h3><p>23 participants were enrolled. The intervention group showed a higher reduction in finger circumferences compared to the control group (median difference T1-T0 No tape <em>vs</em> Tape: 0 cm <em>vs</em> −0.2 cm for the 1st finger and 0.5 cm <em>vs</em> −0.5 cm for the remaining 4 fingers), although the changes were not statistically significant.</p></div><div><h3>Conclusion</h3><p>Although the number of enrolled patients was limited due to Covid-19 pandemic, the study results suggest a potential reduction in oedema after the use of adhesive elastic tape, justifying the needed of a future full-scale study. Given its low cost and ease of use, we believe that tape can be considered in clinical practice.</p></div><div><h3>Trial registration</h3><p><span>ClinicalTrials.gov</span><svg><path></path></svg> Identifier: NCT04683887.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124123000631/pdfft?md5=080d1d9462327f386e377fdfc32c84af&pid=1-s2.0-S1878124123000631-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Orthopaedic and Trauma Nursing","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878124123000631","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Background

The adhesive elastic tape use is indicated for controlling oedema, although currently there is not the definitive evidence regarding its effectiveness. Wrist fractures are a frequent occurrence, often leading to oedema development in patients treated with forearm casts.

This pilot study aims to investigate the effects of elastic tape in controlling hand oedema among patients with forearm casts for wrist fractures and the feasibility of a future randomized controlled trial.

Methods

The study was conducted on adult patients with unilateral conservatively treated wrist fracture. The tape was applied to the intervention group after cast application, while the control group received the standard treatment. The circumference difference between baseline and the 7-day follow-up of both the 1st finger and the remaining 4 fingers merged together was evaluated. Ethical approval for the study has been obtained.

Results

23 participants were enrolled. The intervention group showed a higher reduction in finger circumferences compared to the control group (median difference T1-T0 No tape vs Tape: 0 cm vs −0.2 cm for the 1st finger and 0.5 cm vs −0.5 cm for the remaining 4 fingers), although the changes were not statistically significant.

Conclusion

Although the number of enrolled patients was limited due to Covid-19 pandemic, the study results suggest a potential reduction in oedema after the use of adhesive elastic tape, justifying the needed of a future full-scale study. Given its low cost and ease of use, we believe that tape can be considered in clinical practice.

Trial registration

ClinicalTrials.gov Identifier: NCT04683887.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
使用弹性胶带控制石膏固定的手腕骨折患者手部水肿:试点研究
研究背景 弹性胶带可用于控制水肿,但目前尚无确切证据证明其有效性。本试验研究旨在调查弹性胶带对控制前臂石膏治疗腕部骨折患者手部水肿的效果,以及未来随机对照试验的可行性。干预组在使用石膏后贴上胶带,而对照组则接受标准治疗。评估第 1 指和其余 4 指合并在一起的周长在基线和 7 天随访期间的差异。研究已获得伦理批准。与对照组相比,干预组的指围缩小幅度更大(T1-T0 无胶带与胶带的中位数差异:第 1 指为 0 厘米 vs -0.2 厘米,其余 4 指为 0.5 厘米 vs -0.5厘米),但这些变化在统计学上并不显著。鉴于胶带的低成本和易用性,我们认为在临床实践中可以考虑使用胶带:NCT04683887.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
期刊最新文献
A qualitative study of older adults: The difficulties and needs of returning home after hip fractures Efficacy of vitamin C supplementation in preventing and treating complex regional pain syndrome type I (CRPS-I) in Orthopedic patients: A systematic review and meta-analysis Improving external fixator pin site care through user involvement: A quality improvement project Psychometric properties of Japanese version15D and cultural characteristics of quality of life undergoing patients with hip and knee arthroplasty The relationship of pain catastrophizing in principal caregivers of postoperative children with malignant bone tumors and children's kinesiophobia and pain perception: A cross-sectional survey
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1