Pub Date : 2017-03-14DOI: 10.4172/2329-910X.1000229
Paweł Lizis, Wojciech Kobza, G. Mańko, Barbara Para, Jarosław Jaszczur-Nowicki, Jacek Perliński
Pawel Lizis1*, Wojciech Kobza2, Grzegorz Manko3, Barbara Para4, Jaroslaw Jaszczur-Nowicki5 and Jacek Perlinski6 1Department of Education and Health Protection, Holycross College, Kielce, Poland 2Physiotherapy Laboratory, Zywiec, Poland 3Department of Ergonomics and Physiology of Physical Effort, Jagiellonian University, Cracow, Poland 4Global Care Clinical Trials, Ltd., Bannockburn, Illinois, USA 5Department of Tourism, Recreation and Ecology, Faculty of Environmental Sciences, University of Warmia and Mazury, Olsztyn, Poland 6Department of Health Sciences, University of Humanities and Economy, Elblag, Poland *Corresponding author: Pawel Lizis, Department of Education and Health Protection, Holycross College, Kielce, Poland, Tel: +48 663 793 834; E-mail: pawel_lizis@poczta.onet.pl
{"title":"Extracorporeal Shock Wave Therapy and Ultrasound Waves Effectively ReduceSymptoms of Chronic Calcaneal Spur","authors":"Paweł Lizis, Wojciech Kobza, G. Mańko, Barbara Para, Jarosław Jaszczur-Nowicki, Jacek Perliński","doi":"10.4172/2329-910X.1000229","DOIUrl":"https://doi.org/10.4172/2329-910X.1000229","url":null,"abstract":"Pawel Lizis1*, Wojciech Kobza2, Grzegorz Manko3, Barbara Para4, Jaroslaw Jaszczur-Nowicki5 and Jacek Perlinski6 1Department of Education and Health Protection, Holycross College, Kielce, Poland 2Physiotherapy Laboratory, Zywiec, Poland 3Department of Ergonomics and Physiology of Physical Effort, Jagiellonian University, Cracow, Poland 4Global Care Clinical Trials, Ltd., Bannockburn, Illinois, USA 5Department of Tourism, Recreation and Ecology, Faculty of Environmental Sciences, University of Warmia and Mazury, Olsztyn, Poland 6Department of Health Sciences, University of Humanities and Economy, Elblag, Poland *Corresponding author: Pawel Lizis, Department of Education and Health Protection, Holycross College, Kielce, Poland, Tel: +48 663 793 834; E-mail: pawel_lizis@poczta.onet.pl","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000229","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42822673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-03-03DOI: 10.4172/2329-910X.1000227
Tomofumi Matsushita, Y. Tashiro, Yusuke Suzuki, Seishiro Tasaka, Keisuke Matsubara, Mirei Kawagoe, Yuki Yokota, T. Sonoda, Yasuaki Nakayama, T. Fukumoto, T. Aoyama
Objective: Most studies on arch biomechanics focus on the medial longitudinal arch (MLA) and its function; however, there are fewer studies on the forefoot transverse arch (FTA) biomechanics and its function is not well understood. This study aimed at investigating the function of FTA on foot kinetics and kinematics during gait. Methods: Nineteen healthy participants (10 men, 9 women) with a mean age of 25.8 years were recruited. Each measurement was performed with the participants’ dominant foot. For evaluating FTA, transverse arch index (TAI) was measured using ultrasonic diagnostic equipment, which represented the relative height of FTA. Measurements were performed in a two-stance condition: 90% of weight bearing (90% WB), and 10% of weight bearing (10% WB). For evaluating MLA, arch height ratio (AHR) were measured with a ruler. A three-dimensional motion analysis system was used to capture and analyze foot kinetics and kinematics. Participants were instructed to walk barefoot along a 7 m walkway at regular walking pace (110 steps/minute). To examine the function of FTA, spearman’s correlation coefficients were calculated for non-parametric variables (TAI at 10% WB with foot kinetics and kinematics), to examine the relationship between MLA and FTA, (TAI at 10% WB with AHR), to examine flexibility of FTA, (the difference between TAI in 90% and 10% WB with vertical ground reaction force (GRFV)in the terminal stance). Results: A significant positive correlation was observed between TAI and max GRFV in the terminal stance (r=0.50, P=0.03). There was no significant difference between TAI at 10% WB and AHR, A significant negative correlation was observed between the difference in TAI at 90% and 10% WB and, max GRFV in the terminal stance (r=-0.64, P=0.003). Conclusions: The present study showed that GRFV in the terminal stance was positively correlated with the height of FTA, and that flexibility of FTA has relative to GRFV in the terminal stance during gait. It is important to measure flexibility of FTA as well as height of FTA so as to predict the risk of forefoot injury.
{"title":"Association between Height of the Forefoot Transverse Arch and Kinetics orKinematics of Ankle Joint during Gait","authors":"Tomofumi Matsushita, Y. Tashiro, Yusuke Suzuki, Seishiro Tasaka, Keisuke Matsubara, Mirei Kawagoe, Yuki Yokota, T. Sonoda, Yasuaki Nakayama, T. Fukumoto, T. Aoyama","doi":"10.4172/2329-910X.1000227","DOIUrl":"https://doi.org/10.4172/2329-910X.1000227","url":null,"abstract":"Objective: Most studies on arch biomechanics focus on the medial longitudinal arch (MLA) and its function; \u0000 however, there are fewer studies on the forefoot transverse arch (FTA) biomechanics and its function is not well \u0000 understood. This study aimed at investigating the function of FTA on foot kinetics and kinematics during gait. \u0000Methods: Nineteen healthy participants (10 men, 9 women) with a mean age of 25.8 years were recruited. Each \u0000 measurement was performed with the participants’ dominant foot. For evaluating FTA, transverse arch index (TAI) \u0000 was measured using ultrasonic diagnostic equipment, which represented the relative height of FTA. Measurements \u0000 were performed in a two-stance condition: 90% of weight bearing (90% WB), and 10% of weight bearing (10% WB). \u0000 For evaluating MLA, arch height ratio (AHR) were measured with a ruler. A three-dimensional motion analysis \u0000 system was used to capture and analyze foot kinetics and kinematics. Participants were instructed to walk barefoot \u0000 along a 7 m walkway at regular walking pace (110 steps/minute). To examine the function of FTA, spearman’s \u0000 correlation coefficients were calculated for non-parametric variables (TAI at 10% WB with foot kinetics and \u0000 kinematics), to examine the relationship between MLA and FTA, (TAI at 10% WB with AHR), to examine flexibility of \u0000 FTA, (the difference between TAI in 90% and 10% WB with vertical ground reaction force (GRFV)in the terminal \u0000 stance). \u0000Results: A significant positive correlation was observed between TAI and max GRFV in the terminal stance \u0000 (r=0.50, P=0.03). There was no significant difference between TAI at 10% WB and AHR, A significant negative \u0000 correlation was observed between the difference in TAI at 90% and 10% WB and, max GRFV in the terminal stance \u0000 (r=-0.64, P=0.003). \u0000Conclusions: The present study showed that GRFV in the terminal stance was positively correlated with the \u0000 height of FTA, and that flexibility of FTA has relative to GRFV in the terminal stance during gait. It is important to \u0000 measure flexibility of FTA as well as height of FTA so as to predict the risk of forefoot injury.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2017 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000227","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46612251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-24DOI: 10.4172/2329-910X.1000226
Villegas Rivera Geannyne, Covarrubias Pinedo Amador, R. Silvia, S. Saul, Alatorre Carranza Maria del Pilar, Rodriguez Herrera Lourdes Yolotzin, Jaime Islas Nilssa Graciela, Galaviz Muro Adriana
Objective: The aim of the study was to evaluate the efficacy of pain reduction and tolerability of topical administration of Celecoxib 2% cream compared to Celecoxib 1% cream and placebo cream in Mexican patients who had acute soft tissue injury in lower limbs. Methods: A randomized, double-blind, placebo control trial with 3 parallel groups was conducted. We include Mexicans patients older than 18 years with diagnosis of acute soft tissue injury in lower limbs. They were randomly assigned to Celecoxib 2% cream (CEL-2), Celecoxib 1% cream (CEL-1) or placebo cream (PLA). All treatments should be applied 3 times a day for a period of 7 days. Every day the pain was assessed with a Visual Analogue Scale (VAS). Secondary, we evaluate inflammation and adverse events. Results: A total of 95 patients were included. VAS on day 1 and 7 in group CEL-2 were 57.41 ± 10.39 mm and 4.34 ± 7.02 mm, in CEL-1 59.38 ± 9.37 mm and 10.41 ± 12.78 mm, and in PLA 55.61 ± 8.09 mm and 9.32 ± 9.93 mm. CEL-2 showed greater pain decrease compared to CEL-1 and PLA, p<0.05. CEL-1 group significantly decreased inflammation more than PLA, p<0.05. 15 adverse events were reported in 9 patients, none was severe. Conclusion: The results shown in the present study demonstrate that topical administration of Celecoxib cream 2%, TID for 7 days was effective in pain relief in patients with acute soft tissue injury.
{"title":"Celecoxib 2% Cream in Acute Soft Tissue Injuries: Randomized, Double-blind, Placebo-controlled Clinical Trial","authors":"Villegas Rivera Geannyne, Covarrubias Pinedo Amador, R. Silvia, S. Saul, Alatorre Carranza Maria del Pilar, Rodriguez Herrera Lourdes Yolotzin, Jaime Islas Nilssa Graciela, Galaviz Muro Adriana","doi":"10.4172/2329-910X.1000226","DOIUrl":"https://doi.org/10.4172/2329-910X.1000226","url":null,"abstract":"Objective: The aim of the study was to evaluate the efficacy of pain reduction and tolerability of topical administration of Celecoxib 2% cream compared to Celecoxib 1% cream and placebo cream in Mexican patients who had acute soft tissue injury in lower limbs. Methods: A randomized, double-blind, placebo control trial with 3 parallel groups was conducted. We include Mexicans patients older than 18 years with diagnosis of acute soft tissue injury in lower limbs. They were randomly assigned to Celecoxib 2% cream (CEL-2), Celecoxib 1% cream (CEL-1) or placebo cream (PLA). All treatments should be applied 3 times a day for a period of 7 days. Every day the pain was assessed with a Visual Analogue Scale (VAS). Secondary, we evaluate inflammation and adverse events. Results: A total of 95 patients were included. VAS on day 1 and 7 in group CEL-2 were 57.41 ± 10.39 mm and 4.34 ± 7.02 mm, in CEL-1 59.38 ± 9.37 mm and 10.41 ± 12.78 mm, and in PLA 55.61 ± 8.09 mm and 9.32 ± 9.93 mm. CEL-2 showed greater pain decrease compared to CEL-1 and PLA, p<0.05. CEL-1 group significantly decreased inflammation more than PLA, p<0.05. 15 adverse events were reported in 9 patients, none was severe. Conclusion: The results shown in the present study demonstrate that topical administration of Celecoxib cream 2%, TID for 7 days was effective in pain relief in patients with acute soft tissue injury.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2017 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000226","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44123853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-16DOI: 10.4172/2329-910X.1000225
S. Peters, J. Persson, Padhraig O´Loughlin, C. Krettek, R. Gaulke
Background: The influence of insurance status on clinical outcome and function, such as the duration of time that the patient is unable to work has not yet been fully elucidated upon in the literature, as it pertains to calcaneal fractures. These injuries are typically associated with a significant economic burden for both patient and society. In a retrospective clinical and radiological case-control study of 44 patients, with an isolated calcaneus fracture, the influence of the insurance status was evaluated. Methods: The average follow-up time period was ten years (range 4.2 to 15.0 years). Patient satisfaction was assessed using the SF-36, AOFAS-Score, ACFAS-Score, Hannover-Score and Foot Function Index. Data relating to inability to work, reduction in ability to work/degree of disability and were collected using a standardized questionnaire. Radiologic follow-up was involved evaluation of the degree of arthrosis in the subtalar joint. Results: The scoring systems employed revealed significant differences between the work liability and public statutory insured patients in the physical component (PCS) with SF-36 (p=0.003), AOFAS (p=0.002), ACFAS (p=0.002), Hannover-Score (p=0.003), FFI (p=0.001). Additionally, the work incapacity duration (p=0.006) and the frequency of detection of a reduction in ability to work and degree of disability (p=1.8 × 10-8) was significantly different between the two cohorts, and independent of age, occupational group and fracture type. Conclusion: Thus, it may be deduced that insurance status, does indeed exert a significant influence on clinical outcome and specifically, the magnitude of the duration of time when a patient is deemed unable to work.
{"title":"Long-Term Economical Effects of Isolated Calcaneus Fracture Depending onInsurance Status, Age, Occupation and Fracture Type","authors":"S. Peters, J. Persson, Padhraig O´Loughlin, C. Krettek, R. Gaulke","doi":"10.4172/2329-910X.1000225","DOIUrl":"https://doi.org/10.4172/2329-910X.1000225","url":null,"abstract":"Background: The influence of insurance status on clinical outcome and function, such as the duration of time that the patient is unable to work has not yet been fully elucidated upon in the literature, as it pertains to calcaneal fractures. These injuries are typically associated with a significant economic burden for both patient and society. In a retrospective clinical and radiological case-control study of 44 patients, with an isolated calcaneus fracture, the influence of the insurance status was evaluated. Methods: The average follow-up time period was ten years (range 4.2 to 15.0 years). Patient satisfaction was assessed using the SF-36, AOFAS-Score, ACFAS-Score, Hannover-Score and Foot Function Index. Data relating to inability to work, reduction in ability to work/degree of disability and were collected using a standardized questionnaire. Radiologic follow-up was involved evaluation of the degree of arthrosis in the subtalar joint. Results: The scoring systems employed revealed significant differences between the work liability and public statutory insured patients in the physical component (PCS) with SF-36 (p=0.003), AOFAS (p=0.002), ACFAS (p=0.002), Hannover-Score (p=0.003), FFI (p=0.001). Additionally, the work incapacity duration (p=0.006) and the frequency of detection of a reduction in ability to work and degree of disability (p=1.8 × 10-8) was significantly different between the two cohorts, and independent of age, occupational group and fracture type. Conclusion: Thus, it may be deduced that insurance status, does indeed exert a significant influence on clinical outcome and specifically, the magnitude of the duration of time when a patient is deemed unable to work.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2017 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000225","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45067510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-12DOI: 10.4172/2329-910X.1000224
S. Aleman, Bibiana Dello Russo
Introduction: Amniotic band syndrome (ABS) is an uncommon congenital anomaly characterized by multiple incapacitating manifestations. It may affect the bone, muscle, nerves, and vascular bundles according to the depth of the constriction band. Material and methods: Here we present a 2-month-old infant patient with active ABS in the lower limb at risk for amputation, in which the constriction bands were released surgically using the extensive approach. A two-step surgery was performed. In the first step, a Z-plasty of the anterior portion of the proximal constriction band was performed. In a second step, the bag on the foot was removed and subsequently the posterior part of the constrictive band was resected. Result: A follow-up of five years after surgery, respectively, revealed fully functional foot and restoration of blood supply. Conclusion: This procedure allowed to establish normal circulation in the limb with active ABS after birth. Removal of the constriction band improves the distal tissue and avoids progressive deformity. Surgery of the SBA may be performed in one or two steps.
{"title":"A Case Report of Active Amniotic Band Syndrome with Progressive Lymphedema Causing Vascular Insufficiency: Radical Excision of the Overgrown Tissue","authors":"S. Aleman, Bibiana Dello Russo","doi":"10.4172/2329-910X.1000224","DOIUrl":"https://doi.org/10.4172/2329-910X.1000224","url":null,"abstract":"Introduction: Amniotic band syndrome (ABS) is an uncommon congenital anomaly characterized by multiple \u0000 incapacitating manifestations. It may affect the bone, muscle, nerves, and vascular bundles according to the depth \u0000 of the constriction band. Material and methods: Here we present a 2-month-old infant patient with active ABS in the lower limb at risk for \u0000 amputation, in which the constriction bands were released surgically using the extensive approach. A two-step \u0000 surgery was performed. In the first step, a Z-plasty of the anterior portion of the proximal constriction band was \u0000 performed. In a second step, the bag on the foot was removed and subsequently the posterior part of the \u0000 constrictive band was resected. Result: A follow-up of five years after surgery, respectively, revealed fully functional foot and restoration of blood \u0000 supply. Conclusion: This procedure allowed to establish normal circulation in the limb with active ABS after birth. \u0000 Removal of the constriction band improves the distal tissue and avoids progressive deformity. Surgery of the SBA \u0000 may be performed in one or two steps.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":" ","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000224","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45711874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2329-910X.1000E109
Francisco Javier Ga Bernal, Paloma Zayas, J. Regalado
Personally, I consider this “Cinderella role” is due to the fact that surgeons do not like to do the dirty work. The treatment of its pathology is complex, requires knowledge of its anatomy, of its biomechanics, and occasionally, after hard work, the results are not those expected. It could be said that the effort is not worthwhile, or at least less compensated for than in other fields of Orthopaedic Surgery.
{"title":"Multidisciplinary Approach in Foot Reconstruction","authors":"Francisco Javier Ga Bernal, Paloma Zayas, J. Regalado","doi":"10.4172/2329-910X.1000E109","DOIUrl":"https://doi.org/10.4172/2329-910X.1000E109","url":null,"abstract":"Personally, I consider this “Cinderella role” is due to the fact that surgeons do not like to do the dirty work. The treatment of its pathology is complex, requires knowledge of its anatomy, of its biomechanics, and occasionally, after hard work, the results are not those expected. It could be said that the effort is not worthwhile, or at least less compensated for than in other fields of Orthopaedic Surgery.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"5 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000E109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70282284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2329-910X.1000222
Tien‐Wen Chen, Jyong-Huei Su, Tz-Yan Lin, Cheng-Wei Lin, Pei Shi Chou, Mao‐Hsiung Huang
Objective: In this study, in order to establish a more effective therapeutic model for the patients with chronic rotator cuff tendinosis, the authors attempted to compare the therapeutic effects of general physical therapy, eccentric contraction exercise, extracorporeal shock wave therapy (ESWT) and their combination for patients with noncalcific subscapular tendinosis. Methods: 120 patients with subscapular tendinosis Grade II tendinopathy were divided randomly into four groups: I-IV, with 30 patients in each group. In group I (GI): the patients received conventional rehabilitation program, which included 20 minute of local hot packs, 15 min interferential electrotherapy and 10 min of passive range motion exercise three times weekly for 8 weeks; in Group II: the patients received eccentric contraction exercise three times per day and a rehabilitation program as in GI; in GIII: the patients received ESWT therapy weekly except for a rehabilitation program as in GI; in GIV: they received three combination therapies including a conventional rehabilitation program, three rounds of eccentric contraction exercises per day and weekly ESWT for 8 weeks. The outcome measurements include visual analogue pain scale (VAS), range of shoulder motion, subscapular muscle peak torques, and proprioception of the affected shoulder. Results: The results showed that the combination therapy group GII-IV all had more improvement than the conventional rehabilitation program group I. However, the integrated therapy group IV had the best improvement over GII and GIII in pain reduction and improvement of range of motion, proprioception and muscle peak torques. Additionally, group III and IV had better improvement of range of motion and muscle peak torques than did GII. Conclusion: Eccentric exercise and ESWT had benefit in rehabilitation of patients with noncalcific subscapular tendinosis, and conventional rehabilitation combined with these two therapies will result in more therapeutic effects.
{"title":"Effects of Eccentric Exercise and Extracorporeal Shock Wave Therapy onRehabilitation of Patients with Noncalcific Rotator Cuff Tendinopathy","authors":"Tien‐Wen Chen, Jyong-Huei Su, Tz-Yan Lin, Cheng-Wei Lin, Pei Shi Chou, Mao‐Hsiung Huang","doi":"10.4172/2329-910X.1000222","DOIUrl":"https://doi.org/10.4172/2329-910X.1000222","url":null,"abstract":"Objective: In this study, in order to establish a more effective therapeutic model for the patients with chronic rotator cuff tendinosis, the authors attempted to compare the therapeutic effects of general physical therapy, eccentric contraction exercise, extracorporeal shock wave therapy (ESWT) and their combination for patients with noncalcific subscapular tendinosis. Methods: 120 patients with subscapular tendinosis Grade II tendinopathy were divided randomly into four groups: I-IV, with 30 patients in each group. In group I (GI): the patients received conventional rehabilitation program, which included 20 minute of local hot packs, 15 min interferential electrotherapy and 10 min of passive range motion exercise three times weekly for 8 weeks; in Group II: the patients received eccentric contraction exercise three times per day and a rehabilitation program as in GI; in GIII: the patients received ESWT therapy weekly except for a rehabilitation program as in GI; in GIV: they received three combination therapies including a conventional rehabilitation program, three rounds of eccentric contraction exercises per day and weekly ESWT for 8 weeks. The outcome measurements include visual analogue pain scale (VAS), range of shoulder motion, subscapular muscle peak torques, and proprioception of the affected shoulder. Results: The results showed that the combination therapy group GII-IV all had more improvement than the conventional rehabilitation program group I. However, the integrated therapy group IV had the best improvement over GII and GIII in pain reduction and improvement of range of motion, proprioception and muscle peak torques. Additionally, group III and IV had better improvement of range of motion and muscle peak torques than did GII. Conclusion: Eccentric exercise and ESWT had benefit in rehabilitation of patients with noncalcific subscapular tendinosis, and conventional rehabilitation combined with these two therapies will result in more therapeutic effects.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"2017 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000222","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2329-910X.1000236
M. Valeo, M. Gurzì, F. Alviti, L. Digiorgio, A. Bernetti, M. Mangone, C. Villani, L. Dimartino
Background: Changes in tendon structure after its rupture may also affect the likelihood of re-injury or strain injury to the musculotendinous complex of the plantar flexor.Purpose: The aim of our study is to investigate ankle biomechanical properties and clinical features of acute rupture of the Achilles tendon treated with open suture and PRF augmentation.Study design: Cohort study (NRS).Methods: This study has been conducted on twenty patients, divided in two groups; one group underwent conventional open repair of the Achilles tendon using the Krackow technique only, while the other group underwent surgery with Platelet-Rich-Fibrin (PRF) augmentation. We performed a clinical evaluation at 3 months, 6 months, and after 1 year. Morphological and functional tendons properties were analyzed by ultrasound and Gait Analysis.Results: The results obtained by the ultrasonographic assessment showed in the PRF group a statistically significant increasing of treated tendons the antero-posterior diameter, medio-lateral diameter. Statistically significant differences between the two groups have emerged in gait analysis performed with regard to network (Wnet). Furthermore, the network of healthy side and treated side was significantly different only in the group of patients not treated with PRF. Statistically significant values have emerged through the analysis of Pearson’s correlation between the diameter of the ultrasound treated tendon and the network, walking speed, swing speed and stride period.Conclusion: Treatment with suture and PRF shows significant morphological modifications and functional improvements compared to the results achieved with Achilles tendon suture without PRF.
{"title":"Achilles Tendons Total Rupture, Open Surgical Treatment with PRF Augmentation: Clinical, Morphological and Functional Evaluation","authors":"M. Valeo, M. Gurzì, F. Alviti, L. Digiorgio, A. Bernetti, M. Mangone, C. Villani, L. Dimartino","doi":"10.4172/2329-910X.1000236","DOIUrl":"https://doi.org/10.4172/2329-910X.1000236","url":null,"abstract":"Background: Changes in tendon structure after its rupture may also affect the likelihood of re-injury or strain injury to the musculotendinous complex of the plantar flexor.Purpose: The aim of our study is to investigate ankle biomechanical properties and clinical features of acute rupture of the Achilles tendon treated with open suture and PRF augmentation.Study design: Cohort study (NRS).Methods: This study has been conducted on twenty patients, divided in two groups; one group underwent conventional open repair of the Achilles tendon using the Krackow technique only, while the other group underwent surgery with Platelet-Rich-Fibrin (PRF) augmentation. We performed a clinical evaluation at 3 months, 6 months, and after 1 year. Morphological and functional tendons properties were analyzed by ultrasound and Gait Analysis.Results: The results obtained by the ultrasonographic assessment showed in the PRF group a statistically significant increasing of treated tendons the antero-posterior diameter, medio-lateral diameter. Statistically significant differences between the two groups have emerged in gait analysis performed with regard to network (Wnet). Furthermore, the network of healthy side and treated side was significantly different only in the group of patients not treated with PRF. Statistically significant values have emerged through the analysis of Pearson’s correlation between the diameter of the ultrasound treated tendon and the network, walking speed, swing speed and stride period.Conclusion: Treatment with suture and PRF shows significant morphological modifications and functional improvements compared to the results achieved with Achilles tendon suture without PRF.","PeriodicalId":92013,"journal":{"name":"Clinical research on foot & ankle","volume":"5 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-910X.1000236","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70281502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2329-910X.1000230
A. T. Salihu, A. Gwani
Abubakar Tijjani Salihu1 and Abdullahi Suleiman Gwani2* 1Department of Physiotherapy, Hasiya Bayero Paediatric Hospital, Emir’s Palace Road, Kano, Nigeria 2Department of Human Anatomy, College of Medical Sciences, Abubakar Tafawa Balewa University. PMB 0248, Bauchi, Bauchi State. Nigeria. *Corresponding author: Abdullahi Suleiman Gwani, Department of Human Anatomy, College of Medical Sciences, Abubakar Tafawa Balewa University. PMB 0248, Bauchi, Bauchi State, Nigeria, Tel: +2348139796989; E-mail: asgwani@yahoo.com
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Pub Date : 2017-01-01DOI: 10.4172/2329-910X.1000232
I. Frangež, Jure Colnaric, D. Truden
In neuropathic foot ulcers, the most prominent finding is the loss of peripheral sensation and is typically seen in diabetic patients. In addition, vasculopathy may lead to foot ulcerations in diabetic patients. CO2 therapy was found to improve chronic wound healing in patients with vascular impairment. It refers to the transcutaneous and subcutaneous application of CO2 as well as CO2 water baths for therapeutic purpose. In the method used, gaseous CO2 is applied transcutaneously using the PVR system®. CO2 is applied by means of a single-use, low-density polyethylene bag which is wrapped around the leg being treated and secured with an elastic strap. The advantages of this method, compared to injecting CO2 into subcutaneous tissue, are non-invasiveness, the absence of pain and protection against infection. Compared to CO2 balneotherapy this approach enables the use of higher CO2 concentrations, application to chronic wound patients and, with appropriate precautionary measures, prevents the increase of CO2 in the surrounding air. Finzgar et al. observed that the transcutaneous application of gaseous CO2 caused a significant increase in the Laser Doppler (LD) flux in cutaneous microcirculation in vivo in humans. The favourable clinical and microcirculatory effects of gaseous CO2 have further been observed in studies of patients with intermittent claudication as well as patients with primary and secondary Raynaud's phenomenon. The reviewed studies suggest that the increased delivery of CO2 to the ulcerated area will cause vasodilation and an increase in blood flow. The improved angiogenesis and oxygenation will result in healing of the chronic wound. This principle may be applied in the treatment of diabetic foot ulceration. Moreover, the effect on blood flow may also be important in preventive and curative treatment of patients with impaired mobility due to organic or functional causes. Further work is needed for the development of therapeutic strategies to optimize CO2 use in diabetic foot patients.
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