Building research capacity amongst kinesiologists: results from a mixed methods study

The aim of this initial evaluation was to explore the feasibility of ways to introduce research activities to kinesiologists. METHODS: After training, six practitioners participated in an audit. They recorded symptom data on new patients attending in November 2005 with follow-up by 28 February 2006. Five therapists were subsequently interviewed about their experiences. RESULTS: Strategies enhancing therapist participation included targeting and recruiting potential audit enthusiasts amongst the therapist population, using personalized approaches to recruit, train and support therapists, keeping the audit small by working in-depth with a limited number of kinesiologists and helping therapists to "own" the process. A total of 28 patients participated in the audit. The composite MYMOP profile score showed a mean difference of 1.78 (95% CI: 1.28, 2.28). CONCLUSION: With targeted strategies engaging kinesiologists, and potentially other professional complementary therapists, in research activities is possible.     

肌内效布贴扎辅助理疗对肱骨干骨折患者术后早期肿胀疼痛的影响

目的 探讨肌内效布贴扎辅助理疗对肱骨干骨折患者术后早期肿胀疼痛的影响。方法 选择2015年1月至2015年9月术后早期肱骨干骨折患者49例,随机分为对照组（25例）和治疗组（24例）,对照组采用局部常规理疗治疗,治疗组在此基础上采用肌内效布贴扎治疗。分别于入选时和治疗1、3、5天后对两组患者的肿胀程度和VAS评分进行评估。结果 入选时两组患者周径差和VAS评分比较,差异无统计学意义。治疗第1、3天,治疗组VAS评分低于对照组,差异有统计学意义。治疗第3、5天,治疗组健肢与患肢周径差低于对照组,差异有统计学意义。治疗第5天,两组患者周径差和VAS评分均低于入选时,差异有统计学意义。结论 肌内效布贴扎辅助常规理疗能快速改善肱骨干骨折患者术后早期肿胀和疼痛等症状。     

A histologic and immunohistochemical analysis of defective vaginal healing after continence taping procedures: a prospective case-controlled pilot study

OBJECTIVE: The purpose of this study was to investigate vaginal rejection of polypropylene mesh after continence taping procedures. STUDY DESIGN: Of 700 women who had undergone the procedures, 17 women with sling erosion and 7 women with voiding difficulty or symptomatic vagina prolapse (control subjects) underwent histopathologic evaluation and immunohistochemistry. RESULTS: Seven women whose condition was not responding to conservative treatment and debridements had the exposed suburethral tape excised, which revealed predominant foreign body reaction and fragmented mesh that was surrounded by histiocytes and dense fibrosis. Immunohistochemical analysis revealed that the cell density percentage of CD 20+ cells was statistically significantly greater in the persistent defective healing group than in either the single-debridement or control group ( P = .014 and P = .014, respectively). We found statistically significant differences between the persistent defective healing and single-debridement groups and between the former and control groups in the ratios of T and B cells ( P = .035 and P = .022, respectively). CONCLUSION: The rate of defective vaginal healing after the procedures was 2.4%. Removal of the prosthesis and surrounding tissue at various times for the 7 women resulted in histopathologic findings that suggested a immunologic reaction. The rate of persistent defective healing of the vagina was 1%.     

Treatment of plantar fasciitis by LowDye taping and iontophoresis: short term results of a double blinded, randomised, placebo controlled clinical trial of dexamethasone and acetic acid

Objectives

To determine if, in the short term, acetic acid and dexamethasone iontophoresis combined with LowDye (low‐Dye) taping are effective in treating the symptoms of plantar fasciitis.

Methods

A double blinded, randomised, placebo controlled trial of 31 patients with medial calcaneal origin plantar fasciitis recruited from three sports medicine clinics. All subjects received six treatments of iontophoresis to the site of maximum tenderness on the plantar aspect of the foot over a period of two weeks, continuous LowDye taping during this time, and instructions on stretching exercises for the gastrocnemius/soleus. They received 0.4% dexamethasone, placebo (0.9% NaCl), or 5% acetic acid. Stiffness and pain were recorded at the initial session, the end of six treatments, and the follow up at four weeks.

Results

Data for 42 feet from 31 subjects were used in the study. After the treatment phase, all groups showed significant improvements in morning pain, average pain, and morning stiffness. However for morning pain, the acetic acid/taping group showed a significantly greater improvement than the dexamethasone/taping intervention. At the follow up, the treatment effect of acetic acid/taping and dexamethasone/taping remained significant for symptoms of pain. In contrast, only acetic acid maintained treatment effect for stiffness symptoms compared with placebo (p  =  0.031) and dexamethasone.

Conclusions

Six treatments of acetic acid iontophoresis combined with taping gave greater relief from stiffness symptoms than, and equivalent relief from pain symptoms to, treatment with dexamethasone/taping. For the best clinical results at four weeks, taping combined with acetic acid is the preferred treatment option compared with taping combined with dexamethasone or saline iontophoresis.     

Pregnancy Following Tension-Free Vaginal Taping

Genuine stress incontinence is usually managed conservatively in women desirous of further childbearing. Tension-free vaginal taping is a relatively new method of surgical treatment of genuine stress incontinence. We report a case of pregnancy following the procedure. The patient was delivered by elective cesarean section. She remained continent throughout pregnancy and on a 6-month postnatal follow-up.     

不同肌内效贴贴扎方式治疗脑卒中后肩手综合征的疗效观察

目的 观察不同肌内效贴贴扎方式对脑卒中后肩手综合征患者手肿胀程度、肩痛、上肢功能和日常生活活动能力的影响。 方法 采用随机数字表法将60例脑卒中后肩手综合征患者分为对照组、A组、B组、C组,每组15例。4组患者均予以康复训练和常规药物治疗,A组在对照组基础上进行手部爪形+腕部I形+肩部I形贴扎,B组在对照组基础上进行手部爪形+腕部I形+肩部Y形贴扎,C组在对照组基础上进行手部爪形+腕部I形+肩部Y形+肩部I形贴扎。治疗前和治疗4周后（治疗后）,采用排水法计算患者双手体积差,用远红外热成像仪测量患者双手温度差,用视觉模拟评分法（VAS）、Fugl-Meyer量表（FMA）、改良Barthel指数（MBI）评定患者的肩痛、上肢运动功能、日常生活活动能力。 结果 治疗前,4组患者双手体积差、双手温度差、VAS、FMA、MBI评分比较,差异无统计学意义（P＞0.05）。与组内治疗前比较,4组患者治疗后双手体积差、双手温度差、VAS、FMA、MBI评分均有所改善（P＜0.05）。与对照组治疗后比较,A组、B组、C组双手体积差、双手温度差、VAS评分减少、FMA评分增加（P＜0.05）。C组治疗后FMA评分［(27.69±6.91)分］高于对照组［(12.87±3.04)分］、A组［(20.57±6.16)分］、B组［(18.64±5.73)分］（P＜0.05）。4组治疗后MBI评分比较,差异无统计学意义（P＞0.05）。 结论 康复训练和肌内效贴均可有效减小脑卒中后肩手综合征患者的双手体积差和双手温度差,减轻患肩痛,提高日常生活活动能力。在康复训练基础上,进行手部爪形+腕部I形+肩部Y形+肩部I形贴扎还可提高患者患侧的上肢运动功能。