The effect of high-Dye and low-Dye taping on rearfoot motion

High-Dye and low-Dye taping are commonly used by clinicians to treat a variety of foot and ankle pathologies, particularly those associated with excessive rearfoot pronation. While the effects of taping on end range of motion have been extensively studied, relatively little is understood about the effect of the two styles of taping on rearfoot motion. Eighteen participants were analyzed in three conditions: 1) barefoot, 2) with high-Dye taping, and 3) with low-Dye taping. Two-dimensional motion of the rearfoot was assessed for each condition. The results indicated maximum inversion was increased with both high-Dye and low-Dye taping as compared with no taping. Only high-Dye taping, however, significantly reduced the maximum eversion of the rearfoot. The results suggest that high-Dye taping is an appropriate taping choice when control of eversion of the rearfoot is desired.     

Effectiveness of low-Dye taping for the short-term management of plantar fasciitis

Low-Dye taping is often used as a short-term treatment for plantar fasciitis. We evaluated the short-term effectiveness of low-Dye taping in relieving pain associated with plantar fasciitis. In this comparative study conducted at a university-based clinic, 65 participants with plantar fasciitis who received low-Dye taping for 3 to 5 days were compared with 40 participants who did not receive taping. Pain before and after treatment was measured using a visual analog pain scale. Analysis of the data was by the intention-to-treat principle, and a linear regression approach to analysis of covariance was used to compare effects. The visual analog pain scale score improved by a mean of 20 mm (from 44 to 24 mm) in the taping group and worsened by a mean of 6 mm (from 51 to 57 mm) in the control group. The analysis of covariance-adjusted difference in therapeutic effect favored the taping group by 31.7 mm (95% confidence interval, 23.6-39.9 mm) and was statistically significant (t = 7.71). In the short term, low-Dye taping significantly reduces the pain associated with plantar fasciitis. These findings are the first quantitative results to demonstrate the significant therapeutic effect of this treatment modality in relieving the symptoms associated with plantar fasciitis.     

Effect of foot posture and inverted foot orthoses on hallux dorsiflexion

A pronated foot posture is considered to be a factor in limitation of dorsiflexion at the first metatarsophalangeal joint during weightbearing. Customized foot orthoses are widely used to increase dorsiflexion at the first metatarsophalangeal joint in people with pronated feet. However, the effect of foot posture and customized foot orthoses on maximum first metatarsophalangeal joint dorsiflexion has not been widely investigated. This study sought to determine 1) the relationship between foot posture and static maximum first metatarsophalangeal joint dorsiflexion and 2) the effect of customized foot orthoses on static maximum first metatarsophalangeal joint dorsiflexion in people with pronated feet. Foot posture was assessed using the Foot Posture Index. Static maximum first metatarsophalangeal joint dorsiflexion of the right foot was determined using a goniometer while participants stood relaxed with and without Blake-style inverted (30 degrees) foot orthoses positioned under their feet. There was a significant negative correlation between Foot Posture Index and static maximum first metatarsophalangeal joint dorsiflexion (r = -0.587). Inverted (30 degrees) foot orthoses increased the magnitude of static maximum first metatarsophalangeal joint dorsiflexion from 83.4 degrees to 85.3 degrees in participants with an excessively pronated foot posture. However, this difference was not statistically significant. People with pronated feet are more likely to exhibit limitation of dorsiflexion at the first metatarsophalangeal joint during gait, and inverted foot orthoses are unlikely to be effective in increasing dorsiflexion at the first metatarsophalangeal joint in these people.     

子宫背带式缝合术治疗剖宫产产后出血的效果

目的探讨子宫背带式缝合术在剖宫产产后出血中的作用。方法将重庆市开州区人民医院2013年3月～2018年5月收治的100例剖宫产产后出血患者分为两组,观察组(子宫背带式缝合术组)和对照组(子宫纱块填塞组),观察治疗效果,并统计手术效果(包括产褥病发生率、失血性休克发生率、术中输血率、子宫切除率)及疾病恢复相关指标结果。结果在治疗效果的比较中,观察组治疗总有效率高于对照组;在手术效果及疾病恢复相关指标的对比中,观察组产褥病发生率、术中输血率、失血性休克率、子宫切除率均低于对照组,术中出血量少于对照组,手术时间、住院天数及月经复潮时间均短于对照组,差异有统计学意义(P0.05)。结论剖宫产产后出血应用子宫背带式缝合术能进行有效止血,降低手术风险,控制术中输血、子宫切除率等,利于患者术后的恢复。     

银杏达莫静滴治疗糖尿病足溃疡

目的评价银杏迭莫注射液静脉滴注治疗糖尿病足溃疡的疗效。方法将71例Wagner分级1～2级的糖尿病足溃疡患者随机分为治疗组和对照组,治疗组在对照组用药的基础上给予银杏达莫注射液20ml／d静脉滴注,疗程4周;观察溃疡愈合情况及治疗前后血液流变学指标变化。结果治疗组总有效率83．3％,对照组总有效率57．1％,两组比较差异有显著性（P〈0．01）。治疗组血液流变学指标变化显著,且与对照组治疗后比较差异有显著性（P〈0．01）。结论银杏达莫注射液静脉滴注治疗糖尿病足溃疡疗效肯定。     

双蒂颈前带状肌及会厌在喉部分切除术修复重建中的作用

目的 探讨双蒂颈前带状肌及会厌在喉部分切除术喉功能重建术中的应用价值.方法 对22例T2部分T3声门型喉癌喉部分切除术后分别以双蒂颈前带状肌和Tucker术式一期修复残喉.结果 19例患者均顺利拔管,占86.3%.全部喉功能恢复占86.4%.结论 双蒂颈前带状肌及会厌修复残喉,取材方便,方法简便,术后喉功能恢复良好.     

Effect of regular exercise on the radiographic progression of foot osteoarthritis

Among the elderly, osteoarthritis often causes chronic pain and disability. Although research has addressed the association between exercise and osteoarthritis, few studies have examined the effect of exercise on the radiographic progression of osteoarthritis. We investigated the relationship between ongoing exercise and radiographic progression of foot osteoarthritis. The first metatarsophalangeal and medial cuneiform-first tarsometatarsal joints were assessed. Joint-specific osteoarthritis radiographic progression scores were determined using four assessments: joint space narrowing, osteophytes, sclerosis, and a composite score. This cohort study included a subset of 221 men and women aged 40 to 91 years participating in a community-based osteoarthritis study. Adjusted risk estimates (95% confidence intervals) summarizing the relationship between ongoing exercise and radiographic progression in the first metatarsophalangeal joint ranged from 0.34 (0.11-0.99) for osteophytes to 0.66 (0.23-1.92) for sclerosis; because only eight individuals experienced medial cuneiform-first tarsometatarsal joint progression, these estimates were less stable, ranging from 2.41 (0.49-11.83) for composite to 4.29 (0.11-166.52) for osteophytes. Overall, our findings do not suggest that regular exercise is a risk factor for foot osteoarthritis progression. Future replication studies are warranted to confirm these findings.     

中药泡足联合足部按摩对糖尿病足足部症状及经皮氧分压改变的效果观察

目的:探讨中药泡足和中药泡足联合足部按摩对糖尿病足(diabetic foot,DF)足部症状及经皮氧分压(TcPO₂)改变的效果。方法:90例DF患者随机分为对照组、泡足组和泡足按摩组,各30例。对照组予常规治疗,泡足组在对照组基础上加中药泡足,泡足按摩组在泡足组基础上加足部按摩。疗程均为14 d。干预前1天和疗程结束后第1天分别进行足部症状评分,测量并记录每组患者足部的TcPO₂,疗程结束后进行疗效评定。结果:3组干预后足部症状评分均较干预前明显降低(P<0.01),泡足组和泡足按摩组干预后足部TcPO₂均较干预前显著升高(P<0.01)。对照组足部TcPO₂干预前后差异无统计学意义(P>0.05)。干预后3组间足部症状评分、足部疗效、足部TcPO₂差异均有统计学意义(P<0.0.5~P<0.01)。结论:中药泡足和中药泡足联合足部按摩都能改善DF患者足部症状和TcPO₂,中药泡足联合足部按摩对DF患者足部症状及TcPO₂的改善效果更好。     

The windlass mechanism of the foot. A mechanical model to explain pathology

This article presents a mechanical model that can be used to understand the foot, to help develop methods of treatment of foot pathology, and to provide direction for future research in foot mechanics and pathology. The anatomy and mechanical function of the windlass mechanism of the foot are analyzed using principles of mechanical engineering. The principles of force couples and free-body diagrams are explained and then applied to the foot. The relationship of the windlass mechanism to plantar fasciitis or heel spur syndrome, hallux abducto valgus, and hallux limitus is discussed.     

Effect of biofeedback-assisted relaxation training on foot ulcer healing

A prospective, randomized study was conducted to determine the effect of biofeedback-assisted relaxation training on foot ulcer healing. For patients with chronic nonhealing foot ulcers, medical care was combined with a standardized biofeedback-assisted relaxation training program in the experimental group. The intervention was designed to increase peripheral perfusion, thereby promoting healing. A total of 32 patients with chronic nonhealing ulcers participated in the study. In the experimental group, 14 out of 16 ulcers (87.5%) healed, as compared with 7 out of 16 ulcers (43.8%) in the control group.     

护理干预方法对糖尿病足患者的作用及效果评价

目的评价护理干预方法对糖尿病足患者的作用及效果。方法经患者知情同意，将108例糖尿病足患者分为干预组和对照组，每组54例。对照组治疗术后采用常规护理处理，干预组采用自行设计的护理干预方法进行相关指导，随访3个月，对2组各项指标进行评价。结果经过3个月的干预后，干预组患者吸烟、疾病相关知识、知晓率、参加锻炼、血糖控制、体质量达标及胰岛素使用情况与干预前比较差异均有统计学意义（P〈0．05）。结论自行设计的护理干预方法具有一定针对性，能增强患者自我保健意识和依从性，改善不良的生活方式，减少罹患疾病的诱发因素。     

糖尿病足患者社区护理干预

目的:对社区糖尿病足患者进行护理干预,探讨干预效果。方法:选取80例糖尿病足患者为研究对象,按照随机数字表法,将其分为对照组和试验组,每组各40例,对照组患者进行自我照护,试验组患者接受社区护理干预。3个月后比较两组患者的下肢供血状况、下肢皮肤状况、代谢指标及对糖尿病足的知识、态度和行为。结果:试验组患者发生下肢供血障碍及皮肤异常的比例低于对照组患者,代谢指标优于对照组,知识、态度、行为得分高于对照组,差异均有统计学意义(P<0.01)。结论:社区护理干预可以改善糖尿病足患者下肢的供血状况、皮肤状况及新陈代谢,值得临床医师的采纳和推广应用。     

知信行模式对预防0级糖尿病足患者发展为糖尿病足部溃疡的影响研究

目的探讨知信行模式(knowledge attitude belief practice, KABP)对预防0级糖尿病足患者发展为糖尿病足部溃疡的影响。方法以我院2015年12月~2017年10月86例糖尿病足患者为研究对象,随机分为实验组与对照组,各43例。对照组给予常规护理及健康教育,实验组在对照组基础上给予KABP健康教育。对比两组糖尿病足相关知识知晓率、自我管理能力评分、多伦多临床神经病变评分及糖尿病足危险程度。结果干预后,实验组糖尿病相关知识知晓率明显高于对照组(P0.05);实验组自我管理能力各方面评分均明显高于对照组(P0.05);实验组多伦多临床神经病变评分为(4.77±1.69)分,明显低于对照组的(6.89±1.60)分(P0.05);实验组糖尿病足危险程度较对照组明显降低(P0.05)。结论对0级糖尿病足患者实施KABP健康教育,可提高患者对疾病的认识程度,加强患者自我行为管理能力,改善足部神经病变程度,预防足部溃疡的发生。     

糖足康对糖尿病足患者血流变学的影响

[目的] 探讨糖足康对糖尿病足患者血流变学的影响。[方法] 将2011年5月-2012年5月本院收治的140例糖尿病足患者随机分为2组,治疗组80例,对照组60例。治疗前对2组患者血流变学的各项指标进行测定,2组患者入院后均采用诺和灵50R皮下注射控制血糖,治疗组加用糖足康浴足。治疗后测定2组患者的血流变学指标,对两组指标进行统计学分析。[结果] 治疗组血流变学的各项指标较对照组明显降低。[结论] 糖足康治疗糖尿病足的同时可减低糖尿病患者全血黏度、红细胞沉降率、血沉方程K值、红细胞最大变形指数、红细胞聚集指数,从而降低糖尿病并发症。     

Effect of a nitroglycerin patch on perfusion to the foot in healthy subjects

Nitric oxide is an endogenous gas released by endothelial cells that induces vasodilatation and plays other important roles in the wound-healing process. Nitroglycerin preparations are liberators of nitric oxide. Podiatric physicians have used nitroglycerin paste and patches on patients in an attempt to increase perfusion to the foot. However, the drug's efficacy seems to be largely anecdotal. A prospective, randomized, placebo-controlled, double-blind study was conducted to investigate the efficacy of a nitroglycerin patch in locally increasing perfusion to the foot. Twenty-two healthy subjects were randomly assigned to either a drug group (nitroglycerin patch, 0.2 mg/h) or a placebo group (adhesive patch without active ingredient). The patch was applied to the plantar arch of the foot. Objective and subjective measures were then used to detect changes in perfusion to the foot after a 2-hour experimental period. The objective measures, cutaneous thermometry and photoplethysmography, found no significant measurable difference in perfusion to the foot between the drug and placebo groups (P > .05). A subjective questionnaire used to assess changes in temperature or sensation detected by the subject yielded similar results. Thus a nitroglycerin patch dose of 0.2 mg/h showed no measurable ability to increase perfusion to the foot. Further research is needed to validate the indications for this therapy.     

卢沙坦对糖尿病足血管内皮功能影响的相关性研究

目的探讨卢沙坦对糖尿病足患者血管内皮功能的影响。方法将60例伴有血管内皮功能异常的2型糖尿病足病患者随机分为两组,A组接受卢沙坦口服治疗,B组口服利尿剂或α受体阻滞剂或β受体阻滞剂或无降压药,16周后检测并比较两组患者治疗前后血管内皮功能。结果 A组患者经卢沙坦治疗16周后平均内皮依赖性血管舒张功能(EDD)由(5.45±1.19)%上升至(7.11±1.62)%,内皮非依赖性血管舒张功能(EID)由(14.12±1.58)%上升至(16.03±1.51)%,两者治疗前后比较差异均有统计学意义(P<0.05);B组经治疗后的EDD、EID亦有上升,但与治疗前比较差异无统计学意义(P>0.05)。结论卢沙坦能有效地改善糖尿病足患者的血管内皮功能,并且具有良好的安全性及耐受性。     

早期康复护理对脑卒中后足下垂的疗效观察

目的 观察早期康复护理对脑卒中后足下垂的疗效影响.方法 对80例脑卒中偏瘫患者入院后第一天,在不影响抢救的前提下,即运用早期康复护理治疗（良肢位的摆放、肢体被动运动、床上桥式运动、足部湿热疗法、心理康复）,于治疗前后分别测定患者踝关节活动度,并观察疗效.结果 治疗后踝关节活动度与治疗前相比,差异有统计学意义（P＜0.0S）,总有效率87％.结论 早期康复护理对脑卒中后足下垂防治有显著疗效,并有利于患者的功能恢复.