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[PMID]:29465590
[Au] Autor:Nishimura T; Arima K; Abe Y; Kanagae M; Mizukami S; Okabe T; Tomita Y; Goto H; Horiguchi I; Aoyagi K
[Ad] Endereço:Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto.
[Ti] Título:Relationship between bone turnover markers and the heel stiffness index measured by quantitative ultrasound in middle-aged and elderly Japanese men.
[So] Source:Medicine (Baltimore);97(8):e9962, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of the present study was to investigate the age-related patterns and the relationships between serum levels of tartrate-resistant acid phosphatase-5b (TRACP-5b) or bone-specific alkaline phosphatase (BAP), and the heel stiffness index measured by quantitative ultrasound (QUS) in 429 Japanese men, with special emphasis on 2 age groups (40-59 years and 60 years or over). The heel stiffness index (bone mass) was measured by QUS. Serum samples were collected, and TRACP-5b and BAP levels were measured. The stiffness index was significantly decreased with age. Log (TRACP-5b) was significantly increased with age, but Log (BAP) was stable. Generalized linear models showed that higher levels of Log (TRACP-5b) and Log (BAP) were correlated with a lower stiffness index after adjusting for covariates in men aged 60 years or over, but not in men aged 40 to 59 years. In conclusion, higher rates of bone turnover markers were associated with a lower stiffness index only in elderly men. These results may indicate a different mechanism of low bone mass among different age groups of men.
[Mh] Termos MeSH primário: Fosfatase Alcalina/sangue
Indicadores Básicos de Saúde
Calcanhar/diagnóstico por imagem
Fosfatase Ácida Resistente a Tartarato/sangue
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Biomarcadores/sangue
Densidade Óssea
Remodelação Óssea/fisiologia
Testes Diagnósticos de Rotina
Calcanhar/fisiopatologia
Seres Humanos
Japão
Modelos Lineares
Masculino
Meia-Idade
Ultrassonografia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); EC 3.1.3.1 (Alkaline Phosphatase); EC 3.1.3.2 (Tartrate-Resistant Acid Phosphatase)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180222
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009962


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[PMID]:28467569
[Au] Autor:Kuran B; Aydog T; Erçalik C; Arda P; Yilmaz F; Dogu B; Öncü J; Durlanik G
[Ad] Endereço:Deparmemt of Physiotherapy and Rehabilitation, Istanbul Yeni Yuzyil University Faculty of Health Sciences, Istanbul, Turkey. banukuran@gmail.com.
[Ti] Título:Medial calcaneal neuropathy: A rare cause of prolonged heel pain.
[So] Source:Agri;29(1):43-46, 2017 Jan.
[Is] ISSN:1300-0012
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:Pain heel constitutes 15% of foot pain. Pain may be caused by plantar fasciitis, calcaneal fractures, calcaneal apophysitis, heel pad atrophy, inflammatory diseases or related with nerve involvement. Tibial, plantar and/or medial nerve entrapment are the neural causes of pain. Most of the heel soft tissue sensation is provided by medial calcaneal nerve. Diagnosis of heel pain due to neural causes depends on history and a careful examination. Surgery should not be undertaken before excluding other causes of heel pain. Diagnosis should be reconsidered following conservative therapy.
[Mh] Termos MeSH primário: Fasciíte Plantar/diagnóstico
Calcanhar
Síndrome do Túnel do Tarso/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Calcâneo/inervação
Diagnóstico Diferencial
Fasciíte Plantar/complicações
Fasciíte Plantar/diagnóstico por imagem
Fasciíte Plantar/reabilitação
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Dor Intratável/etiologia
Modalidades de Fisioterapia
Síndrome do Túnel do Tarso/complicações
Síndrome do Túnel do Tarso/diagnóstico por imagem
Síndrome do Túnel do Tarso/reabilitação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/agri.2015.13540


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[PMID]:29419689
[Au] Autor:Lin CZ; Xia X; Wang H; Liu DX
[Ad] Endereço:Shantou University Medical School Postgraduate Student, Shantou University Medical College.
[Ti] Título:Surgical reconstruction of the fascia lata and posterior tibial artery perforator flap to treat children with simultaneous injury to the Achilles tendon and heel skin.
[So] Source:Medicine (Baltimore);97(6):e9834, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Children with simultaneous injury to the Achilles tendon and heel skin remain a challenge for clinicians. The purpose of this study is to evaluate a combined surgical procedure involving use of the fascia lata to reconstruct the Achilles tendon, and the posterior tibial artery perforator flap to cover the accompanying heel skin injury.Between February 2010 and February 2013, 8 children (3 females and 5 males) between 3 and 12 years of age, with a median age of 7.5 years, were hospitalized in the First Affiliated Hospital of Shantou University Medical College. All injuries involved damage to an Achilles tendon and heel skin. In all patients, the fascia lata was transplanted to reconstruct the Achilles tendon and the posterior tibial artery perforator flap transplanted to cover the skin injury.Hospitalization was 11 to 15 days (mean 13.5 days). Local necrosis (15% of the area) occurred in 1 flap, but healed after changing dressing. All other flaps survived well. At follow-up after 1 to 2 years, all children had recovered good plantar-flexion and supported their weight while walking. Use of the Arner-Lindholm standard to rate clinical efficacy revealed that of the 8 cases, 6 cases showed excellent recovery and 2 were good, with 0 cases ranking moderate or poor. The excellent and good rate was 100%.Child patients with Achilles tendon injury accompanied by heel skin injury are still a challenge for clinicians. Use of the fascia lata, combined with a posterior tibial artery perforator flap, to reconstruct the Achilles tendon and heel skin for children is a feasible, safe, effective method, faster than other methods for recovery, and should be widely applied in the clinic.
[Mh] Termos MeSH primário: Tendão do Calcâneo
Procedimentos Cirúrgicos Dermatológicos/métodos
Fascia Lata/transplante
Calcanhar
Procedimentos Cirúrgicos Reconstrutivos
Pele/lesões
[Mh] Termos MeSH secundário: Tendão do Calcâneo/lesões
Tendão do Calcâneo/cirurgia
Criança
Pré-Escolar
China
Feminino
Calcanhar/lesões
Calcanhar/cirurgia
Seres Humanos
Masculino
Avaliação de Processos e Resultados (Cuidados de Saúde)
Retalho Perfurante/irrigação sanguínea
Procedimentos Cirúrgicos Reconstrutivos/instrumentação
Procedimentos Cirúrgicos Reconstrutivos/métodos
Traumatismos dos Tendões/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009834


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[PMID]:29369171
[Au] Autor:Liang JL; Liu XY; Qiu T; Fu ZQ; Wang HY; Kong X; Tao K
[Ad] Endereço:Department of Plastic Surgery, General Hospital of Shenyang Military Area Command, PLA, Shenyang, Liaoning, China.
[Ti] Título:Microdissected thin anterolateral thigh perforator flaps with multiple perforators: A series of case reports.
[So] Source:Medicine (Baltimore);97(4):e9454, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The study aimed to explore the effect of microdissected thin anterolateral thigh (MTALT) perforator flap with multiple perforators on patients with complex defects on the hand, elbow, heel, or knee. METHODS: From March 2012 to February 2013, 5 patients with complex defects on the hand, elbow, heel, or knee were included. During the flap preparation, 2 to 3 perforators penetrating the fascia of the anterolateral femoral area were initially detected, and the deep fascia was incised. The superficial fascia layer of the flap and the deep adipose were then dissected, and removed after verifying the distribution of the blood vessels using an operating microscope. The whole flap was then elevated, and transposed to the recipient areas for microsurgical reparation. RESULTS: Two cases of post-burn scar contracture and 3 cases of traumatic tissue defects were successfully reconstructed with these multiple-perforator MTALT flaps. No complication was reported, and secondary operative procedure was not needed in any patient in the follow-up. CONCLUSION: MTALT perforator flap with multiple perforators is safe and reliable for patients with complex defects on the hand, elbow, heel, or knee.
[Mh] Termos MeSH primário: Microdissecção/métodos
Doenças Musculoesqueléticas/cirurgia
Retalho Perfurante/transplante
Alotransplante de Tecidos Compostos Vascularizados/métodos
[Mh] Termos MeSH secundário: Adulto
Queimaduras/cirurgia
Cotovelo/cirurgia
Fáscia/transplante
Feminino
Mãos/cirurgia
Calcanhar/cirurgia
Seres Humanos
Joelho/cirurgia
Masculino
Meia-Idade
Doenças Musculoesqueléticas/etiologia
Retalho Perfurante/irrigação sanguínea
Coxa da Perna/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009454


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[PMID]:29280881
[Au] Autor:Colen LB
[Ad] Endereço:Norfolk, Virginia From the Division of Plastic and Reconstructive Surgery, Eastern Virginia Medical School.
[Ti] Título:Discussion: Reconstruction of the Heel, Middle Foot Sole, and Plantar Forefoot with the Medial Plantar Artery Perforator Flap: Clinical Experience with 28 Cases.
[So] Source:Plast Reconstr Surg;141(1):209-210, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Calcanhar/cirurgia
Retalho Perfurante/cirurgia
[Mh] Termos MeSH secundário: /irrigação sanguínea
Traumatismos do Pé/cirurgia
Seres Humanos
Procedimentos Cirúrgicos Reconstrutivos
Retalhos Cirúrgicos/irrigação sanguínea
Artérias da Tíbia/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003991


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[PMID]:27777208
[Au] Autor:Li WX; Cao Y; Zou MC; Huang Y; Hu P; Luo XR; Jiang Y; Xue YM; Gao F
[Ad] Endereço:Department of Endocrinology and Metabolism, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. E-mail: lwxgznf@126.com.
[Ti] Título:[Anlysis of foot biomechanics characteristic in 303 patients with type 2 diabetes mellitus].
[So] Source:Nan Fang Yi Ke Da Xue Xue Bao;36(10):1410-1416, 2016 Oct 20.
[Is] ISSN:1673-4254
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To investigate foot biomechanics characteristic of patients with type 2 diabetes mellitus. METHODS: This study was conducted among 303 patients with type 2 diabetes. The whole foot was divided into 10 regions, namely the first toe (T1); the second to fifth toes (T2-5); the first, second, third, fourth, and fifth metatarsals (M1, M2, M3, M4, and M5, respectively); midfoot (MF), and the heel medial (HM). Foot arch index, foot angle and maximum peak pressure (MPP) of the 10 regions were measured using a Footscan gait system. RESULTS: The maximum peak pressure of 10 regions decreased in the order of M3>M2>HM>M4>HL>M1>M5>T1>ML>T2-5 for the left foot, and in the order of M3>M2>HM>M4>HL>M1>M5>T1>ML>T2-5 for the right foot. The MPP in M1 region was higher in the right than in the left foot (P<0.05). The MPP in M3, M4, M5, and MF was higher in the left than in the right foot (P<0.05). The percentage of high-risk foot (defined by a total plantar pressure ≥70 N/cm ) was 34% on the left and 17.7% on the right. An increased BMI was associated with a significant increase in high-risk foot, but not for the right foot in underweight patients. Foot flat phase was extended and forefoot push-off phase shortened in stance phase in the patients. Compared with the right foot, the left foot showed a significantly increased foot arch index and increased low and high arch rates with a decreased normal arch rate. Total plantar pressure was higher in of the left high arch foot than in normal arch foot. The foot angle was significantly larger on the right than on the left. The bilateral total plantar pressures were significantly greater in male patients (P<0.05) and increased with age but were not associated with the duration of DM, foot angle, or glycosylated hemoglobin level. CONCLUSION: Diabetic patients have obvious alterations in foot biomechanics with abnormalities of the plantar pressure, and the percentage of high-risk foot increases in overweight and obese patients, suggesting the need of body weight control in these patients when administering offloading treatment for prevention of diabetic foot ulcer.
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/fisiopatologia
/fisiopatologia
Marcha
[Mh] Termos MeSH secundário: Fenômenos Biomecânicos
Pé Diabético/prevenção & controle
Feminino
Calcanhar/fisiopatologia
Seres Humanos
Masculino
Obesidade/fisiopatologia
Sobrepeso/fisiopatologia
Pressão
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:29095303
[Au] Autor:Yang WY; Han YH; Cao XW; Pan JK; Zeng LF; Lin JT; Liu J
[Ad] Endereço:aDepartment of Orthopaedics, Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine) bSecond School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
[Ti] Título:Platelet-rich plasma as a treatment for plantar fasciitis: A meta-analysis of randomized controlled trials.
[So] Source:Medicine (Baltimore);96(44):e8475, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Recently, platelet-rich plasma (PRP) has been used as an alternative therapy for plantar fasciitis (PF) to reduce heel pain and improve functional restoration. We evaluated the current evidence concerning the efficacy and safety of PRP as a treatment for PF compared with the efficacy and safety of steroid treatments. METHODS: Databases (PubMed, EMBASE, and The Cochrane Library) were searched from their establishment to January 30, 2017, for randomized controlled trials (RCTs) comparing PRP with steroid injections as treatments for PF. The Cochrane risk of bias (ROB) tool was used to assess the methodological quality. Outcome measurements were the visual analogue scale (VAS), Foot and Ankle Disability Index (FADI), American Orthopedic Foot and Ankle Society (AOFAS) scale, and the Roles and Maudsley score (RMS). The statistical analysis was performed with RevMan 5.3.5 software. RESULTS: Nine RCTs (n = 430) were included in this meta-analysis. Significant differences in the VAS were not observed between the 2 groups after 4 [weighted mean difference (WMD) = 0.56, 95% confidence interval (95% CI): -1.10 to 2.23, P = .51, I = 89%] or 12 weeks of treatment (WMD = -0.49, 95% CI: -1.42 to 0.44, P = .30, I = 89%). However, PRP exhibited better efficacy than the steroid treatment after 24 weeks (WMD = -0.95, 95% CI: -1.80 to -0.11, P = .03, I = 85%). Moreover, no significant differences in the FADI, AOFAS, and RMS were observed between the 2 therapies (P > .05). CONCLUSION: Limited evidence supports the conclusion that PRP is superior to steroid treatments for long-term pain relief; however, significant differences were not observed between short and intermediate effects. Because of the small sample size and the limited number of high-quality RCTs, additional high-quality RCTs with larger sample sizes are required to validate this result.
[Mh] Termos MeSH primário: Fasciíte Plantar/terapia
Manejo da Dor/métodos
Troca Plasmática/métodos
Plasma Rico em Plaquetas
Esteroides/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Fasciíte Plantar/complicações
Feminino
Calcanhar
Seres Humanos
Masculino
Meia-Idade
Dor/etiologia
Medição da Dor
Ensaios Clínicos Controlados Aleatórios como Assunto
Índice de Gravidade de Doença
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Nm] Nome de substância:
0 (Steroids)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008475


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[PMID]:28984769
[Au] Autor:Chen W; Liu X; Pu F; Yang Y; Wang L; Liu H; Fan Y
[Ad] Endereço:aKey Laboratory of Rehabilitation Technical Aids, Ministry of Civil Affair, School of Biological Science and Medical Engineering, Beihang University bState Key Laboratory of Virtual Reality Technology and Systems, Beihang University cNational Research Center for Rehabilitation Technical Aids dRokab Pedorthic Center, Beijing, P.R. China.
[Ti] Título:Conservative treatment for equinus deformity in children with cerebral palsy using an adjustable splint-assisted ankle-foot orthosis.
[So] Source:Medicine (Baltimore);96(40):e8186, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A novel splint, the assisting ankle-foot orthoses (AFO), was developed to provide adjustable sustained stretching to improve conservative treatment for equinus deformities in children with cerebral palsy (CP). The treatment effect was validated by follow-up visits. METHODS: This study involved subjects between 2 and 12 years old, including 28 CP children treated with splint-assisted AFO correction, 30 CP children treated with static AFO correction, and 30 normal children with typical development (TD). Quantitative pedobarographic measurements were taken to evaluate the effect of splint-assisted AFO correction. The heel/forefoot ratio was introduced to indicate the degree of the equinus deformity during treatment. RESULTS: The results showed that the heel/forefoot ratios were 1.41 ±â€Š0.26 for the TD children; 0.65 ±â€Š0.41, 1.02 ±â€Š0.44, and 1.24 ±â€Š0.51 for the splint-assisted AFO correction before and after 6-month and 12-month treatments; 0.59 ±â€Š0.37, 0.67 ±â€Š0.44, and 0.66 ±â€Š0.42 for the static AFO correction before and after 6-month and 12-month treatments. CONCLUSIONS: This study suggests that correction with the adjustable splint-assisted AFO is an effective treatment for equinus deformity in CP Children.
[Mh] Termos MeSH primário: Paralisia Cerebral/complicações
Tratamento Conservador/instrumentação
Pé Equino/terapia
Órtoses do Pé
Contenções
[Mh] Termos MeSH secundário: Tornozelo/fisiopatologia
Estudos de Casos e Controles
Criança
Pré-Escolar
Tratamento Conservador/métodos
Pé Equino/etiologia
Pé Equino/fisiopatologia
Desenho de Equipamento
Feminino
/fisiopatologia
Calcanhar/fisiopatologia
Seres Humanos
Masculino
Estudos Prospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008186


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[PMID]:28877108
[Au] Autor:Meyers T
[Ad] Endereço:Tina Meyers, MBA, BSN, CWOCN, Harris Health Systems, Landscape Court, Conroe, Texas.
[Ti] Título:Prevention of Heel Pressure Injuries and Plantar Flexion Contractures With Use of a Heel Protector in High-Risk Neurotrauma, Medical, and Surgical Intensive Care Units: A Randomized Controlled Trial.
[So] Source:J Wound Ostomy Continence Nurs;44(5):429-433, 2017 Sep/Oct.
[Is] ISSN:1528-3976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to compare the use of a heel protector to standard of care (pillows) in the prevention of hospital-acquired pressure injuries (HAPI) of the heels and prevention of plantar flexion contractures. DESIGN: Randomized controlled trial. SUBJECTS AND SETTING: The study took place on a surgical intensive care unit, medical intensive care unit, and neurotrauma intensive care unit. Inclusion criteria were a minimum of 5 days of sedation related to care for a critical illness, immobility for 6 to 8 hours before study initiation, a Braden Scale for Pressure Sore Risk score 18 or less, and a mobility subscale score 2 or less. Patients were included if they had preexisting heel pressure injury or plantar flexion contracture. The sample comprised 54 subjects; 37 were randomly allocated to the intervention group and 17 to the control group. Their average age-mean (standard deviation)-was 40.7 (14.96) years in the control group and 44.6 (17.15) years in the intervention group. METHODS: Data were collected from patients' electronic medical records. We recorded subject demographics, presence of diabetes mellitus or peripheral vascular disease, Glasgow Coma Scale scores (every shift), Braden Scale for Pressure Sore Risk scores (every shift), heel skin assessments (every shift), goniometric measurements (every other day), and adverse events (every shift). Assessments and measurements were continued until the patient was discharged from the study. RESULTS: None of the patients in the intervention group developed HAPI of the heels, as compared to 7 in the control group (0% vs 41%, P < .001). Patients in the intervention group had a significantly greater decrease in goniometric scores (mean decrease = 1.4 ± 2.25) compared to the control group by day 3 (mean decrease = 0.1 ± 0.52 P = .004) and the last study day (mean decrease = 2.0 ± 3.02 for the intervention group vs 0.07 ± 0.96 for the control group; P < .001). CONCLUSIONS: Study findings indicate that a heel protector that ensures off-loading and maintains the foot in a neutral position is more effective for prevention of HAPI of the heel and contractures as compared to standard care using pillows to position the heel and redistribute pressure.
[Mh] Termos MeSH primário: Contratura/prevenção & controle
Lesão por Pressão/prevenção & controle
Higiene da Pele/instrumentação
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Enfermagem de Cuidados Críticos/métodos
Complicações do Diabetes
Feminino
Calcanhar/lesões
Seres Humanos
Escala de Gravidade do Ferimento
Unidades de Terapia Intensiva/organização & administração
Unidades de Terapia Intensiva/estatística & dados numéricos
Masculino
Meia-Idade
Doenças Vasculares Periféricas/complicações
Placa Plantar/lesões
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170907
[St] Status:MEDLINE
[do] DOI:10.1097/WON.0000000000000355


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[PMID]:28865629
[Au] Autor:Al-Majid S; Vuncanon B; Carlson N; Rakovski C
[Ti] Título:The Effect of Offloading Heels on Sacral Pressure.
[So] Source:AORN J;106(3):194-200, 2017 Sep.
[Is] ISSN:1878-0369
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Offloading a patient's heels during supine surgical procedures is a common practice to prevent heel pressure injuries. This practice may increase sacral pressure and jeopardize sacral skin integrity, but prophylactic dressings may help protect sacral skin. The purpose of this study was to examine the effects of offloading the heels and of multilayered silicone foam dressings on sacral pressure. We measured the sacral pressure of 50 healthy volunteers using a pressure-mapping system under four conditions: heels not offloaded and sacral dressing applied, heels offloaded and dressing applied, heels not offloaded and no dressing, and heels offloaded and no dressing. We used linear mixed-effects modeling to compare the effects of these conditions on sacral pressure. Offloading the heels significantly increased sacral pressure (P < .001), whereas the dressing had no effect on sacral pressure (P = .49). Offloading a patient's heels may increase the risk of sacral pressure injuries.
[Mh] Termos MeSH primário: Bandagens
Calcanhar
Posicionamento do Paciente/métodos
Lesão por Pressão/prevenção & controle
Silicones
Suporte de Carga
[Mh] Termos MeSH secundário: Voluntários Saudáveis
Seres Humanos
Pressão/efeitos adversos
Lesão por Pressão/etiologia
Região Sacrococcígea
Pele
Decúbito Dorsal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Silicones)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170904
[St] Status:MEDLINE



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