A partir de cette page vous pouvez :
Retourner au premier écran avec les dernières notices... |
Descripteurs (mots clés)
Ajouter le résultat dans votre panier Affiner la recherche
Etendre la recherche sur niveau(x) vers le bas
Evaluation of Pressure Pain Sensitivity in the Forefoot of Healthy Individuals / Ignacio Perez-Gurbindo in Journal of the American Podiatric Medical Association, vol. 112, 01 (Janvier - mars 2022)
[article]
in Journal of the American Podiatric Medical Association > vol. 112, 01 (Janvier - mars 2022)
Titre : Evaluation of Pressure Pain Sensitivity in the Forefoot of Healthy Individuals Type de document : article de périodique Auteurs : Ignacio Perez-Gurbindo ; Yolanda Fuentes Peñaranda ; Ángel Orejana García ; Ana Alvarez-Mendez Année de publication : 2022 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Douleur
[Thésaurus Mesh]Douleur musculosquelettique
[Thésaurus Mesh]Mesure de la douleur
[Thésaurus Mesh]Palpation
[Thésaurus Mesh]Pied
[Thésaurus Mesh]Podologie
[Thésaurus Mesh]Pression
[Thésaurus Mesh]Sensibilité et spécificité
[Thésaurus HELB]:Paramédical:Avant piedRésumé : Background: The evaluation of musculoskeletal pain in podiatric medical practice is mainly based on anamnesis and manual examination. However, when manual palpation is performed, the digital pressure necessary to adequately explore the different structures of the foot is unknown. We evaluated the pressure pain threshold in forefoot structures to determine the intensity and duration of the stimulus as clinically relevant and representative.
Methods: In a transversal analytical study of 15 healthy individuals, 16 forefoot points were explored with a handheld pressure palpometer calibrated to exert maximum pressing force of 1.0 or 2.0 kilogram-force (kgf) applied during 5 or 10 sec. The combinations of the different pressures and intervals were selected randomly. Participants had to self-rate the pressure pain sensitivity of each stimuli on a 100-mm horizontal line (0–100 numeric rating scale), setting the pain threshold to 50 (100 being pain as bad as it could be). Likewise, aftersensation and referred pain patterns were recorded.
Results: All participants indicated painful stimuli at some of the 16 forefoot points studied in the experimental protocol when pressure was applied with the 2.0-kgf palpometer; 53.3% showed evidence of pain at any forefoot point when the 1.0-kgf palpometer was used. The odds of evoking a painful sensation are 9.8 times higher when using a 2.0-kgf palpometer versus a 1.0-kgf palpometer. In addition, referred sensations were observed with a significantly higher frequency when applying the 2.0-kgf palpometer.
Conclusions: Bone and soft structures show differences in pressure sensitivity, increasing significantly when applying higher pressure force. Soft structures, specifically intermetatarsal spaces, showed the lowest pain pressure thresholds. More research is needed to better understand pressure pain response.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire A Focus on Amputation Level: Factors Preventing Length Preservation in the National Inpatient Sample / Kenneth L. Fan in Journal of the American Podiatric Medical Association, vol. 112, 01 (Janvier - mars 2022)
[article]
in Journal of the American Podiatric Medical Association > vol. 112, 01 (Janvier - mars 2022)
Titre : A Focus on Amputation Level: Factors Preventing Length Preservation in the National Inpatient Sample Type de document : article de périodique Auteurs : Kenneth L. Fan ; Jenna C. Bekeny ; Christopher Kennedy ; Elizabeth G. Zolper ; John S. Steinberg ; Christopher Attinger ; Karen K. Evans ; Derek DeLia Année de publication : 2022 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Amputation chirurgicale
[Thésaurus Mesh]Cheville
[Thésaurus Mesh]Genou
[Thésaurus Mesh]Mortalité
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Ulcère du pied
[Thésaurus HELB]:Paramédical:Avant piedRésumé : Background: Diabetic lower-extremity disease is the primary driver of mortality in patients with diabetes. Amputations at the forefoot or ankle preserve limb length, increase function, and, ultimately, reduce deconditioning and mortality compared with higher-level amputations, such as below-the-knee amputations (BKAs). We sought to identify risk factors associated with amputation level to understand barriers to length-preserving amputations (LPAs).
Methods: Diabetic lower-extremity admissions were extracted from the 2012-2014 National Inpatient Survey using ICD-9-CM diagnosis codes. The main outcome was a two-level variable consisting of LPAs (transmetatarsal, Syme, and Chopart) versus BKAs. Logistic regression analysis was used to determine contributions of patient- and hospital-level factors to likelihood of undergoing LPA versus BKA.
Results: The study cohort represented 110,355 admissions nationally: 42,375 LPAs and 67,980 BKAs. The population was predominantly white (56.85%), older than 50 years (82.55%), and male (70.38%). On multivariate analysis, living in an urban area (relative risk ratio [RRR] = 1.48; P < .0001) and having vascular intervention in the same hospital stay (RRR = 2.96; P < .0001) were predictive of LPA. Patients from rural locations but treated in urban centers were more likely to receive BKA. Minorities were more likely to present with severe disease, limiting delivery of LPAs. A high Elixhauser comorbidity score was related to BKA receipt.
Conclusions: This study identifies delivery biases in amputation level for patients without access to large, urban hospitals. Rural patients seeking care in these centers are more likely to receive higher-level amputations. Further examination is required to determine whether earlier referral to multidisciplinary centers is more effective at reducing BKA rates versus satellite centers in rural localities.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire
Titre : L’influence de la cadence de course sur la posture dans le plan sagittal Type de document : TFE Auteurs : Vincent Grossetie, Auteur ; Vincent Vanderlin, Promoteur ; Françoise Klein, Promoteur Editeur : Bruxelles : Haute Ecole Libre de Bruxelles Ilya Prigogine Année de publication : 2017 Pages : 64 p. Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Course à pied
[Thésaurus Mesh]Posture
[Thésaurus Mesh]Talon
[Thésaurus HELB]:Paramédical:Avant pied
[Thésaurus HELB]:Paramédical:CadenceRésumé : L’objectif de ce mémoire, était de mettre en évidence l’influence de la cadence de course sur la posture du coureur. Trente hommes, sportifs, pratiquant la course à pied de façon occasionnelle ont été sélectionnés. Filmés sur tapis de course à 11km/h, nous avons fait varier la cadence naturelle de -10% et +10%. Le constat est le suivant : Lors de l’augmentation de la cadence on observe une position du corps plus postérieure, une attaque prédominante sur l’avant pied, et un raccourcissement de la longueur du pas. Une diminution de la cadence entraine une position du corps plus antérieure, une augmentation de l’attaque du talon, et un allongement de la longueur du pas. L’étude que nous avons menée, souligne l’évolution de la course à pied chez les sportifs amateurs. La course sur l’avant du pied, jusqu’à lors réservée essentiellement aux coureurs de haut niveau, doit être prise en compte maintenant dans une nouvelle façon de courir chez des sportifs éclairés. Domaine TFE : Baccalauréat en Podologie Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= Exemplaires
Cote Support Localisation Section Disponibilité BPO2017 TFE Erasme - TFE Podologie En ligne (via portail HELB)
Exclu du prêt