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Effects of Intermittent Calf Muscle Electrical Stimulation on Walking Capacity in Claudicants Living with Type 2 Diabetes / Christian Ellul in Journal of the American Podiatric Medical Association, vol. 110, 01 (Janvier-février 2020)
[article]
in Journal of the American Podiatric Medical Association > vol. 110, 01 (Janvier-février 2020)
Titre : Effects of Intermittent Calf Muscle Electrical Stimulation on Walking Capacity in Claudicants Living with Type 2 Diabetes Type de document : article de périodique Auteurs : Christian Ellul ; Cynthia Formosa ; Alfred Gatt Année de publication : 2020 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:C:Claudication intermittente:Claudication intermittente / thérapie
[Thésaurus Mesh]Claudication intermittente
[Thésaurus Mesh]Diabète de type 2
[Thésaurus Mesh]Électrothérapie
[Thésaurus Mesh]Études prospectives
[Thésaurus Mesh]Muscles
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Traitement par les exercices physiques
[Thésaurus HELB]:Paramédical:molletMots-clés : prospective studies diabetes mellitus, type 2 diabetic foot intermittent claudication exercise therapy electric stimulation therapy Résumé : Background: First-line therapy for diabetic patients presenting with intermittent claudication includes supervised exercise programs to improve walking distance. However, exercise comes with a variety of barriers and may be contraindicated in certain conditions. The aim of this study was to evaluate whether calf muscle electrostimulation improves claudication distance.
Methods: A prospective, one-group, pretest-posttest study design was used on 40 participants living with type 2 diabetes mellitus, peripheral artery disease (ankle brachial pressure index, <0.90), and calf muscle claudication. Calf muscle electrostimulation of varying frequencies (1–250 Hz) was prescribed on both limbs for 1-hour daily sessions for 12 consecutive weeks. The absolute claudication distance (ACD) was measured at baseline and after the intervention.
Results: The recruited cohort (30 men and ten women; mean age, 71 years; mean ankle brachial pressure index, 0.70) registered a mean ± SD baseline ACD of 333.71 ± 208 m. After a mean ± SD of 91.68 ± 6.23 days of electrical stimulation, a significant mean ± SD increase of 137 ± 136 m in the ACD (P = .001, Wilcoxon signed rank test) was registered. Improvement was found to be sex independent, but age was negatively correlated with proportion of improvement (r = –0.361; P = .011, Pearson correlation test).
Conclusions: Electrical stimulation of varying frequencies on ischemic calf muscles significantly increased the maximal walking capacity in claudicants with type 2 diabetes. This therapeutic approach should be considered in patients with impaired exercise tolerance or as an adjunct treatment modality.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Posterior Ankle Impingement Syndrome in a Nonathletic Population: Causes, Treatment Modalities, and the Results of Endoscopic Treatment / Bertan Cengiz in Journal of the American Podiatric Medical Association, vol. 113, 04 (Juillet 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 04 (Juillet 2023)
Titre : Posterior Ankle Impingement Syndrome in a Nonathletic Population: Causes, Treatment Modalities, and the Results of Endoscopic Treatment Type de document : article de périodique Auteurs : Bertan Cengiz ; Ramin Moradi ; Sinan Karaoglu Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:étiologie
[Thésaurus HELB]:Paramédical:mollet
[Thésaurus Mesh]Cheville
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Douleur
[Thésaurus Mesh]Endoscopie
[Thésaurus Mesh]Tendons
[Thésaurus Mesh]ThérapeutiqueMots-clés : Syndrome de conflit postérieur de la cheville Résumé : Background: A common cause of posterior ankle pain is posterior ankle impingement syndrome (PAIS). Many studies about PAIS have been conducted on special groups such as athletes and dancers; there has been no previous study of a nonathletic population. This study aimed to evaluate the causes and treatment methods of PAIS in the nonathletic population and compare it with the athletic population.
Methods: A retrospective review was performed and 28 of 46 patients (60.9%) recovered from two-staged conservative therapy. In the 18 patients (39.1%) who did not benefit from 3 months of conservative treatment, hindfoot endoscopy was applied. Patient data, including sex, age, occupation, and sports activity level, were recorded. Visual analog scale, American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot, and Tegner scores were recorded. Patient satisfaction was assessed with a 4-point Likert scale. Complications were recorded.
Results: Mean follow-up was 27.4 months. At final follow-up, the AOFAS hindfoot score had significantly improved from 66.4 to 96.8 (P < .001). The Tegner score improved significantly from 4.6 to 8.8 (P < .001). The visual analog scale score was 6.4 and increased to 0.9 (P < .001). Using the 4-point Likert scale for patient satisfaction, 13 (72.2%) stated that the surgical procedure was excellent and five (27.8%) good. Mean time to return to work was 4.2 weeks. Sural nerve dysesthesia was seen in two patients (11.1%).
Conclusions: This is the first study to evaluate PAIS in the nonathletic population. Conservative treatment showed good results as nearly two-thirds of the patients recovered. Hindfoot endoscopy in those not responding to conservative therapy is a successful treatment with low complication rates.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire A Predictive Model for Gastrocnemius Tightness in Forefoot Pain and Intractable Plantar Keratosis of the Second Rocker / Mar Torres Cobacho in Journal of the American Podiatric Medical Association, Vol. 111, 03 (Mai-juin 2021)
[article]
in Journal of the American Podiatric Medical Association > Vol. 111, 03 (Mai-juin 2021)
Titre : A Predictive Model for Gastrocnemius Tightness in Forefoot Pain and Intractable Plantar Keratosis of the Second Rocker Type de document : article de périodique Auteurs : Mar Torres Cobacho ; Jorge M. Barcia ; Valentın Freijo-Gutierrez ; Javier Ferrer-Torregrosa Année de publication : 2021 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Diagnostic
[Thésaurus Mesh]Métatarsalgie
[Thésaurus Mesh]Muscles
[Thésaurus HELB]:Paramédical:kératose plantaire
[Thésaurus HELB]:Paramédical:molletMots-clés : kératose discrète gastrocnémiens Résumé : Background: Many people experience gastrocnemius tightness. Few studies demonstrate the relationship between gastrocnemius tightness and forefoot pathology. This study aimed to define the association between intractable plantar keratosis of the second rocker (IPK2) (also known as well-localized IPK or discrete keratosis) and metatarsalgia. Methods: The Silfverskio¨ld (ST) and lunge (LT) tests, used for measuring ankle dorsiflexion, were applied to diagnose gastrocnemius tightness. An instrument for measuring accurate performance and the force to be applied (1.7–2.0 kg of force to the ankle dorsiflexion) complemented the ST for clinical diagnosis and to obtain repeatedly reliable results (the authors apply force manually, which is difficult to quantify accurately). Results: Of 122 patients studied, 74 were used to devise a prediction model from a logistic regression analysis that determines the probability of presenting gastrocnemius tightness in each test (LT and ST) with the following variables: metatarsalgia, IPK2, and maximum static pressure (baropodometry). The IPK2 plays the principal role in predicting this pathology, with the highest Wald values (6.611 for LT and 5.063 for ST). Metatarsalgia induces a somewhat lower change (66.7% LT and 64.3% ST). The maximum pressure of the forefoot is equally significant (P ¼ .043 LT and P ¼ .025 ST), taking a , .05 as the significance level. Conclusions: The results of this validation report confirm that a model composed of metatarsalgia, IPK2, and maximum pressure in static acts as a predictive method for gastrocnemius tightness Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Tennis leg : l’importance d’un bon diagnostic / C. De Backer in Revue médicale de Bruxelles, vol. 43, 01 (Janvier-février 2022)
[article]
in Revue médicale de Bruxelles > vol. 43, 01 (Janvier-février 2022) . - p. 53-57
Titre : Tennis leg : l’importance d’un bon diagnostic Type de document : article de périodique Auteurs : C. De Backer ; E. Mrzyglod Année de publication : 2022 Article en page(s) : p. 53-57 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Diagnostic différentiel
[Thésaurus Mesh]Douleur
[Thésaurus Mesh]Thrombose veineuse
[Thésaurus HELB]:Paramédical:molletMots-clés : tennis leg Résumé : Le tennis leg est une cause fréquente de douleur au mollet qui peut mimer une thrombophlébite des membres inférieurs. Il s’agit d’une lésion musculaire correspondant à la désinsertion distale aiguë du muscle gastrocnémien médial sur la lame aponévrotique commune avec le soléaire. Le plus souvent, le mécanisme lésionnel est intrinsèque, lors d’un démarrage brutal du patient avec dorsiflexion de la cheville ou dans des sports nécessitant des accélérations et décélérations brutales. L’impotence à la marche et l’apparition d’un hématome différé sont fonction de la gravité de la lésion musculaire.
L’objectif de cet article est de rappeler cette entité clinique et l’importance de réaliser un diagnostic différentiel complet, notamment avec les thromboses veineuses des membres inférieurs, dont la clinique peut être similaire. La prise en charge adéquate du tennis leg permet d’optimiser la récupération musculaire et d’éviter certaines complications.
Nous rapportons le cas d’un patient de 50 ans se présentant aux urgences pour une douleur aiguë du mollet gauche. Devant une suspicion clinique de thrombose veineuse, une anticoagulation thérapeutique est initiée. Suite à l’aggravation de la symptomatologie, le diagnostic est réévalué en faveur d’une lésion musculaire avancée (apparition d’un hématome macroscopique) péjorant le pronostic fonctionnel. Une écoute attentive du mécanisme lésionnel et un examen clinique précis permettent de diagnostiquer correctement un tennis leg.
Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire