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Effect of 4 Weeks of Foot Orthosis Intervention on Ambulatory Capacities and Posture in Normal-Weight and Obese Patients / Patricia Griffon 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 : Effect of 4 Weeks of Foot Orthosis Intervention on Ambulatory Capacities and Posture in Normal-Weight and Obese Patients Type de document : article de périodique Auteurs : Patricia Griffon ; Bruno Vie ; Jean Paul Weber ; Yves Jammes Année de publication : 2020 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:O:Orthèses de pied:Orthèses de pied / utilisation
[Thésaurus Mesh]Équilibre postural
[Thésaurus Mesh]Marche à pied
[Thésaurus Mesh]Obésité
[Thésaurus Mesh]Orthèses de pied
[Thésaurus Mesh]Poids idéal
[Thésaurus HELB]:Paramédical:travaux scientifiquesMots-clés : foot orthoses walking ideal body weight postural balance obesity Résumé : Background: Several works have shown the benefits of foot orthosis intervention on postural stability in healthy individuals and patients with foot malalignment. However, the effects of foot orthoses on the daily ambulatory activities explored by the Six-Minute Walk Test (6MWT) were never examined. We hypothesized that foot orthoses could increase the gait distance and attenuate the post-6MWT posture alterations already reported in healthy individuals.
Methods: In ten normal-weight (NW) and ten obese patients with foot malalignment and/or abnormal foot arch, we examined the benefits of 4 weeks of custom-molded orthosis intervention (D30) on 6MWT gait distance, fatigue sensation scores, ankle plantarflexion force, and post-6MWT sway of the center of pressure (COP) measured by a pedobarographic platform. Data were compared with those measured in two control-matched groups of ten NW and ten obese individuals, explored at study inclusion and at D30.
Results: At study inclusion, the post-6MWT changes in COP surface and the medial and lateral COP deviations were significantly higher in obese participants who needed to wear the foot orthoses compared with obese control subjects. The foot orthosis intervention significantly improved the ambulatory performances of NW and obese individuals during the 6MWT, attenuated the bodily fatigue sensation after the 6MWT, and reduced the post-6MWT COP deviations, with the benefits of insoles being significantly accentuated in obese participants.
Conclusions: Four weeks of foot orthosis intervention significantly increases gait distance and is an effective means to reduce postural sway after walking.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Incidence of Venous Thromboembolism After Achilles Tendon Surgery in Patients Receiving Thromboprophlaxis / İlker Çolak 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 : Incidence of Venous Thromboembolism After Achilles Tendon Surgery in Patients Receiving Thromboprophlaxis Type de document : article de périodique Auteurs : İlker Çolak ; Deniz Gülabi ; Engin Eceviz ; Bilgehan H. Çevik ; Güven Bulut ; Halil I. Bekler Année de publication : 2020 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:T:Thrombose veineuse:Thrombose veineuse / prévention et contrôle
[Thésaurus Mesh]Chirurgie générale
[Thésaurus Mesh]Embolie pulmonaire
[Thésaurus Mesh]Immobilisation
[Thésaurus Mesh]Période postopératoire
[Thésaurus Mesh]Tendinopathie
[Thésaurus Mesh]Tendon calcanéen
[Thésaurus Mesh]Thérapeutique
[Thésaurus HELB]:Paramédical:travaux scientifiquesMots-clés : achilles tendon endinopathy surgery therapeutics mmobilization venous thrombosis prevention pulmonary embolism postoperative period Résumé : Background: Surgical or nonsurgical treatment of an Achilles tendon rupture includes a period of immobilization that is a well-documented risk factor for deep venous thrombosis (DVT). The DVT is a source of morbidity in orthopedic surgery because it can progress to pulmonary embolism. The aim of this study was to investigate the incidence of DVT and pulmonary embolism after surgical treatment of an Achilles tendon rupture.
Methods: A retrospective analysis was made of patients who underwent surgical treatment of Achilles tendon rupture between January 1, 2006, and November 30, 2014. Patient data were collected from the hospital medical record system.
Results: Of 238 patients with a mean age of 39 years (range, 18–66 years), 18 (7.6%) were diagnosed as having symptomatic DVT. The average body mass index of the patients with DVT was 31.8 (range, 24–33). Of the patients with DVT, 11 were older than 40 years and two-thirds had a body mass index of 30 or greater. Pulmonary embolism was diagnosed in four patients (1.7%), none of whom had DVT symptoms.
Conclusions: Venous thrombosis continues to be a major cause of morbidity and mortality in postoperative patients. Limited data are available for the use of thromboprophylaxis in foot and ankle surgery. In light of the literature review and results of this study, we suggest that routine thromboembolism prophylaxis should be considered for patients with Achilles tendon rupture.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire