1.Design of combined lower limb elastic compression device and comparative study with elastic bandage.
Ling-Yuan ZENG ; Xiao-Chun WEI ; Tao WANG ; Yu-Ze WANG ; Hui ZHANG ; Kang WANG ; Zhi-Qiang ZHANG
China Journal of Orthopaedics and Traumatology 2021;34(3):243-248
OBJECTIVE:
To compared with the modified Robert Jones bandage of 3M elastic bandage, to evaluate the fitness, convenience, safety and comfort of the modular combination lower limb elastic compression device.
METHODS:
Forty healthy adult college students, including 28 males and 12 females, aged 16 to 25 (20.3±2.2) years old and weighing 40 to 81 (60.4±20.2) kg, were randomly divided into two groups with 40 samples in each group. According to the body surface parameters of Chinese lower limbs and guided by the concept of modularization, a group of modular combined lower limb elastic compression device was designed. Each module was combined to evaluate the fitness of the modular combined compression device in thelength and circumference of the lower limbs. The left and right lower limbs were randomly paired and divided into groups, with 40 samples in each group. The convenience of the operation time, adjustment times and required time were compared between two groups. The safety of the two groups after 24 hours of application of pressure injury was compared. The subjective pain feeling changes within 24 hours were recorded by visual analogue scale (VAS) to evaluate the comfort.
RESULTS:
The device was composed of several elastic compression outer lining modules with different length and width of 15 cm, an inner lining module for buffering, positioning and attaching the main body, and an elastic ankle compression module. The length of the elastic compression outer lining module covers the circumference of the human lower limbs. The length of a single outer lining module increased from 15 cm to 80 cm every 5 cm interval, and the length of a single inner lining module increased from 62 cm to 83 cm every 3 cm interval. After the modules were selected and combined, the length and circumference of the lower limbs can reach 100% fitness. The operation time of the first placement(118.23±7.33) s and re operation(60.08±5.88) s of experimental group were significantly shorter than those of control group (164.68±8.93) s and re operation (131.23±7.91) s. The adjustment times (3) and operation time (3.50±0.71) s of experimental group were significantly shorter than those of control group(11)and operation time(139.00±5.66) s (
CONCLUSION
The modular combined elastic compression device has good fitness, better placement and flexible adjustment, convenience and safety, and better comfort than modified Robert Jones bandage of 3M elastic bandage.
Adolescent
;
Adult
;
Compression Bandages
;
Female
;
Humans
;
Lower Extremity
;
Male
;
Pain Measurement
;
Pressure
;
Treatment Outcome
;
Young Adult
2.The Effectiveness of Complex Decongestive Physical Therapy for Pain in Patients with Rheumatoid Lymphedema: Two Case Reports
Baek Hee JANG ; Seong Wook SON ; Chung Reen KIM
Clinical Pain 2018;17(2):119-122
Rheumatoid lymphedema (RL) is a rare complication of rheumatoid arthritis (RA). The pathophysiology of RL is not yet fully understood, and the management is also not standardized. As yet, there is low awareness regarding RL and complex decongestive physical therapy (CDPT) among physicians; hence, diagnosis and treatment are delayed. A few studies have reported the positive effects of tumor necrosis factor-α inhibitory drugs on RL. CDPT is still considered the gold standard for the treatment of cancer-related lymphedema, but there are few reports on the effects of CDPT on RL. Therefore, we report two cases of chronic International Society of Lymphology lymphedema stage II RL that exhibited good therapeutic outcomes after CDPT. One of the two patient had taken a tumor necrosis factor-α inhibitory drug, but RL still has progressed. However, CDPT with multilayer bandage showed significant reduction in the pain and edema of the lower extremities.
Arthritis, Rheumatoid
;
Bandages
;
Compression Bandages
;
Diagnosis
;
Edema
;
Humans
;
Lower Extremity
;
Lymphedema
;
Necrosis
3.Early experience of transilluminated cryosurgery for varicose vein with saphenofemoral reflux: review of 84 patients (131 limbs).
Annals of Surgical Treatment and Research 2017;93(2):98-102
PURPOSE: Varicose veins with great saphenous vein (GSV) insufficiency is prevalent. Among various surgical treatments for varicose veins, cryosurgery of GSV is an alternative minimally invasive technique that could leave fewer scars and replace conventional stripping with ambulatory phlebectomy. This study sought to assess outcomes including efficacy and safety of cryosurgery for varicose veins. METHODS: One hundred thirty-one limbs in 84 patients (37 male, 47 female; mean age, 53.3 years) with varicose veins were treated with cryosurgery over a 2-year period. The patients were followed for postoperative complication with surveillance of recurrence. The analyzed variables included age, sex, symptom, operative time (from skin incision to the application of elastic bandages on the legs for compression purposes), and postoperative complications including bruising, hematoma, superficial thrombophlebitis, cellulitis, seroma, cutaneous nerve damage, and wound complication. RESULTS: The mean operative time was 64.7 minutes for both limbs and 44 minutes for single limbs. The median number of incisions was 2. For stripping of GSV, one incision at the groin was necessary. Postoperative complications included an episode of hematoma in 3 limbs (2.3%), cutaneous nerve damage in 3 limbs (2.3%), cellulitis in 2 patients (1.5%), and seroma in 1 limb (0.8%). No wound infection, thrombophlebitis or deep venous thrombosis was observed. During follow-up (mean follow-up period, 13.5 months; range, 3–28 months), there was no recurrence. CONCLUSION: Cryosurgery to treat varicose veins is an effective and safe treatment modality in terms of postoperative complication, cosmetic result, and recurrence.
Cellulitis
;
Cicatrix
;
Compression Bandages
;
Cryosurgery*
;
Extremities
;
Female
;
Follow-Up Studies
;
Groin
;
Hematoma
;
Humans
;
Leg
;
Male
;
Operative Time
;
Postoperative Complications
;
Recurrence
;
Saphenous Vein
;
Seroma
;
Skin
;
Thrombophlebitis
;
Varicose Veins*
;
Venous Thrombosis
;
Wound Infection
;
Wounds and Injuries
4.Effect of Shirexiao waist hot-compress on the expressions of Th17/Treg-specific factors in the mouse model of experimental autoimmune prostatitis with damp heat syndrome.
Min ZHU ; Nan XU ; Qing-Hu HE ; Jian-Ning XUN ; Fang DAI ; Zi-Lei ZHAO
National Journal of Andrology 2017;23(3):243-250
Objective:
To investigate the effect of waist hot-compress with the Shirexiao (SRX) pad on the expressions of Th17/Treg-specific factors in the prostatic tissue of the mouse model of experimental autoimmune prostatitis (EAP) with damp heat syndrome, and explore its possible action mechanisms.
METHODS:
Twenty healthy male mice were included as normal controls and another 100 chosen for establishing the model of EAP with damp heat syndrome by subcutaneous injection of purified prostate protein solution from the Wistar rat and Freund's complete adjuvant using the TCM method. The model mice were randomly divided into five groups: model control, matrix, and low-, medium- and high-dose SRX. After chemical removal of the hair at lumbar vertebrae 1-3, the animals of the low-, medium- and high-dose SRX groups were treated with the SRX pad heated to 45℃ and externally applied to the non-hair area, qd, bid, and tid, respectively, 10 minutes each time, those of the matrix group with the vaseline pad, and those of the normal and model control groups with the saline pad. After 4 weeks of continuous treatment, all the mice were sacrificed for determination of the protein and mRNA expressions of RORγt and Foxp3 in the prostate tissue by Western blot and quantitative real-time PCR.
RESULTS:
The symptoms, signs and pathological changes of the EAP model mice were similar to the manifestations of chronic prostatitis. After intervention, the protein and mRNA expressions of Foxp3 were significantly down-regulated while those of RORγt markedly up-regulated in the EAP model group as compared with the normal control (P <0.05). In comparison with the model controls, the protein and mRNA expressions of RORγt were remarkably decreased in the medium- and high-dose SRX groups (P <0.05), that of the Foxp3 protein was markedly increased in the high-dose group (P <0.05), while that of Foxp3 mRNA exhibited no statistically significant difference in the low-, medium- or high-dose groups (P >0.05).
CONCLUSIONS
The Shirexiao waist hot-compress therapy plays a positive role in the treatment of autoimmune prostatitis with damp heat syndrome by reducing the expression of RORγt, inhibiting the differentiation of Th17 and thus checking the differentiation imbalance of Th17/Treg.
Adjuvants, Immunologic
;
Animals
;
Compression Bandages
;
Disease Models, Animal
;
Drugs, Chinese Herbal
;
Forkhead Transcription Factors
;
metabolism
;
Freund's Adjuvant
;
Hair Removal
;
Hot Temperature
;
Humans
;
Male
;
Mice
;
Nuclear Receptor Subfamily 1, Group F, Member 3
;
metabolism
;
Prostatitis
;
etiology
;
metabolism
;
RNA, Messenger
;
metabolism
;
Random Allocation
;
Rats
;
Rats, Wistar
;
T-Lymphocytes, Regulatory
;
metabolism
;
Th17 Cells
;
metabolism
;
Up-Regulation
5.Drainless Parotidectomies versus Conventional Parotidectomies: Randomised Control Study on Efficacy and Safety.
Dennis Yk CHUA ; Christopher Hk GOH
Annals of the Academy of Medicine, Singapore 2016;45(11):513-515
Adenolymphoma
;
surgery
;
Adenoma, Pleomorphic
;
surgery
;
Compression Bandages
;
Drainage
;
Facial Nerve Diseases
;
epidemiology
;
Female
;
Fibrin Tissue Adhesive
;
therapeutic use
;
Health Care Costs
;
Hospitalization
;
economics
;
statistics & numerical data
;
Humans
;
Length of Stay
;
Male
;
Middle Aged
;
Parotid Gland
;
surgery
;
Parotid Neoplasms
;
surgery
;
Postoperative Complications
;
epidemiology
;
Singapore
;
epidemiology
;
Tissue Adhesives
;
therapeutic use
6.Clinics in diagnostic imaging (164). Morel-Lavallée lesion.
Sook Chuei Wendy CHEONG ; Bak Siew Steven WONG
Singapore medical journal 2016;57(1):45-50
A 31-year-old male motorcyclist presented with prepatellar swelling of the left knee after a collision with a car. Magnetic resonance imaging of the knee showed no bony or ligamentous injury to the knee. Instead, a well-defined, thin-walled, T2-weighted hyperintense fluid collection with internal septations was identified in a prefascial location overlying the left patella and patellar tendon. The findings were in keeping with those of a Morel-Lavallée lesion, a closed internal degloving injury. Morel-Lavallée lesions are occasionally encountered after a blunt soft-tissue trauma. The presentation and imaging features are discussed.
Adult
;
Compression Bandages
;
Humans
;
Knee Injuries
;
diagnosis
;
therapy
;
Magnetic Resonance Imaging
;
methods
;
Male
;
Physical Therapy Modalities
;
Soft Tissue Injuries
;
diagnosis
;
therapy
;
Trauma Severity Indices
7.Effects of a Modified Hand Compression Bandage for Treatment of Post-Burn Hand Edemas.
Won Yong PARK ; Soo Jin JUNG ; So Young JOO ; Ki Un JANG ; Cheong Hoon SEO ; Ah Young JUN
Annals of Rehabilitation Medicine 2016;40(2):341-350
OBJECTIVE: To evaluate the effect of a modified hand compression bandage in patients with a post-burn hand edema. METHODS: Patients were recruited from burn centers. We classified the patients into two groups: the modified hand compression bandage group comprising of 22 patients who had a modified hand compression bandage and received conventional physical therapy and the conventionally treated group, comprising of 20 patients who received only conventional physical therapy during the 4-week period post-burn. Hand circumference, hand skin thickness, and hand function were evaluated by grip strength, active range of motion (ROM), Jebsen hand function test, and visual analogue scale (VAS). These assessments were used to evaluate treatment effectiveness prior to the first treatment, 2 weeks after the first treatment, 4 weeks after the first treatment, and 4 months after the first treatment. RESULTS: As a result of repeated-measures analysis of variance on hand circumference, skin thickness, VAS, and each metacarpophalangeal joint ROM, we found significant differences that corresponded to time effect (p<0.05) and time×group (reciprocal action) effect (p<0.05). The results of grasp power, Jebsen hand function test, and each proximal interphalangeal joint ROM, show significant differences in accordance with the time effect (p<0.05), however, there was no reciprocal action effect (p>0.05). CONCLUSION: The modified hand compression bandage will be clinically useful for the treatment of patients with post-burn hand edemas.
Burn Units
;
Burns
;
Compression Bandages*
;
Edema*
;
Hand Strength
;
Hand*
;
Humans
;
Joints
;
Metacarpophalangeal Joint
;
Range of Motion, Articular
;
Rehabilitation
;
Skin
;
Treatment Outcome
8.Radial Artery Pseudoaneurysm Treated with a Compression Bandage after Invasive Blood Pressure Monitoring in a Patient with a Traumatic Injury.
Seong Pyo MUN ; Yoo Seok KIM ; Nam Kyu CHOI ; Sung Soo KIM ; Young Sun YOO
Korean Journal of Critical Care Medicine 2016;31(4):375-380
No abstract available.
Aneurysm, False*
;
Blood Pressure Monitors*
;
Blood Pressure*
;
Compression Bandages*
;
Humans
;
Radial Artery*
9.Radial Artery Pseudoaneurysm Treated with a Compression Bandage after Invasive Blood Pressure Monitoring in a Patient with a Traumatic Injury
Seong Pyo MUN ; Yoo Seok KIM ; Nam Kyu CHOI ; Sung Soo KIM ; Young Sun YOO
The Korean Journal of Critical Care Medicine 2016;31(4):375-380
No abstract available.
Aneurysm, False
;
Blood Pressure Monitors
;
Blood Pressure
;
Compression Bandages
;
Humans
;
Radial Artery

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