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ObjectiveTo investigate the short-term efficacy of orthopedic elastic bandages on gait symmetry and walking ability in children with spastic hemiplegic cerebral palsy. MethodsFrom June, 2020 to June, 2023, 31 children with spastic hemiplegic cerebral palsy from Beijing Bo'ai Hospital were randomly divided into control group (n = 15) and experimental group (n = 16). Both groups received routine rehabilitation, while the control group received routine walking training, and the experimental group wore an orthopedic elastic bandage for walking training, for four weeks. The indexes of gait symmetry of foot deviation angle ratio (affected/healthy), step length ratio (affected/healthy), gait line ratio (affected/healthy) and standing stage ratio (affected percentage/healthy percentage) were calculated before and after training, and they were measured step width and the optional and maximum walking speed of 10-meter walk test (10MWT). ResultsOne case dropped off in the experimental group. After training, the foot deviation ratio, step length ratio, gait line ratio, and standing stage ratio improved in both groups (|t| > 2.434, P < 0.05), and they were better in the experimental group than in the control group (|t| > 2.230, P < 0.05); while the optional and maximum walking speed of 10MWT improved in both groups (|t| > 9.186, P < 0.001), and they were better in the experimental group than in the control group (|t| > 2.278, P < 0.05). ConclusionWearing orthopedic elastic bandages during rehabilitation can promote the gait symmetry and walking ability of children with spastic hemiplegic cerebral palsy.
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Objective:To investigate the effects of bandaging methods on breast cancer associated lymphoedema.Methods:By simple random sampling method, a total of 90 cases of breast cancer associated lymphoedema patients who received complex decongestion therapy in Hubei Cancer Hospital from May 2020 to My 2021 were randomly assigned to experimental group and control group, with 45 cases in each group. All patients received complex decongestion therapy. At the pressure bandage stage, the control group received figure-of-eight shape bandaging methods, the experimental group implemented modified bandaging methods: the figure-of-eight shape bandaging methods was used below the elbow joint, the spiral bandaging methods was used above the elbow joint. The arm circumference of affected limb, extracellular water/total body water ratio, general comfort questionnaire, bandage loosening rate as well as bandage loss was compared between two groups.Results:At 20 days after treatment, the arm circumference of affected limb in L 3, L 4 were (20.69 ± 2.06) cm, (25.76 ± 3.79) cm and extracellular water/total body water ratio was (10.15 ± 2.49)% in the experimental group, which were lower than those in the control group (21.97 ± 3.45) cm, (27.33 ± 3.25) cm and (11.67 ± 3.12)%, the differences were significant ( t=2.13, 2.11 and 2.56, all P<0.05); the physiological demension scores and total general comfort questionnaire scores were (11.07 ± 2.09) points and (81.71 ± 5.65) points in the experimental group, which were higher than those in the control group (8.36 ± 2.28) points and (77.29 ± 7.52) points, the difference were statically significant ( t=5.88 and 3.16, P<0.05). The bandage loosening rate was 2.2% in the experimental group, 6.7% in the control group, there was no significant difference between two groups ( χ2=1.05, P>0.05). The average bandage loss was (3.47 ± 0.53) rolls in the experimental group, which was lower than that in the control group (3.79 ± 0.40) rolls, the difference was statically significant ( t=3.28, P<0.01). Conclusions:Modified bandaging methods can decrease breast cancer associated lymphoedema, improve the degree of patient comfort and reduce bandage usage.
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Objective:To observe the effect of compressive low elastic bandage on upper limb lymphedema after breast cancer surgery. Methods:From November, 2017 to December, 2018, 64 patients with upper limb lymphedema after breast cancer surgery were randomly divided into control group (n = 32) and observation group (n = 32). Both groups accepted manual lymphatic drainage and low elastic bandage, while the observation group increased the pressure with sponge pads on the fibrous swelling site as bandaging, five times a week for two weeks. They were measured L-Dex with bioelectrical spectroscopy before the first treatment (T1), before the second treatment (T2), before the third treatment (T3), before the sixth treatment (T4), and 24 hours after the tenth treatment (T5), respectively. The arm circumference of affected side and un-affected side was also measured at T1 and T5. Results:L-Dex decreased since T2 in both groups, but increased at T4 in the observation group and more than that of the control group (t = 2.13, P < 0.05), and less than that of the control group at T5 (t = -2.29, P < 0.05). The difference of arm circumference between affected side and un-affected side was less in the observation group than in the control group (t = -3.78, P < 0.001)。 Conclusion:Low elastic bandage combined with lymphatic drainage technique can alleviate the fibrous swelling. On the basis of low elastic bandage with local sponge pad compression is more effective than simple low elastic bandage on fibrous swelling after lymphedema of upper limbs after breast cancer surgery.
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ObjectiveTo investigate the effect of medical elastic bandage and passive lower limb movement on blood pressure changes for patients with lithotomy surgery. Methods300 cases of lithotomy surgery patients in our hospital were randomly divided into three groups with 100 cases in each group.Group A was taken with routine care as the control group.Group B was taken with the medical elastic bandage based upon routine care.Group C was given passive movement in the lower limb based upon routine care.The blood pressure changes for three groups of patients were compared. ResultsThe lower extremities flat blood pressure was significantly reduced for patients of group A.The average arterial blood pressure decreased significantly at the flat lower limb immediately and after 5 min.The changes were statistically significant compared with patients of group B and C. ConclusionsThe medical elastic bandages and lower limb passive motion play a role in stabilizing the blood pressure of patients with lithotomy position surgery,which is worthy of clinical promotion.
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Background: De Quervain’s tenosynovitis is a common disease among the patients who performed unaccustomed repetitive movement of the thumb side of the wrist. A neoprene thumb stabilizer splint is often used to restrict thumb movement. However, because of its cost, usage of an elastic bandage made of cheaper materials is proposed. Objective: Compare the effectiveness between the elastic bandage and the neoprene thumb stabilizer splint in acute De Quervain’s tenosynovitis. Methods: Forty participants with acute De Quervain’s tenosynovitis were divided into two groups (20 participants each). The first group used the elastic bandage, and the second group used the neoprene thumb stabilizer splint. Visual Analog Scale (VAS) pain, lateral and palmar pinch strength were measured before and after using the bandage and the splint for one or two weeks. Results: The average ages in the bandage and the splint group were 53.15±10.42 and 48±11.7 years, respectively. The VAS pain score of the bandage and splint group over week 0, 1, and 2 were 58.50, 33.90 and 19.55, and 51.60, 35.85 and 25.20, respectively. The bandage and splint group had the lateral pinch strength over the time of 9.40, 10.70 and 11.25 lbs, and 8.90, 9.88 and 10.57 lbs, respectively. Furthermore, they had the palmar pinch strength of 3.63, 4.68 and 5.28 lbs, and 3.07, 3.92 and 4.29 lbs, respectively. Conclusion: The pain and strength were not significantly different between the bandage and the splint group in acute De Quervain tenosynovitis. Using the bandage may be more cost-effectiveness than using the splint.
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Objective To compare the effect of hemostasis of puncture point of radial artery be-tween using modified mi- type elastic bandage and TR- Band tourniquet after the operation of coronary in-tervention. Methods 142 patients who were to undergo transradial coronary intervention were divided in-to the observation group (73 cases)and the control group(69 cases). The observation group applied modi-fied mi- type elastic bandage and the control group adopted TR- Band tourniquet. The effect of hemostasis, discomfort degree and incidence rate of local complication were observed in the two groups. Results The success rate of hemostasis of the observation group (98.63%) was higher than that of the control group (94.20%), but the difference between two groups was of no statistical significance. For the discomfort de-gree: the feeling of pain was higher in the control group, incidence of swelling was higher in the observa-tion group,the difference between the two groups had statistical significance,for the incidence of numb-hess,the test was of no statistical significance,for the local skin complication,the difference between two groups was of no statistical significance. Conclusions Putting modified mi- type elastic bandage into the application after the operation of coronary intervention,we find that choosing material is convenient,it is easy to observe and operate,the effect of hemostasis is safe and reliable,the rate of complication is low. So it is one safe, effective and ecnomical hemostasia method.