Neuromuscular taping treatment of diabetic foot: a concept analysis.

OBJECTIVE: The definition of neuromuscular taping (NMT) has yet to be clearly analysed as a possible treatment for diabetic foot. Case studies, theoretical analysis and results of existing research may lead to varying perceptions on the definition of NMT and its possible effects on diabetic foot. This article aims to analyse the definition of the NMT concept and furthermore as a basis for future research development on diabetic foot. METHODS: The procedure for reference source search include the principal data bases using "neuromuscular taping" and "diabetic foot" keywords for the period of 2010-2019. The concept analysis uses an 8-step approach with the Walker and Avant's method. CONCLUSIONS: NMT is a decompression application of an elastic tape on the skin on the diabetic foot that has the effect of reducing the inflammatory response, improving vascularity and neuromusculoskel-etal function. It aims to improve neuromusculoskeletal and lymphatic system functioning due to the presence of wrinkles, indicating dila-tion, with local effects on the sensorimotor and proprioceptive senses in conditions of care, rehabilitation and injury. RESULTS: Analysis of the NMT concept on diabetic foot obtained attributes of elastic tape, skin, pain, edema, injury, sensorimotor, circulation, drainage, relaxation, local, proprioceptive, motion func-tion, strength, contraction, stabilisation, reflex, rehabilitation, care, musculoskeletal, nerve, muscles, tendons, fascia, joints, lymphatic, longitudinal, wrinkles. There were four groups of attributes, namely inflammatory response, vascularity, neuromusculoskeletal function and musculoskeletal system. NMT application benefits for diabetic foot can be attributed to improving walking function, leg position, decreasing pain response, improving body function index, improving leg muscle strength and motor function, increasing range of movement (ROM), maintaining stability of leg joint function, preventing injury, increas-ing strength and improving position of ankle joints, reducing stiffness, reducing edema and helping wound healing processes.

Diabetic foot ulcer treatment management with lymphatic neuromuscular taping (NMT).

RESULTS: The BJWAT score significantly decreased after treatment with NMT application (p<0,05) evaluated with Friedman test. CONCLUSION: NMT application seems to be a useful, non invasive and low cost treatment to associate with other treatments in the ma-nagement of diabetic foot ulcers. INTRODUCTION: Foot ulcers are major complications of diabetes mellitus and are estimated to affect 0.5-3% of the global population of people with diabetes. Treatment, prevention and management of foot ulcers is of paramount importance and utilisation of different preventa-tive strategies has been described in literature. The aim of this research study is to evaluate the possible integrative role of NeuroMuscolar Taping (NMT) in the treatment of diabetic foot ulcers. METHODS: This is an observational study involving patients with 3 to 5 degree of diabetic wound classification. The Bates-Jensen Wound Assessment Tool (BJWAT) was used before and after four weeks of NeuroMuscolar Taping applications.

The Effect Of Frequency Of Dressing Replacement With 0.1% Betaine-Polyhexanide Solution On The Formation Of Collagen And Epithelial Tissue In Albino Wistar Rats With Grade Iia Burns.

Moist wound healing is a method of retaining moisture to increase migration of epithelial cells and synthesis of collagen. One of the liquids that can be used is 0.1% betaine-polyhexanide solution. This study aimed to determine the effect of frequency of dressing replacement with 0.1% betaine-polyhexanide solution on the formation of collagen and epithelial tissue in albino wistar rats with grade IIA burns. The study used the randomized posttest-only control group design to investigate within a period of 13 days 25 male rats, which were divided into 5 groups, each comprising 5 rats. The groups included the control group and the treatment groups with dressing changes every 12 hours, 24 hours, 36 hours, and 48 hours. The variables measured in this study were the epithelium and collagen percentages. One-way ANOVA test revealed a significant difference in the synthesis of collagen with a p-value of 0.002 (p < 0.05) but no significant difference in the formation of epithelial tissue with a p-value of 0.561 (p > 0.05). The highest score was found in the group with a dressing change every 24 hours. It can be concluded that the treatment of grade IIA burns with 0.1% betainepolyhexanide solution once every 24 hours can optimize the formation of collagen and epithelial tissue.

Le maintien de l'humidité locale a pour but de promouvoir la migration des cellules épithéliales et la synthèse du collagène. Un des liquides utilisables est la solution de bétaïne- polyhexanide (BPH) à 0,1% (Prontosan® en France, NDRLF). Cette étude a pour but d'évaluer l'effet de la fréquence de changement d'un pansement à la bétaïne- polyhexanide 0,1% sur la formation de collagène et de tissu épithélial après brûlure du 2ème degré superficiel chez le rat Wistar albinos. Il s'agit d'une étude randomisée avec mesure en fin de traitement (sur une période de 13 jours) chez 5 groupes de 5 rats, un groupe contrôles et 4 groupes avec pansement toutes les 12, 24, 36 et 48 h, les variables évaluées étant l'épithélialisation et la densité de collagène. En ANOVA unilatéral, on observe une différence significative de la synthèse de collagène (p = 0,002) et pas de différence d'épithélialisation. La plus grande différence est observée lorsque le pansement est changé toutes les 24 h, qui semble donc être la fréquence optimale de changement des pansements à la BPH.