2 résultat(s) recherche sur le mot-clé 'Amputation stumps'    

 trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

Microcirculatory Assessment of Arterial Below-Knee Stumps: Near-Infrared Spectroscopy Versus Transcutaneous Oxygen Tension—A Preliminary Study in Prosthesis Users / Davy Laroche in Archives of Physical Medicine and Rehabilitation, 2017/6 (2017)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2017/6 (2017) . - pp. 1187–1194 Titre : Microcirculatory Assessment of Arterial Below-Knee Stumps: Near-Infrared Spectroscopy Versus Transcutaneous Oxygen Tension—A Preliminary Study in Prosthesis Users Type de document : Article Auteurs : Davy Laroche ; José-Luis Barnay ; Bastien Tourlonias Article en page(s) : pp. 1187–1194 Langues : Anglais (eng) Descripteurs : HE Vinci Rééducation et réadaptation Mots-clés : Amputation stumps  Moignons d'amputation  Blood Gas Monitoring  Transcutaneous  Mesure transcutanée des gaz du sang  Spectroscopy  near-infrared  Spectroscopie proche infrarouge Résumé : Objective To examine metrologic properties of near-infrared spectroscopy (NIRS) versus transcutaneous oxygen tension (TcPO2) for microcirculatory assessment of vascular transtibial stumps at the stabilized period of prosthesis fitting, as a preliminary step before exploring its ability to predict stump healing, considering the previously identified limits of TcPO2 (borderline area between 15 and 35mmHg). Design Prospective single-center observational study. Setting University-based rehabilitation center. Participants Individuals with unilateral transtibial amputation for peripheral artery disease, at the definitive stage of prosthesis fitting, able to perform a 2-minute walk test (N=30). Interventions Not applicable. Main Outcome Measures Test-retest, with the stump being evaluated in supine and inclined positions, first by NIRS (tissue saturation index [TSI], oxyhemoglobin, deoxyhemoglobin, and total hemoglobin) and second by TcPO2. Subjects carried out a 2-minute walk test and visual analog scales (wound healing and pain). Results Feasibility and tolerance of NIRS were satisfactory. The reliability of NIRS and TcPO2 values was good (intraclass correlation coefficient >0.7; P<.05 no significant relation was found between nirs and tcpo2. responsiveness vs supine reported>.05). A significant relation between TSI and the 2-minute walk test (r>.49, P<.05 was found.> Conclusions NIRS is painless, complication-free, and feasible, with good reliability. NIRS evaluates others domain than TcPO2 that are more linked to metabolic adaptation. Its capacity to predict stump healing and tolerance to early prosthesis fitting is therefore interesting to estimate in future studies. DOI : https://doi.org/10.1016/j.apmr.2016.12.001 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117867 [article]

Sensibility of the Stump in Adults With an Acquired Major Upper Extremity Amputation / Willemijn Van gils in Archives of Physical Medicine and Rehabilitation, 2013/11 (2013)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2013/11 (2013) . - pp. 2179-2185 Titre : Sensibility of the Stump in Adults With an Acquired Major Upper Extremity Amputation Type de document : Article Auteurs : Willemijn Van gils ; Heleen Reinders-Messelink ; Frida Smit-Klaij ; [et al.] Article en page(s) : pp. 2179-2185 Langues : Anglais (eng) Descripteurs : HE Vinci Membre supérieur ; Rééducation et réadaptation ; Toucher (sens) Mots-clés : Amputation Stumps  Moignons d'amputation  Sensation  Stereognosis  Stéréognosie  Touch  Upper Extremity Résumé : Objectives To compare the sensibility of the stump in adults with an acquired major upper extremity amputation with the sensibility of the unaffected side and with the corresponding body parts of healthy controls, as well as to relate the sensibility of the stump to daily functioning. Design A survey with matched controls. Setting A tertiary referral center. Participants A referred sample of patients (n=30) with an acquired upper extremity amputation, at least 1 year after amputation, and control subjects (n=30) matched for age, sex, and hand dominance were evaluated. Interventions Not applicable. Main Outcome Measures Three different modalities of sensibility were measured: (1) touch-pressure sensibility, tested using Semmes-Weinstein monofilaments; (2) stereognosis, detected using the Shape and Texture Identification test; and (3) kinesthesia. Daily functioning was assessed using the Upper Extremity Functional Status Module of the Orthotics and Prosthetics Users' Survey. Results The mean time + SD since amputation was 20+17.8 years. Twenty patients used a prosthesis. The stump sensibility was similar to that of unaffected hands and tended to be less than that of unaffected arms (P=.08). The patients using a prosthesis had significantly poorer touch-pressure sensibility in the stump compared with the nonusers (P=.04). However, touch-pressure sensibility and stereognosis were worse in the patients than in controls (P<.001 and p=".03," respectively two patients were able to identify shapes using their stump. kinesthesia of the shoulders elbows did not differ between affected unaffected side. moreover daily functioning was related sensibility.> Conclusions The touch-pressure sensibility in the stumps of patients using prostheses was poorer than the sensibility in nonusers, and remarkably, the unaffected extremities of the amputees were less sensitive than the extremities of the controls. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117639 [article]