Effects of Compression Intervention on the Thigh Using Elastic Bandage on Lateral Femoral Pain After Trochanteric Fractures: A Multicenter Randomized Controlled Trial.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY
Gerontology and Geriatric Medicine Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI:10.1177/23337214231214405
Kengo Kawanishi, Daisuke Fukuda, Toshinori Miyashita, Takashi Kitagawa, Hiroyuki Niwa, Taisuke Okuno, Takashi Kinoshita, Masahiro Tsutsumi, Shintarou Kudo
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引用次数: 0

Abstract

A trochanteric fracture is one type of hip fracture. Management of postoperative pain after trochanteric fracture that is caused by decreased gliding between tissues in the lateral thigh is not established. The aim of this study was to examine the effect of compression of the thigh using an elastic bandage on trochanteric fracture after surgery. Multicenter randomized controlled trial was conducted in collaboration with the Comprehensive Rehabilitation Unit (sub-acute rehabilitation Unit) in two hospitals. Eligible volunteers (n = 34) with trochanteric fractures after surgery were randomly assigned to two groups. In the treatment group, participants practiced standing and walking under compression of the thigh with an elastic bandage. The control group was blinded to the intervention and practiced standing and walking under non-compression of the thigh with an elastic bandage. Both groups underwent a standard physical therapy program 2 times a day, daily. Two-way repeated measures of ANOVA showed significant main effect between the groups for gliding between tissue (p < .001), lateral femoral pain (p < .001), subcutaneous tissue thickness (p = .044). Compression of the thigh with an elastic bandage significantly improved subcutaneous tissue thickness, gliding between tissues, lateral thigh pain. Gait velocity improved with these functional improvements.

弹性绷带对股骨压迫干预对粗隆骨折后股骨外侧疼痛的影响:一项多中心随机对照试验。
转子骨折是髋部骨折的一种。股骨外侧组织间滑动减少引起的粗隆骨折术后疼痛的处理尚未确定。本研究的目的是探讨弹性绷带对股骨粗隆骨折术后压迫的影响。与两家医院的综合康复科(亚急性康复科)合作进行了多中心随机对照试验。符合条件的34名术后转子骨折志愿者随机分为两组。在治疗组,参与者在大腿压迫下用弹性绷带练习站立和行走。对照组不进行干预,在不压迫大腿的情况下用弹力绷带练习站立和行走。两组均接受标准物理治疗方案,每天2次。双向重复方差分析显示,两组间组织间滑动的主效应显著(p p p = 0.044)。用弹性绷带压迫大腿可显著改善皮下组织厚度、组织间滑动、大腿外侧疼痛。步态速度随着这些功能的改善而改善。
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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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