Revista Espanola de Podologia最新文献_第3页

Sistema de reparto de cargas del arco longitudinal del pie 纵向足弓的负荷分配系统

Revista Espanola de Podologia Pub Date : 2017-01-01 DOI: 10.1016/j.repod.2017.03.002

Kevin A. Kirby

{"title":"Sistema de reparto de cargas del arco longitudinal del pie","authors":"Kevin A. Kirby","doi":"10.1016/j.repod.2017.03.002","DOIUrl":"10.1016/j.repod.2017.03.002","url":null,"abstract":"<div><p>The longitudinal arch of the human foot is a complex mechanical structure that must be compliant on uneven surfaces and also have sufficient stiffness to allow the foot to be an efficient propulsive organ during walking and running gait. To serve these functions, the longitudinal arch has a unique four-layer load-sharing system consisting of the plantar fascia, plantar intrinsic muscles, plantar arch extrinsic muscles and plantar ligaments. These four layers of tension load-bearing elements, working together with the osseous elements which serve as the framework of the longitudinal arch, work synergistically to increase longitudinal arch stiffness during weightbearing activities. The passive tension load-bearing elements of this load-sharing system, the plantar fascia and plantar ligaments, are not under direct central nervous system control and thus serve to stiffen the longitudinal arch with an automatic stiffening mechanism that is based on Achilles tendon tension and plantar forefoot loading. The active tension load-bearing elements, the plantar intrinsic and plantar extrinsic muscles, are under direct central nervous system control and serve to increase or decrease the stiffness of the medial and lateral longitudinal arches depending on the type and intensity of the prevailing weightbearing activity of the individual. Together, the elements of the longitudinal arch load-sharing system ensure that proper weightbearing function of the longitudinal arch, and the foot and lower extremity, can still occur even when a failure of one of these tension load-bearing elements occurs due to injury.</p></div>","PeriodicalId":33239,"journal":{"name":"Revista Espanola de Podologia","volume":"28 1","pages":"Pages 37-45"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repod.2017.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55179323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Evaluación de la calidad de las guías de práctica clínica de artritis reumatoide con recomendaciones sobre la salud del pie 类风湿关节炎临床实践指南与足部健康建议的质量评估

Revista Espanola de Podologia Pub Date : 2017-01-01 DOI: 10.1016/j.repod.2016.11.002

Laura Ramos Petersen, José Miguel Morales Asencio, Silvia García Mayor, Gabriel Gijón Noguerón

{"title":"Evaluación de la calidad de las guías de práctica clínica de artritis reumatoide con recomendaciones sobre la salud del pie","authors":"Laura Ramos Petersen, José Miguel Morales Asencio, Silvia García Mayor, Gabriel Gijón Noguerón","doi":"10.1016/j.repod.2016.11.002","DOIUrl":"10.1016/j.repod.2016.11.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Deformity and foot pain are almost omnipresent (90%) in rheumatoid arthritis (RA), due to the interaction between inflammation and abnormal biomechanical. Non-pharmacological interventions (insoles, footwear) have an important role but it is still a careless area. Clinical practice guidelines (CPG) have recommendations for patient care, reducing variability in clinical practice. There are several general CPG to treat patients with RA, but not for foot pathology. The aim of this work is to develop CPG meeting the demand of non-pharmacological treatment of foot pathology in patients with RA.</p></div><div><h3>Method</h3><p>Review of the scientific literature to identify all CPG of RA and foot, between 1975-2016. The instrument used to evaluate the CPG was the AGREE <span>II</span>.</p></div><div><h3>Results</h3><p>In relation to the overall quality, the best CPG is NICE CPG (score 6/7) and GUIPCAR and Brazilian Society of Rheumatology Consensus for the treatment of rheumatoid arthritis CPG have the lowest score. In relation to the recommendations of the foot, not all CPG have them (Brazilian Society of Rheumatology Consensus for the treatment of rheumatoid arthritis CPG no) and those with more are the HAS and Guidelines for the management of the foot health problems associated with rheumatoid arthritis CPG.</p></div><div><h3>Conclusion</h3><p>In general, the best CPG in AR is NICE CPG. There are also three other recommended GPC: RACGP, SIGN and non-drug treatment (excluding surgery) in rheumatoid arthritis GPC.</p></div>","PeriodicalId":33239,"journal":{"name":"Revista Espanola de Podologia","volume":"28 1","pages":"Pages 3-12"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repod.2016.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55179075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Artroplastia de Keller-Brandes versus artroplastia con hemiimplante para el tratamiento quirúrgico del hallux rigidus: análisis comparativo a medio plazo 凯勒-布兰德斯关节成形术与半植入关节成形术治疗僵硬关节的中期比较分析

Revista Espanola de Podologia Pub Date : 2017-01-01 DOI: 10.1016/j.repod.2017.03.005

Luis Lucinio Durán Alarcón , Gregorio Durán Arroyo , Pedro Antonio Dávila Muñoz

{"title":"Artroplastia de Keller-Brandes versus artroplastia con hemiimplante para el tratamiento quirúrgico del hallux rigidus: análisis comparativo a medio plazo","authors":"Luis Lucinio Durán Alarcón , Gregorio Durán Arroyo , Pedro Antonio Dávila Muñoz","doi":"10.1016/j.repod.2017.03.005","DOIUrl":"10.1016/j.repod.2017.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>There is no clear consensus regarding the best surgical treatment options in patients with hallux rigidus. The present study compares the effectiveness of 2commonly used techniques in advanced cases of hallux rigidus: Keller artrhoplasty and hemi-implant artrhoplasty.</p></div><div><h3>Patients and methods</h3><p>All cases of hallux rigidus that underwent surgical treatment with either Keller or hemiimplant artrhoplasties during the year 2004 were analyzed. AOFAS scale and several angles in A/P x-rays were used for comparison at the preoperative moment and at 6 months, 1 year, 3 years and 5 years postoperatively.</p></div><div><h3>Results</h3><p>A total of 54 feet were included in the study (27 in each group of treatment). No differences were observed between groups in the AOFAS scale in all the postoperative moments analyzed. Significant differences were observed in the AOFAS score and in the complications of the techniques in each separate group by age factor.</p></div><div><h3>Discussion</h3><p>The results of the techniques of podiatric surgery of Keller and hemi-implant arthroplasty seems to be dependent on the age of the patient and progress time. Keller artrhoplasty have offered better results in patients older that 55, independently of the sex, but transfer metatarsalgia at 3 and 5 years is a common postoperative finding. The hemi-implant procedure seems to be more beneficial in patients less that 55.</p></div>","PeriodicalId":33239,"journal":{"name":"Revista Espanola de Podologia","volume":"28 1","pages":"Pages 21-29"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repod.2017.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55179467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psoriasis pustulosa palmoplantar. A propósito de un caso 掌跖脓疱性牛皮癣。关于一个案例

Revista Espanola de Podologia Pub Date : 2017-01-01 DOI: 10.1016/j.repod.2016.11.003

M. Jesús Lechuga-Domínguez , Benigno Monteagudo-Sánchez , Abián Mosquera-Fernández

引用次数: 0

Keller arthroplasty vs hemi-implant arthroplasty for the surgical treatment of hallux rigidus: Mid-term comparative analysis Keller关节置换术与半假体关节置换术治疗拇趾僵硬的中期比较分析

Revista Espanola de Podologia Pub Date : 2017-01-01 DOI: 10.1016/j.repod.2017.03.006

Luis Lucinio Durán Alarcón , Gregorio Durán Arroyo , Pedro Antonio Dávila Muñoz

{"title":"Keller arthroplasty vs hemi-implant arthroplasty for the surgical treatment of hallux rigidus: Mid-term comparative analysis","authors":"Luis Lucinio Durán Alarcón , Gregorio Durán Arroyo , Pedro Antonio Dávila Muñoz","doi":"10.1016/j.repod.2017.03.006","DOIUrl":"10.1016/j.repod.2017.03.006","url":null,"abstract":"<div><h3>Introduction</h3><p>There is no clear consensus regarding the best surgical treatment options in patients with hallux rigidus. The present study compares the effectiveness of two commonly used techniques in advanced cases of hallux rigidus: Keller arthroplasty and hemi-implant arthroplasty.</p></div><div><h3>Patients and methods</h3><p>All cases of hallux rigidus that underwent surgical treatment with either Keller or hemi-implant arthroplasties during the year 2004 were analyzed. AOFAS scale and angles in A/P X-rays were used to compare at the preoperative moment and at 6 months, 1, 3 and 5 years postoperatively.</p></div><div><h3>Results</h3><p>A total of 54feet were included in the study (27 in each group of treatment). No differences were observed between groups in the AOFAS scale in all the postoperative moments analyzed. Significant differences were observed in the AOFAS score and in the complications of the techniques in each separate group by age factor.</p></div><div><h3>Discussion</h3><p>The results of the techniques of podiatric surgery of Keller and hemi-implant arthroplasty seem to be dependent on the age of the patient and progress time. Keller arthroplasty has offered better results in patients over 55, independently of the sex, but transfer metatarsalgia at 3 and 5 years is a common postoperative finding. The hemi-implant procedure seems to be more beneficial in patients less that 55.</p></div>","PeriodicalId":33239,"journal":{"name":"Revista Espanola de Podologia","volume":"28 1","pages":"Pages e9-e17"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repod.2017.03.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55179758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

In memoriam Julio J. López Morales 纪念胡里奥·洛佩斯·莫拉莱斯

Revista Espanola de Podologia Pub Date : 2017-01-01 DOI: 10.1016/j.repod.2017.02.002

Raúl Reyes Martín

引用次数: 0

Longitudinal arch load-sharing system of the foot 足部纵向拱荷载分担系统

Revista Espanola de Podologia Pub Date : 2017-01-01 DOI: 10.1016/j.repod.2017.03.003

Kevin A. Kirby

{"title":"Longitudinal arch load-sharing system of the foot","authors":"Kevin A. Kirby","doi":"10.1016/j.repod.2017.03.003","DOIUrl":"10.1016/j.repod.2017.03.003","url":null,"abstract":"<div><p>The longitudinal arch of the human foot is a complex mechanical structure that must be compliant on uneven surfaces and also have sufficient stiffness to allow the foot to be an efficient propulsive organ during walking and running gait. To serve these functions, the longitudinal arch has a unique four-layer load-sharing system consisting of the plantar fascia, plantar intrinsic muscles, plantar arch extrinsic muscles and plantar ligaments. These four layers of tension load-bearing elements, working together with the osseous elements which serve as the framework of the longitudinal arch, work synergistically to increase longitudinal arch stiffness during weightbearing activities. The passive tension load-bearing elements of this load-sharing system, the plantar fascia and plantar ligaments, are not under direct central nervous system control and thus serve to stiffen the longitudinal arch with an automatic stiffening mechanism that is based on Achilles tendon tension and plantar forefoot loading. The active tension load-bearing elements, the plantar intrinsic and plantar extrinsic muscles, are under direct central nervous system control and serve to increase or decrease the stiffness of the medial and lateral longitudinal arches depending on the type and intensity of the prevailing weightbearing activity of the individual. Together, the elements of the longitudinal arch load-sharing system ensure that proper weightbearing function of the longitudinal arch, and the foot and lower extremity, can still occur even when a failure of one of these tension load-bearing elements occurs due to injury.</p></div>","PeriodicalId":33239,"journal":{"name":"Revista Espanola de Podologia","volume":"28 1","pages":"Pages e18-e26"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repod.2017.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55179375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 39

Advanced hallux limitus and its relationship with the internal rotational pattern and the foot progression angle 前驱拇趾局限性及其与内旋模式和足进角的关系

Revista Espanola de Podologia Pub Date : 2017-01-01 DOI: 10.1016/j.repod.2017.03.007

Priscila Távara-Vidalón , Guillermo Lafuente-Sotillos , María José Manfredi-Márquez

{"title":"Advanced hallux limitus and its relationship with the internal rotational pattern and the foot progression angle","authors":"Priscila Távara-Vidalón , Guillermo Lafuente-Sotillos , María José Manfredi-Márquez","doi":"10.1016/j.repod.2017.03.007","DOIUrl":"10.1016/j.repod.2017.03.007","url":null,"abstract":"<div><h3>Introduction</h3><p>The aim of this study was to determine whether subjects with advanced hallux limitus show a diminished ability of internal rotation of the lower limb and increased foot progression angle compared with normal population. It was also intended to relate rotational and torsional patterns of lower limbs with the foot progression angle, and to compare three different methods of measurement of the foot progression angle.</p></div><div><h3>Patients and methods</h3><p>Internal and external rotational pattern, internal and external hip rotation and tibial torsion were measured in 30 feet of 15 subjects with advanced hallux limitus and 103 normal feet. The foot progression angle was also obtained using a pressure platform and an inked latex carpet.</p></div><div><h3>Results</h3><p>The internal rotation of the lower limb was significantly lesser and the foot progression angle was significantly greater in individuals with advanced hallux limitus (<em>p</em>  <0.01) for the relationship between the foot progression angle and the internal rotational pattern. The measure of the foot progression angle in the inked latex carpet was significantly greater than in the pressure platform in the left foot (<em>p</em>  <!-->0.05).</p></div><div><h3>Conclusion</h3><p>Subjects with advanced hallux limitus had a lesser capacity of internal rotation of the lower extremity and greater foot progression angle in comparison with normal population. Internal rotational pattern determines the greater foot progression angle. The foot progression angle values measured with the pressure platform differ from those of the inked latex carpet.</p></div>","PeriodicalId":33239,"journal":{"name":"Revista Espanola de Podologia","volume":"28 1","pages":"Pages e1-e8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.repod.2017.03.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55179791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Podología con factor de impacto 有影响因素的足病

Revista Espanola de Podologia Pub Date : 2017-01-01 DOI: 10.1016/j.repod.2017.01.002

Javier Pascual Huerta

引用次数: 0

Inferencia estadística y aproximación al valor p. Parte II. Contraste de hipótesis 统计推理和数值近似p。假设对比

Revista Espanola de Podologia Pub Date : 2016-07-01 DOI: 10.1016/j.repod.2016.08.001

Javier Pascual Huerta

引用次数: 0