{"title":"A positive approach to rehabilitation involving the foot.","authors":"A E Helfand, J Bruno","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rehabilitation represents a total approach to patient care: the relief of pain, the restoration of the maximal level of function, and the maintenance of restored function in a pain-free state, mentally, psychologically, vocationally, and spiritually. As such, it implies a multidisciplinary approach to a complex set of problems and makes the use of a team approach imperative.</p>","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 2","pages":"249-54"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Some guidelines for the use of physical modalities.","authors":"J Bruno","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Physical therapy should be thought of in the same manner as any form of therapy, with its indications, contraindications, and side effects. The clinician should set up priorities in this form of treatment, which will be dictated by the disease or condition to be treated or by the complaints of the patient. Pain is usually a top priority, followed by swelling and biomechanical problems, including contractures.</p>","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 2","pages":"295-9"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Therapeutic modalities and procedures. Part II: Hydrotherapy and ultraviolet.","authors":"A E Helfand, J Bruno","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hydrotherapy is the external application of water for therapeutic purposes. The therapeutic devices used for producing ultraviolet radiation are the hot quartz or mercury vapor lamp, the cold quartz lamp, the sun lamp with a tungsten filament, the carbon are unit, and the black light or Wood's filter for diagnostic fluorescence.</p>","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 2","pages":"315-21"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lymphedema.","authors":"G J Merli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lymphedema is swelling that results from the accumulation of lymph due to a malformation or obstruction of the lymphatic system. Once other causes (cardiac, renal, and hepatic) of lower extremity edema have been ruled out, categorization into primary and secondary lymphedema is undertaken. A complete history, physical, and laboratory evaluation is completed to diagnose the specific type of lymphedema and appropriate management is recommended.</p>","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 2","pages":"363-72"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Basic considerations for shoes, shoe modifications, and orthoses in foot care.","authors":"A E Helfand","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is important to remember that appropriate padding and materials for the foot should be selected on the basis of indications and functional needs of the patient. It is important to remember that foot wear, as protection and foot covering, needs to be compatible with the foot and the patient's functional requirements. The foot, orthosis, and shoe must function as a unit and as part of the patient's ambulatory system. I have attempted to identify some of the basic considerations involved in shoe selection, shoe modification, and orthotic selection for patient's rehabilitation. This article is not intended to be a composite of all that is available but rather to serve as a primary view of the needs of the foot as part of total patient care in rehabilitation programs. There are also multiple forms of digital orthoses that comprise the area of orthodigita, including materials such as felt, silicone, and latex, to be used when appropriate. But a key factor mandates that maximal pain-free foot function be maintained to enhance the residuals to maximize total patient function.</p>","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 2","pages":"431-40"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postphlebitic syndrome.","authors":"G J Merli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Postphlebitic syndrome occurs in 20 per cent of patients with deep vein thrombosis. Symptoms are nonspecific; they include heaviness, fatigue, pain, and vary from patient to patient. The signs of edema, skin pigmentation, dermatitis, varicosities, and ulceration are a result of the increased retrograde venous pressure secondary to the valve destruction by the phlebitic process. The aim of therapy is to improve venous support by graduated elastic stockings and to ensure good skin care and exercise.</p>","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 2","pages":"353-62"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Therapeutic modalities and procedures. Part I: Cold and Heat.","authors":"A E Helfand, J Bruno","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Therapeutic cold, or cryotherapy, has the cooling of the tissues as its primary effect. Based on the mode of application and duration of exposure, the basic physiologic effects are sedation, refrigeration, and the possibility of tissue destruction, Therapeutic heat is usually applied for two physical effects: superficial heat and deep heat. Hyperemia, sedation, and analgesia are the primary effects.</p>","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 2","pages":"301-13"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electrodiagnosis and nerve conduction studies.","authors":"E A Posuniak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of electrodiagnostic techniques in evaluation of complaints in the lower extremities provides an objective method of assessment. A basic understanding of principles of neurophysiology, EMG and NCV methodology, and neuropathology of peripheral nerves greatly enhances physical diagnosis and improves the state of the art in treatment of the lower extremity, especially foot and ankle injuries. Familiarity with the method of reporting electrodiagnostic studies and appreciation of the electromyographer's interpretation of the EMG/NCV studies also reflects an enhanced fund of knowledge, skills, and attitudes as pertains to one's level of professional expertise. Information regarding the etiology of positive sharp waves, fibrillation potentials, fasciculation, and normal motor action potentials and conduction studies serves as a sound basis for the appreciation of the categories of nerve injury. Competence in understanding the degree of axonal or myelin function or dysfunction in a nerve improve one's effectiveness not only in medical/surgical treatment but in prognostication of recovery of function. A review of the entrapment syndromes in the lower extremity with emphasis on tarsal tunnel syndrome summarizes the most common nerve entrapments germane to the practice of podiatry. With regard to tarsal tunnel syndrome, the earliest electrodiagnostic study to suggest compression was reported to be the EMG of the foot and leg muscles, even before prolonged nerve latency was noted.</p>","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 2","pages":"279-90"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17218567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rehabilitation of the person with arthritis of the ankle and foot.","authors":"S R Jacobs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When combined with skillful pharmacologic management, applying the full stock of biomechanical principles available to the rheumatoid foot and ankle is very effective in avoiding the need for surgery and slowing or preventing deformity. The general principles of arthritis rehabilitation also help restore function. When good medical management, joint protection, exercise, and energy conservation techniques are combined with psychosocial vocational therapy as needed, the crippling loss of function so often seen in the past can be largely avoided.</p>","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 2","pages":"373-99"},"PeriodicalIF":0.0,"publicationDate":"1984-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pins, wires, and staples in foot surgery.","authors":"J E DiGiovanni, R A Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Steinmann's pins, Kirschner wires, staples, and suture wire (commonly referred to as monofilament wire or flexible wire) are implantable materials used in all phases of podiatric surgery. Their main purpose is for temporary fixation of fractures, fusions, bone grafts, and osteotomies and for stabilization of soft-tissue corrections.</p>","PeriodicalId":77837,"journal":{"name":"Clinics in podiatry","volume":"1 1","pages":"211-23"},"PeriodicalIF":0.0,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17592853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}