Massimo Guasconi , Dania Zilli Riboni , Andrea Civardi , Marina Bolzoni , Carlotta Granata , Maurizio Beretta , Anna Genovese , Fabio Mozzarelli , Fabrizio Quattrini , Pietro Maniscalco
{"title":"使用弹性胶带控制石膏固定的手腕骨折患者手部水肿：试点研究","authors":"Massimo Guasconi , Dania Zilli Riboni , Andrea Civardi , Marina Bolzoni , Carlotta Granata , Maurizio Beretta , Anna Genovese , Fabio Mozzarelli , Fabrizio Quattrini , Pietro Maniscalco","doi":"10.1016/j.ijotn.2023.101059","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The adhesive elastic tape use is indicated for controlling oedema, although currently there is not the definitive evidence regarding its effectiveness. Wrist fractures are a frequent occurrence, often leading to oedema development in patients treated with forearm casts.</p><p>This pilot study aims to investigate the effects of elastic tape in controlling hand oedema among patients with forearm casts for wrist fractures and the feasibility of a future randomized controlled trial.</p></div><div><h3>Methods</h3><p>The study was conducted on adult patients with unilateral conservatively treated wrist fracture. The tape was applied to the intervention group after cast application, while the control group received the standard treatment. The circumference difference between baseline and the 7-day follow-up of both the 1st finger and the remaining 4 fingers merged together was evaluated. Ethical approval for the study has been obtained.</p></div><div><h3>Results</h3><p>23 participants were enrolled. The intervention group showed a higher reduction in finger circumferences compared to the control group (median difference T1-T0 No tape <em>vs</em> Tape: 0 cm <em>vs</em> −0.2 cm for the 1st finger and 0.5 cm <em>vs</em> −0.5 cm for the remaining 4 fingers), although the changes were not statistically significant.</p></div><div><h3>Conclusion</h3><p>Although the number of enrolled patients was limited due to Covid-19 pandemic, the study results suggest a potential reduction in oedema after the use of adhesive elastic tape, justifying the needed of a future full-scale study. Given its low cost and ease of use, we believe that tape can be considered in clinical practice.</p></div><div><h3>Trial registration</h3><p><span>ClinicalTrials.gov</span><svg><path></path></svg> Identifier: NCT04683887.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124123000631/pdfft?md5=080d1d9462327f386e377fdfc32c84af&pid=1-s2.0-S1878124123000631-main.pdf","citationCount":"0","resultStr":"{\"title\":\"The use of adhesive elastic tape for hand oedema control in patients with a wrist fracture treated in a cast: A pilot study\",\"authors\":\"Massimo Guasconi , Dania Zilli Riboni , Andrea Civardi , Marina Bolzoni , Carlotta Granata , Maurizio Beretta , Anna Genovese , Fabio Mozzarelli , Fabrizio Quattrini , Pietro Maniscalco\",\"doi\":\"10.1016/j.ijotn.2023.101059\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The adhesive elastic tape use is indicated for controlling oedema, although currently there is not the definitive evidence regarding its effectiveness. Wrist fractures are a frequent occurrence, often leading to oedema development in patients treated with forearm casts.</p><p>This pilot study aims to investigate the effects of elastic tape in controlling hand oedema among patients with forearm casts for wrist fractures and the feasibility of a future randomized controlled trial.</p></div><div><h3>Methods</h3><p>The study was conducted on adult patients with unilateral conservatively treated wrist fracture. The tape was applied to the intervention group after cast application, while the control group received the standard treatment. The circumference difference between baseline and the 7-day follow-up of both the 1st finger and the remaining 4 fingers merged together was evaluated. Ethical approval for the study has been obtained.</p></div><div><h3>Results</h3><p>23 participants were enrolled. The intervention group showed a higher reduction in finger circumferences compared to the control group (median difference T1-T0 No tape <em>vs</em> Tape: 0 cm <em>vs</em> −0.2 cm for the 1st finger and 0.5 cm <em>vs</em> −0.5 cm for the remaining 4 fingers), although the changes were not statistically significant.</p></div><div><h3>Conclusion</h3><p>Although the number of enrolled patients was limited due to Covid-19 pandemic, the study results suggest a potential reduction in oedema after the use of adhesive elastic tape, justifying the needed of a future full-scale study. Given its low cost and ease of use, we believe that tape can be considered in clinical practice.</p></div><div><h3>Trial registration</h3><p><span>ClinicalTrials.gov</span><svg><path></path></svg> Identifier: NCT04683887.</p></div>\",\"PeriodicalId\":45099,\"journal\":{\"name\":\"International Journal of Orthopaedic and Trauma Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2023-10-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1878124123000631/pdfft?md5=080d1d9462327f386e377fdfc32c84af&pid=1-s2.0-S1878124123000631-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Orthopaedic and Trauma Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1878124123000631\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Orthopaedic and Trauma Nursing","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878124123000631","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
The use of adhesive elastic tape for hand oedema control in patients with a wrist fracture treated in a cast: A pilot study
Background
The adhesive elastic tape use is indicated for controlling oedema, although currently there is not the definitive evidence regarding its effectiveness. Wrist fractures are a frequent occurrence, often leading to oedema development in patients treated with forearm casts.
This pilot study aims to investigate the effects of elastic tape in controlling hand oedema among patients with forearm casts for wrist fractures and the feasibility of a future randomized controlled trial.
Methods
The study was conducted on adult patients with unilateral conservatively treated wrist fracture. The tape was applied to the intervention group after cast application, while the control group received the standard treatment. The circumference difference between baseline and the 7-day follow-up of both the 1st finger and the remaining 4 fingers merged together was evaluated. Ethical approval for the study has been obtained.
Results
23 participants were enrolled. The intervention group showed a higher reduction in finger circumferences compared to the control group (median difference T1-T0 No tape vs Tape: 0 cm vs −0.2 cm for the 1st finger and 0.5 cm vs −0.5 cm for the remaining 4 fingers), although the changes were not statistically significant.
Conclusion
Although the number of enrolled patients was limited due to Covid-19 pandemic, the study results suggest a potential reduction in oedema after the use of adhesive elastic tape, justifying the needed of a future full-scale study. Given its low cost and ease of use, we believe that tape can be considered in clinical practice.
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