Preventing Foot Drop and Venous Thrombosis While Maintaining Muscle Function in a Portable Orthosis
Article Sidebar
Main Article Content
Abstract
Background: Intensive care is the treatment of patients who are suffering from illnesses that pose a significant risk to their lives. These patients are looked after by the most highly trained medical professionals using the most cutting-edge medical technology and services. Intensive care encompasses all aspects of protocol that are associated with the patient's natural life. Foot drop, deep vein thrombosis, atrophy, and diminished muscular strength are among possible problems that might arise from being hospitalized in a distinctive ward. The goal of this research is to find ways to treat foot drop, deep vein thrombosis, muscle atrophy, and a decrease in overall muscular endurance. Methods: The heading and presentation of the assignment were developed with input from the director after a review of scholarly journals and books yielded the starting point. After that, a prototype of the gadget was created in corporation with the graphic and mechanical engineers at Fianccy. The engineers themselves came up with the proper equipment. Results: The findings of the current research as well as the findings of other studies would be one of the most efficient methods to avoid ankle foot drop, the distortion of the toes, muscular atrophy, enhance blood circulation from the bottom towards the top, monitor heart rhythm, and preserve the endurance of the foot muscles. This research was conducted in the conjunction with other studies. Furthermore, utilizing orothesis might lessen it greatly. Moreover, it is advised to make adjustments to the preventative measures, such as the production of equipment (e.g., portable orthosis).Conclusion:This system is a cost-effective strategy, and by using this device, it is possible to prevent the occurrence of the mentioned problems so that patients do not suffer from secondary problems.
Article Details
References
Marin HF. Improving Patient Safety with Technology. Int JMed Inform 2004; 73(7-8): 543-546.
Armstrong KJ, Laschinger H. Structural empowerment, magnet hospital characteristics, and patient safety culture: making the link. Journal of Nursing Care Quality 2006; 21(2): 124-32.
Abbasi S, Mahjobipoor H, Kashefi P, Massumi G, Aghadavoudi O, Farajzadegan Z, et al. The effect of lidocaine on reducing the tracheal mucosal damage following tracheal intubation. J Res Med Sci 2013; 18(9): 733-8.
Zandieh M, Falehgari G, Salavsti M, Borzoo SR. Study of applying proposed infection control standards in ICU. J Shahrekord Univ Med Sci. 2005;6.
Kahn JM, Angus DC. Reducing the cost of critical care: new challenges, new solutions. Am J Respir Crit Care Med. 2006;174(11):1167-8. DOI: 10.1164/rccm. 200609-1388ED PMID: 17110650.
Affolter RH, Groves S, Betterton WJ, Benzel W, Conrad KL, Swanson SM, et al. Geochemical database of feed coal and coal combustion products (CCPs) from five power plants in the United States. US Geological Survey Data Series. 2011;635.
Downing H, Scott C, Kelly C. Evaluation of a dedicated short-stay unit for acute medical admissions. Clin Med (Lond) 2008;8(1):18–20.
James NJ, Hussain R, Moonie A, Richardson D, Waring WS. Patterns of admissions in an acute medical unit: priorities for service development and education. Acute Med 2012;11(2):74–80.
Kellett J, Deane B. The diagnoses and co-morbidity encountered in the hospital practice of acute internal medicine. Eur J Intern Med 2007;18(6):467–73.
Garkaz O, Taghdir M, Sepandi M. The Analytical study of the Main Causes of Mortality of Patients in the ICU Section of the Selected Military Hospital between 2012 -2017. hrjbaq. 2019; 4 (3) :129-136. URL: http://hrjbaq.ir/article-1-340-fa.html.
Khan U, Menezes CN, Govind N. Patterns and outcomes of admissions to the medical acute care unit of a tertiary teaching hospital in South Africa. Afr J Emerg Med. 2021 Mar;11(1):26-30. doi: 10.1016/j.afjem.2020.11.006. Epub 2020 Dec 8. PMID: 33318914; PMCID: PMC7725673.
Singer M, Little R. ABC of intensive care: Cutting edge. BMJ. 1999;319(7208):501-4.
Lim BL, Chan YW. Audit of 2431 admissions to the surgical intensive care unit, Singapore hospital. Ann Acad Med Singapore. 1998;27(3):314-7.
Mahjobipoor H, Rahimi-Varposhti M, Shetabi H, Heidari S. Predictive factors of deep vein thrombosis in patients admitted to intensive care unit. Tehran Univ Med J. 2021; 78 (12) :828-834.
URL: http://tumj.tums.ac.ir/article-1-11067-fa.html
ZAND SOLEYMAN, RAFIEI MOHAMMAD. CAUSES AND DURATION OF HOSPITALIZATION AND MORTALITY RATE IN INTENSIVE CARE UNITS IN CENTRAL PROVINCE. IRANIAN JOURNAL OF CRITICAL CARE NURSING (IJCCN). 2010 [cited 2021September24];3(2):63-67. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=176991.
McLeod AG, Geerts W: Venous thromboembolism prophylaxis in critically ill patients. Crit Care Clin 2011;27(4):765–780.
Sharif-Kashani B, Mohebi-Nejad A, Abooturabi SM. Estimated prevalence of venous thromboembolism in Iran: Prophylaxis still an unmet challenge. Tanaffos 2015;14(1):27.
Gordon RJ, Lombard FW. Perioperative venous thromboembolism: a review. Anesth Analg 2017;125(2):403-12.
Spyropoulos AC, Anderson Jr FA, FitzGerald G, Decousus H, Pini M, Chong BH, et al. Predictive and associative models to identify hospitalized medical patients at risk for VTE. Chest 2011;140(3):706-14.
Deberg L, Taheri Andani M, Hosseinipour M, Elahinia M. An SMA passive ankle foot orthosis: Design, modeling, and experimental evaluation. Smart Materials Research. 2014; 1–11. doi: 10.1155/2014/572094
Lamkin-Kennard K. Design of a pneumatically actuated robotic assist device for patients with foot drop [PhD dissertation]. Rochester: Rochester Institute of Technology; 2010.
Bosch PR, Harris JE, Wing K. Review of therapeutic electrical stimulation for dorsiflexion assist and orthotic substitution from the American congress of rehabilitation medicine stroke movement interventions subcommittee. Arch Phys Med Rehabil. 2014;95(2):390–6.
Esfandiari E, Arazpour M, Saeedi H, Ahmadi A. [Literature Review of the Effect of Ankle-Foot Orthosis on Gait Parameters After Stroke (Persian)]. Archives of Rehabilitation. 2017; 18(2):164-179. http://dx.doi.org/10.21859/jrehab-1802160.
Gil-Castillo, J., Alnajjar, F., Koutsou, A. et al. Advances in neuroprosthetic management of foot drop: a review. J NeuroEngineering Rehabil 17, 46 (2020). https://doi.org/10.1186/s12984-020-00668-4.
Prenton S, Hollands KL, Kenney LPJ, Onmanee P. Functional electrical stimulation and ankle foot orthoses provide equivalent therapeutic effects on foot drop: A meta-analysis providing direction for future research. J Rehabil Med. 2018 Feb 13;50(2):129-139. doi: 10.2340/16501977-2289. PMID: 29227525.
Mohammad Masoud Mahmoudi, Asghar karbord, Amirhossein Jafari Yeganeh, Parastoo Ghadamabadi, and Mahyar Mahmoudi. Invent a safe Anti Needle stick Protector Device, J. New Medical Innovations and Research, 2(3): DOI: 10.31579/jnmir/012.
Nori SL, Stretanski MF. Foot Drop. 2022 Apr 21. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 32119280.
Prenton S, Hollands KL, Kenney LPJ, Onmanee P. Functional electrical stimulation and ankle foot orthoses provide equivalent therapeutic effects on foot drop: A meta-analysis providing direction for future research. J Rehabil Med. 2018 Feb 13;50(2):129-139. doi: 10.2340/16501977-2289. PMID: 29227525.
Intercollegiate Stroke Working Party. National clinical guidelines for stroke. Fifth edition. London: Royal College of Physicians (RCP). 2016 [cited 2017 Feb 24]. Available from:https://www.strokeaudit.org/SupportFiles/Documents/Guidelines/2016-National-Clinical-Guideline-forStroke-5t-(1).aspx.