The effect of active toe movement (AToM) on calf pump function and deep vein thrombosis in patients with acute foot and ankle trauma treated with cast - a prospective randomized study
| Autor: | Raza Alikhan, Andrew Cleves, Leonard Derek Martin Nokes, Anthony Perera, Neil D. Pugh, Benjamin A. Hickey |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Movement Deep vein Pump function Toe Joint 030204 cardiovascular system & hematology Asymptomatic Young Adult 03 medical and health sciences 0302 clinical medicine Fracture Fixation Humans Medicine Orthopedics and Sports Medicine Ankle Injuries Prospective Studies cardiovascular diseases Foot Injuries Muscle Skeletal Physical Therapy Modalities Venous Thrombosis 030222 orthopedics business.industry Middle Aged medicine.disease Thrombosis R1 Surgery Casts Surgical Venous thrombosis medicine.anatomical_structure Regional Blood Flow Female TJ medicine.symptom Ankle business Lower limbs venous ultrasonography Foot (unit) |
| ISSN: | 1268-7731 |
| Popis: | Background Patients with foot and ankle trauma treated with cast are advised to perform toe movements to prevent venous thromboembolism (VTE). Our aim was to determine the effect of active toe movement on asymptomatic deep vein thrombosis (DVT) and venous calf pump function. Methods Patients aged 18–60 years with acute foot and ankle trauma requiring below knee non weight bearing cast were randomized to intervention (regular active toe movement) or control groups (n = 100). Patients had bilateral lower limb venous ultrasound to assess for DVT on discharge from clinic. Patients requiring chemical thromboprophylaxis were excluded. Results 78 completed the study. 27% sustained asymptomatic DVT, with no statistically significant difference in calf pump function or DVT incidence between groups. All DVT's occurred in the injured lower limb. Conclusion Active toe movement is not a viable strategy for thromboprophylaxis in patients with acute foot and ankle trauma treated with cast. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect