• Physical Therapy Korea
• /
• v.10 no.3
• /
• pp.53-61
• /
• 2003

The purpose of this study was to determine the effects On the lymphedema patients of sponge padding and the correlation between the rate of edema reduction and downward shifting of bandages. Fifty secondary lymphedema patients with no infection, active cancer, limitation of movement, pain or drugs were randomly assigned to two groups: a sponge padding group, and a cotton padding group. Complex decongestive therapy was applied for 2 weeks. In each group the volume of the ankle, mid-calf, knee, and mid-thigh and downward shifting of bandages at the thigh was measured with measuring tape. The reduction of volume and downward shifting of bandages were analyzed by the unrelated t-test and the Pearson Correlation Test. The results were as follows: 1. In comparison between the sponge padding group and the cotton padding group, there was no significant difference in volume except in the thigh area. The edema volume was reduced significantly to $37.77{\pm}31.15%$ at the thigh with sponge padding after treatment (p<.05). 2. Bandage shifted 10.12 cm with cotton padding, but only shifted 2.85 cm when sponge padding was used. Sponge padding had an excellent effect in preventing the shifting of bandages. There was a significant difference in the amount of shifting that occurred with each type of padding (p<.05). 3. There was also a strong correlation between the reduction of edema and the shifting of bandage. These results suggest that short-stretch bandaging with sponge padding is more effective than bandaging with cotton padding. Further study on skin irritation and the comfort of sponge padding is needed to use padding materials safely and effectively.

• Journal of Sensor Science and Technology
• /
• v.32 no.6
• /
• pp.357-369
• /
• 2023

Wound healing is a complex and dynamic process, making the accurate and timely assessment of skin wounds a crucial aspect of effective wound care management, especially for chronic wounds. Unlike conventional wound dressings that simply cover the wound area once some form of medicine is administered onto the wound, recent studies have introduced versatile approaches to smart wound dressings capable of interacting with wound fluids to monitor physicochemical and pathological parameters to determine the wound healing status. Such electrochemical wound dressings can be integrated with on-demand, closed-loop drug delivery or stimulation systems and ultimately expanded into an ideal technological platform for the prevention, treatment, and management of skin wounds or illnesses. This article briefly reviews the wound healing mechanism and recent strategies for effective wound care management. Specifically, this review discusses the following aspects of smart wound dressings: sensor-integrated smart bandages to detect wound biomarkers, smart bandages developed to accelerate wound healing, and wireless, closed-loop automatic (on-demand) wound healing systems. This review concludes by providing future perspectives on effective wound care management.

• The Journal of Korean Physical Therapy
• /
• v.23 no.6
• /
• pp.43-47
• /
• 2011

Purpose: The aim of this preliminary study was to use hand function tests to Hand dexterity levels provided by the type of compression garment and compression bandages in asymptomatic subjects and to collect baseline data for the comparison of hand functions in the patients with chronic arm lymphedema. Methods: The subjects of this study were 32 healthy volunteer female with a mean age of 45.8 years. Grip strength and hand functions were tested in three conditions-no compression, compression garment, and compression bandages-using the nine-hole peg test (NHPT), the box and block test (B&BT), Minnesota Manual Dexterity test (MMDT), and the hand-held Jamar dynamometer. Results: The grip strength was significantly low in the bandage condition (p<0.05). The performance in both compression groups (i.e., bandage and compression garment) decreased as the thickness of the compression material increased (p<0.05). Conclusion: The findings of this study suggest that grip strength and hand function scores are influenced by the characteristics of the compression applied. Future study is needed to determine the level of hand function between patients with chronic arm lymphedema and healthy individuals.

• Physical Therapy Korea
• /
• v.14 no.3
• /
• pp.1-8
• /
• 2007

The purpose of this study was to determine whether aromatherapy massages with manual lymph drainage (MLD) are significantly more effective than sham massages with MLD in reducing edematous limb volume in lymphedema. This study was performed on 46 patients who had developed unilateral upper or lower lymphedema. Twenty-three patients served as the experimental group and were treated with complex decongestive physiotherapy (CDP) applications including aroma massages with MLD, multi layered compression bandages, remedial exercises and skin care. Twenty-three patients in the control group were treated with CDP applications including sham massages with MLD, bandages, exercises and skin care. Patients undergo a therapy program once a day; 5 days a week for 2 weeks. Percentage excess volume (PEV) and body mass index (BMI) were recorded before and after treatment. PEV and BMI were significantly decreased before and after treatment in the experimental as well as in the control groups (p<.05). However, the percentage excess volume and BMI were not significantly improved after treatment between the two groups (p>.05). This study there suggests that aroma massages is not effective in the edema of patients with lymphedema.

• Journal of Biosystems Engineering
• /
• v.32 no.2 s.121
• /
• pp.115-120
• /
• 2007

The adhesive performance of marine mussel extract was compared with that of the commercial medical adhesives for fastening biotissue (SIS) bandages. Joints bonded with mussel extract showed stronger strength than those bonded with other commercial adhesives. The bonding strength was much improved when the moisture in the Joint was reduced using superporous hydrogel regardless of curing time under humid condition ($37^{\circ}C$ and 91% relative humidity). Water inflow into the SIS joint seemed to degrade the performance of mussel extracts adhesive especially for the joints of short period of curing time. The strength of SIS joints coated with surgical sealant was well maintained after being exposed to water inflow.

• PNF and Movement
• /
• v.10 no.2
• /
• pp.1-8
• /
• 2012

Purpose : The purpose of study was aimed to identify whether the painless dynamic PNF techniques makes any differences in reducing lymphedema by applying this technique to lymphedema patients, and to provide the basic reference data for the purpose of applying to lymphedema patients. Methods : A total of 40 women participated in this study, and they did PNF techniques before applying lymph compression bandages. Group 1 of 20 subjects performed PNF techniques three times a week with 30 minutes each time. Group 2 of 20 subjects only practiced edema reducing massaging for 30 minutes. Results : In addition, the interaction between treatment method and treatment time was significant (p<.0001), which indicates that the changes in edema rates by measurement times appear differently according to treatment methods. In this study, it means that the 'PNF techniques' group has a steeper slope of decline than the 'message' group. Conclusion : In conclusion, both massaging and PNF techniques helped to lower edema rates. Four weeks after the beginning of treatment, PNF techniques was exhibited as generating a large degree of decline in edema rates than massaging.

• Journal of Veterinary Clinics
• /
• v.39 no.2
• /
• pp.70-74
• /
• 2022

A 14-year-old intact male captive leopard (Panthera pardus) first presented with a focal alopecic lesion on the dorsal aspect of the distal one-third of its tail. Although itraconazole was administered, the lesion progressed deeper and became ulcerated due to self-trauma. Due to the wild nature of the leopard, daily dressing of the wound and replacing the bandages without anesthesia became too dangerous, and amputation became necessary. A postoperative tissue sample was submitted for histopathological examination, and tramadol, amoxicillin/clavulanate, and gabapentin were administered. In the days following the amputation, the leopard's appetite significantly decreased, and the patient passed away 18 days later. Histopathological examination of the specimen revealed well-differentiated squamous cell carcinoma (SCC). In hindsight, had more cells been collected by a fine-needle aspirate (FNA) biopsy or had additional FNA biopsies been performed, SCC might have been diagnosed based on its cytological features rather than delayed histopathological findings. The current study highlights the critical reasons why clinicians may often misdiagnose SCC and the importance of being more aware of potential tumors in ulcerative lesions, which are often incorrectly treated as infectious skin diseases. This is also the first report of cutaneous SCC in a leopard.

• Journal of Trauma and Injury
• /
• v.36 no.3
• /
• pp.269-275
• /
• 2023

A Morel-Lavallée lesion results from a degloving injury between the muscle fascia and the subcutaneous layer. It is most commonly found in the trochanteric area but can occur at other sites. The treatment of the condition varies according to the medical circumstances, as well as the size and chronicity of the condition. A case of large (18×6 and 10×5 cm) bilateral posttraumatic Morel-Lavallée lesions with no underlying bone fracture is presented; the case occurred in a 49-year-old male patient 4 weeks posttrauma. Ultrasound scans showed bilateral large collections of anechoic fluid, which were aspirated under ultrasound guidance and further managed by compression bandages. There were no further complications. The objective of this case report is to present this unique and educational case, as well as to provide an overview of the pathophysiology, diagnosis, and management of Morel-Lavallée lesions. We conclude by discussing the importance of having a high index of suspicion to ensure early detection and prompt treatment of such lesions to avoid complications.

• The Journal of Korean Physical Therapy
• /
• v.24 no.5
• /
• pp.362-369
• /
• 2012

Purpose: This study examined the effects of an elastic band resistance exercise program on the body functions and Glycosylated hemoglobin (HbA1c) of elderly people with type 2 diabetes. Methods: Twenty-seven elderly patients with type 2 diabetes were enrolled in this study (exercise group 14, control group 13). The subjects in the exercise group participated in the program for 60 minutes a day, three times a week, for 12 weeks. All the subject's body functions, HbA1c were measured to compare the following: before the intervention, at the completion of the 12 weeks intervention, and eight weeks after the intervention. Results: Compared to the control group, the exercise group showed significant improvements in the 12 week and follow-up measurement after the intervention in body function, such as the strength of the upper and lower limbs, agility and limit of stability. The body functions of the exercise group improved as the period of intervention progressed. On the other hand, the HbA1c level at each follow-up measurement was similar in the two groups. Conclusion: The 12 week elastic band exercise program is recommended as an effective intervention for improving the body functions of elderly people with type 2 diabetes. Nevertheless, a combined intervention of steady exercise, diet therapy and drug therapy will be needed for further active prevention and management of type 2 diabetes.

• Membrane Journal
• /
• v.14 no.2
• /
• pp.85-98
• /
• 2004

The situation of technology Predominance and the distribution of core technology were visually mapped thorough the investigation of technical trend during 20 years, which was provided with the analysis of patent information for the artificial skin. Therefore, it was expected that technology mapping by means of multilateral analysis method allowed a good grasp of current technology trend of the artificial skin and the subdivision into nation and a field of research presents the direction of R&D. In the early R&D stage of artificial skin, the preparation technology of filters implantable into the living body including nursing devices, bandages, and dressings or absorbent pads (A6IF-002/10) was on the rise in research field of artificial skin until 1980's. And then the materials technology for coating prostheses (A6l L-027/00)was leading the core technology of artificial skin. Also, Nowadays the fusion technology connected the material technology with the cultivation technology of undifferentiated human or animal cells/tissues including culture media (C l2N-005/00, C 12N-005/06) was highlighted all over the world.