Elastic Adhesive Bandage Research Articles

How I do it - A Novel Method of Finger Splinting Using Elastic Adhesive Bandage and Cyanoacrylate Glue

How I do it - A Novel Method of Finger Splinting Using Elastic Adhesive Bandage and Cyanoacrylate Glue

Functional Bandaging in Children with Idiopathic Toe-Walking.

Idiopathic toe-walking (ITW) is a persistent gait pattern with no known etiology characterized as premature heel rise or no heel contact. We investigated the effects of functional bandaging in children with ITW on heel contact during stance phase and on gait quality. Nineteen children aged 4 to 16 years with ITW and ten age-matched healthy children were included in the study. Elastic adhesive bandages were applied to children with ITW to assist with dorsiflexion. Before bandaging (T0) and immediately (T1) and 1 week (T2) after initial bandaging, the initial contact, loading response, and midstance subphases of gait were analyzed using light pressure sensors and the Edinburgh Visual Gait Score (EVGS). Ten age-matched children with typical gait participated for comparison in T0. The data were analyzed with Friedman and Wilcoxon signed rank tests for within-group comparisons and Mann-Whitney U tests for between-group comparisons. In T0, for the ITW group, no heel contact was observed during stance. In T1, all of the participants achieved heel contact at initial contact and loading response and 56.8% at midstance. In T2, all of the heels continued contact at initial contact and loading response and 54.3% at midstance. The EVGS significantly improved. The Friedman test showed that there were noteworthy improvements between T0-T1 and T0-T2 in video-based observational gait analysis and EVGSs (P < .001), although no difference was found between T1-T2 in video-based observational gait analysis (P = .913) and EVGSs (P = .450). In children with ITW, dorsiflexion assistive functional bandaging was an effective tool to help achieve heel contact on the ground and improve walking quality for a short period after application. Further studies with longer follow-up and larger sample sizes are required to confirm the long-term therapeutic effects of this promising functional bandaging.

Pressure Therapy for Pyogenic Granuloma.

Pyogenic granuloma is a benign vascular tumor, with a tendency to bleed on manipulation. A young female presented to us with a disfiguring facial pyogenic granuloma. We adopted a novel approach using pressure therapy to treat the same. The use of an elastic adhesive bandage reduced the size and vascularity of the lesion, following which laser ablation was done with minimal bleeding and scarring. This is a simple, inexpensive method to approach large and disfiguring pyogenic granulomas.

Surgical Elastic Adhesive Bandage Is a Simple Solution for Painful Pedal Fissure

Surgical Elastic Adhesive Bandage Is a Simple Solution for Painful Pedal Fissure

Analgesic Pump Tubing Securement to Prevent Dislodgement of Peripheral Vein Indwelling Catheter

PurposeThis study aims to compare the incidence of complications when using a new approach to secure an indwelling peripheral venous catheter (PVC), involving tying of the tube with a surgical knot at two places and several layers of elastic adhesive bandage, with a standard approach using sterile, transparent, and protective film. MethodsThis study enrolled 311 consecutive adults undergoing thoracoscopic lobectomy under general anesthesia at Taizhou Hospital of Zhejiang Province between October 2017 and May 2018. Patients were randomized to experimental and control groups and were followed for up to 72 hours. The primary endpoint was dislodgement of the PVC. Secondary endpoints were blood in the catheter; analgesia pump obstruction alarm; time taken and cost of PVC replacement; replacement of securing materials and analgesia pump line; and time and cost of replacing them. All adverse events were recorded. FindingsFinal analysis included 248 patients (experimental group: n = 126; control group: n = 122). PVC dislodgement was less frequent in the experimental group than in the control group. In the control group, 78.7% of patients required replacement of securing materials (costing 37 cents each time) and 13.1% required PVC replacement (costing 3.6 dollars each time), necessitating additional nursing time. No patients in the experimental group required replacement of the PVC or securing materials. Blisters were less common in the experimental group than in the control group (0% vs 9.84%, P < .001). No patients had limb edema. ConclusionsThis new method of securing an analgesia pump line can reduce traction on the indwelling PVC, lowering the dislodgement rate.

Functional Bandaging in Children with Idiopathic Toe Walking.

Idiopathic toe walking (ITW) is a persistent gait pattern with no known etiology, which is characterized as premature heel-rise or no-heel contact. The aim of this study was to investigate the effects of functional bandaging in children with ITW on heel-contact during stance phase and gait quality. Nineteen children, 4-16 years of age with ITW (mean{plus minus}SD: 7.36{plus minus}3.16) and ten age-matched healthy pairs (mean{plus minus}SD: 7.30{plus minus}2) were included in the study. Elastic adhesive bandages were applied to children with ITW to assist with dorsiflexion. Before bandaging (T0), immediately after initial bandaging (T1), and one week later with the same bandage (T2), the initial contact, loading response, and mid-stance sub-phases of gait were analyzed using light-pressure sensors and the Edinburgh Visual Gait Score (EVGS). Ten age-matched children with typical gait participated for comparison in T0. The data was analyzed by using Friedman and Wilcoxon signed-rank tests for within-group comparison and Mann-Whitney U tests for between-group comparison. In T0, for the ITW group, no heel contact was observed during stance. In T1, all the participants achieved heel contact at initial contact and loading response; and 56.8%, at mid-stance. In T2, all the heels continued contact at initial contact and loading response; and 54.3%, at mid-stance. The EVGS significantly improved. The Friedman test showed that there were noteworthy improvements between T0-T1 and T0-T2 in VBOGA and EVGS (p &lt; 0.001), although no difference was found between T1-T2 in VBOGA (p = 0,913) and EVGS (p = 0,450). In this study, for ITW children, dorsiflexion assistive functional bandaging was an effective tool to help achieving heel contact on the ground and improve walking quality for a short period of time after the application. Further studies with longer follow-ups and larger sample sizes are required to confirm the long duration therapeutic effects of this promising functional bandaging.

Elastic adhesive bandage in low back pain in active and sedentary pregnant women living in Coari, Amazonas

Background: Gestational low back pain is a limiting symptom, which interferes in the activities of daily living and quality of life. There are several scientific findings on the effectiveness and benefits of banding for low back pain, making it necessary to investigate effective and inexpensive non-pharmacological technologies. Objectives: The objective of this study was to compare the effect of elastic adhesive bandage (EAB) in low back pain in active and sedentary pregnant women. Method: Study quasi-experimental, analytical with 33 pregnant women living in the city of Coari (AM). Socio-demographic, obstetrical data on health and low back pain were collected. The bandage was applied like “I”, with two bands in the paravertebral region of the lumbar spine and should remain for 3 days. Pain intensity was assessed by visual analogue pain scale (VAS) during the initial evaluation and after 3 days of the application procedure. For purposes of analysis, the sample was divided into 2 groups: active and sedentary. The Wilcoxon test was used to compare the mean of the low back pain intensity before and after the application of the intra-group bandage. The mean intensity of low back pain after the application of bandaging between groups was analyzed by the Mann-Whitney U test. Significance was accepted for p≤0,05. Results: The mean age was 24.24 (±6.39) and 75.8% reported low back pain at moderate intensity. The pain intensity after application of the EAB was lower in both the active (p=0.039) and the sedentary (p=0.000). There was no difference in pain intensity on day 3 in intragroup analysis (p=0.691). Conclusion: EAB reduced the intensity of low back pain in both active and sedentary pregnant women, however, there was no difference in its effect when the groups were compared.

Mortise and tenon–type elastic adhesive bandage for noninvasive closure of oozing wounds at areas of tension

Various wound closure techniques such as suturing, staples, tissue glue, or adhesive tapes are available. Adhesive surgical tape strips (Steri-Strips, 3M, St. Paul, MN) and tissue glue are not feasible for wounds with tension or oozing (Fig 1, A).1 Suturing and staples are invasive methods that demand additional cost and sometimes may leave cross-hatching marks.1

Electromyographic Quantification of the Effects of Elastic Adhesive Bandage during Isometric Contraction of the Radial Flexor Muscle of the Wrist

AbstractThe adhesive elastic bandage is widely used for being a non-invasive therapeutic treatment and with relatively low cost when compared with other methods and techniques of treatments. However, there are discrepancies in relation to the purposes of this method as well as its efficiency. In this sense, quantifying if the elastic adhesive bandage interferes in biomechanics and in the muscles strength, becomes essential. The objective of this study was to quantify by surface electromyography the electrical intensity during isometric contraction of the flexor muscle of the upper limbs, using different techniques of application of bandages. 40 healthy volunteers were randomly selected, 20 females and 20 males aged between 18 and 38 years (24.48 ± 5.08) and who had had their electrical signals captured during isometric contraction under a load pre-established 40 Newtons controlled by an electronic dynamometer, collected on the order of application of bandages and the volunteers gender, with simple blind and use of protocol control (placebo). Statistically for the comparison of the protocols and their respective tests was considered (p<0.05) and the numbers indicated no significant effects between the protocols and technical application of bandages for both genders, being for the female dominant limb p<0.02 and non-dominant limb p<0.015 and male p<0.003 and p<0.002 respectively. The research found that through the electromyographic quantification, the tensioned adhesive elastic bandage demonstrates significant effects for both genders. Keywords: Athletic Tape. Electromyography. Muscle Strength Dynamometer. ResumoA bandagem elastica adesiva e amplamente utilizada por ser um tratamento terapeutico nao invasivo e com custo relativamente baixo quando comparada com outros metodos e tecnicas de tratamentos. No entanto, ha discordâncias em relacao aos efeitos desse metodo bem como sua eficiencia. Nesse sentido, quantificar se a bandagem elastica adesiva interfere na biomecânica e na forca dos musculos, torna-se essencial. O objetivo desse estudo foi quantificar por eletromiografia de superficie a intensidade eletrica durante a contracao isometrica do musculo flexor dos membros superiores, utilizando diferentes tecnicas de aplicacao de bandagens. Foram selecionados aleatoriamente quarenta voluntarios saudaveis, vinte do genero feminino e vinte do masculino com idade entre 18 e 38 anos (24,48 ±5,08) e que tiveram seus sinais eletricos captados durante contracao isometrica sob uma carga pre-estabelecida de quarenta Newtons controlada por um dinamometro eletronico, coletado aleatorio quanto a ordem de aplicacao das bandagens e genero dos voluntarios, com simples cego e uso do protocolo controle (placebo). Estatisticamente para a comparacao dos protocolos e respectivos testes foi considerado (p<0,05) e os numeros indicaram haver efeitos significantes entre os protocolos e tecnicas aplicacao de bandagens para ambos os generos, sendo para o feminino membro dominante p<0,02 e membro nao dominante p<0,015 e masculino p<0,003 e p<0,002 respectivamente. A pesquisa encontrou que pela quantificacao eletromiografica, que a bandagem elastica adesiva tensionada demonstra efeitos significantes para ambos os generos. Palavras-chave: Fita Atletica. Eletromiografia. Dinamometro de Forca Muscular.

Two HEmostasis Methods After TransradIal Catheterization: THEMATIC - protocol for a randomized clinical trial.

Randomized clinical trial protocol to evaluate the incidence of radial artery occlusion with two different arterial compression devices after transradial procedures. Barbeau's test will be performed in adults scheduled to undergo transradial interventional procedures. Those with A, B, or C plethysmographic patterns will be selected. At the end of the procedure, patients will be randomly assigned (1:1) to receive patent haemostasis with TR Band™ device or conventional haemostasis with an elastic adhesive bandage. The primary outcome is the incidence of radial artery occlusion. Secondary outcomes are Barbeau's test curve change, additional time to achieve haemostasis, incidence of bleeding at the puncture site, pain severity, development of arteriovenous fistula, radial pseudo aneurysm, any access-site complication requiring vascular surgery intervention and costs between the two devices. The results of this trial should provide valuable additional information on the best approach for haemostasis after transradial percutaneous cardiovascular interventions.

Palatal pressure necrosis due to inappropriate size of Guedel's airway?

Sir, A 40-year-old male weighing 63 kg presented to Emergency Department with alleged history of road traffic accident 2 days ago with altered sensorium and seizures, referred from a rural hospital. He had a Guedel's orophayrngeal airway size 4 (11 cm) (Romsons Scientific and Surgical Industries Pvt. Ltd., Agra, India) in situ firmly fixed with an elastic adhesive bandage. On initial assessment in the emergency scenario, the patient had a Glasgow Coma Score (GCS) of E3 V2 M5 with stable haemodynamics. A noncontrast computed tomography scan brain showed a left fronto-temporo-parietal subdural haematoma with underlying contusion with no mass effect and no evidence of any associated injuries. The patient was immediately shifted to our trauma Intensive Care Unit (ICU) for further management and monitoring. By the time patient reached the ICU, GCS deteriorated to E2 V1 M5 following a brief episode of seizure which lasted for 60 s. Hence, the decision was taken to perform rapid sequence induction using intravenous propofol (2 mg/kg) and injection rocuronium (1.2 mg/kg). On pulling out Guedel's airway to perform oral suctioning before intubation, it was noticed that the mucosa of the palatal region had undergone blackish discolouration apparently due to the sustained pressure of the Guedel's airway. However, the trachea was easily intubated with the appropriate size of the tracheal tube. In rural set ups such as ours, Guedel's airway is commonly available and used as a bite guard as well as for maintaining an open airway and it is made up of elastomeric or plastic material. However, the lack of awareness among primary health care providers can lead to fatal complications during airway management, especially during emergencies. Ideally, an appropriate size airway should relieve/prevent obstruction of the airway by preventing the tongue from falling back. Pressure necrosis of lower lip due to incorrect placement of Guedel's airway has also been reported.[1] The best criterion for proper size and position of the airway is an unobstructed gas passage. A method to ascertain the appropriate size of the airway by measuring the distance between the angle of mouth and mandible has been described.[2] Many primary care providers may not be aware of this. We also recommend that the manufacturers provide a diagrammatic depiction showing how to select proper size and insertion technique of airway on the package back cover to prevent such complications. In our case, palatal pressure necrosis may have occurred due to inappropriate size selection, prolonged placement and firm fixation of Guedel's airway with a tight elastic adhesive bandage. There is need to emphasize the importance of using proper size of airway devices and teaching the healthcare workers of correct usage of the devices available to them. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.

A comparison of the effects of ankle taping styles on biomechanics during ankle inversion

This study was designed to compare the effects of different ankle taping methods on lower leg EMG and subtalar kinematics. Twelve healthy volunteers were tested on an inversion platform in one of three taping conditions: non-elastic basketweave, elastic adhesive bandage wrap and non-taped control. Muscle activation and range of motion data were collected during an inversion of 35degrees using a Biometrics(®) datalogger. Testing was done before and after 30minutes of treadmill running. Significant differences were noted in total inversion, time to peak inversion and rate of inversion. While total inversion did not differ between tape conditions, the rate of inversion in the non-elastic condition was lower than the elastic adhesive condition, which was lower than the control. There was no effect of ankle taping style on latency of the peroneus longus. The choice of ankle taping style can have significant effects on ankle biomechanics and the use of non-elastic tape reduces the rate of inversion. While the rate increased after 30minutes of running, it was still lower than the other conditions.

Examination of the Passive Facial Feedback Hypothesis Using an Implicit Measure: With a Furrowed Brow, Neutral Objects with Pleasant Primes Look Less Appealing

98 undergraduates (54 men, 44 women) participated in an experiment to examine whether having an artificially furrowed brow would have an effect on participants' subjective impression of perceived targets. An elastic adhesive bandage was either stretched to create furrows on the brow when it retracted, or not stretched so as to avoid creating wrinkles. While wearing the bandages, the participants rated their impressions of neutral targets preceded by agreeable, disagreeable, or neutral primes in a modified Affect Misattribution Procedure. The results showed that participants with artificially furrowed brows tended to rate the neutral targets preceded by agreeable primes less favorably than did the control participants, while both groups rated similarly the targets preceded by disagreeable primes.

Part 13: First Aid

Part 13: First Aid

Neural activation of the triceps surae is impaired following 2�weeks of immobilization

The purpose of this study was to investigate the effect of 2 weeks of ankle joint immobilization on triceps surae neural activation, with particular emphasis on the potential differences between the monoarticular soleus and the biarticular gastrocnemius muscles. Seventeen male volunteers were divided into the immobilized group (IG, n = 8) and the control group (CG, n = 9). Elastic adhesive bandages and an ankle stabilization orthosis were used to immobilize the ankle joint only. The plantar flexor torque obtained during maximal voluntary contractions (MVC) and after single, paired and tetanic stimuli applied at rest was measured. The associated EMG activity from the soleus and gastrocnemius muscles was also recorded, and their activation levels were estimated by means of the twitch interpolation technique. After immobilization, triceps surae maximal voluntary torque significantly decreased by 17% (P < 0.001). Strength losses were accompanied by a decrement in activation level (-6%, average of the three techniques used) and in maximal 100 Hz tetanic force (-11%). A significant decrease in the soleus (-22%, P < 0.05) but not in the gastrocnemius EMG activity, normalized to respective M-waves, was also found. It was concluded that the reduced voluntary torque output after immobilization could be attributed to both muscular and neural alterations. These latter selectively involved the monoarticular soleus muscle, while neural drive to the biarticular gastrocnemii, which had not been immobilized in their function as knee flexors, was preserved.

Effects of 25% propylene glycol hydrogel (Solugel) on second intention wound healing in horses.

To evaluate the effect of a commercially available 25% propylene glycol hydrogel preparation (Solugel; Johnson and Johnson Medical, North Ryde, Australia) on healing of full-thickness skin wounds on the distal aspect of the limb in horses. Experimental. Eight Standardbred horses. Standardized (2.5 x 2.5 cm) full-thickness skin wounds were created over the mid-dorsomedial aspect of both metacarpi in 8 horses. One wound in each horse was dressed with saline solution (0.9% NaCl) soaked gauze, and one was treated with Solugel under dry regular gauze; wounds were then bandaged with gauze-coated cotton wool and elastic adhesive bandages. Wounds were videorecorded and rebandaged twice weekly until healed. Wound healing variables were measured from the videorecordings using a computer software package and analyzed as a randomized complete block design with repeated measures. Where necessary variables were made positive for analysis; significance was set at P <.05. The area of the wound at the first bandage change did not vary between treated and untreated wounds. Treatment had no effect on the total rate of healing, rate of healing during the retraction phase of healing, rate of healing after the retraction phase was complete, or the amount the wounds retracted. Using this model of wound healing, Solugel had no effect on second intention healing of distal limb wounds in horses. Solugel does not appear to have any beneficial effect on healing of small full-thickness skin wounds to the distal limb of horses.

Protective distal finger splint

The purpose of this splint is to protect the distal aspect of a painful or sensitive finger using closed-cell padding with a rigid outer surface. This splint idea originated when a construction worker with a partial right-middle-finger amputation developed a painful neuroma. Surgery for revision was scheduled for one week. In the interim, the patient wanted some type of protection over the stump so that he could continue to work. Existing splints, such as a Stax finger splint or foam-padded aluminum splint, did not provide the protection the patient needed. The following materials are required for splint fabrication: 1/I6 Soft Micro Perforated Orfit (North Coast Medical, San Jose, California), 1/8 Rolyan Polycushion Padding (Smith and Nephew, Germantown, Wisconsin), and 1 Elastoplast elastic adhesive bandage (Beirsdorf, Canada) or Coban selfadherent elastic wrap (3M, St. Paul, Minnesota).

Serum-free cell culture medium induces acceleration of wound healing in guinea-pigs

Among the current methods employed in the treatment of wounds, a moist dressing is considered to be the optimal environment for the process of healing thereby avoiding dessication of the wound bed. This study is based on the hypothesis that wound cell proliferation is dependent not only on moisture but also upon the composition of the moist microenvironment in the wound. That composition in turn is formed by diffusion of nutrients from the existing vascular bed in and around the wound as well as by the wound cells' cellular products. Since in wounds the impaired vascular supply causes tissue deprivation, a continuous supply of nutrients and hormones will create an optimal substrate for cellular mitogenic activity, synthesis of matrix, growth factors and cytokines leading to wound healing. Modified serum-free cell culture medium was supplemented with non-steroidal anabolic hormones: growth hormone, thyroxin and insulin, transferrin and sodium selenite. The medium was prepared in a 1 per cent alginate gel matrix. Under general anaesthesia with ketamine (Imalgene 1000, Rhone Merieux, France) four 2 × 2 cm full-thickness skin patches were surgically extirpated from the dorsum of Hartley-derived guinea-pigs. Each experimental group consisted of seven animals, i.e. 28 wounds that received the same treatment. Compositions of gelatin in saline, agarose in saline, agarose in medium and agarose in saline supplemented with the three hormones were compared to agarose in medium supplemented with the three hormones. After application of the gel (1 ml/cm 2), the wounds were dressed with gauze, elastic adhesive bandage and netting. Change of bandage and administration of gel were performed every 48 h under general anaesthesia, at which time all the wounds were washed with warm saline, measured, photographed and redressed as above. Computerized morphometric measurements of the photographs of each wound, in sequence, were made using ImageMeasure software. The dynamics of wound closure were quantified, analysed and plotted. The agarose in medium supplemented with the three anabolic hormones induce statistically significant ( P < 0.001) acceleration of wound closure when compared to controls. No statistically significant different was found among the controls.

Mechanics of knee and ankle bandages.

Different types of bandages were tested mechanically and clinically. Four elastic and three elastic adhesive bandages were mechanically tested. The former proved better. Seven different ankle bandages and three knee bandages were tested in a simulated clinical situation, measuring the pressure which developed while walking for 15, 50 and 100 min, and immediately after application of the bandage. The bandages slackened most markedly during the first period of walking. The compression pressure of the padded adhesive ankle bandage was lower than that produced by most other bandages. The padded adhesive and elastic bandages proved to be most suitable for clinical use. The padded knee bandage produced a lower compression load than the elastic bandage tested. On the basis of this trial we recommend the use of a padded knee bandage.

Studies of the calcium accretion rate of bone during immobilization in intact and thyroparathyroidectomized adult rats.

In order to study the role played by the thyroid and the parathyroid glands in the development of osteoporosis induced by immobilization, 153 male adult Sprague-Dawley rats allocated in two groups were used. The animals of one group were thyroparathyroidectomized; those of the other group were left intact. Each group was then divided into two subgroups; in one the right hind leg of the animals were immobilized by an elastic adhesive bandage. The animals were observed for varying periods of time up to 16 weeks. Studies of bone mass and 45Ca accretion rate of the right and left femur and tibia were performed in all animals. The results indicate that disuse osteoporosis occurs in rats in the virtual absence of the thyroid and parathyroid glands. The bone loss of the immobilized femur and tibia was less pronounced in thyroparathyroidectomized rats compared to intact rats. The uptake of 45Ca in bone treated by immobilization as compared to the non-immobilized bone was found to be increased to the same proportion in thyroparathyroidectomized and in intact rats. The calcium-accretion rate of non-immobilized bone was lower in thyroparathyroidectomized than in intact rats. The observations indicate that in the rat the parathyroid and thyroid hormones influence the rate of bone turnover and thereby the rate of development of disuse osteoporosis.