Radionuclide venography of lower limbs by subcutaneous injection: A clinical evaluation

1993 ◽  
Vol 7 (1) ◽  
pp. 11-19 ◽  
Author(s):  
Chung-Chieng Wu ◽  
Shiang-Bin Jong
Keyword(s):  
Clinical Evaluation ◽  
Subcutaneous Injection ◽  
Lower Limbs ◽  
Radionuclide Venography

Radionuclide Venography by Subcutaneous Injection of Tc-99m Pertechnetate at Acupuncture Point K-3: A Case Report

1994 ◽  
Vol 22 (03n04) ◽  
pp. 337-340 ◽  
Author(s):  
Ming-Feng Chen ◽  
Chung-Chieng Wu ◽  
Shiang-Bin Jong ◽  
Chun-Ching Lin
Keyword(s):  
Subcutaneous Injection ◽  
Varicose Veins ◽  
Acupuncture Point ◽  
Venous Drainage ◽  
Lower Limbs ◽  
Acupuncture Points ◽  
Collateral Flow ◽  
Left Lower Extremity ◽  
The Right ◽  
Radionuclide Venography

Recently, we developed a new method of radionuclide venography of lower limbs, namely SC-RNV, by subcutaneous injection of Tc-99m pertechnetate at acupuncture points K-3. In this study, we applied this method to evaluate the venous drainage of lower limbs in a patient with severe varicose veins and edematous swelling of the left lower extremity. For comparison, an ascending radionuclide venography by intravenous injection of Tc-99m MAA (IV-RNV) was also done. The SC-RNV showed normal venous drainage of the right side but complete obstruction of the left popliteal vein with a prominent collateral flow, compatible to the findings of IV-RNV. The findings in this case again demonstrated that SC-RNV may be useful as an alternative method of venography as previously suggested.

The Contribution of Imaging and Functional Diagnosis to the Rehabilitation of Patients with Stroke

2019 ◽  
Vol 70 (8) ◽  
pp. 2847-2850
Author(s):  
Paul Lucaci ◽  
Marius Neculaes ◽  
Danisia Haba
Keyword(s):  
Magnetic Resonance ◽  
Middle Cerebral Artery ◽  
Clinical Evaluation ◽  
Cerebral Artery ◽  
Structural Changes ◽  
Brain Lesions ◽  
Lower Limbs ◽  
Functional Testing ◽  
Functional Diagnosis ◽  
High Possibility

The research conducted is based on the clinical evaluation through magnetic resonance and on functional testing using the stabilometric platform, of a sample of 23 subjects with a stroke ischemic localised in the area of the middle cerebral artery. With the help of magnetic resonance, the structural changes of the ischaemic focus were determined. At the same time, the evolution in time of the ischaemia and the alteration at the level of the ischaemic area were monitored. By using the stabilometric platform GPS 400, the distribution of the load at the level of the lower limbs was analysed, as well as barycentre variations. The results obtained after conducting the study highlight the high possibility of the functional re-education of the subjects when brain lesions do not extend and no complications arise, elements underlined by imaging exploration using magnetic resonance.

scholarly journals How Accurate Is Clinical Evaluation in Hindfoot Coronal Alignment?

2017 ◽  
Vol 2 (4) ◽  
pp. 247301141773156 ◽  
Author(s):  
Gastón Slullitel ◽  
Victoria Álvarez ◽  
Valeria Lopez ◽  
Juan Pablo Calvi ◽  
Ana Belén Calvo
Keyword(s):  
Clinical Evaluation ◽  
Pearson Correlation ◽  
Lower Limbs ◽  
Measurement Tool ◽  
Diagnostic Study ◽  
Radiographic Assessment ◽  
Coronal Alignment ◽  
Posterior View ◽  
Hindfoot Alignment ◽  
Axial View

Background: Hindfoot coronal alignment is an important factor in the assessment of patients with many different foot and ankle complaints. A number of clinical and radiographic techniques have been described to measure hindfoot coronal alignment, but none of them are widely accepted. The purpose of the present study was to assess the correlation between clinical and radiographic hindfoot alignment measures and to evaluate the reproducibility of each. Methods: We evaluated 85 patients with foot and/or ankle symptoms. Hindfoot clinical alignment was measured from photographs. Each patient was placed at a distance of 1 m from the observer, with both feet placed parallel. Four photographs were taken, at a height of 40 cm: a posterior view of both lower limbs including knees, a posterior view focalized on the studied hindfoot, an anterior view of the foot, and the last view of the medial aspect of the foot. Radiographic alignment was quantified on long axial view radiographs. Patients were lying over the film cassette with a focus distance of 1 m and the beam pointed to the ankle joint. The inclination angle of the beam was 45 degrees to the floor. Measurements were independently made by 2 observers, who were asked to classify pictures into 3 categories: varus, neutral, and valgus. Radiographic measurements were made using the angle measurement tool on the radiograph viewer. The intraclass correlation coefficients (ICCs) and the 95% confidence interval (CI) of the ICC were used to quantify the inter- and intraobserver reliability for clinical assessment. Radiographic parameters were correlated by calculating the Pearson correlation coefficient (r). Results: The intraobserver ICC for clinical analysis was good for both observers, while the interobserver ICC was moderate for both measurements. Regarding radiographic assessment, there was significant intra- and interobserver reliability. The correlation between both methods was weak for both observers. Conclusions: We found only weak intra- and interobserver correlations between the clinical and radiographic assessment of hindfoot coronal alignment. It is therefore necessary to complement the clinical evaluation of hindfoot alignment with an objective measurement method such as a long axial view radiograph. Further studies comparing different measurement methods need to be performed to establish the most objective evaluation. Level of Evidence: Level III, diagnostic study.

scholarly journals Development and Clinical Evaluation of Bed with Standing-Up Function

2021 ◽  
Vol 33 (4) ◽  
pp. 887-892
Author(s):  
Katsuhiro Manabe ◽  
Keyword(s):  
Clinical Evaluation ◽  
Nursing Care ◽  
Supine Position ◽  
Physical Therapists ◽  
Standing Position ◽  
Lower Limbs ◽  
Tilt Table ◽  
Public Funds ◽  
Supine Posture ◽  
Standing Up

The risk of disuse syndrome caused by prolonged supine posture in hemiplegic stroke in- and outpatients has become a social problem. This study aimed to develop a new bed with a standing-up function, allowing medical caregivers and patients to freely take a standing position on the bed to reduce the amount of time spent in the supine position and to clarify its effectiveness through evaluation of its usability and clinical use. In addition to the Gatch function of the developed bed, it allows transition from a supine position to a chair-sitting or standing position on the bed, and from a standing position to walking action. In addition, as with the tilt table used for standing-position training, the bed’s tilt angle can be adjusted, reducing the load on the lower limbs and allowing appropriate rehabilitation to be carried out anytime, consequently reducing the burden of nursing care. The bed was developed with the cooperation of a specialized bed manufacturer and supported by public funds, and clinical evaluation was conducted after confirming its safety. We evaluated the physical and physiological functions of two hemiplegic patients after 4 weeks of standing training using a prototype bed, to which results from the six-item test showed no significant improvement. However, medical professionals, such as doctors, nurses, and physical therapists, who participated in the clinical evaluation indicated that the bed can safely replace the tilt table for standing-position rehabilitation, and it is effective in eliminating related human and time burdens.

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