In this dynamic scanning protocol, ultrasound examination of the ankle is described using various maneuvers to assess different conditions. Real-time patient examination and scanning videos are used for better simulation of daily clinical practice. The protocol is prepared by several/international experts in the field of musculoskeletal ultrasound and within the umbrella of European Musculoskeletal Ultrasound Study Group in Physical and Rehabilitation Medicine/Ultrasound Study Group of the International Society of Physical and Rehabilitation Medicine.
- MeSH
- fyziatrie * MeSH
- kotník diagnostické zobrazování MeSH
- lidé MeSH
- muskuloskeletální nemoci * diagnostické zobrazování rehabilitace MeSH
- muskuloskeletální systém * diagnostické zobrazování MeSH
- noha (od hlezna dolů) diagnostické zobrazování MeSH
- ultrasonografie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Dermatologie a podologie jsou dva odlišné, avšak vzájemně propojené obory, kde jsou společným zájmem kůže a nehty. V České republice je podologie definována jako preventivní a rekondiční péče o nohy, která je poskytována zejména v pedikérských provozovnách. Jejím základem je špičková pedikérská odbornost, na kterou navazují nadstavbové znalosti a dovednosti. Článek nabízí pohled na spolupráci pedikéra se specializací v podologii a dermatologa, která je již dlouhodobě rozvíjena a v praxi dobře funguje.
Dermatology and podology are two distinct but interrelated fields where skin and nails are of common interest. In the Czech Republic, podology is defined as preventive and reconditioning care for the feet, which is provided mainly in chiropody facilities. Its basis is top-notch chiropody expertise, which is followed by superstructure knowledge and skills. The article offers an insight into the cooperation between a chiropodist specializing in podology and a dermatologist, which has been developed for a long time and works well in practice.
- MeSH
- dermatologie MeSH
- lidé MeSH
- nemoci nehtů terapie MeSH
- noha (od hlezna dolů) patologie MeSH
- péče o kůži MeSH
- podiatrie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
Bifidobacteria as a strictly anaerobic gram-positive bacteria, is widely distributed in the intestine, vagina and oral cavity, and is one of the first gut flora to colonize the early stages of life. Intestinal flora is closely related to health, and dysbiosis of intestinal flora, especially Bifidobacteria, has been found in a variety of diseases. Numerous studies have shown that in addition to maintaining intestinal homeostasis, Bifidobacteria may be involved in diseases covering all parts of the body, including the nervous system, respiratory system, genitourinary system and so on. This review collects evidence for the variation of Bifidobacteria in typical diseases among various systems, provides mild and effective therapeutic options for those diseases that are difficult to cure, and moves Bifidobacteria from basic research to further clinical applications.
- MeSH
- Bifidobacterium * MeSH
- lidé MeSH
- prsty nohy MeSH
- střeva * mikrobiologie MeSH
- vagina mikrobiologie MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
PURPOSE OF THE STUDY Total arthroplasty of the first metatarsophalangeal joint is one of the surgical treatment options for patients with advanced hallux rigidus. This study evaluates the pressure changes in the propulsion phase of the gait cycle using dynamic pedobarography after the total arthroplasty of the first metatarsophalangeal joint by Medin PH-Flex and their comparison with the control groups of patients with hallux rigidus and with asymptomatic patients. MATERIAL AND METHODS Dynamic pedobarograph was used to evaluate 15 first MTP joint replacements by Medin PH-Flex implants in 12 female patients, the average time since joint replacement was 3.5 years (1.5 to 5.5 years). The control group consisted of 13 forefeet in 12 patients with hallux rigidus of Grade 3 and Grade 4 according to the Coughlin classification and 17 healthy patients with no clear foot deformity, i.e. of a total of 34 forefeet. A zone for each metatarsal (M1-M5) and the big toe area (T1) were defined with the use of an integrated software. The difference between the pressure under the big toe area and the first metatarsal bone - hallux stiffness (T1-M1) and the forefoot balance parameter, i.e. the difference between the pressures under the medial and lateral half of the forefoot ((M1+M2)-(M3+M4+M5)), was obtained. The parameters were evaluated for each group during the propulsion phase of the gait, i.e. from 55% to 100% of the stance phase and from 75% to 100% of the stance phase, i.e. that part of propulsion when the greatest pressure is exerted on the big toe. RESULTS For the HS parameter (T1-M1) in 55% to 100% of the stance phase, the median value was -0.66 ± 1.22 (-1.90 to 1.45) in the control group, -0.85 ± 1.94 (-1.40 to 3.80) in patients with hallux rigidus, and -0.10 ± 1.48 (-1.30 to 2.40) in patients after the first MTP joint replacement. The median forefoot balance parameter from 55% of the stance phase was -3.48 ± 2.45 (-6.90 to 0.68) in healthy patients and -4.43 ± 2.72 (-6.98 to 0.23) in hallux rigidus patients. In patients after the joint replacement, the value was -3.00 ± 2.46 (-6.20 to 0.40). The data were statistically analysed by the Dunnett's and Tukey's multiple comparison tests. The hallux stiffness parameter showed a significant improvement after the joint replacement compared to patients with hallux rigidus (p<0.0001). No statistical significance was confirmed when comparing the joint replacement cases and the healthy patients from the control group (p=0.0007 and p=0.0010, respectively). As concerns the forefoot balance parameter, a significant difference was reported in patients with joint replacement compared to healthy patients from the control group and patients with hallux rigidus (p <0.0001). DISCUSSION The published pedobarographic studies differ in terms of the methodology used, the patient population and the parameters examined. The pedobarographic studies after the replacement of the first MTP joint or after its arthrodesis present inconclusive outcomes. According to the available literature, the joint replacement has the potential to improve mediolateral forefoot loading and to partially restore the weight-bearing function of the first ray. Our analysis of the HS parameter suggests that the MTP joint replacement can improve the big toe function compared to patients with hallux rigidus but fails to achieve the functional outcomes of healthy patients. When evaluating the forefoot balance (FB) parameter, we can observe less loading on the lateral half of the forefoot in the propulsion phase compared to hallux rigidus. Nonetheless, the joint replacement is unable to restore the physiological loading of the foot. CONCLUSIONS The first MTP joint replacement has the potential to improve forefoot function and to bring it closer to that of a healthy person, even though achieving physiological loading of the forefoot is unrealistic. Additional studies will be needed to confirm that the indication for the first MTP joint replacement is justified in hallux rigidus in terms of the effect on forefoot biomechanics. Key words: hallux rigidus, total replacement of the first MTP joint, dynamic pedobarography, footscan.
- MeSH
- biomechanika MeSH
- chůze (způsob) MeSH
- hallux rigidus * chirurgie MeSH
- lidé MeSH
- noha (od hlezna dolů) MeSH
- palec nohy * MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
Pedicure has become an important part of body care, as more and more people of all ages realize the importance of professional care. The condition of the feet can significantly affect the quality of life. Pedicure is performed in two basic ways, wet and dry. Due to modern technologies and procedures, and based on ever-increasing demand, clients in foot care workplaces can be offered above-standard procedures provided by trained professionals, pedicurist with special skills in podology. A professional and responsible approach to the practising the profession is a decisive factor in eliminating health risks on the part of clients as well as providers of these services.
- Klíčová slova
- pedikéři,
- MeSH
- hygiena normy MeSH
- kosmetické techniky MeSH
- lidé MeSH
- nehty MeSH
- noha (od hlezna dolů) MeSH
- péče o kůži ošetřování MeSH
- podiatrie * MeSH
- pracovní expozice * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
- MeSH
- hallux valgus * chirurgie MeSH
- lidé MeSH
- palec nohy patologie MeSH
- Check Tag
- lidé MeSH
- MeSH
- amputace MeSH
- gangréna terapie MeSH
- hojení ran MeSH
- komplikace diabetu MeSH
- prsty nohy chirurgie MeSH
- výsledek terapie MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- chronická nemoc MeSH
- diabetická noha farmakoterapie ošetřování terapie MeSH
- Fournierova gangréna chirurgie farmakoterapie ošetřování terapie MeSH
- hojení ran MeSH
- komorbidita MeSH
- komplikace diabetu MeSH
- mezioborová komunikace MeSH
- noha (od hlezna dolů) MeSH
- osteomyelitida farmakoterapie ošetřování terapie MeSH
- perineum MeSH
- sepse MeSH
- terapie ran pomocí řízeného podtlaku MeSH
- týmová péče o pacienty MeSH
- výsledek terapie MeSH
- Publikační typ
- kazuistiky MeSH
