Plaster Cast

14,000,000 Leading Edge Experts on the ideXlab platform

Scan Science and Technology

Contact Leading Edge Experts & Companies

Scan Science and Technology

Contact Leading Edge Experts & Companies

The Experts below are selected from a list of 5541 Experts worldwide ranked by ideXlab platform

James Mason - One of the best experts on this subject based on the ideXlab platform.

  • Cast versus functional brace in the rehabilitation of patients treated for an ankle fracture protocol for the uk study of ankle injury rehabilitation air multicentre randomised trial
    BMJ Open, 2018
    Co-Authors: Rebecca S Kearney, Rebecca Mckeown, Siobhan Stevens, Nicholas R Parsons, Helen M Parsons, Philip Wells, Jaclyn Brown, Martin Underwood, Anthony C Redmond, James Mason
    Abstract:

    Introduction Each year in the UK over 120 000 people fracture their ankle. It is not known what the best rehabilitation strategy is for these people. Traditionally standard care has involved immobilisation in a Plaster Cast but an alternative is a functional brace, which can be removed to allow early movement. This paper details the protocol for a multicentre randomised trial of Plaster Cast immobilisation versus functional bracing for patients with an ankle fracture. Methods and analysis We will recruit adults with a fractured ankle, for which the treating clinician would consider Plaster Cast to be a reasonable management option. Randomisation will be on a 1:1 basis, stratified by centre, operative or non-operative management and age. Participants will be allocated to either Plaster Cast or a functional brace, both treatments are widely used. To have 90% power to detect a difference of 10 points on the primary outcome (Olerud and Molander Ankle Score) at the primary outcome time point (16 weeks), we need to randomise a minimum of 478 people. Quality of life and resource use will be collected at 6, 10, 16, 24 weeks and 12, 18, 24 months. The differences between treatment groups will be assessed on an intention-to-treat basis. The economic evaluation will adhere to the recommendations of the National Institute for Health and Care Excellence reference case. Ethics, registration and dissemination National Research Ethic Committee approved this study on 4 July 2017 (17/WM/0239). The first site opened to recruitment 9 October 2017. The results of this trial will be submitted to a peer-reviewed journal and will inform clinical practice. Trial registration number ISRCTN15537280; Pre-results.

Sarah E Lamb - One of the best experts on this subject based on the ideXlab platform.

  • Plaster Cast versus functional brace for non surgical treatment of achilles tendon rupture ukstar a multicentre randomised controlled trial and economic evaluation
    The Lancet, 2020
    Co-Authors: Matthew L Costa, Sarah E Lamb, Juul Achten, Ioana R Marian, Susan J Dutton, B Ollivere, Mandy Maredza, Stavros Petrou
    Abstract:

    Summary Background Patients with Achilles tendon rupture who have non-operative treatment have traditionally been treated with immobilisation of the tendon in Plaster Casts for several weeks. Functional bracing is an alternative non-operative treatment that allows earlier mobilisation, but evidence on its effectiveness and safety is scarce. The aim of the UKSTAR trial was to compare functional and quality-of-life outcomes and resource use in patients treated non-operatively with Plaster Cast versus functional brace. Methods UKSTAR was a pragmatic, superiority, multicentre, randomised controlled trial done at 39 hospitals in the UK. Patients (aged ≥16 years) who were being treated non-operatively for a primary Achilles tendon rupture at the participating centres were potentially eligible. The exclusion criteria were presenting more than 14 days after injury, previous rupture of the same Achilles tendon, or being unable to complete the questionnaires. Eligible participants were randomly assigned (1:1) to receive a Plaster Cast or functional brace using a centralised web-based system. Because the interventions were clearly visible, neither patients nor clinicians could be masked. Participants wore the intervention for 8 weeks. The primary outcome was patient-reported Achilles tendon rupture score (ATRS) at 9 months, analysed in the modified intention-to-treat population (all patients in the groups to which they were allocated, excluding participants who withdrew or died before providing any outcome data). The main safety outcome was the incidence of tendon re-rupture. Resource use was recorded from a health and personal social care perspective. The trial is registered with ISRCTN, ISRCTN62639639. Findings Between Aug 15, 2016, and May 31, 2018, 1451 patients were screened, of whom 540 participants (mean age 48·7 years, 79% male) were randomly allocated to receive Plaster Cast (n=266) or functional brace (n=274). 527 (98%) of 540 were included in the modified intention-to-treat population, and 13 (2%) were excluded because they withdrew or died before providing any outcome data. There was no difference in ATRS at 9 months post injury (Cast group n=244, mean ATRS 74∙4 [SD 19∙8]; functional brace group n=259, ATRS 72∙8 [20∙4]; adjusted mean difference –1∙38 [95% CI –4∙9 to 2∙1], p=0·44). There was no difference in the rate of re-rupture of the tendon (17 [6%] of 266 in the Plaster Cast group vs 13 [5%] of 274 in the functional brace group, p=0·40). The mean total health and personal social care cost was £1181 for the Plaster Cast group and £1078 for the functional bract group (mean between-group difference –£103 [95% CI –289 to 84]). Interpretation Traditional Plaster Casting was not found to be superior to early weight-bearing in a functional brace, as measured by ATRS, in the management of patients treated non-surgically for Achilles tendon rupture. Clinicians may consider the use of early weight-bearing in a functional brace as a safe and cost-effective alternative to Plaster Casting. Funding UK National Institute for Health Research Health Technology Assessment Programme.

  • treatment of severe ankle sprain a pragmatic randomised controlled trial comparing the clinical effectiveness and cost effectiveness of three types of mechanical ankle support with tubular bandage the Cast trial
    Health Technology Assessment, 2009
    Co-Authors: Matthew Cooke, Jennifer Marsh, Jane L Hutton, Rachel A Nakash, R M Jarvis, Michael Clark, Susan R. Wilson, Ala Szczepura, Sarah E Lamb
    Abstract:

    To estimate (1) The clinical effectiveness of three different methods of ankle support (below knee Plaster Cast, Kendall ankle support, Bledsoe boot) in comparison to Tubigrip in the recovery of mobility and function after Grade II and III sprains of the ankle joint. (2) The cost-effectiveness of the three different methods of ankle support in comparison to Tubigrip only. The economic analysis will be conducted from a societal perspective. Tubigrip has been chosen as the reference (status quo) treatment; it is the cheapest, but is likely to be least effective (ref 1). The Bledsoe boot is a factor of 30 times more expensive (US$50 usual,assuming no re-use), and its clinical effectiveness is yet to be proven. The below knee Plaster Cast will be Scotch Cast (cost £5). There are a range of ankle supports available. We have selected the Kendall Gel Brace (£19 per brace), which is the cheapest and. in our experience is as clinically effective as other brands. All treatments will be provided in the NHS, in a manner consistent with current national practice.

Meuser John - One of the best experts on this subject based on the ideXlab platform.

Jun Kitagawa - One of the best experts on this subject based on the ideXlab platform.

  • effects of forced deep breathing on blood flow velocity in the femoral vein developing a new physical prophylaxis for deep vein thrombosis in patients with Plaster Cast immobilization of the lower limb
    Thrombosis Research, 2018
    Co-Authors: Keisuke Nakanishi, Naonobu Takahira, Miki Sakamoto, Minako Yamaokatojo, Masato Katagiri, Jun Kitagawa
    Abstract:

    Abstract Introduction Patients with Plaster Cast immobilization of the lower limb have an estimated symptomatic venous thromboembolism rate of 5.5%. However, there is currently no practical physical prophylaxis for deep-vein thrombosis (DVT). The objective of this study was to examine the effects of forced deep breathing on peak blood velocity in the superficial femoral vein (PBVFV), which is a surrogate measure of the efficacy of thromboprophylaxis against DVT, in patients with Plaster Cast immobilization of the lower limb. Materials and methods Nine young males and 18 elderly males were recruited. We immobilized the right lower limb of each subject with a Plaster splint and measured PBVFV during forced deep breathing in supine and sitting positions. Results In all subjects, PBVFV during forced deep breathing in both positions was significantly higher than at rest. There was no significant difference in the PBVFV change ratio for three breathing rates in the sitting position for the young subjects (15 breaths/min: 415%, 5 breaths/min: 475%, 3 breaths/min: 483%), whereas that for the elderly subjects at 3 breaths/min (449%) was significantly higher than that at 15 breaths/min (284%). Conclusions Forced deep breathing significantly increased PBVFV in patients with Plaster Cast immobilization of the lower limb in both supine and sitting positions. Testing the efficacy and adherence in clinical contexts, and following up with the incidence rate of DVT in future studies, is necessary for the development of a new physical prophylaxis for DVT.

  • effects of intermittent pneumatic compression of the thigh on blood flow velocity in the femoral and popliteal veins developing a new physical prophylaxis for deep vein thrombosis in patients with Plaster Cast immobilization of the leg
    Journal of Thrombosis and Thrombolysis, 2016
    Co-Authors: Keisuke Nakanishi, Naonobu Takahira, Miki Sakamoto, Minako Yamaokatojo, Masato Katagiri, Jun Kitagawa
    Abstract:

    Patients with Plaster-Cast immobilization of the lower limb have an estimated venous thromboembolism rate of 2.5 % without prophylaxis, which includes many fatal cases. However, there is no practical physical prophylaxis for deep-vein thrombosis (DVT) in these patients. The aim of this study was to examine the effects of intermittent pneumatic compression on the thigh alone (IPC to the thigh) on peak blood velocity (PBV) in the legs and to consider the possibility that IPC of the thigh could be used as physical prophylaxis for DVT in patients with Plaster-Cast immobilization of the lower leg. Nine healthy male volunteers and eighteen elderly males were recruited. We immobilized each subject’s right lower leg and ankle with a Plaster splint, and applied the ActiveCare+S.F.T.® (Medical Compression Systems, Inc.) device to each subject’s right thigh. The PBV in the superficial femoral vein (PBVFV) and the popliteal vein (PBVPV) were measured using duplex Doppler ultrasonography. IPC to the thigh resulted in a 2.3-fold increase in PBVFV and a 3.0-fold increase in PBVPV compared with resting at supine in the elderly group. Although IPC to the thigh also increased PBVFV and PBVPV significantly in the sitting position, the change ratios of PBV in the supine and sitting positions were equal (2.6-fold increase in PBVFV and 2.9-fold increase in PBVPV). IPC to the thigh in supine and sitting positions significantly increased PBVFV and PBVPV, and could be a useful prophylaxis for DVT in patients with Plaster-Cast immobilization of the lower leg.

Schwenn Fabian - One of the best experts on this subject based on the ideXlab platform.

Related terms

  • achilles tendon rupture ukstar
Plaster Cast - 15 days free trial to Access Experts & Abstracts