Accelerated wound healing with combined NPWT and IPC: a case series

Arvesen, Kristian Bakke; Nielsen, Camilla Bak; Fogh, Karsten

doi:10.12968/bjcn.2017.22.sup3.s41

Cited by 7 publications

(4 citation statements)

References 13 publications

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“…Similarly, the biological effects of long-term intermittent mechanical loading of the tissues need to be further investigated. Several studies have found beneficial effects of intermittent pneumatic compression on fracture and soft-tissue healing after trauma (Airaksinen, Kolari, & Miettinen, 1990;Arvesen, Nielsen, & Fogh, 2017;Khanna, Gougoulias, & Maffulli, 2008) due to upregulation of collagen type I synthesis (Abdul Alim, Domeij-Arverud, Nilsson, Edman, & Ackermann, 2018). However, the pressures used would appear to be considerably lower than those presumably required for joint stabilisation.…”

Section: Limitationsmentioning

confidence: 99%

The effect of simulated circumferential soft exoskeleton compression at the knee on discomfort and pain

et al. 2020

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There is a lack of data and guidance on soft exoskeleton pressure contact with the body. The purpose of this research was to study the relationship between circumferential loading at the knee and discomfort/pain, to inform the design of soft exoskeletons/exosuits. The development of discomfort and pain was studied during standing and walking with circumferential compression using a pneumatic cuff.Our results show higher tolerance for intermittent than continuous compression during standing. Discomfort was triggered at pressures ranging from 13.7 kPa (continuous compression) to 30.4 kPa (intermittent compression), and pain at 52.9 kPa (continuous compression) to 60.6 kPa (intermittent compression).During walking, cyclic compression caused an increase in discomfort with time. Higher cuff inflation pressures caused an earlier onset and higher end intensities of discomfort than lower pressures. Cyclic cuff inflation of 10 kPa and 20 kPa was reasonably well tolerated.Practitioner summary: Soft exoskeleton compression of the knee was simulated during static and dynamic compression cycles. The results can be used to understand how users tolerate pressure at the knee, and also to understand the levels at which discomfort and pain are experienced.

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Section: Limitationsmentioning

confidence: 99%

The effect of simulated circumferential soft exoskeleton compression at the knee on discomfort and pain

et al. 2020

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“…On the other hand, our results showed differences between groups in maximal and mean values > 0.7ºC immediately post-intervention and 24 h post-intervention in front and back lower limbs in which a differences in thermal image (>0.7ºC) can be associated with structural or physiological abnormalities that contribute to a decrease in the quadriceps power [25,39]. These differences >0.7ºC in the skin temperature between elite soccer players (INPT vs. ART) possibly by INPT contribute to the process of recovery from the increased blood flow in the microcirculation, reduction of edema, removal of exudate, cell proliferation and angiogenesis, which can lead to faster neuromuscular recovery, reduced muscle tension, and reduced pain sensation [6,15].…”

Section: Discussionmentioning

confidence: 99%

Effects of intermittent negative pressure and active recovery therapies in the post-match period in elite soccer players: A randomized, parallel arm, comparative study

Maior

Tannure²,

Eiras³

et al. 2020

Biomedical Human Kinetics

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SummaryStudy aim: This study compared the effects of intermittent negative pressure therapy (INPT) vs. active recovery therapy (ART) on post-match physiological parameters such as serum CK level and skin temperature of the lower limbs in elite soccer players.Material and methods: Twenty healthy male professional soccer players from a Brazilian first division soccer club were enrolled in this randomized, parallel arm, open label, comparative study. After participating in 2 soccer matches, they were randomly assigned to two groups (n = 10) to receive a 30-min session of INPT (intermittent exchange of hypobaric pressure range 33 to 51 mmHg) or ART (self-myofascial release, mobility and stability exercises, and cycle ergometer exercise). The intervention was conducted after a match with assessments immediately before and after the intervention and again 24 h after the intervention.Results: A significant interaction effect (F2,36 = 4.503, p = 0.018, η2 = 0.130) was observed, indicating that the decrease of CK from pre-intervention to 24 h post-intervention was greater in the INPT than in the ART group. Lower limb skin temperature was significantly lower after INPT than after ART (p < 0.003).Conclusions: Serum CK level and skin temperature of lower limbs showed better recovery up to 24 h after the intervention with INPT in elite soccer players.

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“…In comparison to other cases, we find our case unique because of the extension of the wounds and our management with negative pressure wound therapy. We followed the World Society of Emergency Surgery (WSES) Guidelines for Management of Skin and Soft Tissue Infections recommendations and even when negative pressure wound therapy is not part of the conventional recommendations, and according to other studies, its use is still controversial, we had positive outcomes with this approach in terms of wound healing and pain control [ 7 , [17] , [18] , [19] , [20] , [21] , [22] , [23] ].…”

Section: Discussionmentioning

confidence: 99%