Miscuffing: A Problem With New Guidelines To the Editor: Cuff dimensions have been a source of controversy for many years. Early guidelines of the American Heart Association recommended a cuff width 20% wider than the diameter of the arm or thigh and a cuff length “sufficient to half-encircle a limb . . . provided care is taken by the operator to place it on the side of the compressible artery....

Venous saline infusions in an arterially occluded forearm evokes reflex increases in muscle sympathetic nerve activity (MSNA) and blood pressure (BP). We hypothesized that the application of suction to the human limbs would activate this venous distension reflex and raise sympathetic outflow. We placed airtight pressure tanks and applied 100 mmHg negative pressure to an arterially occluded limb...

BACKGROUND The goals of sentinel lymph node biopsy (SLNB) are to improve axillary staging and reduce unnecessary axillary lymph node dissections (ALND), thereby reducing treatment-related upper-limb morbidity. In the current prospective study, short-term upper-limb morbidity was assessed after SLNB and/or ALND. METHODS The study comprised 204 patients with Stage I/II breast carcinoma. Mean pa...

Background: Clubfoot is the commonest musculoskeletal congenital deformity affecting foot. The idiopathic variety most common type and worldwide agreed treatment method Ponseti method. In bilateral cases, feet may have different anthropometric characteristics. These differences were evaluated in this study.Objective: To assess effect of parameters legs (Calf circumference, foot length, degrees ...

Regional anesthesia results in shrinkage of the primary sensory cortex (S1) representation of the area and the perception that the area is larger than it is.1 Complex regional pain syndrome type 1 (CRPS1) also involves shrinkage of S1 representation2 and, anecdotally, the perception of marked swelling when none is apparent. We posited that if a reduced S1 representation of the affected limb is ...

Lymphedema of the upper limb after breast cancer surgery is a disease that carries a life-long risk and is difficult to cure once it occurs despite the various treatments which have been developed. Two patients were referred from general surgery department for intractable lymphedema. They were treated with stellate ganglion blocks (SGBs), and the circumferences of the mid-point of their each up...

We questioned whether myoelectric prostheses were a reasonable alternative to conventional prostheses for adolescents with unilateral, congenital, below-elbow amputations in respect to fit, function, cosmesis, and cost. Ten patients were studied. Each received a physical, functional, and psychosocial evaluation prior to prosthetic fitting. The physical evaluation included myopotential, residual...

BACKGROUND Sentinel lymph node biopsy (SLNB) is commonly used for the treatment of breast cancer with minimal surgical intervention as well as with low morbidity rates of upper limbs. OBJECTIVES The aim of the present study was to investigate possible impairments and functional performance of the upper limb on activities of daily living (ADL) and health related quality of life (HRQL) among wo...

Metabolic syndrome is a powerful predictor of cardiovascular disease in hypertension, and large-artery stiffness is increasingly recognized as a cardiovascular risk factor. We hypothesized that the adverse prognostic significance of the metabolic syndrome in hypertension might be explained in part by its association with aortic stiffness. A total of 169 newly diagnosed, never treated, nondiabet...

There are few studies showing that physical exercise can improve secondary lymphedema. We hypothesized that water exercise would be more effective than land exercise in reducing limb volume. Secondary objectives were joint movement, BMI, daily function, well-being, and body image. Limb volume was measured with circumference or was volumetric. Well-being and body image were measured with a study...