F-2-20-02
HYPERBARIC OXYGEN THERAPY AS CONSERVATIVE THERAPY IN THE DIABETIC FOOT.
*｡?P. Marano and ｡?M. Blasco (*University of Chieti & ｡?Hyperbaric Center Villa Salus Augusta - Italy)
The increase of the transcutaneous tension of the oxygen in a range between 2.2 and 2.8 ATA in 100% oxygen it has been proposed recently like the alone able value of discriminate the subjects that could draw benefit from hyperbaric oxygen therapy, in as it represent the only forefinger of tissutal perfusion.
This indicator represents a good prognostic forefinger for the diabetic patients affected from serious injuries to the feet. These injuries, often, brings serious damages both circulatory that nervous to the patients affections from diabetes, and they hesitate the more of the times in amputation, in part or in total, of the stricken organs. Like comes demonstrated from the vast casistic, the use of hyperbaric oxygen therapy has resulted be the only serviceable garrison for avoid the amputation of the stricken limb, ameliorating the reperfusion and the microcirculation.
F-2-20-03
MANUAL THERAPY FOR LOW BACK AND LEG PAIN BY THE ARTHROKINEMATIC APPROACH (AKA) TO THE SACROILIAC JOINT
Fukushima Mitoshi, M.D. (Fukushima Orthopaedic Clinic, Hiroshima, Japan)
Purpose: Low back and leg pain is caused by purely mechanical joint dysfunction, and simple sacroiliac arthritis. The mechanism and diagnosis of joint dysfunction, techniques of manual therapy, result and follow-up are reported.
Method: 1,392 cases with low back and sciatic pain were treated by AKA between Dec. 1992 and Nov. 1993. Clinical diagnoses consisted of 962 cases with low back pain syndrome, 296 cases with acute low back strain, 48 cases spondylolysis and -listhesis, 44 cases with herniated disc demonstrated by MRI, 42 cases with post-laminectomic pain. The techniques of AKA developed by Hakata, S, Osaka, Japan consist of forward-upward gliding, backward-downward gliding and others of the sacroiliac joint with the patient, sidelying without anesthesia. The diagnosis of joint dysfunction or sacroiliac arthritis is made by AKA.
Result: Primary joint dysfunction which was cured by one session in the cases of chronic stage and within a week in the cases of low back strain were diagnosed in 634 cases (45.5%) and 535 (38.4%) respectively. Sacroiliac arthritis in the chronic stage which was cured in one to two months was diagnosed in 83 cases (5.9%), and in the acute stage which was cured in three months was diagnosed in 59 cases (5.9%) and in special type which required more than three months was diagnosed in 80 cases (5.8%). One case was treated surgically. 150 cases which were followed for more than 3 years revealed relief of pain for one to three years ill 60% cases and the symptoms were successfully relieved by this therapy in recurrent cases, except for the special type of sacroiliac arthritis complicated by reflex sympathetic dystrophy (RSD).
Conclusion: Low back and sciatic pain and strain were due to sacroiliac joint dysfunction because the symptoms disappear by treating it, regardless of the roentgenographic findings or MRI.
