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Unbound Medicine.
(windlass test)
37 results
  • Assessing the Current Generation of Tourniquets. [Journal Article]
    Mil Med. 2020 Mar 02; 185(3-4):e377-e382.Katsnelson S, Oppenheimer J, … Nachman D
  • CONCLUSIONS: Both SAM-XT and CAT7 demonstrated a better pressure profile and hemorrhage control rate compared to SOFTT-W, with no significant difference between the two. The better outcome measures were strongly correlated to less slack.
  • Segmental foot and ankle kinematic differences between rectus, planus, and cavus foot types. [Journal Article]
    J Biomech. 2019 Sep 20; 94:180-186.Kruger KM, Graf A, … Krzak JJ
  • The presence of multiple foot types has been used to explain the variability of foot structure observed among healthy adults. These foot types were determined by specific static morphologic features and included rectus (well aligned hindfoot/forefoot), planus (low arched), and cavus (high arched) foot types. Unique biomechanical characteristics of these foot types have been identified but reporte…
  • Three-dimensional variations in the lower limb caused by the windlass mechanism. [Journal Article]
    PeerJ. 2017; 5:e4103.Manfredi-Márquez MJ, Tovaruela-Carrión N, … Ramos-Ortega J
  • CONCLUSIONS: Kinematic analysis suggested that the higher the degree of extension the more movement will be generated. This reduces the level of impact the more distal the structure with respect to the 1st MTPJ, which has an impact on the entire leg. Because of the kinematic system used wasn't suitable, its impact wasn't exactly quantified.
  • Investigating biomechanical function of toes through external manipulation integrating analysis. [Clinical Trial]
    Acta Bioeng Biomech. 2016; 18(1):97-102.Mei Q, Fernandez J, … Gu Y
  • CONCLUSIONS: While no significance existed between bound and non-bound toes in kinematics, the medial forefoot had a smaller foot impulse and the hallux had a larger foot impulse for those with non-binding feet. This suggests that other functions such as the active gripping action of toes might be important for the efficiency of the foot windlass mechanism (the plantar fascia support), which would be beneficial for running performance improvement and foot injury prevention.
  • Different Width and Tightening System: Emergency Tourniquets on Distal Limb Segments. [Journal Article]
    J Spec Oper Med. 2015 Winter; 15(4):28-38.Wall PL, Sahr SM, Buising CM
  • CONCLUSIONS: All four designs can be effective on distal limb segments, the SWATT doing so with the lowest pressures and least pressure losses over time. The pressure change from Occlusion to Completion varies by tourniquet tightening system and can involve a pressure decrease with the windlass tightening systems. Pressure losses occur in as little as 120 seconds following Completion and so can loss of Occlusion. This is especially true for nonelastic strap tourniquet designs.
  • Dynamic techniques for clinical assessment of the athlete. [Review]
    Clin Podiatr Med Surg. 2015 Apr; 32(2):217-29.Kor A
  • Clinical diagnostic tests objectively evaluate lower extremity ailments of the athlete. The positive squeeze test is found to be reproducible for ankle syndesmotic injury but is a poor prognosticator. The anterior drawer and talar tilt tests assess lateral ankle sprains. These have limitations secondary to positioning and guarding by the athlete, so comparison with the asymptomatic extremity is r…
  • Emergency tourniquet effectiveness in four positions on the proximal thigh. [Journal Article]
    J Spec Oper Med. 2014 Spring; 14(1):26-9.Kragh JF, Wallum TE, … Baer DG
  • CONCLUSIONS: The present study found that tourniquet effectiveness rates were uniformly 100% irrespective of whether the windlass position was medial, lateral, anterior, or posterior. These excellent clinical and statistical results indicate that users may continue to place the tourniquets as they prefer upon the proximal thigh.
  • Tourniquets and occlusion: the pressure of design. [Journal Article]
    Mil Med. 2013 May; 178(5):578-87.Wall PL, Duevel DC, … Buising CM
  • CONCLUSIONS: Limb circumference/tourniquet width occlusion pressure predictions are not good substitutes for measurements. The wider SWAT-T has lower occlusion and completion pressures than the CAT. Decreases in muscle tension lead to decreases in tourniquet pressure, especially with the nonelastic CAT, which can lead to occlusion loss.
  • Changes in windlass effect in response to different shoe and insole designs during walking. [Journal Article]
    Gait Posture. 2013 Feb; 37(2):235-41.Lin SC, Chen CP, … Chen WP
  • Windlass effect occurs during the pre-swing phase of gait cycle in which the peak tensile strain and force of the plantar aponeurosis (PA) is reached. The increased dorsiflexion angle of the 1st metatarsophalangeal (MTP) joint is the main causing factor. The aim of this study was to investigate thoroughly in finding the appropriate shoe and insole combination that can effectively decrease the win…
  • Hemostatic dressings reduce tourniquet time while maintaining hemorrhage control. [Journal Article]
    Am Surg. 2011 Feb; 77(2):162-5.MacIntyre AD, Quick JA, Barnes SL
  • Tourniquet application has become first-line treatment for extremity hemorrhage on the battlefield and has seen increased use in the civilian arena. We hypothesized that an effective windlass tourniquet could be removed after application of a hemostatic dressing in a swine model of peripheral vascular injury. A tourniquet was placed proximally in 50 forelimb-injured swine after 30 seconds of hemo…
  • Tourniquets revisited. [Journal Article]
    J Trauma. 2009 Mar; 66(3):672-5.Swan KG, Wright DS, … Swan KG
  • CONCLUSIONS: Our data indicate that all tourniquets can be used successfully below the knee or elbow. The cloth and windlass is the easiest to apply. It is probably the most readily available or simplest to procure/improvise. Pain is irrelevant. "Pressure Point Control" of extremity arterial hemorrhage is a euphemistic misnomer.
  • Occurrence of Toxoplasma gondii in water from wells located on farms. [Journal Article]
    Ann Agric Environ Med. 2006; 13(1):169-75.Sroka J, Wójcik-Fatla A, Dutkiewicz J
  • Among various species of parasitic protozoans which may contaminate drinking water, Toxoplasma gondii is of a special importance due to the high incidence of infections with this parasite noted in animals and humans. The objective of this study was to determine the frequency of occurrence of T. gondii in drinking water on farms in the area of the Lublin province (eastern Poland) with respect to h…
  • The association between diagnosis of plantar fasciitis and Windlass test results. [Journal Article]
    Foot Ankle Int. 2003 Mar; 24(3):251-5.De Garceau D, Dean D, … Thordarson DB
  • Twenty-two patients with plantar fasciitis, 23 patients with other types of foot pain, and 30 patients in a control group were evaluated with the Windlass test performed in a weightbearing and non-weightbearing position. In the non-weightbearing test, the first MP joint was maximally dorsiflexed with the ankle stabilized. The weightbearing test was performed with the toes hanging off the edge of …
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