[Examination of overweight patients during a reducing diet].
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Biomedical subjects
Publications and source records attributed to W Diebschlag.
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Distorsions and other injuries of a more or less grave kind are often found in combination with exudative processes. The anti-exudative effect of adequate drugs has so far been tested only on the rat paw oedema. As results gained from animal tests cannot immediately be applied to man, tests with human subjects were carried out. With a device by Diebschlag it has become possible to fulfil the demands of a simple but still exact measuring process for quantification of leg volumes. 12 subjects with a distorsion of the ankle joint were treated with a gel (active substance: 1-phenylephrine HCl) which reduces the volue of the leg and with a similar placebo gel, and the effects of both treatments were compared and examined. The analysis of data yielded statistically highly significant values for the effectivity of the active substance gel.
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Results obtained with an already described device (Beierlein 1977) are presented. 16 subjects (4 with "normal feet", 4 with pes valgus and flat-foot, 4 with splay foot and 4 with combined flat- and splay foot) were taken for the following investigations of pressure distribution under the human footsole: Standing subjects: 1. Standing on two feet, barefoot with fixed upright posture; 2. dynamic unrolling of the bare-footed human footsole with constant walking speed. Examples of coloured isobares of the pressure distribution of a "normal foot" and splay-flatfoot are presented. Further the results of a hollow foot are described. The measured pressures vary between 4.9 and 78.5 N/cm2 (= 0.5 and 8 kp/cm2). Examples of interpretations are given to stimulate orthopedic surgeons to use the created measuring technique for definition and diagnosis of foot deformities.
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Based on a quantitative registered picture of the pressure-distribution under the human foot sole the evaluation of anthropometric sizes is described and compared with usual methods. A sectorial evaluation of the pressure-distribution including an analysis of weight, area, maximum pressure and average pressure in the different sectors is reported. It is discussed, how this standardizable method can support an orthopedic diagnosis using static and dynamic pictures of the pressure-distribution of the foot.
For more than a century, scientists and practicians of orthopedic shoe production have been increasing their knowledge on the normal statics and dynamics of the lower extremities as well as on innate or often acquired posture anomalies and foot deformities. Even amongst young adults, barely half of one percent has so-called "inconspicuous" feet without restrictive signs of foot deformities. Consequently, the resulting primary illnesses and secondary injuries must be treated. Quantitative pressure distribution graphs in isobaric representation at the heel barefoot when standing and walking were determined by means of an improved, locally fixed device by Elftman and Helm. For the first time, a newly developed mobile measuring process allows measuring pressures at the heel inside the shoe while standing as well as while walking, running or jumping. The rolloff motion of the heel allowed the determination of a "maximum pressure line." Orthopedic recommendations for the production of true-to-form and true-to-function shoes for walking and sports shoes are included.
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The present paper describes the evaluation of static and dynamic experiments investigating the regulation of human balance. The results from a neurologically unremarkable group of test subjects are reported and discussed. These results are compared with those of a patient suffering from multi-infarction disease.