Delayed Motor Development And Musculoskeletal Dysfunction: The Role Of Emergency Screening, Nutrition, And Physiotherapy
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Ali Yahya Hussein Ozran, Makki Abdu Abdullah Ageeli, Saleh Salem Mohammed Alqarni, Aishah Ali Ahmed Aboshowiah, Samar Saleh Bahkali, Maryam Ali Aqdi, Ibraheem Yahya Azran, Saad Eissa Ali Madkhali
Abstract
Delayed Motor Development and its musculoskeletal complications are still one of the most critical pediatric issues, still prevalent in 10-15 percent of the pediatric population worldwide. The complications lead to lifelong disability in mobility, coordination, participation, and quality of life. The current systematic review outlines the recently available evidence on causative, detection, and current practices of Delayed Motor Development from 2020-2025 and how individual aspects of Emergency Screening, Nutritional Modalities, and Physiotherapeutic Modalities are interconnected towards effective DMD control. The primary cause can still be prematurity, genetic, nutrient deficiencies, and environmental conditions, further worsening musculoskeletal conditions of hypotonia, contracture, and deformity problems respectively. The emergency screening performed during acute practices can be used as a priority precursor towards adopting screening on-time, with studies indicating that ASQ has proven enormous sensitivity as a screening tool for risk factor-possessed babies respectively. The role of addressing nutrient inadequacies towards optimizing Vitamin D, calcium, and protein has been proven vital towards enhanced musculoskeletal mass and bone mineral content, with evidence supporting that reduced Supplementations towards rickets have diminished related milestones delay respectively. Benefits of Neuro-Developmental and Task-Oriented Physiotherapeutic Modalities towards speeding milestones and inhibiting secondary complications are represented
Keywords :
Delayed motor development, musculoskeletal dysfunction, developmental screening, pediatric nutrition, physiotherapy interventions, gross motor milestones, early childhood intervention, cerebral palsy, prematurity risks, nutritional deficiencies.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty