Management of Intolerance to Casting the Upper Extremities in Claustrophobic Patients
Introduction. Some patients showed unusual responses to the immobilization without any objective findings with casts in upper extremities. We hypothesized their that intolerance with excessive anxiety to casts is due to claustrophobia triggered by cast immobilization. The aim of this study is to ana...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/803047 |
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| author | Issei Nagura Takako Kanatani Masatoshi Sumi Atsuyuki Inui Yutaka Mifune Takeshi Kokubu Masahiro Kurosaka |
| author_facet | Issei Nagura Takako Kanatani Masatoshi Sumi Atsuyuki Inui Yutaka Mifune Takeshi Kokubu Masahiro Kurosaka |
| author_sort | Issei Nagura |
| collection | DOAJ |
| description | Introduction. Some patients showed unusual responses to the immobilization without any objective findings with casts in upper extremities. We hypothesized their that intolerance with excessive anxiety to casts is due to claustrophobia triggered by cast immobilization. The aim of this study is to analyze the relevance of cast immobilization to the feeling of claustrophobia and discover how to handle them. Methods. There were nine patients who showed the caustrophobic symptoms with their casts. They were assesed whether they were aware of their claustrophobis themselves. Further we investigated the alternative immobilization to casts. Results. Seven out of nine cases that were aware of their claustrophobic tendencies either were given removable splints initially or had the casts converted to removable splints when they exhibited symptoms. The two patients who were unaware of their latent claustrophobic tendencies were identified when they showed similar claustrophobic symptoms to the previous patients soon after short arm cast application. We replaced the casts with removable splints. This resolved the issue in all cases. Conclusions. We should be aware of the claustrophobia if patients showed unusual responses to the immobilization without any objective findings with casts in upper extremities, where removal splint is practical alternative to cast to continue the treatment successfully. |
| format | Article |
| id | doaj-art-1e53ea384c04436ea4d1ef2cfd2a22eb |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-1e53ea384c04436ea4d1ef2cfd2a22eb2025-02-03T05:58:58ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/803047803047Management of Intolerance to Casting the Upper Extremities in Claustrophobic PatientsIssei Nagura0Takako Kanatani1Masatoshi Sumi2Atsuyuki Inui3Yutaka Mifune4Takeshi Kokubu5Masahiro Kurosaka6Department of Orthopaedic Surgery, Kobe Rosai Hospital, 4-1-23 Kagoike-dori, Chuo-ku, Kobe 651-0053, JapanDepartment of Orthopaedic Surgery, Kobe Rosai Hospital, 4-1-23 Kagoike-dori, Chuo-ku, Kobe 651-0053, JapanDepartment of Orthopaedic Surgery, Kobe Rosai Hospital, 4-1-23 Kagoike-dori, Chuo-ku, Kobe 651-0053, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 6500017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 6500017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 6500017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 6500017, JapanIntroduction. Some patients showed unusual responses to the immobilization without any objective findings with casts in upper extremities. We hypothesized their that intolerance with excessive anxiety to casts is due to claustrophobia triggered by cast immobilization. The aim of this study is to analyze the relevance of cast immobilization to the feeling of claustrophobia and discover how to handle them. Methods. There were nine patients who showed the caustrophobic symptoms with their casts. They were assesed whether they were aware of their claustrophobis themselves. Further we investigated the alternative immobilization to casts. Results. Seven out of nine cases that were aware of their claustrophobic tendencies either were given removable splints initially or had the casts converted to removable splints when they exhibited symptoms. The two patients who were unaware of their latent claustrophobic tendencies were identified when they showed similar claustrophobic symptoms to the previous patients soon after short arm cast application. We replaced the casts with removable splints. This resolved the issue in all cases. Conclusions. We should be aware of the claustrophobia if patients showed unusual responses to the immobilization without any objective findings with casts in upper extremities, where removal splint is practical alternative to cast to continue the treatment successfully.http://dx.doi.org/10.1155/2014/803047 |
| spellingShingle | Issei Nagura Takako Kanatani Masatoshi Sumi Atsuyuki Inui Yutaka Mifune Takeshi Kokubu Masahiro Kurosaka Management of Intolerance to Casting the Upper Extremities in Claustrophobic Patients The Scientific World Journal |
| title | Management of Intolerance to Casting the Upper Extremities in Claustrophobic Patients |
| title_full | Management of Intolerance to Casting the Upper Extremities in Claustrophobic Patients |
| title_fullStr | Management of Intolerance to Casting the Upper Extremities in Claustrophobic Patients |
| title_full_unstemmed | Management of Intolerance to Casting the Upper Extremities in Claustrophobic Patients |
| title_short | Management of Intolerance to Casting the Upper Extremities in Claustrophobic Patients |
| title_sort | management of intolerance to casting the upper extremities in claustrophobic patients |
| url | http://dx.doi.org/10.1155/2014/803047 |
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