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First-Aid Treatment for Friction Blisters: "Walking Into the Right Direction?"

Janssen, L, Allard, NAE, Ten Haaf, DSM, van Romburgh, CPP, Eijsvogels, TMH and Hopman, MTE (2017) First-Aid Treatment for Friction Blisters: "Walking Into the Right Direction?". Clinical Journal of Sport Medicine. ISSN 1050-642X

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OBJECTIVE: Blisters are common foot injuries during and after prolonged walking. However, the best treatment remains unclear. The aim of the study was to compare the effect of 2 different friction blister treatment regimens, wide area fixation dressing versus adhesive tape. DESIGN: A prospective observational cohort study. SETTING: The 2015 Nijmegen Four Days Marches in the Netherlands. PARTICIPANTS: A total of 2907 participants (45 ± 16 years, 52% men) were included and received 4131 blister treatments. INTERVENTIONS: Blisters were treated with either a wide area fixation dressing or adhesive tape. MAIN OUTCOME MEASURES: Time of treatment application was our primary outcome. In addition, effectiveness and satisfaction were evaluated in a subgroup (n = 254). During a 1-month follow-up period, blister healing, infection and the need for additional medical treatment were assessed in the subgroup. RESULTS: Time of treatment application was lower (41.5 minutes; SD = 21.6 minutes) in the wide area fixation dressing group compared with the adhesive tape group (43.4 minutes; SD = 25.5 minutes; P = 0.02). Furthermore, the wide area fixation dressing group demonstrated a significantly higher drop-out rate (11.7% vs 4.0%, P = 0.048), delayed blister healing (51.9% vs 35.3%, P = 0.02), and a trend toward lower satisfaction (P = 0.054) when compared with the adhesive tape group. CONCLUSIONS: Wide area fixation dressing decreased time of treatment application by 2 minutes (4.5%) when compared with adhesive tape. However, because of lower effectiveness and a trend toward lower satisfaction, we do not recommend the use of wide area fixation dressing over adhesive tape in routine first-aid treatment for friction blisters.

Item Type: Article
Additional Information: This is the accepted versionversion of the following article: Janssen, L., Allard, NAE., Ten Haaf, DSM., van Romburgh, CPP., Eijsvogels, TMH & Hopman, MTE. First-Aid Treatment for Friction Blisters: "Walking Into the Right Direction?" Clinical Journal of Sport Medicine, which has been published in final form at http://dx.doi.org/10.1097/JSM.0000000000000424
Uncontrolled Keywords: 1106 Human Movement And Sports Science
Subjects: R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Sport & Exercise Sciences
Publisher: Lippincott, Williams & Wilkins
Related URLs:
Date Deposited: 07 Jul 2017 10:41
Last Modified: 14 Sep 2017 06:41
DOI or Identification number: 10.1097/JSM.0000000000000424
URI: http://researchonline.ljmu.ac.uk/id/eprint/6595

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