The Haemodynamic Efficacy of Six Different Compression Stockings from Compression Class 2 in Patients Suffering from Chronic Venous Insufficiency

2000 ◽  
Vol 15 (3) ◽  
pp. 126-130 ◽  
Author(s):  
H. M. Häfner ◽  
M. Jünger
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Compression Stockings

Association between heel-rise test performance and clinical severity of chronic venous insufficiency

2020 ◽  
Vol 35 (8) ◽  
pp. 631-636
Author(s):  
Danielle Aparecida Gomes Pereira ◽  
Sheyla Rossana Cavalcanti Furtado ◽  
Gisele Pereira de Oliveira Amâncio ◽  
Priscila Penasso Zuba ◽  
Cristiane Cenachi Coelho ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Venous Insufficiency ◽  
Test Performance ◽  
Repetition Rate ◽  
Venous Insufficiency ◽  
Clinical Severity ◽  
Inverse Association ◽  
Compression Stockings ◽  
Pump Performance ◽  
Muscular Pump

Background Peripheral pump dysfunction is important in identifying manifestations of chronic venous insufficiency. The association with disease severity may define better treatment strategies. Objective To evaluate the association between peripheral muscular pump performance by heel-rise test, age, physical activity, use of compression stockings, and chronic venous insufficiency clinical severity. Methods Subjects with chronic venous insufficiency were enrolled in the study ( n = 172) and evaluated by clinical–etiology–anatomy–pathophysiology severity and heel-rise test. Results In model 1 of logistic regression, number of heel-rise test repetitions, age, and physical activity explained 47% of clinical–etiology–anatomy–pathophysiology severity ( p = 0.0001), physical activity contributed the most. In model 2, heel-rise test repetition rate, age, and physical activity explained 46.4% of clinical–etiology–anatomy–pathophysiology severity ( p = 0.0001), repetition rate contributed the most. Conclusion: There was an inverse association between muscular pump performance and physical activity with clinical–etiology–anatomy–pathophysiology severity, muscular pump repetition rate contributed to a less severe outcome.

Effect of Compression Stockings on the Skin Microcirculation in Chronic Venous Insufficiency

1995 ◽  
Vol 10 (1) ◽  
pp. 5-11 ◽  
Author(s):  
A. Abu-Own ◽  
J. H. Scurr ◽  
P. D. Coleridge Smith
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Laser Doppler ◽  
Controlled Study ◽  
Fibre Laser ◽  
Medial Malleolus ◽  
Compression Stocking ◽  
Compression Stockings ◽  
Median Increase ◽  
The Subject

Objective: To use a single fibre laser Doppler fluxmeter to assess the microcirculatory effects of compression stockings. Design: Controlled study comprising patient and control groups. Setting: Department of Surgery, University College London Medical School, London, UK. Patients and participants: Ten patients with lipodermatosclerosis caused by chronic venous insufficiency and 10 control subjects. Interventions: Measurements were made from the liposclerotic skin of patients and 8 cm above the medial malleolus in controls. Laser Doppler flux (LDF), blood ce velocity (BCV) and concentration of moving blood cells (CMBC) were recorded with the subject lying supine. A class II graduated compression stocking was applied to the leg and laser Doppler recordings were repeated. The protocol was repeated with the subject sitting. Main outcome measures: The effects of a compression stocking on LDF, BCV and CMBC in the horizontal and sitting positions were measured. Results: In patients in the supine position, the compression stocking resulted in a 28% median increase in LDF ( p = 0.03), with a corresponding 29% median increase in BCV. There was no significant change in CMBC. In the sitting position, the compression stocking caused a 105% median increase in LDF ( p < 0.01) due to a corresponding 89% median increase in BCV ( p = 0.01); there was only 25% median increase in CMBC. The effects of compression in controls were similar to those in patients. Conclusion: Compression stockings may be effective in the treatment of chronic venous insufficiency by increasing the microcirculatory flow velocity.

scholarly journals Home use of impulse compression of the foot and compression stockings in the treatment of chronic venous insufficiency

2001 ◽  
Vol 34 (5) ◽  
pp. 805-811 ◽  
Author(s):  
Juan I. Arcelus ◽  
Joseph A. Caprini ◽  
Lakshman R. Sehgal ◽  
José J. Reyna
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Compression Stockings

scholarly journals CHRONIC VENOUS INSUFFICIENCY

10.23856/3217 ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 131-136
Author(s):  
Antoni Stadnicki ◽  
Martin Rusnák ◽  
Anna Stadnicka
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Chronic Venous Disease ◽  
Postthrombotic Syndrome ◽  
Venous Disease ◽  
Compression Stockings ◽  
Venous Leg Ulcer ◽  
Color Flow ◽  
Clinical Disorder

Chronic venous insufficiency (CVI) is a common, but underdiagnozed clinical disorder associated with a variety of signs and symptoms. The presence of leg edema in association  with varicose veins, and venous leg ulcer in later disease stages defines the disease. The pathogenesis of chronic venous disease  is based on venous reflux, obstruction, or a combination thereof.  Prior postthrombotic syndrome   is one of risk factor for CVI which may explain observed  prevalence of thrombophilia in CVI. Color flow duplex ultrasound is the gold standard for nearly all diagnostic issues related to chronic venous disease. Compression stockings are the mainstay for conservative management. Earlier use of venous ablation therapy should be considered in symptomatic patients with superficial tortuous vein

Exercise-induced purpura – triggered by a lymphoedema

Phlebologie ◽  
2015 ◽  
Vol 44 (04) ◽  
pp. 182-183
Author(s):  
M. Stücker ◽  
M. H. Segert
Keyword(s):  
Differential Diagnosis ◽  
Lower Extremity ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Systemic Vasculitis ◽  
Compression Stockings ◽  
Important Differential Diagnosis ◽  
Typical History ◽  
Exercise Induced ◽  
The Right

SummaryExercised-induced purpura (EIP) is an frequently misdiagnosed condition that occurs most often on the lower extremities. An association with exercise is common. Most EIP have presented in healthy-appearing individuals with no sign of chronic venous insufficiency.A 62 year-old woman with primary lymphoedema of the right lower extremity presented erythematous purpuric patch only on her right medial ankle. This purpura had appeared spontaneously after an unusually long march without compression stockings. Through the typical history and symptoms diagnosis of exercise-induced purpura could be provided. This common and harmless disease should be known as an important differential diagnosis for systemic vasculitis.

The Haemodynamic Efficacy of Six Different Compression Stockings from Compression Class 2 in Patients Suffering from Chronic Venous Insufficiency

2000 ◽  
Vol 15 (3-4) ◽  
pp. 126-130 ◽  
Author(s):  
H. M. Häfner ◽  
M. Jünger
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Acute Effect ◽  
Maximum Pressure ◽  
Compression Stockings ◽  
Textile Technology ◽  
Resting Pressure ◽  
Venous Function ◽  
University Department

Objective: To describe the efficacy of six different compression stockings from compression class 2 on venous haemodynamics in patients with chronic venous insufficiency (CVI). Design: An open, randomised, prospective study. Setting: University Department of Dermatology, Tübigen, Germany. Patients: Twenty-two patients (11 women, 11 men; mean age 55.1 years, SD 10.3 years) suffering from chronic venous insufficiency (CVI) at clinical stages C14EpAs, A14, Ap, PR. Interventions: The acute effect of six different compresion stockings from compression class 2 (CEN) on venous haemodynamics were measured using dynamic mercury strain gauge plethysmography. At the same time as venous function, the pressure exerted by the compression hosiery was determined under resting conditions and during exercise. Main outcome measures: Resting pressure exerted in the supine position was equivalent in all compression hosiery to the data defined in textile technology for compression class 2 (25–35 mmHg at the ankle). Compression hosiery produced a statistically significant improvement in venous refilling time t 0. The differing improvement in venous function could be explained by the quotient for maximum active pressure/resting pressure on standing (r = 0.98, p <0.01). Conclusion: Compression stockings from the same compression class possess differing acute effects on venous haemodynamics. The efficacy of the various compression devices derives to an exceptional degree from the elasticity of the material, and can be characterised in vivo by the ratio between maximum pressure exerted during exercise and the resting pressure on standing.

Exercise with compression stockings improves reflux in patients with mild chronic venous insufficiency

2006 ◽  
Vol 21 (2) ◽  
pp. 100-104 ◽  
Author(s):  
P J Zajkowski ◽  
T Draper ◽  
J Bloom ◽  
P K Henke ◽  
T W Wakefield
Keyword(s):  
Chronic Venous Insufficiency ◽  
Severity Score ◽  
Venous Insufficiency ◽  
Exercise Programme ◽  
Calf Muscle ◽  
Venous Disease ◽  
Compression Stockings ◽  
Muscle Strengthening ◽  
Supervised Exercise ◽  
T1 And T2

Purpose: This study evaluates the effectiveness of calf muscle strengthening with compression stockings on the haemodynamics in patients with venous disease. Method: Patients were assigned to a protocol of aggressive management of their chronic venous insufficiency (CVI) including compression stockings (Jobst knee high, 30–40 mmHg ankle), intermittent leg elevation, and a supervised calf muscle strengthening programme. Patients underwent baseline air plethysmography (APG) with and without stockings (T1) and SF-12, Aberdeen varicose vein questionnaire and venous severity score. Exercise sessions included a total of 18, 1 h supervised sessions, 2–3 times per week, consisting of 15 min on treadmill, 10 min on a Stairmaster, 10 min on a Nustep, and 5 min on an airdyne bicycle and lower body strength training. The sessions were supervised by an exercise physiologist. At completion, patients underwent a second APG (T2) and a third (T3) one month later, as well as answering questionnaires. A final venous severity score was assigned. Results: Eleven patients (7M, 4F), 22 limbs, 14 with CVI and eight without CVI, mean age 60, made up this study. Only two patients suffered from postphlebitic syndrome. In all, 10/11 subjects completed the entire protocol. Although no significant differences were noted in any of the APG parameters between T1 and T2 or T2 and T3, there were significant differences when segregating into C2 ( n = 6 patients with eight involved limbs) and C4, 5 ( n = 5 patients with six involved limbs). Concerning the affected extremities, statistically significant decreases in venous volume (VV) with stockings on between T1 and T2, which reverted back to baseline at T3, and in venous filling index (VFI) between T2 and T3 without stockings were noted ( P<0.05) in C2 limbs. Similar findings were not observed in the C4, C5 limbs, with actual increases in these parameters. Greater increases in ejection fraction were noted in C2 limbs than in C4, C5 limbs. Despite the decrease in reflux in C2 limbs, residual volume fraction (RVF) increased in C2 limbs at T2 both with ( P<0.05) and without stockings, while it decreased in C4, C5 limbs with stockings in place. Finally, outflow fraction (OF) increased only in C2 limbs without stockings in place. Regarding the other parameters, all patients noted improvement in swelling by Aberdeen questionnaire, physical health was improved by SF-12 and patients lost a mean of 3.8 lb of weight. Conclusions: An exercise programme along with compression stockings resulted in a decrease in reflux, especially during the supervised exercise programme, in patients with mild (C2) chronic venous disease. For more extensive disease (C4, C5), the programme tended to decrease RVF.

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