Efficiency of Non-Medicamental Complex Rehabilitation of Patients With Chronic Venous Diseases of The Lower Limbs and Obesity

Although compression therapy is a key factor in the successful treatment of some circulatory problems in lower limbs, this form of therapy includes some risks if used inappropriately. Based on deliberate application of pressure to a lower limb, using a variety of textile materials, elastic or rigid, in order to produce a desired clinical effects, modern compression therapy presents a good sample of successful penetration of textile technology into the phlebology field of medicine. However, although compression therapy has been in use for over 150 years, there exists a low awareness among practitioners and patients on product usage, application techniques and benefits of appropriate selection of bandages for determined types of leg venous diseases. Also, not all manufacturers of compression textile materials seem to be conscious of end - users' needs. Simultaneously, impressive developments in the field of elastan fibers and modern knitting and weaving technologies, offer chances for realization of completely new types of compression bandages, capable of making an important contribution to the management of venous disease. In this review, starting from the brief account of pathogenesis and the presentation of compression therapy principle, an account of the contribution of all sectors in the textile technological chain to a modern compression therapy is given.

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How I treat rare venous thromboses

Blood ◽

10.1182/blood-2008-07-165969 ◽

2008 ◽

Vol 112 (13) ◽

pp. 4818-4823 ◽

Cited By ~ 37

Author(s):

Ida Martinelli ◽

Massimo Franchini ◽

Pier Mannuccio Mannucci

Keyword(s):

Risk Factors ◽

Venous Thromboembolism ◽

Recent Progress ◽

Randomized Trials ◽

Lower Limbs ◽

Optimal Management ◽

Venous Diseases ◽

Acquired Thrombophilia ◽

Venous Thromboses

Abstract Venous thromboembolism may involve venous sites other than the lower limbs, such as cerebral, splanchnic, and upper limb veins. Although uncommon, these thromboses may be clinically severe and challenging for caregivers. In this review, the main pathogenic, clinical, and therapeutic features of thromboses in rare venous sites are discussed. Even though there was a lot of recent progress in understanding the mechanistic role of inherited and acquired thrombophilia and of the interactions between different risk factors, the optimal management of these patients is still unsettled, being currently based on the consensus of experts due to the lack of randomized trials. The implementation of large interdisciplinary registries is a necessary weapon to optimize the treatment of rare venous diseases.

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Quality of Life in Venous Diseases of the Lower Limbs

Well-being and Quality of Life - Medical Perspective ◽

10.5772/68002 ◽

2017 ◽

Author(s):

Mahmut Surmeli ◽

Ozlem Cinar Ozdemir

Keyword(s):

Quality Of Life ◽

Lower Limbs ◽

Venous Diseases

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Correlation of haemodynamics and ankle mobility with clinical classes of clinical, aetiological, anatomical and pathological classification in venous disease

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2007.007039 ◽

2008 ◽

Vol 23 (3) ◽

pp. 120-124 ◽

Cited By ~ 12

Author(s):

G Cavalheri ◽

J M P de Godoy ◽

C E Q Belczak

Keyword(s):

Volume Fraction ◽

Lower Limbs ◽

Clinical State ◽

P Value ◽

Venous Disease ◽

Pathological Classification ◽

Group I ◽

Venous Diseases ◽

Ankle Mobility ◽

Caucasian Women

Objectives To correlate venous haemodynamic parameters of lower limbs and amplitude of ankle mobility with the clinical, aetiological, anatomical and pathological classification (CEAP) for venous disease. Methods Two hundred and eighty-four lower limbs of 142 Caucasian women were evaluated and distributed in six groups according to the CEAP classification: Group I = C0 and C1 ( n = 24); Group II = C2 ( n = 30); Group III = C3 ( n = 27); Group IV = C4 ( n = 23); Group V = C5 ( n = 20) and Group VI = C6 ( n = 18). Goniometric examinations of ankle joints and air plethysmography (APG) were performed. Analysis of variance and the Bonferroni correction, Kruskal-Wallis' non-parametric and Dunn tests were utilized for statistical analysis with the level of significance being set at 5% ( P value < 0.05). Results There were significant restrictions in ankle mobility seen by goniometry at the C5 stage. In addition, significant changes in the venous-filling index were identified at C2, changes in the ejection fraction at C4 and changes in the residual volume fraction at the C4 stage. Conclusion The evolution of the clinical state of ankles affected by venous diseases is correlated to a reduction of joint mobility and haemodynamic alterations identified using APG.

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Study on the Wearing Performance of Compression Stockings and Its Influence on the Blood Flow Velocity of Lower Limbs

E3S Web of Conferences ◽

10.1051/e3sconf/202123704037 ◽

2021 ◽

Vol 237 ◽

pp. 04037

Author(s):

Hainan Liu ◽

Ling Cheng

Keyword(s):

Blood Flow ◽

Venous Return ◽

Venous Pressure ◽

Flow Speed ◽

Lower Limbs ◽

Low Grade ◽

Compression Stockings ◽

Venous Diseases ◽

Bottom To Top ◽

Sedentary Conditions

Compression stockings can reduce venous pressure and improve venous return by applying progressive pressure on the lower limbs from bottom to top, thereby preventing and treating venous diseases of the lower limbs. The purpose of this research is to conduct a preliminary understanding and analysis of compression stockings through various mechanical properties and feel styles of compression stockings, and to explore the effect of compression stockings on the blood flow of lower limbs by using blood flow speed as an experimental index. The results show that low-grade compression stockings are more effective in accelerating blood flow in healthy people under sedentary conditions.

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Primary and secondary lymphoedema in male patients with oedema in lower limbs

Phlebology The Journal of Venous Disease ◽

10.1258/026835506778253328 ◽

2006 ◽

Vol 21 (3) ◽

pp. 127-131 ◽

Cited By ~ 1

Author(s):

C Bolcal ◽

H Iyem ◽

M Sargin ◽

I Mataraci ◽

S Doganci ◽

...

Keyword(s):

Age Distribution ◽

Young Male ◽

Lower Extremities ◽

Diagnostic Techniques ◽

Lower Limbs ◽

Venous Disease ◽

Concomitant Disease ◽

Venous Diseases ◽

Male Patients ◽

Klippel Trenaunay Syndrome

Objective: The purpose of this prospective study was to evaluate patients with clinically diagnosed lymphoedema of the lower extremities. The proportions of primary and secondary lymphoedema, the possible aetiologic factors and the concomitance of chronic venous diseases and lymphoedema were focused on. Method: The male patients who attended our outpatient clinic during 2000 and 2004 were evaluated. In all, 160 male patients with 5 cm circumference difference at calf level between two lower extremities or with clinically diagnosed bilateral leg oedema were enrolled. All patients underwent duplex venous ultrasonography and lymphoscintigraphy. Venography was performed in 12 patients with normal lymphoscintigraphy and ultrasonography. Results: The age distribution was between 20 and 54 years (mean ± SD; 22.9 ± 4.3). Among 160 patients, 70.0% had lymphoedema, while 7.5% had chronic venous insufficiency, 3.75% chronic deep venous thrombosis, 7.5% concomitant venous disease and lymphatic obstruction, and 7.5% idiopathic oedema. In the last 3.75% the pathology was Klippel–Trenaunay syndrome. Of the primary lymphoedema patients (16.25%), 18 were praecox, six tarda and two were congenital types. Conclusion: In young male patients, the causes of secondary lymphoedema are lymphadenectomy, neoplastic metastasis, cellulitis, lymphangitis, etc. Further techniques confirmed the clinical diagnosis of lymphoedema in 77.5% (sum of lymphoedema and concomitant disease) of all patients. With these findings lymphoedema can be diagnosed clinically, and further diagnostic techniques can be reserved unless treatment is effective.

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Study of the Clinical Profile of Varicose Vein Disease

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20210802 ◽

2021 ◽

Vol 11 (8) ◽

pp. 6-10

Author(s):

Raunak Kumar Gupta ◽

Dilip Kumar Acharya ◽

Sanjay .M . Datey

Keyword(s):

Varicose Vein ◽

Varicose Veins ◽

Clinical Profile ◽

Lower Limbs ◽

Economic Losses ◽

Western World ◽

Medical College ◽

Long Saphenous Vein ◽

Venous Diseases ◽

Vein Disease

Introduction: Varicose veins are part of the spectrum of chronic venous diseases and include dilated, tortuous veins of lower limbs, spider telangiectasia and reticular veins. Varicose vein disease is a very common problem of the western world and mostly their patients come for treatment because of cosmetic reasons. Indian scenario is different as mostly patients from lower socioeconomic strata of the society come for complications like ulceration, dermatitis etc. of varicose veins come for treatment. This problem sometimes results in chronic absenteeism from work, economic losses and change of occupation in many individuals. Methods: This observational study was carried out from 1st January 2017 to 30th June 2018 in Sri Aurobindo Medical College and Postgraduate Institute, Indore. Clinical profile of 52 patients of varicose vein disease was studied. All the patients were thoroughly examined and the pertaining data recorded. This data was tabulated and compared with the available literature on this subject. Results: Fifty two cases of varicose vein disease were studied. The commonest age group affected with the disease was between 41 to 50 years. Male patients were more and comprised of 84.6% of total number. Sapheno femoral junction valve was incompetent in 73.1 % cases as compared to saphenopopliteal junction[34.6%].Obesity was an important factor in causation of varicose vein disease. Flush ligation at SFJ with stripping was the commonest surgical procedure carried out our center. Conclusion: It is found that varicose vein disease with its associated sequelae brings the patient for treatment in our scenario. Long saphenous vein is the commonly affected part of the superficial venous system because of incompetency of the valve at SFJ. Although various etiological factors can be attributed to varicose vein disease but occupation and obesity remain the main factors. Accurate assessment of problem and adequate surgery will prevent recurrence. Key words: Varicose veins, venous ulcers, recurrent varicose veins.

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Living activities limitation of population of Ukraine due to chronic venous diseases of lower limbs

UMJ Heart & Vessels ◽

10.30978/hv2019-1-63 ◽

2019 ◽

Vol 0 (1) ◽

pp. 63-66

Author(s):

O. V. Kosynskyi ◽

S. O. Maryichenko ◽

D. L. Buzmakov ◽

T. V. Iorzh

Keyword(s):

Lower Limbs ◽

Venous Diseases

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Rehabilitation of patients with venous diseases of the lower limbs: State of the art

Phlebology The Journal of Venous Disease ◽

10.1177/0268355518754463 ◽

2018 ◽

Vol 33 (10) ◽

pp. 663-671 ◽

Cited By ~ 7

Author(s):

Alberto Caggiati ◽

Marianne De Maeseneer ◽

Attilio Cavezzi ◽

Giovanni Mosti ◽

Nick Morrison

Keyword(s):

Lower Limbs ◽

Chronic Venous Disease ◽

Motor Deficits ◽

Venous Disease ◽

Complex Issue ◽

Surgical Interventions ◽

Venous Diseases ◽

Psychosocial Conditions ◽

Venous Disorders

Background To date, no document comprehensively focused on the complex issue of the rehabilitation of chronic venous diseases of the lower limbs. Method This article overviews and summarizes current strategies concerning venous rehabilitation of lower limbs. Results Venous rehabilitation is based on four main strategies: (1) lifestyle adaptations and occupational therapies; (2) physical therapies; (3) adapted physical activities; (4) psychological and social support. Rehabilitative protocols must be tailored to the specific needs of each patient, depending on the severity of chronic venous disease and on the location and pattern of venous lesion(s), but also on age, motor deficits, co-morbidities and psychosocial conditions. Conclusions Venous rehabilitation consists of non-pharmacologic and non-surgical interventions aiming at prevention of venous disease progression and complications, reduction of symptoms and improvement of quality of life. Well-designed clinical trials are required to evaluate the efficacy of the described rehabilitative protocols in influencing the evolution of venous disorders.

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Some features of compression therapy for early forms of chronic venous diseases of the lower limbs

Ambulatory surgery hospital-replacing technologies ◽

10.21518/1995-1477-2019-3-4-89-94 ◽

2019 ◽

pp. 89-94 ◽

Cited By ~ 1

Author(s):

V. Yu. Bogachev ◽

B. V. Boldin ◽

N. R. Arkadan ◽

V. N. Lobanov

Keyword(s):

Class Ii ◽

Calf Muscle ◽

Lower Limbs ◽

Class I ◽

Venous Disease ◽

Compression Garments ◽

Pump Function ◽

Muscle Pump ◽

Calf Muscle Pump ◽

Venous Diseases

The current compression garment selection guide is targeted at the earliest clinical stages of chronic venous disease (CVD) and assumes a priori that application of a higher class of compression improves the calf muscle pump function, which is the major mechanism promoting venous return from the lower limb to the heart.Objective of the study: to evaluate the calf muscle pump function in patients with the early forms of CVD using different classes of compression garments.Material and methods: A total of 30 patients (45 lower limbs) with Class 1 CVD (CEAP classification) were enrolled in the study. The calf muscle pump function was evaluated during wearing compression garments using remote cableless photoplethysmography of Bodytronic measurement system (Bauerfeind, Germany) with automatic data processing. The investigators measured venous refilling time (T0) and pump capacity (V0) in patients without compression garments and also in those wearing classes 0, I and II compression garments (RAL standard, Venotrain micro, Bauerfiend socks). All indicators were measured three times with an interval of 30 minutes. The final values of T0 and V0 were calculated as average.Results and discussion: when the indicators were measured without compression and with zero compression, T0 was 26.7 ± 1.2 sec and 25.4 ± 1.1 sec (p = 0.56); V0 - 8.6 ± 0.7% and 8.0 ± 0.4% (p = 0.47). When the calf muscle pump function indicators were measured using class I compression garments, its performance was improved. Thus, T0 and V0 (p <0.01) increased significantly to 38.9 ± 2.1 sec and 12.9 ± 1.4%, respectively. When the calf muscle pump function indicators were measured using class II compression garments, T0 and V0 were 38.1 ± 1.6 sec and 8.1 ± 0.6%. Thus, the use of class I compression garments significantly improved the calf muscle pump function in patients with early manifestations of CVD. The higher level of compression (class II) did not improve T0 and worsened V0. This fact can be explained by excessive compression of the muscular venous sinuses caused by wearing class 2 compression garments, which, apparently, worsened the propulsive ability of the calf pump.Conclusion: the use of class I compression garments is optimal for the management of hemodynamic disorders in patients with early forms of chronic venous diseases (C1 according to CEAP). The higher class of compression does not improve the hemodynamic parameters of the calf muscle pump.

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