Compression versus inner sole for venous patients with foot static disorders: a prospective trial comparing symptoms and quality of life

2013 ◽  
Vol 30 (1) ◽  
pp. 32-38 ◽  
Author(s):  
Jean-François Uhl ◽  
Maxime Chahim ◽  
François-André Allaert
Keyword(s):  
Quality Of Life ◽  
Prospective Trial ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Compression Stockings ◽  
Static Disorder ◽  
Postural Changes ◽  
Patient Reported ◽  
Medical Compression Stockings

Objective To prospectively compare the improvement in quality of life and symptoms achieved when using two treatments—medical compression stockings and inner sole—in subjects with symptomatic chronic venous disease in the presence of foot static disorders. Materials and methods This prospective study included 24 patients with a symptomatic chronic venous disease associated with foot static disorders. The basic CEAP was used to classify the patients. The venous symptoms were recorded using a 10-point visual analog scale and scored using a customized questionnaire. Patient-reported quality of life data were acquired using a CIVIC questionnaire. A standardized measurement of the Djian-Annonier angle was used to quantify the foot static disorders. We compared the use of the following two treatments: medical compression stockings (18 mm of Hg) and inner sole. For this comparison, we used a crossover technique over 4 successive weeks. Results One male and 23 female patients were included in this study. We found significant improvement in quality of life scores when only medical compression stockings were used ( p < 0.005), only inner sole were used ( p < 0.01) and also when both treatments were used together ( p < 0.001), compared with no treatment. This was mainly observed for the somatic component of CIVIC. The symptoms of pain, heaviness, swollen feeling, and cramps were significantly improved by the two treatments, whether given separately ( p < 0.001) or together ( p < 0.0001). No additive effect of the treatments was observed. Conclusion This study suggests that a number of leg symptoms occurring in varicose veins patients are not likely to have a venous origin. They are frequently related to a foot static disorder, which is responsible for postural changes. This study also strongly demonstrates the need for correction of the foot static disorder if such a disorder is present in any patient with chronic venous disease. The use of the inner sole will improve the symptoms and also the quality of life with an efficiency that is almost equal to that provided by the medical compression stockings and the combined use of both treatments is recommended.

Effects of Kinesio Taping and compression stockings on pain, edema, functional capacity and quality of life in patients with chronic venous disease: a randomized controlled trial

2020 ◽  
Vol 34 (6) ◽  
pp. 783-793
Author(s):  
Baha Naci ◽  
Semiramis Ozyilmaz ◽  
Nadir Aygutalp ◽  
Rengin Demir ◽  
Gul Baltaci ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Capacity ◽  
Short Form ◽  
Chronic Venous Disease ◽  
Control Group ◽  
Venous Disease ◽  
Compression Stockings ◽  
Kinesio Taping ◽  
Experimental Group

Objective: The aim of this study was to compare the effects of Kinesio Taping and compression stockings on pain, edema, functional capacity and quality of life in patients with chronic venous disease (CVD). Design: This is a prospective, randomized, controlled, single-blind clinical trial. Setting: The study was conducted in a physiotherapy and rehabilitation unit of a university hospital. Subjects: A total of 62 patients with early-stage CVD were allocated to either an experimental group or a control group. Interventions: Experimental group ( n = 29) received Kinesio Taping intervention once a week for four weeks, while control group ( n = 29) received compression stockings for four weeks. All patients additionally undertook an exercise training programme including calf muscle pump exercises, flexibility exercises and diaphragmatic breathing. Main measures: Visual analogue scale, lower limb circumference measurements, 6-minute walk test and Short Form 36 questionnaire were applied before and after four weeks of treatment. Results: Control group showed statistically significant improvements in pain ( P < 0.001), ankle circumferences (right, P = 0.002; left, P = 0.037), calf circumferences (right, P = 0.020; left, P = 0.022), knee circumference (left, P = 0.039) and thigh circumferences (right, P = 0.029; left, P = 0.002) compared with experimental group. There were no significant differences between groups with respect to functional capacity and quality of life ( P > 0.05). Both groups significantly improved 6-minute walk distance ( P < 0.001) and Short Form 36 physical component summary (experimental group, P = 0.002; control group, P = 0.006). Conclusion: This study demonstrated that Kinesio Taping and compression stockings revealed similar improvements of functional capacity and quality of life in patients with CVD. The symptoms of pain and edema caused by CVD can be decreased more efficiently with compression stockings than Kinesio Taping intervention.

Veno-active drugs for chronic venous disease: A randomized, double-blind, placebo-controlled parallel-design trial

2013 ◽  
Vol 29 (7) ◽  
pp. 454-460 ◽  
Author(s):  
Sergio Q Belczak ◽  
Igor R Sincos ◽  
Walter Campos ◽  
Julio Beserra ◽  
Gilberto Nering ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Range Of Motion ◽  
Symptom Relief ◽  
Chronic Venous Disease ◽  
Pharmacological Intervention ◽  
Venous Disease ◽  
Joint Range Of Motion ◽  
Patient Reported ◽  
Joint Range

Introduction: Our current understanding of the pathophysiology of chronic venous disease (CVD) suggests that veno-active drugs (VAD) can provide effective symptom relief. Few studies have conducted head-to-head comparisons of VAD and placebo while also assessing objective measures (such as water plethysmography findings and tibiotarsal joint range of motion) and patient-reported quality of life outcomes. Objectives: To compare the effects of different VAD on limb volume reduction, tibiotarsal range of motion, and quality of life. Methods: 136 patients with CVD (CEAP grades 2–5) were randomly allocated into four groups to receive micronized diosmin + hesperidin, aminaphthone, coumarin + troxerutin, or placebo (starch). Patients were administered a questionnaire consisting of a quality of life (QoL) measure designed specifically for persons with CVD, and underwent tibiotarsal joint angle measurement and water plethysmography of the lower extremity before and 30 days after pharmacological intervention. Assessors were blind to the treatment groups. Results: Nine patients dropped out of the trial. Data collected from the 127 remaining patients was considered for statistical analysis. There were no differences in tibiotarsal joint range of motion. Volume reductions ≥100 mL were more frequent in the diosmin + hesperidin group than in any other group. QoL scores were best in the aminaphthone group, and between-group differences were found on individual analysis of questionnaire items. Conclusions: Use of VAD was associated with significant improvements in QoL as compared with placebo. VAD may be effective for providing symptom relief in patients with CVD.

Linguistic validation of the 20 item-chronic venous disease quality-of-life questionnaire (CIVIQ-20)

2013 ◽  
Vol 29 (7) ◽  
pp. 484-487 ◽  
Author(s):  
R Launois ◽  
A Mansilha ◽  
F Lozano
Keyword(s):  
Quality Of Life ◽  
Mother Tongue ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Life Questionnaire ◽  
Linguistic Validation ◽  
Semantic Equivalence ◽  
Quality Of Life Questionnaire ◽  
Venous Ulcers

Our objective was to review the linguistic validation of the 20 item-ChronIc Venous dIsease quality-of-life Questionnaire (CIVIQ-20) in the countries that have used it since its publication in 1996. Seventeen linguistic versions of CIVIQ-20 were validated using forward/backward methodology in patients presenting with chronic venous disease, stages C0s to C4 of the CEAP (clinical, aetiological, anatomical and pathological) classification (patients with venous ulcers were excluded). Most obstacles in the cross-cultural validation of CIVIQ-20 related to content and semantic equivalence. Confirmation of cultural relevance by experts with the native language as their mother tongue and the use of forward/backward translation methodology partly resolved these difficulties. CIVIQ-20 is valid for the assessment of treatment effects in multinational studies.

Comparison of disease-specific quality of life tools in patients with chronic venous disease

2013 ◽  
Vol 29 (10) ◽  
pp. 648-653 ◽  
Author(s):  
Mong-Loon Kuet ◽  
Tristan RA Lane ◽  
Muzaffar A Anwar ◽  
Alun H Davies
Keyword(s):  
Quality Of Life ◽  
Varicose Vein ◽  
Strong Correlation ◽  
Clinical Severity ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Life Questionnaire ◽  
The Relationship ◽  
Disease Specific

Objectives This work was presented as a poster in the American Venous Forum 25th Annual Meeting; 28 February 2013; Phoenix, Arizona, USA. Quality of life (QoL) is an important outcome measure in the treatment for chronic venous disease. The Aberdeen Varicose Vein Questionnaire (AVVQ) and the ChronIc Venous Insufficiency quality of life Questionnaire (CIVIQ-14) are two validated disease-specific QoL questionnaires in current use. The aim of this study is to evaluate the relationship between the AVVQ and the CIVIQ-14 to enable better comparison between studies and to compare these disease-specific QoL tools with generic QoL and clinician-driven tools. Methods Adults attending our institution for management of their varicose veins completed the AVVQ, CIVIQ-14 and EuroQol-5D (EQ-5D). Clinical data, CEAP classification and the Venous Clinical Severity Score (VCSS) were collected. The relationship between the AVVQ and CIVIQ-14 scores was analysed using Spearman’s correlation. The AVVQ and CIVIQ-14 scores were also analysed with a generic QoL tool (EQ-5D) and a clinician-driven tool, the VCSS. Results One hundred patients, mean age 57.5 (44 males; 56 females), participated in the study. The median AVVQ score was 21.9 (range 0–74) and the median CIVIQ-14 score was 30 (range 0–89). A strong correlation was demonstrated between the AVVQ and CIVIQ-14 scores ( r = 0.8; p < 0.0001). Strong correlation was maintained for patients with C1-3 disease ( r = 0.7; p < 0.0001) and C4-6 disease ( r = 0.8; p < 0.0001). The VCSS correlated strongly with the AVVQ and CIVIQ-14 scores ( r = 0.7; p < 0.0001 and r = 0.7; p < 0.0001, respectively). Both the AVVQ and CIVIQ-14 scores correlated well with the EQ-5D score ( r = −0.5; p < 0.0001 and r = −0.7; p < 0.0001, respectively). Conclusions This study demonstrates that there is good correlation between two widely used varicose vein specific QoL tools (AVVQ and CIVIQ-14) across the whole spectrum of disease severity. Strong correlation exists between these disease-specific QoL tools and generic and clinician-driven tools. Our findings confirm valid comparisons between studies using either disease-specific QoL tool.

The impact of compression garments on the quality of life in patients with chronic venous disease

Physiotherapy ◽  
2017 ◽  
Vol 24 (2) ◽  
Author(s):  
Iwona Demczyszak ◽  
Edyta Sutkowska ◽  
Magdalena Jasiak ◽  
Małgorzata Fortuna ◽  
Justyna Mazurek
Keyword(s):  
Quality Of Life ◽  
Lower Extremity ◽  
Compression Therapy ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Compression Garments ◽  
Before And After ◽  
The Impact ◽  
Career Status

AbstractIntroduction. Assessment of quality of life in patients suffering from chronic venous disease of the lower extremity who were treated with compression garments. Methods. Patients of both sexes aged 30-75 years with chronic venous disease and at least varices, but without active ulceration, were qualified for the study. To assess the quality of life, the CIVIQ-20 questionnaire was used before and after 4 weeks of compression therapy with second class compression. Results. The combined results of the CIVIQ scale rose from 61.49% before compression to 75.17% after 4 weeks of compression therapy (p 0.01). No correlation was found between sex, age, career status or type of work and the averaged CIVIQ score. Conclusions. Compression therapy with special garments significantly improves the quality of life in patients with chronic venous disease. Larger studies are still needed in this field.

scholarly journals Sulodexide in Patients with Chronic Venous Disease of the Lower Limbs: Clinical Efficacy and Impact on Quality of Life

2016 ◽  
Vol 33 (9) ◽  
pp. 1536-1549 ◽  
Author(s):  
Nizar Elleuch ◽  
◽  
Hichem Zidi ◽  
Zied Bellamine ◽  
Abdelaziz Hamdane ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Efficacy ◽  
Lower Limbs ◽  
Chronic Venous Disease ◽  
Venous Disease
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