An evaluation of the lower extremity muscle strength of patients with chronic venous insufficiency

2015 ◽  
Vol 31 (3) ◽  
pp. 203-208 ◽  
Author(s):  
Cem Cetin ◽  
Mustafa O Serbest ◽  
Sabriye Ercan ◽  
Turhan Yavuz ◽  
Ali Erdogan
Keyword(s):  
Muscle Strength ◽  
Lower Extremity ◽  
Visual Analog Scale ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Plantar Flexion ◽  
Lower Extremities ◽  
Analog Scale ◽  
Lower Extremity Muscle ◽  
Significant Difference

Objective In this study, the aim was to evaluate the lower extremity muscle strength in patients with chronic venous insufficiency using an isokinetic dynamometer. Methods The study comprised a group of 36 lower extremities of 23 patients diagnosed with chronic venous insufficiency and a control group of 40 lower extremities of 20 patients who did not have chronic venous insufficiency. In the diagnosis and evaluation of chronic venous insufficiency, photoplethysmography was used to evaluate the venous return circulation time. Visual Analog Scale scoring was applied to define the level of pain of the patients. Muscle strength measurements were made in all the lower extremities by using an isokinetic dynamometer. Results A statistically significant difference was detected between the groups in terms of the muscle strength parameters in the ankle plantar flexion, and knee flexor and extensor muscles. However, no statistically significant difference was found between the groups in the ankle dorsiflexion muscle strength parameters. A significant difference was determined in the ratio of ankle dorsiflexion/plantar flexion muscle strength between the mild, moderate and severe venous insufficiency groups. A statistically considerable negative correlation was found between the Visual Analog Scale scores and the photoplethysmography results. According to the Visual Analog Scale results, as the degree of venous insufficiency increased, so did the level of pain. Conclusion Impaired lower extremity muscle strength was observed in chronic venous insufficiency patients. Although the current study was consistent with literature in respect of impaired calf muscle strength, this finding was also seen in the thigh muscles. Furthermore, we concluded that if venous insufficiency becomes more severe, impaired calf muscle strength becomes more evident.

The Effect of Dry Needling on Pain, Range of Motion of Ankle Joint, and Ultrasonographic Changes of Plantar Fascia in Patients With Plantar Fasciitis

2021 ◽  
pp. 1-6
Author(s):  
Afsaneh Moosaei Saein ◽  
Ziaeddin Safavi-Farokhi ◽  
Atefeh Aminianfar ◽  
Marzieh Mortezanejad
Keyword(s):  
Range Of Motion ◽  
Ankle Joint ◽  
Visual Analog Scale ◽  
Plantar Fasciitis ◽  
Plantar Flexion ◽  
Plantar Fascia ◽  
Trigger Points ◽  
Dry Needling ◽  
Analog Scale ◽  
Significant Difference

Context: Plantar fasciitis (PF) is a common and devastating disease. Despite different treatments, there is no clear evidence for the effect of these treatments on PF. One of the therapy methods used in physiotherapy is dry needling (DN). So the purpose of this study is to investigate the effect of DN on the pain and range of motion of the ankle joint and plantar fascia thickness in subjects with PF who are suffering from the trigger points of the gastrocnemius and soleus muscles. Methods: In this study, 20 volunteer females with PF were randomly assigned into DN treatment and control groups. Measurements were range of motion in dorsiflexion and plantar flexion, plantar fascia thickness, and visual analog scale measured before, immediately, and 1 month after the end of the intervention in both groups. Results: There were significant differences in the plantar fascia thickness and visual analog scale between the 2 groups. Plantar fascia thickness (P = .016) and visual analog scale (P = .03) significantly decreased in the treatment group. However, there was no significant difference in plantar flexion (P = .582) and dorsiflexion range of motion (P = .173) between groups. Conclusion: The result of this study showed that DN can reduce pain and plantar fascia thickness in women with PF who are suffering from trigger points of the gastrocnemius and soleus muscles. Level of evidence: Level 1, randomized controlled trial.

scholarly journals Effects of Kinesio Taping with Squat Exercise on the Muscle Activity, Muscle Strength, Muscle Tension, and Dynamic Stability of Softball Players in the Lower Extremities: A Randomized Controlled Study

2021 ◽  
Vol 19 (1) ◽  
pp. 276
Author(s):  
Hyeon-Hee Kim ◽  
Kyung-Hun Kim
Keyword(s):  
Muscle Strength ◽  
Lower Extremity ◽  
Dynamic Stability ◽  
Muscle Activity ◽  
Muscle Tone ◽  
Lower Extremities ◽  
Controlled Study ◽  
Kinesio Taping ◽  
Lower Extremity Muscle ◽  
Squat Exercise

Background and purpose: Knee injuries are common among female softball players, and the stability of the lower extremities and the strength of the knee are essential factors for them. The purpose of this study was to investigate the effect of Kinesio taping with squat exercise (KTSE) on lower extremity muscle activity, muscle strength, muscle tone, and dynamic stability of softball players. Methods: In this study, 40 softball players were randomly assigned to the KTSE group and sham taping with squat exercise (SKTSE) group. All subjects were tested three times a week for 6 weeks, i.e., for a total of 18 times. To evaluate the lower-extremity muscle activity, muscle strength, and muscle tone of the lower extremities, as well as dynamic stability, we used Noraxon Mini DTS, a digital muscular meter from JTech Medical, MyotonPRO, and the side hop test (a clinical evaluation method), respectively. These items were measured before the experiment and 6 weeks after the start of the experiment. Results: Both groups showed significant differences in lower-extremity muscle activity, muscle strength, muscle tone, and dynamic stability (p < 0.05). After the experiment, significant effects on lower-extremity muscle activity, muscle strength, muscle tone, and dynamic stability were observed in the KTSE group compared with in the SKTSE group (p < 0.05). Conclusions: KTSE did not have a negative effect on all items of the functional performance test. KTSE improved lower-extremity muscle activity, muscle strength, muscle tone, and dynamic stability.

scholarly journals EFFECT OF 14 POINTS ACUPRESSURE ON UPPER AND LOWER EXTREMITY MUSCLE STRENGTH LEVELS IN PATIENTS WITH NON-HEMORRHAGIC STROKE

2018 ◽  
Vol 4 (2) ◽  
pp. 168-176
Author(s):  
Lalu Hersika Asmawariza ◽  
Suharyo Hadisaputro ◽  
Mardiyono Mardiyono ◽  
Desak Made Wenten Parwati
Keyword(s):  
Muscle Strength ◽  
Lower Extremity ◽  
Hemorrhagic Stroke ◽  
Tissue Perfusion ◽  
Control Group ◽  
Control Group Design ◽  
Lower Extremity Muscle ◽  
Significant Difference ◽  
Analytic Design ◽  
Experimental Group

Background: Acupressure is considered as one form of holistic therapies that can improve tissue perfusion to improve motor function in patients with stroke.Objective: To analyze the effect of 14 points acupressure on upper and lower extremity muscle strength in patients with non-hemorrhagic stroke patients.Methods:  This was a quasy experimental study with pretest posttest control group design. Paired comparative analytic design was also used. Thirty-eight participants were selected, which 19 participants assigned in the experiment and control group. The Medical Research Council (MRC) scale was used to measure the lower and upper muscle strengths.Results: There was a significant difference between the improvement of the upper muscle strength in the experimental group and the control group at day 3, 4, 5, 6, 7 (p = 0.010, p = 0.000, p = 0.000, p = 0.000, p = 0.000); and there was a significant difference between the improvement of the lower extremity muscle strength in the experimental group and the control group at day 3, 4, 5, 6, 7 (p=0.023, p=0.000, p=0.000, p=0.000, p=0.000).Conclusion: The 14 points acupressure is effective in increasing upper and lower extremity muscle strength in patients with non-hemorrhagic stroke.

scholarly journals Influence of the Synchronous Functioning of Pelvic and Thoracic Diaphragms on the Indices of the Duplex Scanning of the Lower Extremity Veins

2015 ◽  
pp. 45-49 ◽  
Author(s):  
S. Podgorny
Keyword(s):  
Lower Extremity ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Lower Extremities ◽  
Duplex Scanning ◽  
Complex Therapy ◽  
Extremity Veins

The results of the research allow us recommend the inclusion of osteopathic correction of somatic dysfunctions in complex therapy of patients with chronic venous insufficiency of the lower extremities.

scholarly journals The effects of wearing high heeled shoes on the muscles and joints of lower limb

2021 ◽  
Vol 13 (1) ◽  
pp. 81-96
Author(s):  
Sema Polat ◽  
Ayşe Gül Kabakcı
Keyword(s):  
Lower Extremity ◽  
Range Of Motion ◽  
Tibialis Anterior ◽  
Muscle Force ◽  
Plantar Flexion ◽  
Tibialis Anterior Muscle ◽  
Metatarsophalangeal Joint ◽  
Heel Height ◽  
Lower Extremity Muscle ◽  
Significant Difference

Abstract Study aim: The aim of this study is to investigate whether the lower extremity muscles’ force/torque/strength and range of motion may be affected in females wearing high heeled shoes and not wearing high heeled shoes. Material and methods: The study was carried out with 136 females aged between 18 and 45 years. The first group consisted of 66 females wearing 5 cm or higher high heeled shoes. The second group consisted of 70 females wearing shoes having heel height less than 5 cm. The Nicholas Manual Muscle Tester was used to evaluate lower extremity muscle force/torque/strength, while range of motion was assessed with an electronic goniometer. The SPSS 21.0 program was used for statistical analysis. Results: A significant difference was found in the lower extremity muscles’ force (except for hip adduction, dorsiflexion, metatarsophalangeal joint and interphalangeal joint extension), and muscles’ torque (except for hip adduction, dorsiflexion and left tibialis anterior muscle) and muscles’ strength values (except for hip adduction, dorsiflexion and tibialis anterior muscle). Also, as heel height increased, the range of motion of hip joint flexion, internal rotation and plantar flexion increased significantly. Conclusions: Excessive use of high heeled shoes can cause changes in muscle force/torque/strength and joint range of motion.

Platelet distribution width in young patients with chronic venous insufficiency

Vascular ◽  
2021 ◽  
pp. 170853812110296
Author(s):  
Mustafa Aldemir ◽  
Ahmet Yuksel ◽  
Mehmet Inanir ◽  
Salih Metin ◽  
Yusuf Velioglu ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Clinical Features ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Young Patients ◽  
Control Group ◽  
Platelet Distribution Width ◽  
Distribution Width ◽  
Research Hospital ◽  
Lymphocyte Ratio

Objective Platelet distribution width (PDW) has been reported in a wide range of pathological settings. In this study, we aimed to investigate the relationship between PDW and lower extremity chronic venous insufficiency (CVI) by comparing the levels of PDW and other parameters derived from complete blood count (CBC) tests in young individuals with or without lower extremity CVI. Methods This prospective clinical study was conducted between January 2020 and December 2020. A total of 108 patients, 72 patients with lower extremity CVI (study group) and 36 healthy volunteers (control group) were enrolled from the Bursa Yuksek Ihtısas Educatıon Research Hospıtal and the Bolu Abant Izzet Baysal University Training and Research Hospital. The age range of the participants was between 18 and 50 years old. Participants’ baseline clinical features and CBC parameters including PDW, white blood cell, hemoglobin, hematocrit, mean corpuscular volume, red cell distribution width, neutrophil, lymphocyte, platelet count, mean platelet volume, plateletcrit, neutrophil-to-lymphocyte ratio, and platelet-to-lymphocyte ratio were compared between the two groups. Results The groups were statistically similar in terms of baseline clinical features. The median PDW value was significantly higher for the CVI patients relative to the control group (17.6 vs 16.8; p < 0.001). In terms of other CBC parameters, there were no significant differences between the groups. According to ROC analysis, area under the curve of PDW was 0.749 (95% confidence interval: 0.653–0.846 and p < 0.001). If the value of PDW was accepted as 17, it could predict CVI with 76% sensitivity and 59% specificity, whereas a PDW value of 17.5 could predict CVI with 51% sensitivity and 81% specificity. Conclusion Platelet distribution width might be a useful marker to determine an increased inflammatory response and thrombotic status in young patients with CVI.

scholarly journals Long-term participation in community group exercise improves lower extremity muscle strength and delays age-related declines in walking speed and physical function in older adults

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Chisato Hayashi ◽  
Soshiro Ogata ◽  
Tadashi Okano ◽  
Hiromitsu Toyoda ◽  
Sonoe Mashino
Keyword(s):  
Older Adults ◽  
Muscle Strength ◽  
Physical Exercise ◽  
Lower Extremity ◽  
Physical Function ◽  
Community Dwelling ◽  
Group Exercise ◽  
Community Based ◽  
Lower Extremity Muscle

Abstract Background The effects of group exercise on the physical function of community-dwelling older adults remain unclear. The changes in lower extremity muscle strength, timed up and go (TUG) time, and the motor fitness scale (MFS), over time, among older adults who expressed a willingness to participate in community-based physical exercise groups, were determined using multilevel modelling. Methods We analyzed data of 2407 older adults between April 2010 and December 2019 from the registry of physical tests of community-based physical exercise groups. We conducted a retrospective cohort study to assess the effect of physical exercise on lower extremity muscle strength, TUG time, and MFS scores. The durations of the exercises were evaluated by frequency of physical test’s participate. Results A deterioration in lower extremity muscle strength was found in the short-term participant group only. However, in the mid-term and long-term participation groups, lower extremity muscle strength showed a trend of improvement. The TUG time and the MFS score were negatively correlated with increasing age in both groups divided by the duration of participation. However, there was a slower rate of deterioration in the long-term participation group. Discussion Lower extremity muscle strength, TUG time, and MFS scores decline with increasing age and there were differences in the slope of deterioration that depended on the duration of participation in community-based group exercise. Conclusion Participation in group exercise improved lower extremity muscle strength, TUG time, and MFS scores of older adults living in a community. The positive effects of group exercise were dependent on long-term participation.

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