The efficiency of O-(beta-hydroxyethyl)-rutosides in reducing the incidence of superficial venous insufficiency in patients with calf muscle pump dysfunction

2016 ◽  
Vol 32 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Cenk Eray Yildiz ◽  
Cenk Conkbayir ◽  
Eldeniz Huseynov ◽  
Omer Ali Sayin ◽  
Okan Tok ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Lower Limb ◽  
Calf Muscle ◽  
Control Group ◽  
Venous Disease ◽  
Muscle Pump ◽  
Calf Muscle Pump ◽  
Lower Extremity Muscle ◽  
Lower Limb Fractures ◽  
Limb Fractures

Objective We aimed to evaluate the efficiency of O-(beta-Hydroxyethyl)-rutosides (Oxerutin) in reducing the incidence of venous system disease among patients with calf muscle pump dysfunction secondary to immobilization due to lower-limb fractures. Methods A total of 60 patients with lower-limb fractures and immobilized in plaster casts were included in this study randomized into control (n = 30; mean: 30.37 ± 6.03 years; 73.3% males; no treatment) and experiment (n = 30; mean: 31.67 ± 4.76 years; 66.6% males; Oxerutin, 500 mg po q12hr) treatment groups. Doppler ultrasound was performed to evaluate the effect of oxerutin on the alterations in the venous circulation. Results Patients in the control group were determined to be more commonly affected from the below-knee immobilization in terms of venous dysfunction in the great saphenous vein in the below-knee region when compared with the patients in the oxerutin treatment group (46.7 vs. 13.3%, respectively; p = 0.011). Incidence of reflux in the small saphenous vein was more common in the control group during the healing period when compared with the experiment group (40.0 vs. 10.0%, respectively; p = 0.017). None of the patients developed venous thrombosis. Conclusions In conclusion, the impairment of the lower extremity muscle pump should be considered as an important risk factor for venous disease, and should be evaluated. O-(beta-Hydroxyethyl)-rutosides during 6–8 week cast immobilization for a lower limb fracture may be an effective prophylactic regimen in reducing the incidence of reflux in the below-knee superficial veins.

Reversal of Lower Limb Edema by Calf Muscle Pump Stimulation

2008 ◽  
Vol 28 (3) ◽  
pp. 174-179 ◽  
Author(s):  
Ayana A. Goddard ◽  
Carolyn S. Pierce ◽  
Kenneth J. McLeod
Keyword(s):  
Lower Limb ◽  
Calf Muscle ◽  
Muscle Pump ◽  
Calf Muscle Pump ◽  
Limb Edema

The Effect of Lower Limb Cast Immobilization on Calf Muscle Pump Function

2014 ◽  
Vol 35 (5) ◽  
pp. 429-433 ◽  
Author(s):  
Ben A. Hickey ◽  
Amy Morgan ◽  
Neil Pugh ◽  
Anthony Perera
Keyword(s):  
Lower Limb ◽  
Calf Muscle ◽  
Cast Immobilization ◽  
Pump Function ◽  
Muscle Pump ◽  
Calf Muscle Pump

Severity of chronic venous disorders and its relationship to the calf muscle pump

VASA ◽  
2009 ◽  
Vol 38 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Panny ◽  
Ammer ◽  
Kundi ◽  
Katzenschlager ◽  
Hirschl
Keyword(s):  
Clinical Signs ◽  
Calf Muscle ◽  
Clinical Severity ◽  
Control Group ◽  
Venous Flow ◽  
Total Strength ◽  
Muscle Pump ◽  
Calf Muscle Pump ◽  
Ankle Movement ◽  
Venous Disorders

Background: To investigate the relationship between the calf muscle pump and the clinical severity of chronic venous disorders (CVD) and of venous function parameters. Patients and methods: 84 limbs in 44 patients underwent duplex scan and digital photoplethysmography (DPPG), the range of ankle movement was measured by digital goniometry and strength of calf muscles was determined by dynamometry. Limbs were allocated on the basis of clinical signs of CVD (according to the CEAP classification) into 4 groups: controls (no signs and symptoms of CVD): 34 limbs, C1/2: 24 limbs, C3/4: 16 limbs, C6: 10 limbs. Results: A higher degree in clinical severity of CVD was related to shorter venous refilltime (VRT) and lower venous pump power (VPP) measured by DPPG. The strength of dorsiflexion was significantly reduced in group C6 compared to controls. There was a positive correlation between measurements of DPPG and the strength of dorsiflexion and also with total strength (p < 0.05). In limbs with pathological reflux (> 1 s) the strength of dorsiflexion, range of ankle plantarflexion movement and total range of ankle movement were significantly reduced compared to those without pathological reflux (p < 0,05). Strength of plantarflexion was significantly reduced in group C1/2 compared to control group (p < 0,05). Conclusions: Strength of dorsiflexion seems to be the main driving factor of normal venous flow and range of ankle movement is impaired in patients with pathological venous reflux. Further prospective studies should clarify if additional strengthening of ankle dorsiflexors should be included in well established venous training programs.

scholarly journals Analysis on Reasons for Post-Operative DVT of Patients with Lower Limb Fracture in Mining Area and Early Nursing Intervention

2015 ◽  
Vol 4 (3) ◽  
pp. 10 ◽  
Author(s):  
Yunjian Liu
Keyword(s):  
Lower Limb ◽  
Statistical Significance ◽  
Mining Area ◽  
Nursing Intervention ◽  
Control Group ◽  
Observation Group ◽  
Early Recovery ◽  
Limb Fracture ◽  
Lower Limb Fractures ◽  
Limb Fractures

<strong>Objective: </strong>To explore the effectiveness of the early nursing intervention in preventing postoperative deep vein thrombosis (DVT) of patients with lower limb fractures in the mining area. <strong>Methods</strong>: One hundred (100) patients with lower limb fracture in our hospital were evenly and randomly divided into two groups, namely the observation group and the control group respectively. The early nursing intervention was applied on patients in the observation group, and conventional orthopedic postoperative nursing was applied on patients in the control group.<strong> Results</strong>: Among 100 patients selected, 15 patients were elderly, accounting for 15%, 26 patients suffered from the obesity, accounting 26%, there were 25 patients with hypertension, accounting for 25%, 16 patients suffered from diabetes, accounting for 16%, 8 patients suffered from anemia, accounting for 8%, 38 patients had hobbies on the alcohol and tobacco, accounting for 38%, 9 patients had lower limb varicose veins, accounting for 9%, and 35 patients suffered from lower extremity edema, accounting for 35%. The incidence of DVT of patients in the observation group was obviously lower than that of patients in the control group, and the difference was of statistical significance.<strong> Conclusions</strong>: Early nursing intervention can effectively reduce the incidence of postoperative DVT of patients with lower limb fractures, and it contributes to early recovery of patients.

Influence of Inelastic Bandage on Ankle Range of Motion and Calf Muscle Pump Dysfunction in Patients with Lower Limb Lymphedema

Flebologiia ◽  
2021 ◽  
Vol 15 (1) ◽  
pp. 15
Author(s):  
T.V. Apkhanova ◽  
E.M. Styazhkina ◽  
M.A. Eremushkin ◽  
A.S. Razvalyaev ◽  
T.V. Konchugova ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Lower Limb ◽  
Calf Muscle ◽  
Muscle Pump ◽  
Calf Muscle Pump

The Influence of Minimal-Stretch and Elasticated Bandages on Calf Muscle Pump Function in Patients with Chronic Venous Disease

1999 ◽  
Vol 14 (1) ◽  
pp. 3-8 ◽  
Author(s):  
D. Yang ◽  
Y. K. Vandongen ◽  
M. C. Stacey
Keyword(s):  
Calf Muscle ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Pump Function ◽  
Muscle Pump ◽  
Calf Muscle Pump ◽  
Venous Ulcers ◽  
Significant Difference ◽  
Venous Filling ◽  
University Department

Objective: To evaluate the influence of minimal-stretch and elasticated bandages on calf muscle pump function in patients with chronic venous disease. Design: An open, randomised, crossover study. Setting: University Department of Surgery, Fremantle Hospital, Perth, Australia. Subjects: Twenty patients with chronic venous disease and recently healed chronic venous ulcers. Method: Five different bandaging regimens were applied on each patient, and calf muscle pump function was assessed by using air plethysmography. Results: There was no significant difference in the venous filling index (VFI) and ejection fraction (EF) between the five different bandage regimens, and also no significant difference in four of the five bandage regimens over a 7-day period ( p>0.05). However, the VFI was significantly reduced and the EF was not significantly altered after the application of both elasticated and minimal-stretch bandages ( p<0.05, = p>0.05 respectively). Conclusion: All the bandage regimens used in this study have a similar influence on calf muscle pump function, and may therefore have a similar effect on the healing of chronic venous ulcers.

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