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.

Association Between Heel-Rise Test Performance and Clinical Severity of Chronic Venous Insufficiency

2021 ◽  
Vol 9 (1) ◽  
pp. 285
Author(s):  
D.A.G. Pereira ◽  
S.R.C. Furtado ◽  
G.P.O. Amâncio ◽  
P.P. Zuba ◽  
C.C. Coelho ◽  
...  
Keyword(s):  
Chronic Venous Insufficiency ◽  
Test Performance ◽  
Venous Insufficiency ◽  
Clinical Severity

Advantages and disadvantages of graduated and inverse graduated compression hosiery in patients with chronic venous insufficiency and healthy volunteers: A prospective, mono-centric, blinded, open randomised, controlled and cross-over trial

2016 ◽  
Vol 33 (1) ◽  
pp. 14-26 ◽  
Author(s):  
Helene Riebe ◽  
Wolfgang Konschake ◽  
Hermann Haase ◽  
Michael Jünger
Keyword(s):  
Healthy Volunteers ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Clinical Symptoms ◽  
Lower Leg ◽  
Clinical Severity ◽  
Compression Stockings ◽  
Elastic Compression ◽  
Advantages And Disadvantages ◽  
Distal Lower Leg

Background The therapeutic effectiveness of compression therapy depends on the selection of compression hosiery. Objectives To assess efficacy and tolerability of graduated elastic compression stockings (GECS) and inverse graduated elastic compression stockings (PECS). Methods Thirty-two healthy volunteers and thirty-two patients with chronic venous insufficiency were analysed; wear period: one week for each stocking type (randomised, blinded). Primary outcome: volume reduction of ‘Lower leg’ (Image3D®) and ‘Distal leg and foot’ (water plethysmography). Secondary outcomes: clinical symptoms of chronic venous insufficiency assessed by the Venous Clinical Severity Score, side effects and wear comfort in both groups. Results Volume of ‘Lower leg’: significant reduction in healthy volunteers (mean GECS: −37.5 mL, mean PECS: −37.2 mL) and in patients (mean GECS: −55.6 mL, mean PECS: −41.6 mL). Volume of ‘Distal lower leg and foot’: significant reduction in healthy volunteers (mean GECS: −27 mL, mean PECS: −16.7 mL), significant reduction in patients by GECS (mean: −43.4 mL), but non-significant reduction by PECS (mean: −22.6 mL). Clinical symptoms of chronic venous insufficiency were improved significantly better with GECS than with PECS, p < 0.001. GECS led to more painful constrictions, p = 0.047, PECS slipped down more often, p < 0.001. Conclusion GECS and PECS reduce volume of the segment ‘Lower leg’ in patients and healthy volunteers. Patients’ volume of the ‘Distal lower leg and foot’, however, were diminished significantly only by GECS ( p = 0.0001). Patients’ complaints were improved by both GECS and PECS, and GECS were superior to PECS.

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

Sign in / Sign up

Export Citation Format

Share Document