An evaluation of quality of life, physical activity level and symptoms in patients with early stages of chronic venous disease

Kiloatar, Hümeyra; Aras, Özgen; Korkmaz, Mehmet; Vural, Ahmet

doi:10.1016/j.jvn.2021.07.007

Cited by 6 publications

(6 citation statements)

References 28 publications

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“…Physical activity can be assessed with e.g. the International Physical Activity Questionnaire [25,3].…”

Section: Clinical Assessmentmentioning

confidence: 99%

“…Chronic venous disease (CVD) is a highly prevalent morbidity, affecting up to 17% in male and 40% in female gender, respectively [1]. Well-known risk factors are obesity, older age, smoking, orthostasis, and specific family history [2,3]. CVD pathophysiology encompasses morphological and functional changes such as venous hypertension, venous reflux, valve incompetencies [1], and calf muscle weakness or failure [4].…”

Section: Introductionmentioning

confidence: 99%

“…Multi-layer compression bandages including padding, if necessary, or compression stockings in the long-term can be used. Active exercise training strives at counteracting muscle pump weakness, ankle joint restrictions, and patients' overall often diminished physical activity [3]. As an adjunctive component, breathing exercises and manual lymphatic drainage are applied to enhance venous backflow [8].…”

Section: Introductionmentioning

confidence: 99%

“…So, therapists must motivate for exercise and CT, guide, and educate their patients to change their daily life, and wear proper clothes and shoes in order to achieve long-term results. Lifestyle changes need first time, second, support and advice, and finally tailoring to the patient's needs to succeed [3]. This chapter will give an overview of different physiotherapeutic approaches, guiding the patient through different stages of CVD disease, i.e., varicoses, chronic venous insufficiency, deep venous thrombosis, and venous ulcer by showing the latest evidence for physiotherapeutic protocols and regimes.…”

Section: Introductionmentioning

confidence: 99%

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Physiotherapy in Chronic Venous Disease

Eidenberger

2023

Physical Therapy - Towards Evidence-Based Practice

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Chronic venous disease is a highly prevalent disorder. Risk factors are obesity, smoking, orthostasis, and family history. Pathophysiology encompasses changes such as venous hypertension, reflux, valve incompetencies, and calf-muscle weakness. Patients complain about skin changes, leg edema, pain, and ulcers. Possible recurrence of varicoses and surgery complications shift the focus on conservative approaches. The mainstay is compression therapy, applied by using multi-layer compression bandages or adequate compression stockings. Active exercises tackle muscle pump weakness, ankle joint restrictions, and physical activity. Aerobic exercises focus on lower limb activities (walking, cycling, aqua exercises) and are complemented by resistance exercises and muscle stretching. The gait pattern needs analysis and adaptation. Breathing exercises and manual lymphatic drainage act as a supplement. A critical factor for success is the patient’s adherence to lifestyle changes and health behavior. Therapists must motivate, guide, and educate their patients. They advise them on clothes/shoes and activities of daily life.

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“…Physical activity can be assessed with e.g. the International Physical Activity Questionnaire [25,3].…”

Section: Clinical Assessmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Physiotherapy in Chronic Venous Disease

Eidenberger

2023

Physical Therapy - Towards Evidence-Based Practice

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“…• We recommend physical exercise to treat chronic venous insufficiency at any stage. o Level B o Class I o References: [90][91][92][93][94][95][96][97] Recommendation 13…”

Section: Conservative or Non-invasive Treatmentmentioning

confidence: 99%

Brazilian guidelines on chronic venous disease of the Brazilian Society of Angiology and Vascular Surgery

Kikuchi,

Nhuch,

Drummond

et al. 2023

J. vasc. bras.

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The Brazilian Society of Angiology and Vascular Surgery has set up a committee to provide new evidence-based recommendations for patient care associated with chronic venous insufficiency. Topics were divided in five groups: 1. Classification, 2. Diagnosis, 3. Conservative or non-invasive treatment, 4. Invasive treatment and 5. Treatment of small vessels. This last series is closely related to the activities of Brazilian angiologists and vascular surgeons, who are heavily involved in the treatment of small superficial veins. These guidelines are intended to assist in clinical decision-making for attending physicians and health managers. The decision to follow a guideline recommendation should be made by the responsible physician on a case-by-case basis taking into account the patient's specific condition, as well as local resources, regulations, laws, and clinical practice recommendations.

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Clinical evidence and rationale of mesoglycan to treat chronic venous disease and hemorrhoidal disease: a narrative review

Gallo,

Picciariello,

Tufano

et al. 2024

Updates Surg

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Chronic venous disease (CVD) and hemorrhoidal disease (HD) are among the most common vascular diseases in the world, with CVD affecting 22–41% of the population in Europe and HD having a point prevalence of 11–39%. The burden is substantial in terms of the effect of symptoms on patients’ health-related quality of life (HRQoL) and direct/indirect medical costs. Treatment begins with lifestyle changes, compression in CVD and topical therapies in HD, and escalates as needed through oral therapies first and eventually to surgery for severe disease. CVD and HD share etiological features and pathological changes affecting the structure and function of the tissue extracellular matrix. Mesoglycan, a natural glycosaminoglycan (GAG) preparation composed primarily of heparan sulfate and dermatan sulfate, has been demonstrated to positively impact the underlying causes of CVD and HD, regenerating the glycocalyx and restoring endothelial function, in addition to having antithrombotic, profibrinolytic, anti-inflammatory, antiedema and wound-healing effects. In clinical trials, oral mesoglycan reduced the severity of CVD signs and symptoms, improved HRQoL, and accelerated ulcer healing. In patients with HD, mesoglycan significantly reduced the severity of signs and symptoms and the risk of rectal bleeding. In patients undergoing excisional hemorrhoidectomy, adding mesoglycan to standard postoperative care reduced pain, improved HRQoL, reduced incidence of thrombosis, and facilitated an earlier return to normal activities/work, compared with standard postoperative care alone. The clinical effects of mesoglycan in patients with CVD or HD are consistent with the agent’s known mechanisms of action.

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An evaluation of quality of life, physical activity level and symptoms in patients with early stages of chronic venous disease

Cited by 6 publications

References 28 publications

Physiotherapy in Chronic Venous Disease

Physiotherapy in Chronic Venous Disease

Brazilian guidelines on chronic venous disease of the Brazilian Society of Angiology and Vascular Surgery

Clinical evidence and rationale of mesoglycan to treat chronic venous disease and hemorrhoidal disease: a narrative review

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