Ankle Range of Motion, Leg Pain, and Leg Edema Improvement in Patients With Venous Leg Ulcers

Abstract

Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the US government. This article reflects the views of the authors and should not be construed to represent FDA's views or policies. The mention of commercial products, their sources, or their use in connection with material reported herein is not to be construed as either an actual or implied endorsement of such products by the US Department of Health and Human Services.

Quality of life of elderly patients with leg ulcers

“…29 This association is shown in a study conducted with individuals with venous ulcers in which the use of compression sleeves facilitated venous return and lymphatic circulation, decreasing the edema and alleviating pain. 30 In regard to the presence of an odor, only two individuals (4%) presented a fetid smell after the occlusive cover was removed and while the dressing was being changed. Odor is not usually present in lesions and its presence indicates local infection.…”

Terapia compressiva: bota de Unna aplicada a lesões venosas: uma revisão integrativa da literatura

“…The final sample had 22 articles, as shown in Chart 2, encompassing 15,931 individuals aged 35 years or over. Eleven studies (50%) included participants from South America (18)(19)(25)(26)(27)(28)(29)(30)(31)(32)(33) , four (18%) from North America (34)(35)(36)(37) , four (18%) from Europe (38)(39)(40)(41) , one (4%) from Australasia (42) , one from Asia (43) and another (4%) from Oceania (44) . The longest follow-up time was 13 years (35) , and the lowest time was 28 days (33) .…”

“…In all articles there was always an author from nursing departments or institutions. There were several study designs divided as follows; one of each (5%): longitudinal (18) , comparative analysis (36) , qualitative analysis (32) , case-control (27) , descriptive (33) and observational (35) ; two of each (9%): cross-sectional (26,44) and retrospective (28,33) ; three of each (14%): cohort (28,34,40) and case reports (19,29,31) ; and eight (36%) clinical trials (25,30,(37)(38)(39)(41)(42)(43) , among which four (18%) were controlled trials comparing two or more types of compression therapies, and taking into consideration the rate of reduction or healing of the injury as an evaluation parameter, as described in Table 1.…”

“…Among some reports on the limitation of studies, the following stood out: small number of participants (19,35) , short duration, absence of blind method, absence of placebo (38)(39) , impossibility of access to inactive medical records (deaths and absence of consultations in the last two years) (33) and participants' withdrawal (42) . In relation to reduction of the wound area, the lowest rate was 5% (19) and the highest was 96% (42) .…”

“…In this review, seven types of compression therapies were mentioned, namely: the Unna boot (14 studies; 63%) (18,(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)44) ; single-layer bandage (five studies; 23%) (26)(27)40,42,44) ; two-layer bandage (two studies; 9%) (37,44) ; three-layer bandage (two studies; 9%) (43)(44) ; four-layer bandage (one study; 5%) (36) ; use of stocking (five studies; 23%) (18,(25)(26)(27)(28)(29)(30)34,41,44) ; intermittent pneumatic (two studies; 9%) (38)(39) latex free tubular bandage (one study; 5%) (37) . In 11 studies (50%) (18,28,(30)(31)(36)(37)(38)(39)(41)(42)(43) , some of these therapies were compared.…”