Comparison of new continuous measurements of ambulatory venous pressure (AVP) with conventional tiptoe exercise ambulatory AVP in relation to the CEAP clinical classification of chronic venous disease

Eifell, Ron K.G.; Ashour, H.; Lees, Tim

doi:10.1016/j.jvs.2006.06.007

Cited by 14 publications

(17 citation statements)

References 24 publications

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“…In a group of CVI participants, AVP decreased by approximately 75% at the end of ten tiptoe exercise compared to basal values, with no differences in the magnitude of AVP decrease between people with different CVI severities [80]. However, compared to healthy groups (CEAP C0 class), CVI groups show a percentage AVP decrease that on average is only approximately 35% in CEAP classes C4…C5, a value that is half of that for participants in C0 class [79]. Surely, the percentage AVP decrease plus the basal venous hydrostatic pressure at foot level determine the ambulatory drop in hydrostatic pressure in dorsal foot veins.…”

Section: Muscle Pump Function and Dysfunctionmentioning

confidence: 83%

“…Surely, the percentage AVP decrease plus the basal venous hydrostatic pressure at foot level determine the ambulatory drop in hydrostatic pressure in dorsal foot veins. In healthy people, the large percentage fall in AVP combines with normal basal hydrostatic venous pressure, so that in such cases mean AVP lowers to around 30 mmHg, contrasting with mean AVP values >55 mmHg in C4-C6 clinical groups [79]. The AVP pressure has a fairly good relationship with venous incompetence, with the risk of ulceration increasing linearly with ambulatory venous hypertension.…”

Section: Muscle Pump Function and Dysfunctionmentioning

confidence: 99%

“…The decreased venous pressure due to the muscle pump action also raises perfusion pressure, thus leading to an increase in blood flow across the limb. Despite the simplicity of this model, the efficacy of the muscle pump relies on multiple factors and shows wide variation even among people free from venous dysfunction [79].…”

Section: Muscle Pump Function and Dysfunctionmentioning

confidence: 99%

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Manual Lymphatic Drainage in the Treatment of Chronic Venous Disease

Crisóstomo¹,

Armada-da-Silva²

2017

Clinical Physical Therapy

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Chronic venous disease (CVD) is a chronic condition that is associated with venous hypertension, vein's valves damage, venous obstruction, and calf muscle pump impairment. This blood circulatory condition is also characterized by important inflammatory changes affecting the skin, the subcutaneous tissue and the muscles, which are probably triggered by blood stasis and venous edema. With disease progression, severe ulcerative skin damage might occur, which when present represent the more severe stage of this condition. CVD has a significant economic, social and health impact, mostly due to raised morbidity and chronicity.The treatment of patients with CVD might focus on both the symptoms and secondary changes of the disease, such as edema, skin and subcutaneous changes or ulcers.Usually, initial treatment of CVD patients involves a non-invasive, conservative treatment to reduce symptoms, treat secondary changes, and help prevent the development of secondary complications and the progression of the disease. Complementary, some interventional or surgical treatments can be undertaken.There are several conservative treatments to treat and prevent complications associated with CVD that have been described in the literature, like manual lymphatic drainage (MLD) and compression, physical exercise, intermittent pneumatic pressure, kinesio taping, electrical muscle stimulation, transcutaneous electrical nerve stimulation, hydrotherapy, and health education. Most of these techniques are complementary to compression therapy or pharmacological treatment. This chapter will address the role of physical therapists in the management of CVD. The chapter will begin by reviewing the basic physiopathology of CVD, including the role of calf muscle pump. The CEAP classification system and the chronic venous severity score will be presented, as these are main tools for clinical assessment of CVD severity. In the remainder of the chapter will address the physiological effects and recommendations for treating CVD of MLD, based on our clinical experience and own research.

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Section: Muscle Pump Function and Dysfunctionmentioning

confidence: 83%

Section: Muscle Pump Function and Dysfunctionmentioning

confidence: 99%

Section: Muscle Pump Function and Dysfunctionmentioning

confidence: 99%

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Manual Lymphatic Drainage in the Treatment of Chronic Venous Disease

Crisóstomo¹,

Armada-da-Silva²

2017

Clinical Physical Therapy

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“…Os diâmetros venosos estão fortemente relacionados com as insuficiências do sistema venoso periférico, como a insuficiência venosa crónica (IVC). A dilatação de um vaso sanguí-neo pode provocar o refluxo venoso e, consequentemente, um aumento na pressão venosa local, especialmente nos membros inferiores (Eifell, Ashour, & Lees, 2006), onde devido à ação da força da gravidade, necessita de maior bombeamento para o seu trajeto ascendente ao átrio direito (Padberg et al, 2004).…”

Section: Resultsunclassified

“…Esta melhoria já foi observada em pacientes com trombose venosa profunda com o exercício de caminhada em tapete rolante e, igualmente, observado uma diminuição, significativa, do volume do membro afetado (Kahn et al, 2003). O IVC é uma patologia multifatorial, contudo a exposição prolongada do vaso a elevadas pressões venosas parece ser um dos aspetos mais importantes no processo de desenvolvimento da doença (Eifell et al, 2006). O efeito hipotensivo após exercício aeróbio (Casonatto & Polito, 2009) e de treino de força (Rodrigues-da-Silva, Lima, Rodrigues, Júnior, & Ritti-Dias, 2013) pode ter neste aspeto um papel importante, podendo ser uma das razões dos resultados observados no presente estudo.…”

Section: Resultsunclassified

Uma sessão de exercícios de treino de força não promove alterações negativas na estrutura venosa dos membros inferiores em homens

Júnior¹,

Araújo²,

Aniceto³

et al. 2014

Motricidade

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ARTIGO ORIGINAL | ORIGINAL ARTICLE RESUMOO aumento do diâmetro venoso está associado à incompetência do sistema nos membros inferiores. O objetivo deste estudo foi analisar o efeito de uma sessão de exercícios de treino de força (TF) sobre o diâmetro venoso superficial (DV) dos membros inferiores (MI). Vinte e dois homens (22 ± 2 anos, 81.2 ± 13.4 kg, 173.0 ± 4.0 cm e 18.6 ± 3.3% de percentagem de gordura estimada), realizaram um circuito com agachamento, avanço e flexão plantar, sendo 3 séries de 6 repetições (3 minutos de intervalo) com carga de 85% (1-RM). Os DVs da veia safena interna (VSI), dos MI, foram medidos em repouso e imediatamente após cada série, com eco-Doppler colorido. Realizou-se um teste de Anova one-way para medidas repetidas. Para as VSI, de ambos os MI, observou-se uma diminuição dos DVs, ao longo das séries. Ademais, entre as séries, houve uma queda significativa entre a primeira e segunda (p= 0.009) e um aumento entre a segunda e terceira séries (p= 0.027) para a VSI direita, e para a VSI esquerda, apenas as medidas após a primeira e segunda foram diferentes (p= 0.001). Houve uma tendência de redução do DV após uma sessão aguda de exercício de força. Conclui-se que a prática de uma sessão de exercícios de TF não promove alterações negativas na estrutura das veias de homens treinados. Palavras-chave: veias varicosas, adultos, extremidade inferior, exercício de força, performance atlética ABSTRACTThe increase of the venous diameter is associated with the incompetence of the venous system of lower limb. In order to analyze the acute effects of one session of strength exercise (SE) on superficial venous diameter (VD) of the lower limbs (LL). Twenty-two men (22 ± 2 years old, 81.2 ± 13.4kg weight, 173.0 ± 4.0 cm height and 18.6 ± 3.3% estimated body fat) performed a circuit of three SE, with 3 sets of 6 repetitions, controlled by metronome, with a load of 85% (1-RM) and 3 minutes rest. The VDs of the internal saphenous vein (ISV), in right and left LL, were measured at baseline and immediately after each set with color eco-Doppler. Data were analyzed by means of a one-way ANOVA for repeated measures. There was a significant effect of time for the right and left VSI (p= 0.001), the VDs at baseline were higher than in series for both. Furthermore, between sets, there was a significant decrease between the first and second (p= 0.009) and an increase between the second and third series (p= 0.027) for the right ISV. For the left ISV, only measured after the first and second are different (p= 0.001). There was a trend toward reduction in VD after the acute bout of strength exercise, indicating that their practice is efficient for the performance of this structure.

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Simulation numérique de l’œdème veinolymphatique et des effets de la compression

Chauveau¹,

Fullana²,

Gelade³

et al. 2011

Journal des Maladies Vasculaires

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Comparison of new continuous measurements of ambulatory venous pressure (AVP) with conventional tiptoe exercise ambulatory AVP in relation to the CEAP clinical classification of chronic venous disease

Abstract: In the assessment of CVI, mean walking pressure and percent fall in walking pressure are more reliably associated with anatomic distribution of reflux and clinical severity of CVI than the gold standard investigations of conventional AVP and RT90.

Cited by 14 publications

References 24 publications

Manual Lymphatic Drainage in the Treatment of Chronic Venous Disease

Manual Lymphatic Drainage in the Treatment of Chronic Venous Disease

Uma sessão de exercícios de treino de força não promove alterações negativas na estrutura venosa dos membros inferiores em homens

Simulation numérique de l’œdème veinolymphatique et des effets de la compression

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