Physical exercise for the treatment of non-ulcerated chronic venous insufficiency

Araújo, Daline Fernandes de Souza; Ribeiro, Cléa Elisa Lopes; Maciel, Alvaro Cc; Bruno, Selma S.; Fregonezi, Guilherme; Dias, Fernando Al

doi:10.1002/14651858.cd010637.pub2

Cited by 35 publications

(25 citation statements)

References 34 publications

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“…A second option to explain the increase in NP i with increasing number of nocturia episodes in subjects with fluctuating nocturia frequency are differences in lower extremity edema in the evening, which can vary according to physical activity and fluid intake during that particular day. 11,13 The latter was registered in the current study, and we found a significant increase in daytime fluid intake with increasing number of nocturia frequency, both in subjects with consistent and fluctuating nocturia frequency. For clinical practice, these results suggest that subjects with fluctuating nocturia frequency may benefit from treatments that target nocturnal urine output in order to avoid nights with high numbers of nocturnal voids.…”

Section: Discussionsupporting

confidence: 80%

“…We suggest to perform future studies designed to compare the effect of reducing daytime and evening fluid intake on NUP and number of nocturnal voids in order to develop guidelines that indicate which patient characteristics need to be present to define good candidates to receive water intake guidance as a treatment for nocturia. A second option to explain the increase in NP i with increasing number of nocturia episodes in subjects with fluctuating nocturia frequency are differences in lower extremity edema in the evening, which can vary according to physical activity and fluid intake during that particular day . The latter was registered in the current study, and we found a significant increase in daytime fluid intake with increasing number of nocturia frequency, both in subjects with consistent and fluctuating nocturia frequency.…”

Section: Discussionsupporting

confidence: 59%

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A different way to study frequency volume charts in patients with nocturia

Denys

Goessaert

Dejaeghere

et al. 2017

Neurourology and Urodynamics

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 59%

A different way to study frequency volume charts in patients with nocturia

Denys

Goessaert

Dejaeghere

et al. 2017

Neurourology and Urodynamics

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“…Research has demonstrated that the compression associated with guidelines on exercises for the legs and feet are effective practices for the proper functioning of the calf muscle pump, promoting wound healing. 31,32 Thus, there is no doubt that compression therapy is the gold standard in care for the patient with VLUs. 33 On the other hand, the non-adherence to compression devices is influenced by several factors; among them are the lack of correct, objective, and easy-to-understand information for the population that receives them.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the strategies of an orientation programme for the lifestyle and wound‐healing process in patients with venous ulcer: A randomised controlled trial

Domingues

Kaizer

Lima

2018

International Wound Journal

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This study aimed to evaluate the effect of strategies of a lifestyle orientation programme on patients with venous ulcer in elastic compression therapy. This was a single-blind, 2-arm, randomised clinical controlled trial. The primary outcome included the reduction of the wound surface area. The secondary outcomes included the perception of pain, questionnaire of ulcer status, and quality of life. Seventy-one patients with ulcers of venous aetiology were randomised into 2 arms: control group (CG) and intervention group (IG), with a 12-week follow up. The CG was provided with the routine guidelines of the health services. Meanwhile, the IG was provided with lifestyle guidelines regarding the physiopathology of a venous ulcer, importance of compression therapy, physical exercises and rest in 4 face-to-face and 2 telephone interviews. The IG had significant improvement on the wound healing on 30, 60, and 90 days of follow up when compared with the CG (P = .0197; P = .0472; P = .0116). There were no statistical differences between groups; both had improvement in the quality of life and pain perception. Our results demonstrated that elastic compression therapy along with guidelines on lifestyle is effective adjunctive treatment to promote wound healing in patients with leg ulcers.

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“…A systematic review [18] focusing on physical exercise for the treatment of CVI without ulcers found only two studies that met the eligibility criteria. Although both concluded that physical exercise led to an increase in venous filling time and ejection fraction, indicating an improvement in venous hemodynamics, the evidence quality was considered very low with a high risk of bias.…”

Section: Introductionmentioning

confidence: 99%

Supervised exercise protocol for lower limbs in subjects with chronic venous disease: an evaluator-blinded, randomized clinical trial

Volpe

Resqueti

Silva

et al. 2020

Trials

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Background Chronic venous insufficiency (CVI) causes pathophysiological changes in the lower-limb muscles, particularly the calf muscles, and limits ankle range of motion (ROM). These changes reduce functional activities and decrease quality of life (QOL). Although several studies have shown the benefits of exercise (strengthening the calf muscles to improve calf-muscle pumping and QOL) in patients with CVI, few studies are randomized controlled trials. This has led to a weak indication of exercise for the treatment of patients with CVI. The aim of this study is to analyze the effects of a supervised exercise program to improve calf-muscle endurance as well as QOL in patients with CVI. Methods/design This is an evaluator-blind, randomized clinical trial with an 8-week duration and a follow-up evaluation at week 16. A pilot study with subjects with a CVI diagnosis will be performed to calculate sample size. The participants will be randomly allocated (1:1) into a treatment or a control group (usual care/no intervention). The treatment intervention consists of a bi-weekly supervised exercise program of the lower limbs that will include aerobic training, strengthening and cardiovascular exercises. The participants from both groups will participate in a health education lecture. Primary outcomes are changes in calf-muscle endurance and QOL score. Secondary outcomes are changes in exercise capacity, ankle ROM, electrical muscle activity and cardiac output. The first statistical comparison will be performed after 8 weeks’ intervention. Discussion Patients with CVI may have an impaired calf-muscle pump and decreased exercise capacity. A randomized controlled trial evaluating a supervised exercise program should provide much needed information on the management of CVI to promote health and independence. Trial registration This study was registered on the Brazilian Clinical Trials Database (REBEC) (RBR-57xtk7). The results will be disseminated at scientific events, presentations, and publications in peer-reviewed journals.

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Physical exercise for the treatment of non-ulcerated chronic venous insufficiency

Abstract: Physical exercise for the treatment of non-ulcerated chronic venous insufficiency.

Cited by 35 publications

References 34 publications

A different way to study frequency volume charts in patients with nocturia

A different way to study frequency volume charts in patients with nocturia

Effectiveness of the strategies of an orientation programme for the lifestyle and wound‐healing process in patients with venous ulcer: A randomised controlled trial

Supervised exercise protocol for lower limbs in subjects with chronic venous disease: an evaluator-blinded, randomized clinical trial

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