Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial

Padberg, Frank T.; Johnston, Mark V.; Sisto, Sue Ann

doi:10.1016/j.jvs.2003.09.036

Cited by 283 publications

(271 citation statements)

References 26 publications

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“…Padberg et al concluded that structured exercise to reestablish calf muscle pump function in CVI may prove beneficial as a supplemental therapy to medical and surgical treatment in advanced disease. 68 …”

Section: Exercisementioning

confidence: 99%

Chronic Venous Insufficiency

2005

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C hronic venous disease is often overlooked by primary and cardiovascular care providers because of an underappreciation of the magnitude and impact of the problem. The importance of chronic venous disease is related to the number of people with the disease and the socioeconomic impact of its more severe manifestations. Unfortunately, the literature concerning the prevalence and incidence of chronic venous disease has varied greatly because of differences in the methods of evaluation, criteria for definition, and the geographic regions analyzed. The most common manifestations of chronic venous disease are dilated cutaneous veins, such as telangiectases and reticular veins, and varicose veins. The term chronic venous insufficiency (CVI) describes a condition that affects the venous system of the lower extremities with venous hypertension causing various pathologies including pain, swelling, edema, skin changes, and ulcerations. Although the term CVI is often used to exclude uncomplicated varicose veins, varicose veins have incompetent valves with increased venous pressure leading to progressive dilation and tortuosity. We will use the term CVI to represent the full spectrum of manifestations of chronic venous disease.Varicose veins have an estimated prevalence between 5% to 30% in the adult population, with a female to male predominance of 3 to 1, although a more recent study supports a higher male prevalence. 1 The Edinburgh Vein Study screened 1566 subjects with duplex ultrasound for reflux finding CVI in 9.4% of men and 6.6% of women, after age adjustment, which rose significantly with age (21.2% in men Ͼ50 years old, and 12.0% in women Ͼ50 years old). 2 The San Valentino Vascular Screening Project found among the 30 000 subjects evaluated by clinical assessment and duplex ultrasound a prevalence of 7% for varicose veins and 0.86% for "symptomatic" CVI. 3 As in previous studies, CVI was more common with increasing age, but there was no significant sex difference. The rate of varicose vein development may be estimated from the Framingham Heart Study, which found an annual incidence of 2.6% in women and 1.9% in men. 4 Risk factors found to be associated with CVI include age, sex, a family history of varicose veins, obesity, pregnancy, phlebitis, and previous leg injury. 5,6 There also may be environmental or behavioral factors associated with CVI such as prolonged standing and perhaps a sitting posture at work. 6,7 Varicose veins have a significant impact on healthcare resources, with millions of people seeking medical attention for their cosmetic appearance annually. Although often minimized, the cosmetic consequences may adversely affect an individual's quality of life and are associated with other manifestations.The more serious consequences of CVI such as venous ulcers have an estimated prevalence of Ϸ0.3%, although active or healed ulcers are seen in Ϸ1% of the adult population. 8 It has been estimated that Ϸ2.5 million people have CVI in the United States, and of those, Ϸ20% develop venous ulcers. 9 The ov...

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Section: Exercisementioning

confidence: 99%

Chronic Venous Insufficiency

2005

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“…Efficient peripheral pumps may compensate for some degree of reflux and obstruction and prevent chronic venous insufficiency symptoms (Padberg, Johnston et al, 2004;Plate, Brudin et al, 1986). It has been demonstrated that calf muscle strengthening exercises restore the pumping ability of the calf muscle and improve the haemodynamic performance in limbs with active ulceration subsequent to severe venous valvular and calf muscle pump impairment (Padberg, Johnston, et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Influence of wearing an unstable shoe on thigh and leg muscle activity and venous response in upright standing

et al. 2012

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Purpose: To quantify the effect of unstable shoe wearing on muscle activity and haemodynamic response during standing.Methods: Thirty volunteers were divided into 2 groups: the experimental group wore an unstable shoe for 8 weeks, while the control group used a conventional shoe for the same period. Muscle activity of the medial gastrocnemius, tibialis anterior, rectus femoris and biceps femoris and venous circulation were assessed in quiet standing with the unstable shoe and barefoot.Results: In the first measurement there was an increase in medial gastrocnemius activity in all volunteers while wearing the unstable shoe. On the other hand, after wearing the unstable shoe for eight weeks these differences were not verified. Venous return increased in subjects wearing the unstable shoe before and after training. Conclusions:The unstable shoe produced changes in electromyographic characteristics which were advantageous for venous circulation even after training accommodation by the neuromuscular system.

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“…No relaxamento ela permite a oxigenação para o sangue. Sendo assim, uma alteração no funcionamento desta bomba devido à posição estática inadequada resultará no funcionamento defasado e, consequentemente, levará à fadiga muscular 13,14,15 .…”

Section: Artigo Original Saúde Funcionalunclassified

Posturas adotadas durante os procedimentos odontológicos e os seus impactos biomecânicos

Mazzucco

Souza

2017

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Dentre as diversas atividades laborais, os profissionais odontólogos são uns dos primeiros a se afastarem do trabalho por incapacidade permanente ou temporária. O desconforto e a dor são sintomas que acometem principalmente a região cervical, do ombro e da coluna lombar nesses profissionais. Este estudo tem como objetivo analisar a postura dos acadêmicos do curso de Odontologia da UNESC durante o atendimento e identificar as disfunções musculoesqueléticos. Serão envolvidos neste estudo acadêmicos da última fase do curso de Odontologia da UNESC, os quais serão submetidos a aplicação de escala visual analógica (EVA), mapa corporal, rapid umber limb assessment (RULA) e dinamometria. Resultados: houve aumento significativo da dor, um alto escore no RULA e aumento significativo da força em coluna lombar no sexo feminino. Conclusão: Sugere-se implantar práticas ergonômicas educativas e preventivas na universidade como rotina.Palavras-chaves: Odontologia; Ergonomia; Postura; Fisioterapia.

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Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial

Cited by 283 publications

References 26 publications

Chronic Venous Insufficiency

Chronic Venous Insufficiency

Influence of wearing an unstable shoe on thigh and leg muscle activity and venous response in upright standing

Posturas adotadas durante os procedimentos odontológicos e os seus impactos biomecânicos

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