Effects of physical exercise to treat ulcerated and non-ulcerated chronic venous insufficiency: systematic review
DOI:
https://doi.org/10.33448/rsd-v11i7.29850Keywords:
Venous insufficiency; Exercise ; Quality of live; Health teaching.Abstract
The chronic venous insufficiency (CVI) is defined as alteration on the venous flow, caused by malfunction of the venous valves, obstruction of vases and weakness of the sural triceps muscle. The physical exercise is being studied as a form of treatment of this disease to be considered of low cost and easy access. Objective: The aim was to analyze the effects of different types of physical exercise in the venous hemodynamics, muscular function and in the quality of life of individuals with CVI ulcerated and non-ulcerated. Method: The articles were obtained by a research on six data bases. were included articles in which the exercise was a form of intervention in patients with CVI. Results: Were founded 2.297 clinical trials randomized and non-randomized, nine were included. These studies applied different protocols of exercise, that were an association of mobility, strength, force, and aerobic exercises. This association showed improvement in the different clinical conditions of the CVI, and a positive impact their quality of life. Conclusion: The physical exercise is benefic to patients with CVI, being able to reduce symptoms, increase quality of life and prevent the progression of the diseases, could reduce the cost to the health systems.
References
A, N., S, K., N, B., A, C., M, de M., B, E., AD, G., M, L., O, M., K, M., O, N., H, P., & M, P. (2018). Management of chronic venous disorders of the lower limbs. Guidelines According to Scientific Evidence. Part I. International Angiology: A Journal of the International Union of Angiology, 37(3). https://doi.org/10.23736/S0392-9590.18.03999-8
Alberti, L. R., Petroianu, A., França, D. C., & Silva, T. de M. F. (2010). Relação entre exercício físico e insuficiência venosa crônica. Rev. Méd. Minas Gerais, 20(1).
Araujo, D. N., Ribeiro, C. T. D., Maciel, A. C. C., Bruno, S. S., Fregonezi, G. A. F., & Dias, F. Al. (2016). Physical exercise for the treatment of non-ulcerated chronic venous insufficiency. In Cochrane Database of Systematic Reviews (Vol. 2016, Issue 12). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD010637.pub2
Associação entre a classificação CEAP e alterações no Eco-doppler venoso dos membros inferiores. (n.d.). http://www.scielo.mec.pt/scielo.php?script=sci_abstract&pid=S1646-706X2010000400005&lng=es&nrm=iso
Back, T. L., Padberg, F. T., Araki, C. T., Thompson, P. N., & Hobson, R. W. (1995). Limited range of motion is a significant factor in venous ulceration. Journal of Vascular Surgery, 22(5), 519–523. https://doi.org/10.1016/S0741-5214(95)70030-7
Beebe-Dimmer, J. L., Pfeifer, J. R., Engle, J. S., & Schottenfeld, D. (2005). The epidemiology of chronic venous insufficiency and varicose veins. Annals of Epidemiology, 15(3), 175–184. https://doi.org/10.1016/j.annepidem.2004.05.015
Bertoldi, C. M. D. L., & Proença, R. P. D. C. (2008). Doença venosa e sua relação com as condiçõ es de trabalho no setor de produção de refeições. Revista de Nutricao, 21(4), 447–454. https://doi.org/10.1590/S1415-52732008000400009
César, J., Pena, O., & Bilitário Macedo, L. (n.d.). Existe associação entre doenças venosas e nível de atividade física em jovens? Is there association between venous diseases and physical activity level in young?
Como avaliar o impacto da doença venosa crónica na qualidade de vida. (n.d.). http://www.scielo.mec.pt/scielo.php?pid=S1646-706X2010000400003&script=sci_abstract
Cristina, R., Lima, M., Santiago, L., Faria De Moura, R. M., Angélica, F., Filaretti, S., Sílvia, C., De Souza, A., Seguro, S., Evangelista, M., & Britto, R. R. (2002). Efeitos do fortalecimento muscular da panturrilha na hemodinâmica venosa e na qualidade de vida em um portador de insuficiência venosa crônica Effects of calf muscle strengthening on venous hemodynamics and on quality of life in a person with chronic venous insufficiency. In J Vasc Br. 1(3). Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV).
da Silva, G. C. C., Medeiros, R. J. D., Oliveira, L. dos S., de Araújo Júnior, A. T., Aniceto, R. R., de Sousa, M. do S. C., & Neto, R. A. A. (2010). Treinamento de sobrecarga muscular não afeta o diâmetro das principais veias dos membros inferiores em mulheres adultas com insuficiência venosa. Revista Brasileira de Medicina Do Esporte, 16(6), 413–417. https://doi.org/10.1590/S1517-86922010000600003
Data extraction forms | Cochrane Developmental, Psychosocial and Learning Problems. (n.d.). Retrieved July 29, 2021, from https://dplp.cochrane.org/data-extraction-forms
de Jesus Leal, F., Manuela Soares dos Santos, L., Cardoso Couto, R., Guimarães Pauferro Moraes, S., Sabino da Silva, T., & Renata dos Santos, W. (2016). ARTIGO DE REVISÃO Tratamento fisioterapêutico vascular para a doença venosa crônica: artigo de revisão Vascular physiotherapy for treatment of chronic venous disease: review article. 15(1), 34–43. https://doi.org/10.1590/1677-5449.003215
Diagnóstico e tratamento da Doença Venosa Crônica. (2005).
Downs, S. H., & Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health, 52, 377–384.
Engelhorn, C. A., Veronese Beffa, C., Bochi, G., Pullig, R. C., Picheth, F. S., & Cunha, S. S. (2003). Avaliação por pletismografia a ar da função da bomba muscular da panturrilha conforme a idade Air plethysmographic evaluation of calf muscle pump function according to age. In No1 13 J Vasc Br (Vol. 2, Issue 1). Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV).
Ercan, S., Çetin, C., Yavuz, T., Demir, H. M., & Atalay, Y. B. (2018). Effects of isokinetic calf muscle exercise program on muscle strength and venous function in patients with chronic venous insufficiency. Phlebology, 33(4), 261–266. https://doi.org/10.1177/0268355517695401
Hartmann, B. R., Drews, B., & Kayser, T. (1997). Physical therapy improves venous hemodynamics in cases of primary varicosity: Results of a controlled study. Angiology, 48(2), 157–162. https://doi.org/10.1177/000331979704800209
Henrique Gil França, L., & Tavares, V. (2003). Insuficiência venosa crônica. Uma atualização Chronic venous insufficiency. An update. In J Vasc Br (Vol. 2, Issue 4).
Kan, Y. M., & Delis, K. T. (2001). Hemodynamic effects of supervised calf muscle exercise in patients with venous leg ulceration: A prospective controlled study. Archives of Surgery, 136(12), 1364–1369. https://doi.org/10.1001/archsurg.136.12.1364
Klonizakis, M., Tew, G. A., Gumber, A., Crank, H., King, B., Middleton, G., & Michaels, J. A. (2018). Supervised exercise training as an adjunct therapy for venous leg ulcers: a randomized controlled feasibility trial. British Journal of Dermatology, 178(5), 1072–1082. https://doi.org/10.1111/bjd.16089
Kravtsov, P. F., Katorkin, S. A., Volkovoy, V. V., & Sizonenko, Ya. V. (2016). The influence of the training of the muscular component of the musculo-venous pump in the lower extremities on the clinical course of varicose vein disease. Voprosy Kurortologii, Fizioterapii i Lechebnoi Fizicheskoi Kul’tury, 93(6), 33. https://doi.org/10.17116/kurort2016633-36
Lima, R. C. M., Santiago, L., Moura, R. M. F. de, Souza, C. S. A. de, Evangelista, S. S. M., & Gerais Britto, R. R. (2002). Efeitos do fortalecimento muscular da paturrilha na hemodinâmica venosa e na qualidade de vida em um portador de insuficiência venosa crônica. J. Vasc. Bras, 219–226.
Meyer, P. F., Chacon, D. de A., & Lima, A. C. da N. (2006a). Estudo piloto dos efeitos da pressoterapia, drenagem linfática manual e cinesioterapia na insuficiência venosa crônica. Reabilitar, 8(31), 11–17.
Meyer, P. F., Chacon, D. de A., & Lima, A. C. da N. (2006b). Estudo piloto dos efeitos da pressoterapia, drenagem linfática manual e cinesioterapia na insuficiência venosa crônica. Reabilitar, 11–17.
Miranda, F., Geral, J.-C., Diretrizes, P., Kikuchi, R., Campos, W., Marcelo, J., & Liberato De Moura, R. (n.d.). Projeto Diretrizes SBACV INSUFICIÊNCIA VENOSA CRÔNICA DIAGNÓSTICO E TRATAMENTO Calógero Presti-Responsável do Projeto Diretrizes Ivanesio Merlo-Coordenador da Diretriz Marcelo Rodrigo de Souza Moraes-Vice coordenador Grupo de estudo. In sbacv.org.br.
Moloney, M. C., Lyons, G. M., Breen, P., Burke, P. E., & Grace, P. A. (2006). Haemodynamic study examining the response of venous blood flow to electrical stimulation of the gastrocnemius muscle in patients with chronic venous disease. European Journal of Vascular and Endovascular Surgery, 31(3), 300–305. https://doi.org/10.1016/j.ejvs.2005.08.003
Moura, R. M. F., Gonçalves, G. S., Navarro, T. P., Britto, R. R., & Dias, R. C. (2010). Relationship between quality of life and the CEAP clinical classification in chronic venous disease. Revista Brasileira de Fisioterapia, 14(2), 99–105. https://doi.org/10.1590/s1413-35552010005000007
Mutlak, O., Aslam, M., & Standfield, N. J. (2018). An investigation of skin perfusion in venous leg ulcer after exercise. Perfusion (United Kingdom), 33(1), 25–29. https://doi.org/10.1177/0267659117723699
Padberg, F. T., Johnston, M. V., Sisto, S. A., Burnand, K. G., Wakefield, T. W., & Perkowski, P. (2004). Structured exercise improves calf muscle pump function in chronic venous insufficiency: A randomized trial. Journal of Vascular Surgery, 39(1), 79–87. https://doi.org/10.1016/j.jvs.2003.09.036
Quilici, B. C. E., Gildo, C., De Godoy, J. M. P., Quilici, B. S., & Augusto, C. R. (2009). Comparison of reduction of edema after rest and after muscle exercises in treatment of chronic venous insufficiency. International Archives of Medicine, 2(1), 18. https://doi.org/10.1186/1755-7682-2-18
Samora, G. A. R., Ramos, M. F., Marchesani, R., Lages, A. C. R., Pires, M. C. de O., & Pereira, D. A. G. (2014). Treinamento de resistência da musculatura da panturrilha em um caso atípico de insuficiência venosa clínica. Gerais (Esc. Saúde Pública Minas Gerais), 65–70.
Santler, B., & Goerge, T. (2017). Chronic venous insufficiency – a review of pathophysiology, diagnosis, and treatment. JDDG - Journal of the German Society of Dermatology, 15(5), 538–556. https://doi.org/10.1111/ddg.13242
Schoenfeld, B. J. (2010). The Mechanisms of Muscle Hypertrophy and Their Application to Resistance Training. Journal of Strength and Conditioning Research, 24(10), 2857–2872. https://doi.org/10.1519/JSC.0b013e3181e840f3
Selçuk, A. A. (2019). A Guide for Systematic Reviews: PRISMA. Turkish Archives of Otorhinolaryngology, 57(1), 57. https://doi.org/10.5152/TAO.2019.4058
Silva, D. K. da, & Nahas, M. V. (2008). Atividade física habitual e qualidade de vida relacionada à saúde em mulheres com doença vascular periférica. Atividade Física Habitual e Qualidade de Vida Relacionada à Saúde Em Mulheres Com Doença Vascular Periférica, 12(4), 63–68. https://doi.org/10.18511/rbcm.v12i4.588
Silva, G. C. C. da, Medeiros, R. J. D., Oliveira, L. dos S., Araújo Júnior, A. T. de, Aniceto, R. R., Sousa, M. do S. C. de, & Athayde Neto, R. A. (2010). Treinamento de sobrecarga muscular não afeta o diâmetro das principais veias dos membros inferiores em mulheres adultas com insuficiência venosa. Revista Brasileira de Medicina Do Esporte, 16(6), 413–417. https://doi.org/10.1590/S1517-86922010000600003
Tanaka, C., & Ravagnani, R. (1995). Fisioterapia em clínica de cirurgia vascular: resultados preliminares. Rev. Fisioter. Univ. Säo Paulo, 2(2), 79–86. https://doi.org/10.1590/fpusp.v2i2.75429
Timi, J. R., Belczak, S. Q., Futigami, A. Y., & Pradella, F. M. (2009). Ankle ankylosis and its importance in chronic venous insufficiency. Jornal Vascular Brasileiro, 8(3), 214–218. https://doi.org/10.1590/S1677-54492009000300005
Tracci, M. (2018). Venous insufficiency. In Fischer’s Mastery of Surgery, Seventh Edition (Vol. 2, pp. 2518–2524). Wolters Kluwer Health Adis (ESP). https://doi.org/10.1016/s1051-0443(03)70087-6
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Luisa Pereira de Oliveira Zanetti Gomes; Ana Carla Schmidt; Ricardo Zanetti Gomes; Camila Martins Marinelli ; Gabriel Farhat
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
