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Review
. 2021 Apr 28:20:e20200125.
doi: 10.1590/1677-5449.200125.

The impact of exercise training on calf pump function, muscle strength, ankle range of motion, and health-related quality of life in patients with chronic venous insufficiency at different stages of severity: a systematic review

Keity Lamary Souza Silva  1 , Eduardo Augusto Barbosa Figueiredo  1 , Cíntia Pimenta Lopes  1 , Marcus Vinicius Accetta Vianna  2 , Vanessa Pereira Lima  1   3 , Pedro Henrique Scheidt Figueiredo  1   3 , Henrique Silveira Costa  1   3
Affiliations
Review

The impact of exercise training on calf pump function, muscle strength, ankle range of motion, and health-related quality of life in patients with chronic venous insufficiency at different stages of severity: a systematic review

Keity Lamary Souza Silva et al. J Vasc Bras. .

Abstract
in English, Portuguese

Exercise training (ET) is an important tool in the management of patients with chronic venous insufficiency (CVI). The objective of this article was to discuss the effects of ET on the calf pump, functional parameters, and quality of life of patients with mild and advanced CVI. A systematic review was conducted and eleven studies were included. In patients with mild CVI, ET was effective for improving venous reflux, muscle strength, ankle range of motion, and quality of life. In advanced CVI patients, ET increased ejection fraction, reduced residual volume fraction, and improved muscle strength and ankle range of motion, but did not change venous reflux indices or quality of life. It is concluded that ET is effective for improving calf pump function, muscle strength, and ankle range of motion in CVI. In patients with mild CVI, additional benefits were observed in quality of life.

O treinamento físico é uma importante ferramenta no tratamento de pacientes com insuficiência venosa crônica. O objetivo foi discutir os efeitos do tratamento físico na bomba da panturrilha, os parâmetros funcionais e a qualidade de vida de pacientes com insuficiência venosa crônica leve e avançada. Uma revisão sistemática foi realizada, e 11 estudos foram incluídos. Na insuficiência venosa crônica leve, o treinamento físico foi eficaz na melhora do refluxo venoso, da força muscular, da amplitude de movimento do tornozelo e da qualidade de vida. Na insuficiência venosa crônica avançada, o treinamento físico aumentou a fração de ejeção, reduziu a fração de volume residual e melhorou a força muscular e amplitude de movimento do tornozelo, sem alterações nos índices de refluxo venoso e na qualidade de vida. Conclui-se que o treinamento físico é eficaz na melhoria da bomba da panturrilha, da força muscular e da amplitude de movimento do tornozelo na insuficiência venosa crônica. Em pacientes com insuficiência venosa crônica leve, foram encontrados benefícios adicionais na qualidade de vida.

Keywords: articular range of motion; exercise; muscle strength; quality of life; venous insufficiency.

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Conflict of interest statement

Conflicts of interest: No conflicts of interest declared concerning the publication of this article.

Figures

Figure 1
Figure 1. The PRISMA flow diagram of papers through the review. CVI: chronic venous insufficiency; ET: exercise training; MEDLINE: Medical Literature Analysis and Retrieval System Online; CINAHL: Cumulative Index to Nursing and Allied Health Literature; LILACS: Latin American & Caribbean Health Sciences Literature.
See this image and copyright information in PMC

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References

    1. Santos RFFN, Porfírio GJM, Pitta GBB. A diferença na qualidade de vida de pacientes com doença venosa crônica leve e grave. J Vasc Bras. 2009;8(2):143–147. doi: 10.1590/S1677-54492009000200008. - DOI
    1. Robertson L, Yeoh SE, Kolbach DN. Non-pharmacological interventions for preventing venous insuficiency in a standing worker population. Cochrane Database Syst Rev. 2013;(10):CD006345. - PMC - PubMed
    1. Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation. 2014;130(4):333–346. doi: 10.1161/CIRCULATIONAHA.113.006898. - DOI - PubMed
    1. Araujo DN, Ribeiro CT, Maciel AC, Bruno SS, Fregonezi GA, Dias FA. Physical exercise for the treatment of non-ulcerated chronic venous insufficiency. Cochrane Database Syst Rev. 2016;12(12):CD010637. doi: 10.1002/14651858.CD010637.pub2. - DOI - PMC - PubMed
    1. Leal FJ, Santos LMS, Couto RC, Moraes SGP, Silva TS, Santos WR. Tratamento fisioterapêutico vascular para a doença venosa crônica: artigo de revisão. J Vasc Bras. 2016;15(1):34–43. doi: 10.1590/1677-5449.003215. - DOI

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