Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.200125
Jornal Vascular Brasileiro
Review Article

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

O impacto do treinamento físico na função da bomba da panturrilha, força muscular, amplitude de movimento do tornozelo e qualidade de vida relacionada à saúde em diferentes estágios de gravidade da insuficiência venosa crônica: uma revisão sistemática

Keity Lamary Souza Silva; Eduardo Augusto Barbosa Figueiredo; Cíntia Pimenta Lopes; Marcus Vinicius Accetta Vianna; Vanessa Pereira Lima; Pedro Henrique Scheidt Figueiredo; Henrique Silveira Costa

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Abstract

Abstract: 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.

Keywords

venous insufficiency, exercise, muscle strength, articular range of motion, quality of life

Resumo

Resumo: 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.
 

Palavras-chave

insuficiência venosa, exercício físico, força muscular, amplitude de movimento articular, qualidade de vida

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Submitted date:
07/28/2020

Accepted date:
08/24/2020

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