Eficácia dos exercícios terapêuticos na qualidade de vida de pacientes com insuficiência venosa crônica: uma revisão sistemática
Effectiveness of therapeutic exercises for improving the quality of life of patients with chronic venous insufficiency: a systematic review
The main signs and symptoms of chronic venous insufficiency are pain, edema, varicose veins, and tissue changes; conditions that compromise functionality and quality of life. Management of the disease aims to mitigate these losses and involves a wide range of interventions, one of which is therapeutic exercise. This article presents the existing evidence on the effectiveness of therapeutic exercises for quality of life, pain, and functionality in chronic venous insufficiency. Searches were run on the databases CENTRAL, CINAHL, LILACS, MEDLINE, PEDro, SciELO, Science Direct, Scopus, and Web of Science. Four of the 2,961 results met the eligibility criteria. Only one of these studies showed benefits of exercise for improving quality of life and reducing pain. The others had low methodological quality. The existing evidence is therefore insufficient to indicate or contraindicate therapeutic exercises for improvement of quality of life, pain, and functionality in patients with chronic venous insufficiency.
1 Courtois MC, Zambon J. Várices e insuficiencia venosa crónica. EMC-Tratado de Medicina. 2019;23(1):1-11.
2 Carroll BJ, Pinto DS, Sanina C. Chronic venous disorders. In: Wiley JM, editor. Endovascular interventions. London: John Wiley & Sons; 2019. p. 251-65.
3 Bertochi T, Gomes RZ, Martins M. Mobilidade da articulação talocrural como fator preditor no prognóstico de cicatrização em portadores de insuficiência venosa crônica com úlcera venosa. J Vasc Bras. 2019;18:e20180133.
4 Lichota A, Gwozdzinski L, Gwozdzinski K. Therapeutic potential of natural compounds in inflammation and chronic venous insufficiency. Eur J Med Chem. 2019;176:68-91.
5 Deak ST. Retrograde administration of ultrasound-guided endovenous microfoam chemical ablation for the treatment of superficial venous insufficiency. J Vasc Surg Venous Lymphat Disord. 2018;6(4):477-84.
6 Tracz E, Zamojska E, Modrzejewski A, Zaborski D, Grzesiak W. Quality of life in patients with venous stasis ulcers and others with advanced venous insufficiency. Holist Nurs Pract. 2015;29(2):96-102.
7 Özberk S, Karadibak D, Karabay DÖ, Polat M. The relationship between quality of life, functional capacity, physical activity and performance levels in chronic venous disease. EJCM. 2018;6(3):97-101.
8 Novak CJ, Khimani N, Kaye AD, Jason Yong R, Urman RD. Current therapeutic interventions in lower extremity venous insufficiency: a comprehensive review. Curr Pain Headache Rep. 2019;23(3):16.
9 Petto J, Gomes VA, Oliveira FTO, Santos MPA, Barbosa PRP, Santos ACN. Importância da qualidade da formação acadêmica no tratamento da Insuficiência Venosa Crônica. Int J Cardiovasc Sci. 2016;29:31-6.
10 Custódio MX, Xaxier CH, Pinto DM, Machado MGR. Fisiopatologia, métodos diagnósticos e tratamento da doença venosa crônica. In: Machado, MGR, editor. Bases da fisioterapia respiratória: terapia intensiva e reabilitação. Rio de Janeiro: Guanabara Koogan; 2018. p. 489-97.
11 Carvalho APV, Silva V, Grande AJ. Avaliação do risco de viés de ensaios clínicos randomizados pela ferramenta da colaboração Cochrane. Diagn Tratamento. 2013;18:38-44.
12 Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.
13 Ramos-González E, Moreno-Lorenzo C, Matarán-Peñarrocha GA, Guisado-Barrilao R, Aguilar-Ferrándiz ME, Castro-Sánchez AM. Comparative study on the effectiveness of myofascial release manual therapy and physical therapy for venous insufficiency in postmenopausal women. Complement Ther Med. 2012;20(5):291-8.
14 Padberg FT Jr, Johnston MV, Sisto SA. Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial. J Vasc Surg. 2004;39(1):79-87.
15 Szewczyk MT, Jawień A, Cwajda-Białasik J, Cierzniakowska K, Mościcka P, Hancke E. Randomized study assessing the influence of supervised exercises on ankle joint mobility in patients with venous leg ulcerations. Arch Med Sci. 2010;6(6):956-63.
16 O’Brien J, Finlayson K, Kerr G, Edwards H. Evaluating the effectiveness of a self-management exercise intervention on wound healing, functional ability and health-related quality of life outcomes in adults with venous leg ulcers: a randomised controlled trial. Int Wound J. 2017;14(1):130-7.
17 Cumpston M, Li T, Page MJ, et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Database Syst Rev. 2019;10:ED000142.