Physical Exercises for Women with Varicose Veins: Training general conditioning or lower limbs?
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Abstract
This study compared the effect of two training programs on physical fitness and quality of life in women with varicose veins, one being a general fitness program (CFG) and the other for strengthening lower limbs (MMII by its acronym in Portuguese) applied to 2 groups of volunteers, regular practitioners of physical exercise, for a period of 12 weeks. Data about quality of life, calf perimeter, ankle goniometry, heel rise test and step test were collected, pre and post training. Nine women from the CFG program (54 ± 18 years) and eleven from the MMII program (58 ± 8 years) completed the intervention. Comparing the magnitude of variation in the results of each test and between the programs by independent t-test, the participants in the MMII program showed better performance in the tests of physical fitness and quality of life than those of the CFG program, with a significant difference in the results of muscular endurance (p <0.01 for repetitions and p = 0.02 for execution time in the toe test) and flexibility (p <0.01). It was concluded that a specific program to strengthen lower limbs allows better results in physical fitness compared to a general conditioning program.
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References
Alberti, L. R., Petroianu, A., Corrêa, D., & Silva, T. F. (2008). Efeito da Actividade Física na Insuficiência Venosa Crônica dos Membros Inferiores. Acta Médica Portuguesa, 21(3), 215–220. Retrieved from http://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/788
Amorim, G., Samora, R., Ramos, M. F., Marchesani, R., Clara, A., Lages, R., … Pires, D. O. (2014). Treinamento de Resistência da Musculatura da Panturrilha em Um Caso Atípico de Insuficiência Venosa Crônica. Revista de Saúde Pública Do SUS/MG, 2(2).
Belczak, C. E. Q., Cavalheri, G., De Godoy, J. M. P., Caffaro, R. A., & Belczak, S. Q. (2007). Relação entre a mobilidade da articulação talocrural e a úlcera venosa. Jornal Vascular Brasileiro, 6(2), 149–155. https://doi.org/10.1590/S1677-54492007000200009
Belczak, C., Godoy, J., Seidel, A., Silva, J., Cavalheri-Junior, G., & Belczak, S. (2004). Influencia da atividade diária na volumetria de membros inferiores. Jornal Vascular Brasileiro, 3(4), 304–310.
Caggiati, A., De Maeseneer, M., Cavezzi, A., Mosti, G., & Morrison, N. (2018). Rehabilitation of patients with venous diseases of the lower limbs: State of the art. Phlebology, 10(33), 663–671. https://doi.org/10.1177/0268355518754463
Davies, J. A., Bull, R. H., Farrelly, I. J., & Wakelin, M. J. (2007). A home-based exercise programme improves ankle range of motion in long-term venous ulcer patients. Phlebology, 22(2), 86–89. https://doi.org/10.1258/026835507780346178
Ercan, S., Çetin, C., Yavuz, T., Demir, H. M., & Atalay, Y. B. (2017). 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
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
Leal, F. de J., Couto, R. C., Silva, T. P. da;, & Tenório, V. de O. (2015). Vascular physiotherapy in treatment of chronic venous disease. Jornal Vascular Brasileiro, 14(3), 224–230.
Leal, F. de J., Soares, L. M. S., Couto, R. C., Moraes, S. G. P., da Silva, T. S., & dos Santos, W. R. (2016). Tratamento fisioterapêutico vascular para a doença venosa crônica: Artigo de revisão. Jornal Vascular Brasileiro, 15(1), 34–43. https://doi.org/10.1590/1677-5449.003215
Lima, R. C. M., Santiago, L., Moura, R. M. F. de, Filaretti, F. A. S., Souza, C. S. A. de, Evangelista, S. S. 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. Jornal Vascular Brasileiro, 1(3), 219–226. Retrieved from http://www.jvascbr.com.br/02-01-03/02-01-03-219/art04.pdf
Lopes, C. R., Figueiredo, M., Ávila, A. M., Soares, L. M. B. M., & Dionisio, V. C. (2013). Evaluation of limitations of venous ulcers in legs. Jornal Vascular Brasileiro, 12(1), 5–9. https://doi.org/10.1590/S1677-54492013000100003
Marrara, K. T., Marino, D. M., & Jamami, M. (2012). Responsividade do teste do degrau de seis minutos a um programa de treinamento físico em pacientes com DPOC*. J. Bras. Pneumol., 38(5), 579–587.
Monteiro, D. P., Britto, R. R., Fregonezi, G. A. de F., Dias, F. A. L., Silva, M. G. da, & Pereira, D. A. G. (2017). Reference values for the bilateral heel-rise test. Brazilian Journal of Physical Therapy, 21(5), 344–349. https://doi.org/10.1016/j.bjpt.2017.06.002
Moura, R. M. F. de;, Gonçalves, G. S., Navarro, T. P., Britto, R. R., & Dias, R. C. (2011). Adaptação transcultural do questionário VEINES / QOL-SYM : avaliação da qualidade de vida e sintomas na doença venosa crônica. Jornal Vascular Brasileiro, 10(1), 17–23.
Moura, R. M. F., Gonçalves, G. S., Navarro, T. P., Britto, R. R., & Dias, R. C. (2008). Correlação entre classificação clínica ceap e qualidade de vida na doença venosa crônica. Revista Brasileira de Fisioterapia, 14(2), 1–7.
Murayama, R., Carraro, L. D., Galvanin, T., Izukawa, N. M., Umeda, I., & Oliveira, M. F. (2014). Insuficiência vascular periférica compromete a capacidade funcional no paciente com insuficiência cardíaca. Jornal Vascular Brasileiro, 13(2), 101–107. https://doi.org/10.1590/jvb.2014.053
O’Brien, J., Edwards, H., Stewart, I., & Gibbs, H. (2012). A home-based progressive resistance exercise programme for patients with venous leg ulcers: A feasibility study. International Wound Journal, 10(4), 389–396. https://doi.org/10.1111/j.1742-481X.2012.00995.x
O’Brien, J., Finlayson, K., Kerr, G., & Edwards, H. (2017). 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. International Wound Journal, 14(1), 130–137. https://doi.org/10.1111/iwj.12571
Pereira, D. A. G., Lages, A. C. R., Basílio, M. L., Pires, M. C. de O., Monteiro, D. P., & Navarro, T. P. (2015). Does the heel-rise test explain functional capacity in venous insufficiency? Fisioterapia Em Movimento, 28(1), 61–67. https://doi.org/10.1590/0103-5150.028.001.AO06
Pereira, D. A. G., Oliveira, K. L. de, Cruz, J. O., Souza, C. G. de, & Cunha Filho, I. T. (2008). Avaliação da reprodutibilidade de testes funcionais na doença arterial periférica. Fisioterapia e Pesquisa, 15(3), 228–234. https://doi.org/10.1590/s1809-29502008000300003
Rabe, E., & Pannier, F. (2012). Clinical, aetiological, anatomical and pathological classification (CEAP): Gold standard and limits. Phlebology, 27(SUPPL. 1), 114–118. https://doi.org/10.1258/phleb.2012.012S19
Szewczyk, M. T., Jawien, A., Cwajda-Bialasik, J., Cierzniakowska, K., Moscicka, P., & Hancke, E. (2010). Randomized study assessing the influence of supervised exercises on ankle joint mobility in patients with venous leg ulcerations. Archives of Medical Science, 6(6), 956–963. https://doi.org/10.5114/aoms.2010.19308
van Uden, C. J., van der Vleuten, C. J., Kooloos, J. G., Haenen, J. H., & Wollersheim, H. (2005). Gait and calf muscle endurance in patients with chronic venous insufficiency. Clinical Rehabilitation, 19(3), 339–344. https://doi.org/10.1191/0269215505cr809oa
Yang, D., Vandongen, Y. K., & Stacey, M. C. (1999). Effect of exercise on calf muscle pump function in patients with chronic venous disease. British Journal of Surgery, 86(3), 338–341. https://doi.org/10.1046/j.1365-2168.1999.00993.x
Youn, Y. J., & Lee, J. (2019). Chronic Venous Insufficiency and Varicose Veins. The Korean Journal of Internal Medicine, 34(2), 269–283. https://doi.org/10.1056/NEJMcp0802444