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Dogru-Huzmeli E, Fansa I, Cetisli-Korkmaz N, Oznur-Karabicak G, Lale C, Gokcek O, Cam Y. Dancing: More than a therapy for patients with venous insufficiency. Vascular 2020; 28:189-195. [PMID: 31896302 DOI: 10.1177/1708538119893534] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective This study aims to figure out the effects of dance therapy on patients with chronic venous insufficiency disease. Methods Forty subjects with chronic venous insufficiency were recruited to either the control group or the dance therapy group. As the severity of chronic venous insufficiency was defined with the Venous Clinical Severity Scores (VCSS), patients in control group received only medical treatment. Twenty patients with chronic venous insufficiency in dance therapy group received three times a week, for five weeks, totally 15 sessions of dance therapy in addition to medical treatment. Results There was no significant difference in pre- and post-treatment results of Rivermead Index, VCSS parameters constipation complaint, assistive breath muscle activity, lower limb circumference, strength and range of motion between groups ( p > 0.05). The remarkable result of this study was obtaining that the post-treatment quality of life scale’s bodily pain score was significantly higher in the dance therapy group than the control group ( p < 0.05). Conclusions It was concluded that dance therapy has positive effects on quality of life. There were no barriers to chronic venous insufficiency patients in this form of gentle exercise, showing that it is to meliorate the cardiovascular, physical and psychological benefits of an activity that is enhancing of the self-esteem in addition to the quality of life. Treatment of chronic venous insufficiency should consist of methods that support the patient mentally, physically and psychologically, in addition to the medical treatment. Dance therapy might be a potential exercise intervention for improvements in chronic venous insufficiency patients, so clinicians focusing on them could recommend this form of gentle exercise in addition to the medical treatment.
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Affiliation(s)
- Esra Dogru-Huzmeli
- Health Science Faculty, Physiotherapy and Rehabilitation Department, Hatay Mustafa Kemal University, Hatay, Turkey
| | - Iyad Fansa
- Tayfur Ata Sokmen Medical Faculty, Department of Cardiovascular Surgery, Hatay Mustafa Kemal University, Hatay, Turkey
| | | | - Gul Oznur-Karabicak
- Health Science Faculty, Department of Physiotherapy and Rehabilitation, Adnan Menderes University, Aydin, Turkey
| | - Cem Lale
- Tayfur Ata Sokmen Medical Faculty, Department of Cardiovascular Surgery, Hatay Mustafa Kemal University, Hatay, Turkey
| | - Ozden Gokcek
- Health Science Faculty, Physiotherapy and Rehabilitation Department, Hatay Mustafa Kemal University, Hatay, Turkey
| | - Yagmur Cam
- Health Science Faculty, Physiotherapy and Rehabilitation Department, Hatay Mustafa Kemal University, Hatay, Turkey
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Dissemond J, Assenheimer B, Bültemann A, Gerber V, Gretener S, Kohler-von Siebenthal E, Koller S, Kröger K, Kurz P, Läuchli S, Münter C, Panfil EM, Probst S, Protz K, Riepe G, Strohal R, Traber J, Partsch H. Compression therapy in patients with venous leg ulcers. J Dtsch Dermatol Ges 2018; 14:1072-1087. [PMID: 27879096 DOI: 10.1111/ddg.13091] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Accepted: 05/06/2016] [Indexed: 12/13/2022]
Abstract
Wund-D.A.CH. is the umbrella organization of the various wound care societies in German-speaking countries. The present consensus paper on practical aspects pertinent to compression therapy in patients with venous leg ulcers was developed by experts from Germany, Austria, and Switzerland. In Europe, venous leg ulcers rank among the most common causes of chronic wounds. Apart from conservative and interventional wound and vein treatment, compression therapy represents the basis of all other therapeutic strategies. To that end, there are currently a wide variety of materials and systems available. While especially short-stretch bandages or multicomponent systems should be used in the initial decongestion phase, ulcer stocking systems are recommended for the subsequent maintenance phase. Another - to date, far less common - alternative are adaptive Velcro bandage systems. Medical compression stockings have proven particularly beneficial in the prevention of ulcer recurrence. The large number of treatment options currently available enables therapists to develop therapeutic concepts geared towards their patients' individual needs and abilities, thus resulting in good acceptance and adherence. Compression therapy plays a crucial role in the treatment of patients with venous leg ulcers. In recent years, a number of different treatment options have become available, their use and application differing among German-speaking countries. The present expert consensus is therefore meant to outline concrete recommendations for routine implementation of compression therapy in patients with venous leg ulcers.
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Affiliation(s)
- Joachim Dissemond
- Department of Dermatology, Venereology, and Allergology, University Hospital Essen, Germany
| | - Bernd Assenheimer
- ICW (Initiative Chronic Wounds) and Wund-D.A.CH., School of Nursing, University Medical Center, Tübingen, Germany
| | - Anke Bültemann
- ICW, Wound Center/Vascular Surgery, Asklepios Medical Center, Harburg, Germany
| | - Veronika Gerber
- ICW and Wund-D.A.CH., Consulting and Training in Wound Management, Spelle, Germany
| | - Silvia Gretener
- SAfW (Swiss Association for Wound Care), St. Urban 67, Langenthal, Switzerland
| | | | - Sonja Koller
- AWA (Austrian Wound Association), Institute for Functional Phlebosurgery, Gottsdorf, Austria
| | - Knut Kröger
- ICW, Department of Vascular Medicine, Angiology, HELIOS Medical Center Krefeld LLC, Krefeld, Germany
| | - Peter Kurz
- AWA and Wund-D.A.CH., WPM Wound Care Management, Bad Pirawarth, Austria
| | - Severin Läuchli
- SAfW and Wund-D.A.CH., Department of Dermatology, University Hospital, Zurich, Switzerland
| | | | | | - Sebastian Probst
- SAfW and Wund-D.A.CH., ZHAW Zurich University of Applied Sciences, School of Health, Winterthur, Switzerland
| | | | - Gunnar Riepe
- ICW, Community Hospital Mittelrhein LLC, Center for Vascular Medicine and Wound Care, Koblenz, Germany
| | - Robert Strohal
- AWA and Wund-D.A.CH., Feldkirch State Hospital, Department of Dermatology and Venereology, Feldkirch, Austria
| | - Jürg Traber
- SAfW and Wund-D.A.CH., Center for Venous Disorders Bellevue, Surgery/Vascular Surgery FEBVS, Phlebology SGP, Kreuzlingen, Switzerland
| | - Hugo Partsch
- AWA and Wund-D.A.CH., Steinhäusl 126, 3033, Altlengbach, Austria
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Dissemond J, Assenheimer B, Bültemann A, Gerber V, Gretener S, Kohler‐von Siebenthal E, Koller S, Kröger K, Kurz P, Läuchli S, Münter C, Panfil E, Probst S, Protz K, Riepe G, Strohal R, Traber J, Partsch H. Kompressionstherapie bei Patienten mit Ulcus cruris venosum. J Dtsch Dermatol Ges 2016; 14:1073-1089. [DOI: 10.1111/ddg.13091_g] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Accepted: 05/06/2016] [Indexed: 01/12/2023]
Affiliation(s)
- Joachim Dissemond
- Klinik für Dermatologie, Venerologie und Allergologie Universitätsklinikum Essen Deutschland
| | - Bernd Assenheimer
- ICW (Initiative Chronische Wunden) und Wund‐D.A.CH., Schule für Pflegeberufe Universitätsklinikum Tübingen Deutschland
| | - Anke Bültemann
- ICW, Wundcentrum/Gefäßchirurgie Asklepios Klinikum Harburg Deutschland
| | - Veronika Gerber
- ICW und Wund‐D.A.CH. Schulung und Beratung im Wundmanagement Spelle Deutschland
| | - Silvia Gretener
- SAfW (Schweizerische Gesellschaft für Wundbehandlung) St. Urbanstrasse 67 Langenthal Schweiz
| | | | - Sonja Koller
- AWA (Austrian Wound Association) Institut für funktionelle Phlebochirurgie Gottsdorf Österreich
| | - Knut Kröger
- ICW, Klinik für Gefäßmedizin, Angiologie HELIOS Klinikum Krefeld GmbH Krefeld Deutschland
| | - Peter Kurz
- AWA und Wund‐D.A.CH. WPM Wund Pflege Management Bad Pirawarth Österreich
| | - Severin Läuchli
- SAfW und Wund‐D.A.CH. Dermatologische Klinik, UniversitätsSpital Zürich Schweiz
| | | | | | - Sebastian Probst
- SAfW und Wund‐D.A.CH. ZHAW Zürcher Hochschule für Angewandte Wissenschaften, Departement Gesundheit Winterthur Schweiz
| | | | - Gunnar Riepe
- ICW, Gemeinschaftsklinikum Mittelrhein gGmbH Zentrum für Gefäßmedizin und Wundbehandlung Koblenz Deutschland
| | - Robert Strohal
- AWA und Wund‐D.A.CH., Landeskrankenhaus Feldkirch Abteilung für Dermatologie und Venerologie Feldkirch Österreich
| | - Jürg Traber
- SAfW und Wund‐D.A.CH., Venenklinik Bellevue Chirurgie/Gefässchirurgie FEBVS, Phlebologie SGP Kreuzlingen Schweiz
| | - Hugo Partsch
- AWA und Wund‐D.A.CH. Steinhäusl 126 3033 Altlengbach Österreich
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Abstract
The underlying pathophysiology of venous ulceration is venous hypertension, which initiates a complex cascade of cellular humeral events that are then magnified by genetic factors. Hemodynamic abnormalities are features of primary and secondary chronic venous diseases that lead to disease progression. Through a sequence of events, some patients develop venous leg ulcers, if the process is not interrupted. The exact science of the pathophysiology of the progression of chronic venous disease to venous leg ulcers is still in its infancy, but the framework for future study has been established.
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Affiliation(s)
| | - Fedor Lurie
- Jobst Vascular Institute, 2109 Hughes Drive, Toledo, OH 43606
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Padberg FT, Johnston MV, Sisto SA. Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial. J Vasc Surg 2004; 39:79-87. [PMID: 14718821 DOI: 10.1016/j.jvs.2003.09.036] [Citation(s) in RCA: 184] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Deterioration of calf muscle pump function is associated with progression of chronic venous insufficiency (CVI). We postulated that a supervised exercise program would improve calf muscle strength and venous hemodynamics in patients with CVI. METHODS We recruited 31 patients for this randomized, prospective trial. Inclusion criteria required the presence of skin changes or ulceration (CEAP 4, 5, 6), and duplex ultrasound scanning (reflux or scarring) and air plethysmographic (APG) evidence of CVI. Subjects were randomized into control (n = 13) and therapy (n = 18) groups. Class II (30-40 mm Hg) compression hosiery was given to all. The experimental group received physical therapy designed specifically to strengthen calf musculature. Dynamic strength and power were measured with a Biodex II dynamometer (Biodex Medical Systems, Shirley, NY) at slow and fast speeds. Reflux (venous filling index) and calf pump function (ejection fraction, residual volume fraction) were measured with APG. Quality-of-life questionnaires and venous severity scores were also administered. Outcomes were compared 6 months after initiation of exercise. Probability of treatment effect was tested with univariate analysis of variance, with control for baseline values. RESULTS Demographic variables and medical comorbidities were not different between groups. After 6 months of intervention, indicators of calf pump function returned to a normal range in the therapy (experimental) group. Mean residual volume fraction was improved in the exercise group (-8.75 +/- 4.6 vs 3.4 +/- 2.9 in the control group; P <.029). Mean ejection fraction was increased in the exercise group (3.48 +/- 2.7 vs -1.4 +/- 2.1 in the control group; P <.026). Reflux, while substantially greater than the normal value of 2.0 mL/s in both groups, was unchanged. The exercise regimen improved isokinetic peak torque/body weight at both slow speed (3.1 +/- 1.4 in the therapy group vs -1.0 +/- 1.1 in the control group; P <.05) and fast speed (2.8 +/- 0.9 in the therapy group vs - 0.3 +/- 0.6 in the control group; P <.03). No changes were observed in quality-of-life or severity scores. CONCLUSIONS Calf muscle pump function and dynamic calf muscle strength were improved after a 6-month program of structured exercise. Directed physical conditioning of the calf musculature may prove beneficial for patients with or without alternative management options for severe CVI. Further research on exercise for patients with CVI is warranted.
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Affiliation(s)
- Frank T Padberg
- Department of Vascular Surgery, University of Medicine and Dentistry of New Jersey-NJ Medical School, Doctors Office Center, 90 Bergen Street, Suite 720, Newark, NJ 07103, USA.
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