Department of Physiotherapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Phlebology. 2020 Sep;35(8):631-636. doi: 10.1177/0268355520924878. Epub 2020 May 14.
Peripheral pump dysfunction is important in identifying manifestations of chronic venous insufficiency. The association with disease severity may define better treatment strategies.
To evaluate the association between peripheral muscular pump performance by heel-rise test, age, physical activity, use of compression stockings, and chronic venous insufficiency clinical severity.
Subjects with chronic venous insufficiency were enrolled in the study ( = 172) and evaluated by clinical-etiology-anatomy-pathophysiology severity and heel-rise test.
In model 1 of logistic regression, number of heel-rise test repetitions, age, and physical activity explained 47% of clinical-etiology-anatomy-pathophysiology severity ( = 0.0001), physical activity contributed the most. In model 2, heel-rise test repetition rate, age, and physical activity explained 46.4% of clinical-etiology-anatomy-pathophysiology severity ( = 0.0001), repetition rate contributed the most. Conclusion: There was an inverse association between muscular pump performance and physical activity with clinical-etiology-anatomy-pathophysiology severity, muscular pump repetition rate contributed to a less severe outcome.
外周泵功能障碍在识别慢性静脉功能不全的表现方面很重要。与疾病严重程度的相关性可能可以定义更好的治疗策略。
评估跟腱抬高试验、年龄、体力活动、使用压缩袜与慢性静脉功能不全临床严重程度之间外周肌肉泵功能的相关性。
招募慢性静脉功能不全患者（ = 172）进行研究，并通过临床病因解剖病理生理学严重程度和跟腱抬高试验进行评估。
在逻辑回归模型 1 中，跟腱抬高试验重复次数、年龄和体力活动解释了临床病因解剖病理生理学严重程度的 47%（ = 0.0001），体力活动的贡献最大。在模型 2 中，跟腱抬高试验重复率、年龄和体力活动解释了临床病因解剖病理生理学严重程度的 46.4%（ = 0.0001），重复率的贡献最大。结论：肌肉泵功能与临床病因解剖病理生理学严重程度呈负相关，与体力活动呈负相关，肌肉泵重复率与结局较轻有关。
