慢性静脉疾病患者踝关节活动范围、背屈和跖屈肌力量以及步态速度的损害：系统评价和荟萃分析。
Impairments in ankle range of motion, dorsi and plantar flexors muscle strength and gait speed in patients with chronic venous disorders: A systematic review and meta-analysis.
机构信息
Physiotherapy Department, Biological and Health Sciences Faculty, 74380Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.
Postgraduate course in Reabilitação e Desempenho Funcional, 74380Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.
出版信息
Phlebology. 2022 Aug;37(7):496-506. doi: 10.1177/02683555221094642. Epub 2022 May 4.
OBJECTIVE
To verify the differences in ankle range of motion (ROM), muscle strength of dorsi and plantar flexors, and gait speed among healthy subjects, and patients with chronic venous disorders (CVD) with and without venous leg ulcer.
METHODS
A systematic review and meta-analysis (http://osf.io/b7n3k) were conducted following a search of MEDLINE, Web of Science, CINAHL, LILACS, Scopus, and EMBASE databases.
RESULTS
Eight papers were included. The ankle ROM was significantly lower both in dorsiflexion and plantar flexion in patients with venous leg ulcer when compared to healthy individuals and CVD patients without venous leg ulcer. The muscle strength of the plantar flexors and gait speed were reduced in CVD patients when compared to healthy ones.
CONCLUSION
Impaired muscle strength and gait speed can be detected in CVD patients compared to healthy individuals, and ankle ROM tends to be reduced in CVD patients even in the absence of venous leg ulcers.
目的
验证健康受试者、伴有和不伴有静脉溃疡的慢性静脉疾病（CVD）患者之间踝关节活动度（ROM）、背屈和跖屈肌力量以及步态速度的差异。
方法
通过对 MEDLINE、Web of Science、CINAHL、LILACS、Scopus 和 EMBASE 数据库进行检索，进行了系统评价和荟萃分析（http://osf.io/b7n3k）。
结果
纳入了 8 篇论文。与健康个体和无静脉溃疡的 CVD 患者相比，静脉溃疡患者的踝关节 ROM 在背屈和跖屈时均明显降低。与健康个体相比，CVD 患者的跖屈肌力量和步态速度降低。
结论
与健康个体相比，CVD 患者的肌肉力量和步态速度可能受损，即使在没有静脉溃疡的情况下，CVD 患者的踝关节 ROM 也趋于降低。
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