Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Okan University, Istanbul, Turkey.
Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey.
J Vasc Surg Venous Lymphat Disord. 2022 Sep;10(5):1137-1146. doi: 10.1016/j.jvsv.2022.04.012. Epub 2022 Jun 14.
The aim of the present study was to evaluate the effects of inspiratory muscle training (IMT) and calf muscle exercise training (CMET), in addition to compression therapy (CT), on quality of life (QoL), venous refilling time, disease severity, pain, edema, range of motion, muscle strength, and functionality in patients with chronic venous insufficiency (CVI) compared with CT alone.
A total of 32 participants with a diagnosis of CVI were randomly divided into three groups: group 1, IMT plus CT; group 2, CMET plus CT; and group 3, CT alone. All 32 patients were assessed using the chronic venous disease QoL 20-item questionnaire, Nottingham health profile, photoplethysmography, venous clinical severity score, visual analog scale for pain, intraoral pressure measurements, dynamometer, digital goniometer, 6-minute walking test, and lower extremity functional scale.
After treatment, group 2 had improved more than had groups 1 and 3 in QoL, venous refilling time, pain, edema, range of motion, muscle strength, and functionality. Group 1 had improved more than had groups 2 and 3 in disease severity and inspiratory and expiratory muscle strength values (P < .05). Only physical mobility and right leg venous refilling time had increased in group 3 (P < .05).
The use of IMT and CMET had improved venous function in both legs in patients with CVI, and CT alone had improved venous function only in the right leg of patients with CVI.
本研究旨在评估吸气肌训练(IMT)和小腿肌肉运动训练(CMET)联合压迫疗法(CT)对慢性静脉功能不全(CVI)患者生活质量(QoL)、静脉再充盈时间、疾病严重程度、疼痛、水肿、活动度、肌肉力量和功能的影响,并与 CT 单独治疗进行比较。
共 32 例 CVI 患者被随机分为 3 组:组 1,IMT 联合 CT;组 2,CMET 联合 CT;组 3,CT 单独治疗。所有 32 例患者均采用慢性静脉疾病生活质量 20 项问卷、诺丁汉健康状况问卷、光体积描记法、静脉临床严重程度评分、疼痛视觉模拟评分、口腔内压测量、测力计、数字测角器、6 分钟步行试验和下肢功能量表进行评估。
治疗后,组 2 在 QoL、静脉再充盈时间、疼痛、水肿、活动度、肌肉力量和功能方面的改善均优于组 1 和组 3。组 1 在疾病严重程度和吸气、呼气肌力量方面的改善优于组 2 和组 3(P <.05)。组 3 仅在身体活动能力和右腿静脉再充盈时间方面有所改善(P <.05)。
IMT 和 CMET 的使用改善了 CVI 患者双腿的静脉功能,而 CT 单独治疗仅改善了 CVI 患者右腿的静脉功能。