Mobilidade da articulação talocrural como fator preditor no prognóstico de cicatrização em portadores de insuficiência venosa crônica com úlcera venosa
Ankle joint mobility as a predictor of treatment prognosis in patients with chronic venous insufficiency with venous ulcers
Thiago Bertochi; Ricardo Zanetti Gomes; Mario Martins
Resumo
Palavras-chave
Abstract
Abstract: The present study arose from the need to improve treatment of patients with chronic venous insufficiency (CVI) who present with venous ulcers. A total of 40 lower limbs were assessed from 20 patients with healed venous ulcers (C5) or active venous ulcers (C6) who had undergone varicose vein surgery. The relationship between the range of motion of the ankle joint and presence of C5 or C6 venous ulcer was analyzed. For this purpose, normal goniometry findings for this joint were used as a predictor of venous ulcer healing, defined as the outcome. Thus, when identifying reduced ankle joint movement or immobility in these patients, new treatment options could be offered in order to increase joint mobility and prevent or delay CVI complications.
Keywords
References
Barros BC, Araujo AL, Magalhães CE, Barros RL, Fiorelli SK, Gatts RF. Eficácia do tratamento cirúrgico das varizes com preservação de veia safena interna. Rev Col Bras Cir. 2015;42(2):111-5. http://dx.doi.org/10.1590/0100-69912015002008. PMid:26176677.
Belczak CEQ, Cavalheri G Jr, Godoy JMP, Caffaro RA, Belczak SQ. Relação entre a mobilidade da articulação talocrural e a úlcera venosa. J Vasc Bras. 2007;6(2):149-55. http://dx.doi.org/10.1590/S1677-54492007000200009.
Timi JR, Belczak SQ, Futigami AY, Pradella FM. A anquilose tíbio-társica e sua importância na insuficiência venosa crônica. J Vasc Bras. 2009;8(3):214-8. http://dx.doi.org/10.1590/S1677-54492009000300005.
Lima RC, Santiago L, Moura RM, et al. Efeitos do fortalecimento muscular da panturrilha na hemodinâmica venosa e na qualidade de vida em um portador de insuficiência venosa crônica. J Vasc Bras. 2002;1(3):219-26.
Padberg FT Jr, Johnston MV, Sisto SA. Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial. J Vasc Surg. 2004;39(1):79-87. http://dx.doi.org/10.1016/j.jvs.2003.09.036. PMid:14718821.
Dix FP, Brooke R, McCollum CN. Venous disease is associated with an impaired range of ankle movement. Eur J Vasc Endovasc Surg. 2003;25(6):556-61. http://dx.doi.org/10.1053/ejvs.2002.1885. PMid:12787699.
Eklöf B, Rutherford RB, Bergan JJ, et al. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004;40(6):1248-52. http://dx.doi.org/10.1016/j.jvs.2004.09.027. PMid:15622385.
Venturini C, Ituassú NT, Teixeira LM, Deus CVO. Confiabilidade intra e interexaminadores de dois métodos de medida da amplitude ativa de dorsiflexão do tornozelo em indivíduos saudáveis. Rev Bras Fisiter. 2006;10(4):407-11. http://dx.doi.org/10.1590/S1413-35552006000400008.
Marques AP. Articulação do tornozelo. In: Marques AP. Manual de goniometria. São Paulo: Manole; 1997. p. 39-42.
IBM’s Corporate Privacy Office. SPSS IBM statistic: version 2.0. New York: IBM; 2018.
Araki CT, Back TL, Padberg FT, et al. The significance of calf muscle pump function in venous ulceration. J Vasc Surg. 1994;20(6):872-7. http://dx.doi.org/10.1016/0741-5214(94)90223-2. PMid:7990181.
Back TL, Padberg FT Jr, Araki CT, Thompson PN, Hobson RW 2nd. Limited range of motion is a significant factor in venous ulceration. J Vasc Surg. 1995;22(5):519-23. http://dx.doi.org/10.1016/S0741-5214(95)70030-7. PMid:7494349.
Vasconcelos WL, Pereira AP. Proposta de ficha de avaliação goniométrica e de teste de força muscular para a clínica escola de fisioterapia. In:
Roaas A, Andersson GB. Normal range of motion of the hip, knee and ankle joints in male subjects, 30-40 years of age. Acta Orthop Scand. 1982;53(2):205-8. http://dx.doi.org/10.3109/17453678208992202. PMid:7136564.
Leal FJ, Couto RC, Silva TP, Tenório VO. Fisioterapia vascular no tratamento da doença venosa crônica. J Vasc Bras. 2015;14(3):224-30. http://dx.doi.org/10.1590/1677-5449.0029.
Williams KJ, Ayekoloye O, Moore HM, Davies AH. The calf muscle pump revisited. J Vasc Surg Venous Lymphat Disord. 2014;2(3):329-34. http://dx.doi.org/10.1016/j.jvsv.2013.10.053. PMid:26993396.
Wright AD. The treatment of indolent ulcer of the leg. Lancet. 1931;217(5609):457-60. http://dx.doi.org/10.1016/S0140-6736(00)32535-1.
Ruckley CV, Dale JJ, Callam MJ, Harper DR. Causes of chronic leg ulcer. Lancet. 1982;2(8298):615-6. http://dx.doi.org/10.1016/S0140-6736(82)90699-7. PMid:6125765.
Alberti LR, Petroianu A, França DC, Silva TMF. Relação entre exercício físico e insuficiência venosa crônica. Rev Med Minas Gerais. 2010;20(1):30-5.
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email