Mobilidade da articulação talocrural como fator preditor no prognóstico de cicatrização em portadores de insuficiência venosa crônica com úlcera venosa

Abstract

Resumo O presente trabalho surgiu da necessidade de aprimorar o tratamento de pacientes com insuficiência venosa crônica (IVC) que apresentam úlcera venosa. Foram avaliados os 40 membros inferiores de 20 pacientes portadores de úlcera venosa cicatrizada (C5) ou ativa (C6) que foram submetidos ou não à cirurgia de varizes. Foi estabelecida a relação entre a amplitude de movimento da articulação talocrural e a presença de úlcera venosa C5 ou C6, sendo para isso utilizada a goniometria dessa articulação dentro da normalidade como preditor de cicatrização e tendo como desfecho a cicatrização ou não da úlcera venosa. Dessa forma, ao se identificar redução ou imobilidade talocrural em pacientes com úlcera venosa, poderão ser oferecidas novas formas terapêuticas, a fim de aumentar a mobilidade dessa articulação para prevenir ou retardar complicações da IVC.

Histopathological study of JNK in venous wall of patients with chronic venous insufficiency related to osteogenesis process

“…Different epidemiological studies conducted worldwide show that CVI is a chronic pathology with large variability in incidence and prevalence 8 , 10 . The prevalence of CVI is increasing, causing disability and creating an important socioeconomic problem 11 .…”

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

“…2 The CVD has a broad spectrum of clinical expressions, ranging from telangiectasias and reticular veins to active and recurrent venous ulcers. 4 The pathophysiologic mechanism of the disease is multifactorial 5 and the valve incompetence associated with the dysfunction of the calf pump stands out. 6 The valves function allows the return of blood against gravity to the heart and, when impaired, there is blood reflux that causes local venous stasis.…”

The impact of exercise training on calf pump function, muscle strength, ankle range of motion, and health-related quality of life in patients with chronic venous insufficiency at different stages of severity: a systematic review

“…5,6 Chronic venous insufficiency has a broad spectrum of clinical manifestations, ranging from telangiectasias and reticular veins to active and recurrent venous ulcers. 7 The pathophysiologic mechanism of the disease is multifactorial 8 and may be due to mechanical obstruction of the venous flow (superficial and deep), valve incompetence, or dysfunction of the calf muscle pump. [8][9][10] There is an imbalance of blood flow in the lower limbs that compromises venous return, 2 resulting in increased venous pressure.…”

“…7 The pathophysiologic mechanism of the disease is multifactorial 8 and may be due to mechanical obstruction of the venous flow (superficial and deep), valve incompetence, or dysfunction of the calf muscle pump. [8][9][10] There is an imbalance of blood flow in the lower limbs that compromises venous return, 2 resulting in increased venous pressure. 10 Consequently, many studies have shown the harmful consequences of CVI, 1 such as impaired work activities, poor performance in daily activities, and decline in emotional health and self-esteem.…”