Identification of diagnostic maneuvers positive for arterial compression in symptomatic or asymptomatic individuals who engage in regular weight training

Abstract

BACKGROUND: Arterial compression syndromes can be identified in asymptomatic individuals using specific diagnostic maneuvers involving palpation of peripheral pulses. OBJECTIVE: To identify diagnostic maneuvers positive for extrinsic compression in the upper and lower limbs of people who exercise regularly. METHODS: The sample consisted of people over 18 years old who had been attending a gym for a minimum of 1 hour per week and for at least 1 month. A data collection instrument comprising 20 questions was administered to the study participants, covering personal characteristics, the types of exercises engaged in and possible symptoms. The Adson, Hyperabduction and Costoclavicular maneuvers and also tests to reveal popliteal artery entrapment were performed. Data from the questionnaires and the maneuver results were analyzed using SPSS v.20.0. RESULTS: The study enrolled 202 volunteers who attended the gyms investigated, comprising 98 women and 104 men aged 18 to 63 (mean of 27 years). One hundred and seventy (84.2%) subjects were asymptomatic and 32 (15.8%) people reported some type of discomfort such as pain, paresthesia or a cool sensation. Ninety of the 202 individuals analyzed (44.6%) exhibited at least one positive maneuver. Total numbers of compressions per subject were as follows: two people (1%) had four positive maneuvers; 19 (9.4%) had three positive maneuvers; 31 (15.3%) had two positive maneuvers, 38 (18.8%) exhibited one positive maneuver and 112 (55 4%) people were positive for none of the maneuvers. The hyperabduction maneuver was the most prevalent maneuver. CONCLUSION: Diagnostic maneuvers positive for extrinsic arterial compression were identified in 44.6% of the asymptomatic individuals analyzed.

Síndrome de aprisionamento da artéria poplítea como diagnóstico diferencial de dor no joelho: Um relato de caso

“…1,4 Popliteal artery entrapment results in significant symptoms in the lower limbs, including pain, paresthesia, and physical exertion-triggered pallor. 2,4 Lamônica et al 5 demonstrated that semiological maneuvers of foot dorsiflexion or flexion caused reduced or absent posterior tibial and dorsalis pedis pulses due to compression of the popliteal artery from the contraction of the adjacent muscles, as shown in the physical examination of our patient.…”

“…Por conseguinte, o encarceramento da artéria poplítea provoca sintomatologia importante nos membros inferiores, como dor, parestesia e palidez desencadeados após esforço físico. 2 4 Lamônica et al 5 demonstram em seu estudo que, durante a realização de manobras semiológicas de dorsiflexão ou flexão plantar do pé, ocorre a redução ou ausência de pulso tibial posterior e pedioso por compressão da artéria poplítea a partir da contração dos músculos adjacentes a esta, o que ficou demonstrado no exame físico da paciente do presente caso.…”

“…Por meio deste exame, foi possível determinar a variação anatômica que acometia a paciente em questão, permitindo o diagnóstico e a classificação da SAAP, bem como a definição do tratamento adequado. A SAAP é classificada em seis tipos, 2 5 a saber:…”

“…Magnetic resonance imaging revealed an anatomical variation in our patient, which enabled us to determine the diagnosis the diagnosis of PAES, classify it, and select the appropriate treatment. There are six types of PAES, 2 5 namely:…”