The Effect of Electrical Stimulation of the Calf Muscle on Leg Fluid Accumulation over a Long Period of Sitting

Vena, Daniel; Rubianto, Jonathan; Popović, Miloš R.; Fernie, Geoff; Yadollahi, Azadeh

doi:10.1038/s41598-017-06349-y

Cited by 8 publications

(6 citation statements)

References 42 publications

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“…In a pilot study performed in a small cohort of CHF patients, electrical calf stimulation was used (average 1 h per day) and resulted in a reduction in the lean mass of the legs without cardiac function worsening 43 . As documented in previous studies conducted in other patient populations, an improvement in venous outflow and flow velocity as well as a decrease in leg swelling and fluid accumulation can be expected in legs undergoing electrical calf stimulation 44,45 …”

Section: Lower Limb Compression In Heart Failure‐related Oedema Treatmentioning

confidence: 95%

“…43 As documented in previous studies conducted in other patient populations, an improvement in venous outflow and flow velocity as well as a decrease in leg swelling and fluid accumulation can be expected in legs undergoing electrical calf stimulation. 44,45 In addition to the traditional, lower leg swelling-related indications, the use of compression therapy in HF patients was also the subject of a trial focusing on postural hypotension related to HF. Under normal physiological conditions, the postural reduction in venous return reduces cardiac output, but mean arterial pressure is maintained by vasoconstriction and increased heart rate.…”

Section: Local Leg Swelling Consequences In Heart Failure Patientsmentioning

confidence: 99%

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Compression therapy for leg oedema in patients with heart failure

2020

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The presence of chronic heart failure (CHF) results in a significant risk of leg oedema. Medical compression (MC) treatment is one of the basic methods of leg oedema elimination in patients with chronic venous disease and lymphedema, but it is not routinely considered in subjects with CHF-related swelling. In the study, an overview of the current knowledge related to the benefits and risk of using MC in the supportive treatment of leg oedema in CHF patients is presented. The available studies dedicated the comprehensive management of leg swelling using MC in CHF patients published in the English language literature till December 2019 were evaluated in term of the treatment efficacy and safety. In studies performed on CHF populations, manual lymphatic drainage, MC stocking, multilayer bandaged, as well as intermittent pneumatic compression or electric calf stimulations were used. The current evidence is based on non-randomized studies, small study cohorts, as well as very heterogenous populations. The use of the intermittent pneumatic compression in CHF patients significantly increases the right auricular pressure and mean pulmonary artery pressures as well as decreases systemic vascular resistance in most patients without the clinical worsening. The transient and rapid increase in the human atrial natriuretic peptide, after an application of the MC stocking in New York Heart Association (NYHA) class II patients was observed without clinical exacerbation. An application of the multilayer bandages in NYHA classes III and IV patients lead a significant increase in the right arterial pressure and lead to transient deterioration of the right and the left ventricular functions. In the manual lymphatic drainage study, aside from expected leg circumference reduction, no clinical worsening was observed. In a pilot study performed in a small cohort of CHF patients, electrical calf stimulation use resulted in a reduction in the lean mass of the legs without cardiac function worsening. The use of local leg compression can be considered stable CHF patients without decompensated heart function for both CHF-related oedema treatment and for treatment of the concomitant diseases leading to leg swelling occurrence. The use of MC in more severe classes of CHF (NYHA III and IV) should be the subject of future clinical studies to select the safest and most efficient compression method as well as to select the patients who benefit most from this kind of treatment.

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Section: Lower Limb Compression In Heart Failure‐related Oedema Treatmentioning

confidence: 95%

Section: Local Leg Swelling Consequences In Heart Failure Patientsmentioning

confidence: 99%

Compression therapy for leg oedema in patients with heart failure

2020

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“…Thus, it is highly unlikely that the lack of control condition seriously affects the significance of our findings. Rather, the study design did not take into account the preventive effect of wearing compression stockings on leg fluid accumulation that could be induced by even a 20-30 min of sitting (Stick et al, 1989;Vena et al, 2017), although this was not the primary concern of this study.…”

Section: Limitationsmentioning

confidence: 99%

“…The degree of leg swelling has been commonly assessed with water displacement volumetry that has proved to be cost effective and highly reliable (Pasley & O'Connor, 2008). In addition to this, the present study employed segmental bioelectrical impedance analysis that has also been used and well validated for assessing leg swelling (Stick et al, 1985;Seo et al, 1997;Yamaguchi et al, 2014;Vena et al, 2017). There are several types of bioelectrical impedance analysis available, among which we chose bioelectrical impedance spectroscopy that can effectively distinguish between intracellular and extracellular fluid resistances (Yamada et al, 2010(Yamada et al, , 2017Yamaguchi et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Acute effect of wearing compression stockings on lower leg swelling and muscle stiffness in healthy young women

Sugahara

Doi

Nakayama

et al. 2018

Clin Physio Funct Imaging

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Compression stockings are known to be effective in reducing peripheral oedema or leg swelling by increasing tissue pressure and venous blood flow. While previous studies on compression stockings have focused on its prolonged, preventive effect on leg swelling, the aim of this study was to investigate an acute effect of wearing compression stockings on lower leg swelling and muscle stiffness. Twenty healthy women aged 18-23 years participated in the experiment conducted in the evening, in which they wore below-knee graduated compression stockings and rested in a seated position for 30 min. Before and after the application of stockings, maximum calf circumference, volume, extracellular water resistance (R ) and muscle stiffness of the right lower leg were determined by tape measure, water displacement volumetry, segmental bioelectrical impedance spectroscopy and ultrasound shear-wave elastography, respectively. The maximum calf circumference and the reciprocal of R (an index of extracellular fluid volume) significantly decreased after the application of stockings, whereas the total lower leg volume and the stiffness (shear modulus) of the medial gastrocnemius muscle tended to decrease. These changes, except for that in the medial gastrocnemius muscle stiffness, were opposite to those from morning to evening studied in the subgroup of participants (n = 8). However, partial correlation analysis failed to detect significant associations among these changes. These results suggest that even for a short period of application, compression stockings have some positive effects against lower leg swelling.

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“…Previous studies reported that compression therapy, 1,4‐9 electrical stimulation, 9,10 and leg movement 11,12 are effective in reducing occupational leg swelling. These methods promote skeletal muscle pump function, peak venous velocity, and venous return, thereby reducing ambulatory venous pressure, interstitial fluid volume, and leg volume 13‐15 .…”

Section: Introductionmentioning

confidence: 99%

The effect of wearing insoles with a toe-grip bar on occupational leg swelling and lower limb muscle activity: A randomized cross-over study

Nakano

Murata

Kai

et al. 2020

Journal of Occupational Health

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Objective Sitting or standing for hours decreases the blood flow in the legs and results in increased pressure on the veins, leading to the development of chronic venous disease. This study aimed to investigate the effects of insoles with a toe‐grip bar on occupational leg swelling and lower limb muscle activity. Methods This randomized cross‐over study enrolled 12 healthy men who work in a sitting or standing position. They were randomly divided into groups A (wore shoes with insoles with a toe‐grip bar for 8 hours each) and B (wore shoes with regular insoles for 8 hours each). After 1 week, groups A and B wore shoes with regular insoles and shoes with insoles with a toe‐grip bar, respectively, for 8 hours each. Lower leg volume was measured before and after each intervention, and lower limb muscle activity was measured at the start of each intervention. Results Occupational leg swelling was significantly smaller in men wearing insoles with a toe‐grip bar ( P < .05). Moreover, the integrated electromyogram value of the tibialis anterior muscle and medial and lateral gastrocnemius muscles during the stance phase of walking, and tibialis anterior muscle during the swing phase of walking was significantly greater in men wearing insoles with a toe‐grip bar (all P < .05). Conclusion Insoles with a toe‐grip bar contribute to increased lower limb muscle activity, attenuating occupational leg swelling.

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The Effect of Electrical Stimulation of the Calf Muscle on Leg Fluid Accumulation over a Long Period of Sitting

Cited by 8 publications

References 42 publications

Compression therapy for leg oedema in patients with heart failure

Compression therapy for leg oedema in patients with heart failure

Acute effect of wearing compression stockings on lower leg swelling and muscle stiffness in healthy young women

The effect of wearing insoles with a toe-grip bar on occupational leg swelling and lower limb muscle activity: A randomized cross-over study

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