The Lively Legs self-management programme increased physical activity and reduced wound days in leg ulcer patients: Results from a randomized controlled trial

Heinen, Maud; Borm, George F.; Vleuten, Carine van der; Evers, Andrea W M; Oostendorp, Rob A.B.; Achterberg, Theo van

doi:10.1016/j.ijnurstu.2011.09.005

Cited by 79 publications

(145 citation statements)

References 35 publications

Supporting

Mentioning

116

Contrasting

Unclassified

Order By: Relevance

“…Most cases occur with repetitive ulcerative cycles, followed by a long healing process, resulting in recurrence over decades. VU cause pain, sleep disorders, restricted mobility, dependence and social isolation, it is considered a major public health problem, affecting, mainly, productivity and quality of life of affected people (1)(2)(3) . Clinically, VU are characterized by irregular edges, presence of yellowish exudate and lipodermatosclerosis (4) ; They may be single or multiple; of varying size, usually with slow progression, but sudden onset.…”

Section: Introductionmentioning

confidence: 99%

“…Clinically, VU are characterized by irregular edges, presence of yellowish exudate and lipodermatosclerosis (4) ; They may be single or multiple; of varying size, usually with slow progression, but sudden onset. Chronic venous insufficiency is responsible for about 70% of chronic leg ulcers, with general population prevalence of 1 to 2%, increasing to 2 to 3% in patients over 80 years (2)(3)(4) . The incidence of venous ulceration is similar between young male and female, although these ulcers are more common in women over 60 years (5) .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Development and validation of educational technology for venous ulcer care

Benevides

Coutinho

Pascoal

et al. 2016

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective: To develop and validate an educational technology venous ulcers care. Method: Methodological study conducted in five steps: Situational diagnosis; literature review; development of texts, illustrations and layout; apparent and content validity by the Content Validity Index, assessment of Flesch Readability Index; and pilot testing. Results: The developed technology was a type of booklet entitled Booklet for Venous Ulcers Care, consisting of seven topics: Diet and food intake, walking and light exercise, resting with elevated leg, bandage care, compression therapy, family support, and keeping healthy habits. The apparent validity revealed minimal agreement of 85.7% in the clarity and comprehensibility. The total content validity index was 0.97, the Flesch Readability Index was 75%, corresponding to the reading "fairly easy". The pilot test showed that 100% of people with venous ulcers evaluated the text and the illustrations as understandable, as appropriate. Conclusion: The educational technology proved to be valid for the appearance and content with potential for use in clinical practice.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development and validation of educational technology for venous ulcer care

Benevides

Coutinho

Pascoal

et al. 2016

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…Por meio da análise, verificou-se que 8 artigos(61,5%) foram da base Web of Science (11)(12)(13)(14)(15)(16)(17)(18) , 3 (23,1%) da CINAHL (19)(20)(21) e 2 (15,4%) da Scopus (22)(23) . Observou-se que apenas um artigo era do Brasil (7,7%) (14) , publicado na Revista LatinoAmericana de Enfermagem.…”

Section: Resultsunclassified

“…No Brasil, no esforço tecnológico inicial da Enfermagem, já se concretizavam padronizações de procedimentos de enfermagem universalizados por convenção, como manuais de técnicas, realizados com estudos testados na experiência em laboratórios do cuidado de enfermagem (25) . Partindo-se da compreensão de que ouso de tecnologia leve-dura ocorre quando são usados saberes estruturados (teorias, modelos de cuidado, processo de enfermagem), quatro artigos se enquadraram no uso desse tipo de tecnologia (14,16,(18)(19) . A elaboração de programas ou modelos de cuidado constitui uma tecnologia muito importante no cotidiano de trabalho de enfermagem, pois orienta e fornece suporte à prática mais segura.…”

Section: Discussionunclassified

“…Outro estudo analisado investigou a eficácia de um programa para promoção da adesão à terapia ambulatorial de uso de meias compressivas e exercício físico, bem como os efeitos sobre recorrência da úlcera de perna. Apesar de não ter ocorrido aumento significativo do uso de meias compressivas em relação ao grupo controle, verificou-se que a intervenção intensificou a realização de exercícios físicos e diminuiu o tempo de cicatrização (18) . O uso de escalas também é uma prática muito comum entre os enfermeiros no tratamento de feridas.…”

Section: Discussionunclassified

See 1 more Smart Citation

Wound care technologies used by nurses / Tecnologias utilizadas por enfermeiros no tratamento de feridas / Tecnologías utilizadas por enfermeros en el tratamiento de heridas

et al. 2017

View full text Add to dashboard Cite

Objetivo: analisar evidências científicas sobre as tecnologias utilizadas por enfermeiros no tratamento de feridas. Metodologia: revisão integrativa realizada nas bases de dados Cumulative Index to Nursing and Allied Health Literature, Scopus e Web of Science, por meio dos descritores não controlados woundsand injuries, woundhealing, nursing e technologicaldevelopment. Resultados: foram analisados 13 artigos, dos quais 8 (61,5%) utilizaram tecnologia dura, 4 (30,8%) leve-duras e 1 (7,7%) leve, sendo que entre as duras o uso de coberturas foi o que mais se destacou, seguido de sistema de medição digital e biomarcadores. Conclusão: a Enfermagem tem utilizado, na maioria dos casos, a tecnologia dura como estratégia facilitadora para o tratamento de feridas, devendo ser estimulado o uso e desenvolvimento das consideradas leves e, principalmente, leve-duras.

show abstract

Prescribed Exercise With Compression vs Compression Alone in Treating Patients With Venous Leg Ulcers

2018

View full text Add to dashboard Cite

IMPORTANCEExercise is recommended as an adjuvant treatment for venous leg ulceration (VLU) to improve calf muscle pump function. However, the association of exercise with VLU healing has not been properly aggregated, and the effectiveness of different exercise interventions has not been characterized. OBJECTIVETo summarize the association of different exercise interventions with VLU healing when used as an adjuvant to any form of compression.DATA SOURCES The Cochrane Controlled Trials Register, MEDLINE, Embase, CINAHL, PsycInfo, and SCOPUS databases were searched through October 9, 2017.STUDY SELECTION Randomized clinical trials (RCTs) of any exercise compared with no exercise in participants with VLU were included, where compression was used as standard therapy and a healing outcome was reported. Independent title screening and full text review by 2 authors (A.J., J.S.) with appeal to a third author (J.P.) if disagreement was unresolved. Of the 519 articles screened, a total of 6 (1.2%) studies met the inclusion criteria for systematic review, including 5 for meta-analysis.DATA EXTRACTION AND SYNTHESIS Independent quality assessment for Cochrane risk of bias and data extraction by 2 authors with appeal to third author if disagreement unresolved (PRISMA). Data pooled using fixed effects model. MAIN OUTCOMES AND MEASURESThe a priori primary outcome was any healing outcome (proportion healed, time to healing, or change in ulcer area). Secondary outcomes (adverse events, costs, and health-related quality of life) were only collected if a primary outcome was reported.RESULTS Six RCTs were identified and 5 (190 participants) met inclusion criteria for meta-analysis. The exercise interventions were progressive resistance exercise alone (2 RCTs, 53 participants) or combined with prescribed physical activity (2 RCTs, 102 participants), walking only (1 RCT, 35 participants), or ankle exercises (1 RCT, 40 participants). Overall, exercise was associated with increased VLU healing at 12 weeks although the effect was imprecise (additional 14 cases healed per 100 patients; 95% CI, 1-27 cases per 100; P = .04). The combination of progressive resistance exercise plus prescribed physical activity appeared to be most effective, again with imprecision (additional 27 cases healed per 100 patients; 95% CI, 9-45 cases per 100; P = .004). CONCLUSIONS AND RELEVANCEThe evidence base may now be sufficiently suggestive for clinicians to consider recommending simple progressive resistance and aerobic activity to suitable patients with VLU while further research is produced.

show abstract

The Lively Legs self-management programme increased physical activity and reduced wound days in leg ulcer patients: Results from a randomized controlled trial

Cited by 79 publications

References 35 publications

Development and validation of educational technology for venous ulcer care

Development and validation of educational technology for venous ulcer care

Wound care technologies used by nurses / Tecnologias utilizadas por enfermeiros no tratamento de feridas / Tecnologías utilizadas por enfermeros en el tratamiento de heridas

Prescribed Exercise With Compression vs Compression Alone in Treating Patients With Venous Leg Ulcers

Contact Info

Product

Resources

About