Journal of Neuropsychiatry

The efficiency of exercise training in patients with venous insufficiency-Webinar on Psychiatry and Mental Health

Abstract Background: Exercise training is current treatment method for venous insufficiency. It is known that exercise training increases the ejection fraction and reduces the residual volume fraction. However, there are no studies that thoroughly investigate the effectiveness of exercise training and evaluate its effect on hemodynamic status with Duplex Doppler Ultrasonography (DDU). Objective: The aim of this study was to evaluate the effects of exercise training in addition to compression therapy on quality of life, hemodynamic status, muscle strength, clinical severity, edema, functional capacity and gait velocity in venous insufficiency compared to compression treatment alone. Method: Twenty-four patients with venous insufficiency on C3-6 level according to CEAP were randomized and divided into exercise group (EG) and control group (CG). While CG received only compression therapy, EG was applied comprehensive exercise training consisting of aerobic, strengthening and stretching exercises in addition to compression therapy for 30 min/day, 2 days/week, and 6 weeks at hospital under the supervision of physiotherapist. All the patients were assessed with Chronic Venous Disease Quality Of Life Questionnaire-20 (CIVIQ-20) and Short Form-36 (SF-36), DDU, Venous Clinical Severity Score (VCSS), hand-held dynamometer, Visual Analogue Scale (VAS), circumference measurements, 6 minute-walking test (6MWT), and 10-meter-walking test (10MWT) before and after the treatment. Results: As primary outcome, CIVIQ-20 score and as secondary outcome measures SF-36, VCSS, all muscle strength, functional capacity, gait velocity were different significantly between groups in favour of EG (p<0.05). Hemodynamic status and edema improved significantly in EG (p<0.05). No side effect was observed in both groups. Conclusions: As a result of this study, it was concluded that supervised multimodal exercise training in addition to compression therapy was safe treatment that more effective on quality of life, hemodynamic status, muscle strength, clinical severity, functional capacity and gait velocity in venous insufficiency compared to compression treatment alone in venous insufficiency.

Author(s):

Gurdal Karakelle Saliha, Yeldan Ä°pek, Özalhas Tülin, Alpagut I. Ufuk

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