Efeitos do fortalecimento muscular do tríceps sural na função da bomba venosa e na qualidade de vida de indivíduos com insuficiência venosa crônica

Abstract

The Chronic venous insufficiency (CVI) is a common disease in clinical practice, that has a known economic effect and great social impact. Patients with CVI have dysfunction of the calf muscle pump which affects the hemodynamics of the structures, by increasing the condition of venous hypertension and thus leading to the appearance of symptoms of this disease. The aim of this research was to analyze the effects of calf muscle strengthening exercises on venous hemodynamics and on improving quality of life in patients with chronic venous dysfunction. This research involved the participation of 13 patients with CVI classified as C1 to C5 by the clinical, etiological, anatomical, and pathological (CEAP) aspects, from the vascular surgery clinic of Hospital Universitário dos Campos Gerais. The data collected and analyzed were portable isometric dynamometry, manual goniometry, perimetry, adipometry at the beginning, first month, second month and at the end of the application of the exercise protocol to strengthening and muscular resistance of the sural triceps. The results found showed that the values of goniometry were significant in the intra- and inter-group analysis, (p<0,001 at the dorsiflexion p=0,002 in C2 and C3, at the plantiflexion p <0,001 in C2 and p=0,003 in C3) as well as adipometry(p<0,001and p=0,004 in C3), while the perimetry showed significant changes when the patients were separated into the groups according to the CEAP classification (p=0,045 in C1). The improvement on quality of life was statistically significant regarding to the symptoms in all the sample studied(p=0,002). Other comparisons were made such as physical examination and age, physical examination and diabetes Mellitus, physical examination and arterial hypertension, physical examination and BMI with frequently significant difference being found in the analyzed variables. In conclusion, the physical exercise was efficient in the analyzed spheres of this populations, regardless of age group, presence or not of diseases and/or comorbidities, showing the importance pf this tool in the prevention and treatment of CVI