A novel exercise device for venous thromboembolism prophylaxis improves venous flow in bed versus ankle movement exercises in healthy volunteers. (14th November 2017)

• Record Type: Journal Article
• Authors: Shimizu, Yukiyo; Kamada, Hiroshi; Sakane, Masataka; Aikawa, Shizu; Mutsuzaki, Hirotaka; Tanaka, Kenta; Mishima, Hajime; Kanamori, Akihiro; Nishino, Tomofumi; Ochiai, Naoyuki; Yamazaki, Masashi
• Is Part Of: Journal of orthopaedic surgery. Volume 25:Number 3(2017)
• Publication Date: 2017-11-14
• Subjects: active combined leg exercise -- apparatus -- bedridden -- mechanical prophylaxis -- postoperative -- thromboembolism -- venous flow; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic surgery; Periodicals; 617.3
• DOI: 10.1177/2309499017739477
• Languages: English
• ISSNs: 1022-5536

Abstract

Purpose: Venous thromboembolism prophylaxis is crucial. To facilitate active ankle movement in postoperative and bedridden patients, we developed a novel leg exercise apparatus (LEX). We investigated the effect of the LEX by comparing increases in lower extremity venous flow during different modes of exercise using the LEX. Methods: In eight healthy participants, we measured venous flow volume and velocity in the femoral vein using duplex ultrasonography at 1, 10, 20, and 30 min after completing three modes of 1-min LEX exercises. The exercises involved (1) rapid single motion (ankle dorsi–plantar flexion; 60 cycles/min); (2) slow single motion (30 cycles/min); and (3) slow combined leg motion. Results: Flow volumes after modes 1, 2, and 3 were 1.63-, 1.39-, and 1.53-fold above baseline at 30 min, respectively. Short periods of rapid single motion, with the LEX, improved postexercise lower extremity venous flow volumes at 30 min and mean venous flow velocity at 20 min, compared to slow single motion exercise. Even at slow speeds, combined-motion improved flow volume compared to single motion. Conclusion: Short periods of rapid single motion exercise, with the LEX, improved postexercise venous flow volumes in the lower extremities at 30 min and mean venous flow velocity at 20 min. These effects were greater than those produced by slow single motion exercises. However, even at slow speeds, combined-motion exercises improved flow volume compared to single motion. Therefore, LEX may prove effective at preventing thromboembolism in postoperative and bedridden patients.