Association between heel-rise test performance and clinical severity of chronic venous insufficiency. (September 2020)

• Record Type: Journal Article
• Authors: Pereira, Danielle Aparecida Gomes; Furtado, Sheyla Rossana Cavalcanti; Amâncio, Gisele Pereira de Oliveira; Zuba, Priscila Penasso; Coelho, Cristiane Cenachi; de Lima, Ana Paula; Carvalho, Maria Luiza Vieira; Monteiro, Débora Pantuso
• Is Part Of: Phlebology. Volume 35:Number 8(2020)
• Page Start: 631
• Page End: 636
• Publication Date: 2020-09
• Subjects: Chronic venous insufficiency -- calf muscle pump function -- clinical competence; Veins -- Diseases -- Periodicals; 616.14
• DOI: 10.1177/0268355520924878
• Languages: English
• ISSNs: 0268-3555

Abstract

Background: Peripheral pump dysfunction is important in identifying manifestations of chronic venous insufficiency. The association with disease severity may define better treatment strategies. Objective: To evaluate the association between peripheral muscular pump performance by heel-rise test, age, physical activity, use of compression stockings, and chronic venous insufficiency clinical severity. Methods: Subjects with chronic venous insufficiency were enrolled in the study ( n = 172) and evaluated by clinical–etiology–anatomy–pathophysiology severity and heel-rise test. Results: In model 1 of logistic regression, number of heel-rise test repetitions, age, and physical activity explained 47% of clinical–etiology–anatomy–pathophysiology severity ( p = 0.0001), physical activity contributed the most. In model 2, heel-rise test repetition rate, age, and physical activity explained 46.4% of clinical–etiology–anatomy–pathophysiology severity ( p = 0.0001), repetition rate contributed the most. Conclusion: There was an inverse association between muscular pump performance and physical activity with clinical–etiology–anatomy–pathophysiology severity, muscular pump repetition rate contributed to a less severe outcome.