The efficacy of forceful ankle and toe exercises to increase venous return: A comprehensive Doppler ultrasound study
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The efficacy of forceful ankle and toe exercises to increase venous return: A comprehensive Doppler ultrasound study. / Kropp, Alexander T; Meiss, A Ludwig; Guthoff, Angelika E; Vettorazzi, Eik; Guth, Sabine; Bamberger, Christoph M.
in: PHLEBOLOGY, Jahrgang 33, Nr. 5, 01.06.2018, S. 330-337.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - The efficacy of forceful ankle and toe exercises to increase venous return: A comprehensive Doppler ultrasound study
AU - Kropp, Alexander T
AU - Meiss, A Ludwig
AU - Guthoff, Angelika E
AU - Vettorazzi, Eik
AU - Guth, Sabine
AU - Bamberger, Christoph M
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Objective Venous stasis is a risk factor for venous thromboembolism. We aimed to determine the efficacy of forceful foot exercises for actuation of the calf muscle pump to counteract stasis. Methods We examined 20 seated healthy subjects. The peak systolic velocity at the level of the popliteal vein was assessed by Doppler ultrasound. Results The mean peak systolic velocity measurements (in cm/s) were as follows: baseline = 5.6; ankle plantar flexion with toe flexion = 91.0; toe touch heel lift = 107.4; ankle dorsiflexion with toe extension = 193.6; isolated flexion of all toes = 118.8; ankle plantarflexion with 100 and 250 Newton forefoot force = 89.9 and 154.5, respectively. Conclusion All exercises achieved significant increases in peak systolic velocity compared to baseline. Ranking showed that forceful ankle dorsiflexion, plantarflexion with 250 Newtons and forceful flexion of all toes yielded the highest mean peak systolic velocity values (193.6, 154.5, and 118.8 cm/s, respectively).
AB - Objective Venous stasis is a risk factor for venous thromboembolism. We aimed to determine the efficacy of forceful foot exercises for actuation of the calf muscle pump to counteract stasis. Methods We examined 20 seated healthy subjects. The peak systolic velocity at the level of the popliteal vein was assessed by Doppler ultrasound. Results The mean peak systolic velocity measurements (in cm/s) were as follows: baseline = 5.6; ankle plantar flexion with toe flexion = 91.0; toe touch heel lift = 107.4; ankle dorsiflexion with toe extension = 193.6; isolated flexion of all toes = 118.8; ankle plantarflexion with 100 and 250 Newton forefoot force = 89.9 and 154.5, respectively. Conclusion All exercises achieved significant increases in peak systolic velocity compared to baseline. Ranking showed that forceful ankle dorsiflexion, plantarflexion with 250 Newtons and forceful flexion of all toes yielded the highest mean peak systolic velocity values (193.6, 154.5, and 118.8 cm/s, respectively).
KW - Journal Article
U2 - 10.1177/0268355517706042
DO - 10.1177/0268355517706042
M3 - SCORING: Journal article
C2 - 28478746
VL - 33
SP - 330
EP - 337
JO - PHLEBOLOGY
JF - PHLEBOLOGY
SN - 0268-3555
IS - 5
ER -