Anodyne therapy versus exercise therapy in improving the healing rates of venous leg ulcer

Authors

  • Emad T. Ahmed Assistant Professor of Physical Therapy, Physical Therapy Department for Surgery, Faculty of Physical Therapy, Cairo University
  • Mikhled F. Maayah Assistant professor of Physical Therapy, Physical Therapy Division/rehabilitation Sciences department, Faculty of Applied Medical Science, Jordan University of Sciences and Technology, Irbid, Jordan
  • Yaser Omar Mohammad Abu Asi Lecturer, Department of Physical Therapy, Faculty of Applied Medical Science, Taif University, Taif, KSA

Keywords:

Venous ulcer, Monochromatic Infrared energy, Exercise

Abstract

Objective: The purpose of this study was to determine the best physical therapy program to increase wound healing rates in patients suffering from venous leg ulcer.

Methods: Forty patients who had venous leg ulcer for more than 4 weeks and not respondent well to medical treatment. Patients were classified into 4 equal groups 10 of each, Group (1): received 40 minute of monochromatic infrared energy (MIRE), Group (2): received 40 minutes of exercise program consisted of stretching and resisted exercise (RE), Group (3): received 20 minutes of exercise in addition to 20 minutes of resisted exercise (MIRE/RE), and group (4): control group which received conventional therapy of the ulcer. All groups received treatment 5days per week for 12days. Measurements of ulcer surface area and PUSH scale were conducted before treatment, post 6 days of treatment, and after 12 days of treatment.

Results: The one way analysis of variance was used to compare ulcer surface area and PUSH score which revealed that both treatment groups (MIRE and RE) had significant (P< 0.05) decrease in ulcer surface area and PUSH scale after 6 and 12days post application of treatment. On the other hand, the combination of MIRE and RE showed a highly significant decrease in ulcer surface area and PUSH score when compared with control or with individual treatment.

Conclusion: The results of this study suggest that combination of MIRE to RE is more effective than individual treatment to enhance the healing rate of venous ulcer of the leg.

 

References

Harrison MB, Graham ID, Friedberg E, Lorimer K, Vandevelde-Coke S. Regional planning study. Assessing the population with leg and foot ulcers. Can Nurse 2001;97:18-23.

Lorimer KR, Harrison MB, Graham ID, Friedberg E, Davies B. Assessing venous ulcer population characteristics and practices in a home care community. Ostomy Wound Manage 2003;49:32-4, 38-40, 42-3.

Heit JA, Rooke TW, Silverstein MD, Mohr DN, Lohse CM, Petterson TM, et al. Trends in the incidence of venous stasis syndrome and venous ulcer: a 25-year population-based study. J Vasc Surg 2001;33:1022-7.

Coleridge-Smith PD. Leg ulcer treatment. J Vasc Surg 2009;49:804-8.

Erickson CA, Lanza DJ, Karp DL, Edwards JW, Seabrook GR, Cambria RA, et al. Healing of venous ulcers in an ambulatory care program: the roles of chronic venous insufficiency and patient compliance. J Vasc Surg 1995;22:629-36.

Christopoulos D, Nicolaides AN, Cook A, Irvine A, Galloway JM, Wilkinson A. Pathogenesis of venous ulceration in relation to the calf muscle pump function. Surgery 1989;106:829-35.

Moloney MC, Lyons GM, Egan M, Wallis F, Burke PE, Kavanagh E, et al. Does size matter? The impact of calf muscle volume on venous return in patients with venous leg ulcers. Phlebology 2007;22:65-9.

Qiao T, Liu C, Ran F. The impact of gastrocnemius muscle cell changes in chronic venous insufficiency. Eur J Vasc Endovasc Surg 2005;30:430-6.

van Uden CJT, van der Vleuten CJM, Kooloos

JGM, Haenen JH, Wollersheim H. Gait and calf muscle endurance in patients with chronic venous insufficiency. Clin Rehabil 2005;19:339-44.

Orsted HL, Radke L, Gorst R. The impact of musculoskeletal changes on the dynamics of the calf muscle pump. Ostomy Wound Manage 2001;47:18-24.

Yang D, Vandongen YK, Stacey MC. Effect of exercise on calf muscle pump function in patients with chronic venous disease. Br J Surg 1999;86:338-41.

Jull A, Parag V, Walker N, Maddison R, Kerse N, Johns T. The prepare pilot RCT of home-based progressive resistance exercises for venous leg ulcers. J Wound Care 2009;18:497-503.

Harkless LB, DeLellis S, Carnegie DH, Burke TJ. Improved foot sensitivity and pain reduction in patients with peripheral neuropathy after treatment with monochromatic infrared photo energy--MIRE. J Diabetes Complications 2006;20:81-7.

Maegawa Y, Itoh T, Hosokawa T, Yaegashi K, Nishi M. Effects of near-infrared low-level laser irradiation on microcirculation. Lasers Surg Med 2000;27:427-37.

Karu TI, Kolyakov SF. Exact action spectra for cellular responses relevant to phototherapy. Photomed Laser Surg 2005;23:355-61.

Sugama J, Matsui Y, Sanada H, Konya C, Okuwa M, Kitagawa A. A study of the efficiency and convenience of an advanced portable Wound Measurement System (VISITRAK). J Clin Nurs 2007;16:1265-9.

Stotts NA, Rodeheaver GT, Thomas DR, Frantz RA, Bartolucci AA, Sussman C, et al. An instrument to measure healing in pressure ulcers: development and validation of the pressure ulcer scale for healing (PUSH). J Gerontol A Biol Sci Med Sci 2001;56:M795-9.

Pompeo M. Implementing the push tool in clinical practice: revisions and results. Ostomy Wound Manage 2003;49:32-6, 38, 40 passim.

Green J, Jester R. Health-related quality of life and chronic venous leg ulceration: Part 2. Br J Community Nurs 2010;15:S4-6, S8, S10, passim.

Abbade L, Lastória S. Management of patients with venous leg ulcer. An Bras Dermatol 2006;81:509-21.

Horwitz LR, Burke TJ, Carnegie D. Augmentation of Wound Healing Using Monochromatic Infrared Energy Exploration of a New Technology for Wound Management. Adv Wound Care 1999;12:35-40.

Xia W, Szomor Z, Wang Y, Murrell GAC. Nitric oxide enhances collagen synthesis in cultured human tendon cells. J Orthop Res 2006;24:159-72.

McNally MA, Cooke EA, Mollan RA. The effect of active movement of the foot on venous blood flow after total hip replacement. J Bone Joint Surg Am 1997;79:1198-201.

Padberg FT, Johnston MV, Sisto SA. Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial. J Vasc Surg 2004;39:79-87.

Kan YM, Delis KT. Hemodynamic effects of supervised calf muscle exercise in patients with venous leg ulceration: a prospective controlled study. Arch Surg 2001;136:1364-9.

Downloads

Published

2017-01-27

How to Cite

Ahmed, E. T., Maayah, M. F., & Asi, Y. O. M. A. (2017). Anodyne therapy versus exercise therapy in improving the healing rates of venous leg ulcer. International Journal of Research in Medical Sciences, 1(3), 198–203. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/2588

Issue

Section

Original Research Articles