Varicose Veins and Venous Insufficiency in the Lower Limbs among Physiotherapists

Damian Durlak

Damian Durlak – Varicose Veins and Venous Insufficiency in the Lower Limbs among Physiotherapists –  Fizjoterapia Polska 2024; 24(4); 107-117

DOI: https://doi.org/10.56984/8ZG01A8G4H8

Abstract
Varicose veins and chronic venous insufficiency of the lower limbs are common conditions affecting individuals of working age. The symptoms of these diseases are burdensome and can hinder or even prevent the performance of work-related tasks. Numerous factors may contribute to the development of these conditions. Physical therapists, particularly those who perform their duties predominantly in a standing position, should pay special attention to risk factors and preventive measures for varicose veins and venous insufficiency. This awareness can help in preventing the onset of these diseases. This paper presents the prevalence, risk factors, and prevention methods for varicose veins and venous insufficiency in the lower limbs.
Key words
varicose veins, venous insufficiency, physical therapists
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Effects of yoga therapy on the 6-minute walk test in middle-aged men with varicose veins: A randomized controlled trial

Kumaran Badri, Velusamy Subbulakshmi, Deepak Bangari, Bindiya Rawat, Basavaraj Kumasi, Masilamani Elayaraja, Rakesh Bharti, Hemantajit Gogoi, Sambhu Prasad, Yashpal, Edi Setiawan, Karuppasamy Govindasamy

 

Kumaran Badri et al. – Effects of yoga therapy on the 6-minute walk test in middle-aged men with varicose veins: A randomized controlled trial –  Fizjoterapia Polska 2024; 24(3); 311-316

DOI: https://doi.org/10.56984/8ZG020AAJ8

Abstract:
Background. Chronic venous insufficiency (CVI) can lead to reduced exercise capacity and physical activity levels. This study assessed the impact of a 12-week yoga intervention on exercise capacity, symptoms, and quality of life in patients with varicose veins and CVI.
Methods. This randomized controlled trial recruited 80 patients with varicose veins or CVI from a cardiovascular surgery clinic. Participants were randomized to either a yoga group (n = 40) or a control group (n = 40) that received standard care. The primary outcome was the change in 6-minute walk test (6MWT) distance from baseline to 12 weeks. Secondary outcomes included leg edema, pain levels, and disease-specific quality of life.
Results. At 12 weeks, the yoga group showed significantly greater improvement in 6MWT distance compared to controls (46.2 meters vs 12.8 meters, p < 0.001). The yoga group also had greater reductions in leg edema (−2.1 cm vs −0.6 cm, p = 0.003) and pain during the 6MWT (VAS score change −2.9 vs −0.7, p < 0.001). Quality of life scores improved more in the yoga group (mean increase 18.7 vs 6.4 points, p = 0.02).
Conclusions. A 12-week yoga program improved exercise capacity, reduced edema and pain, and enhanced quality of life compared to standard care in patients with varicose veins and CVI. Yoga can be a beneficial adjunctive intervention for this population.

Keywords:
yoga, varicose veins, middle-aged men, 6-minute walk test, homocysteine

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