Effects of Exercise in Chronic Venous Insufficiency Patients: Randomized Controlled Study

Yıl 2024, Cilt: 12 Sayı: 2, 631 - 643, 20.06.2024

Sıla Çelik , Ömer Şevgin , Burak Buğday

https://doi.org/10.33715/inonusaglik.1401590

Öz

The aim of this study is to compare the effects of combined exercise and calf muscle exercise training on physical activity, fatigue and quality of life in patients with chronic venous insufficiency. 60 individuals with chronic venous insufficiency, aged between 30-60, were randomly divided into two groups: combined exercise and calf muscle exercise groups. While pumping exercises were given to all individuals participating in the study, breathing exercises, hamstring stretching exercises and self-massage training were given in addition to the combined exercise group. The exercises were planned as a home exercise program to last 6 weeks. SF-36 Short Form, Freiburg Quality of Life Assessment Questionnaire Short Form, Visual analogue scale, Fatigue Severity Scale and International Physical Activity Questionnaire Short Form evaluation scales were applied to all participants before and after treatment. At the end of the six-week exercise program, the difference between physical activity and disease-specific quality of life scale scores in both groups was statistically significant compared to before and after treatment (p<0.05); No significant difference was found between fatigue severity scale scores and VAS values (p>0.05). Adding breathing exercises and self-massage to the exercise program prescription in patients with Chronic Venous Insufficiency may increase the effectiveness of the treatment. Longer-term studies are needed to ensure that the effects of these methods are permanent in the long term.

Anahtar Kelimeler

Exercise, Fatigue, Pain, Physical activity, Venous insufficiency

KRONİK VENÖZ YETMEZLİK HASTALARINDA EGZERSİZİN ETKİLERİ: RANDOMİZE KONTROLLÜ ÇALIŞMA

Öz

Bu çalışmanın amacı kronik venöz yetmezliği olan hastalarda kombine egzersiz ve kalf kası egzersizi eğitiminin fiziksel aktivite, yorgunluk ve yaşam kalitesi üzerine etkilerini karşılaştırmaktır. Yaşları 30-60 arasında değişen kronik venöz yetmezliği olan 60 birey rastgele kombine egzersiz ve kalf kası egzersiz grubu olarak 2 gruba ayrıldı. Çalışmaya katılan tüm bireylere pompalama egzersizi verilirken, kombine egzersiz grubuna ek olarak solunum egzersizleri, hamstring germe egzersizleri ve self masaj eğitimi verildi. Egzersizler 6 hafta sürecek şekilde ev egzersiz programı olarak planlandı. Tüm katılımcılara tedavi öncesi ve sonrası SF-36 Kısa Formu, Freiburg Yaşam Kalitesi Değerlendirme Anketi Kısa Formu, Görsel analog skala, Yorgunluk Şiddet Ölçeği ve Uluslararası Fiziksel Aktivite Anketi Kısa Formu değerlendirme ölçekleri uygulandı. Altı haftalık egzersiz programı sonunda her iki grupta fiziksel aktivite ve hastalığa özgü yaşam kalitesi ölçekleri puanları arasındaki fark tedavi öncesi ve sonrasına göre istatistiksel olarak anlamlı iken (p<0.05); Yorgunluk şiddeti ölçeği puanları ve VAS değerleri arasında anlamlı bir fark bulunamadı (p>0.05). Kronik Venöz Yetmezliği bulunan hastalarda egzersiz programı reçetesine solunum egzersizleri ve self masajın eklenmesi tedavinin etkinliğini arttırabilir. Bu yöntemlerin etkilerinin uzun vadede kalıcı olması adına daha uzun süreli çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

Ağrı, Egzersiz, Fiziksel aktivite, Venöz yetmezlik, Yorgunluk

Etik Beyan

Çalışma Üsküdar Üniversitesi Girişimsel Olmayan Araştırmalar Etik Kurulu Başkanlığının 61351342/Haziran 2021-07 sayılı etik kurulu onay kararı alınarak yapılmıştır.

Kaynakça

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