The relationship of foot and ankle movements to venous return in the lower limb

The relationship of foot and ankle movements to venous return in the lower limb
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DOI:
10.1302/0301-620x.81b4.8909
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发表时间:
1999-07-01
影响因子:
--
通讯作者:
Hardinge, K
Hardinge, K
中科院分区:
其他
文献类型:
--
作者:
Sochart, DH;Hardinge, K

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我们用彩色双功超声研究了足踝运动与静脉血流量的关系,以确定促进静脉回流的最佳运动类型。我们对20名受试者(18名男性,2名女性)的40条肢体进行了主动和被动运动的研究,年龄中位数为27岁(20-54岁),我们评估了踝关节背屈和足底屈曲、距下内翻和外翻,以及所有运动的组合。在单一受试者的对侧肢体比较时,静脉血流没有差异(p>0.5),但主动运动产生的血流峰值和平均速度比被动运动更高。主动联合运动产生的流速最高,平均流速增加38%,峰值流速增加58%,明显大于被动运动产生的峰值流速和平均流速。因此,积极的联合运动在消除瘀血方面将是最有效的,并有助于预防深静脉血栓形成。
We have studied the relationship between movements of the foot and ankle and venous blood flow from the lower limb using colourflow Duplex ultrasound to determine the optimum type of exercise for promoting venous return. Studies of both active and passive movements were carried out on 40 limbs in 20 subjects (18 men; 2 women), with a median age of 27 years (20 to 54), We assessed ankle dorsiflexion and plantar flexion, subtalar inversion and eversion, and a combination of all movements.There was no difference in venous flow,when comparing opposite limbs in a single subject (p > 0.5), but active exercises produced higher peak and mean velocities of blood flow than passive ones. The active combined movement produced the highest velocities with an increase of 38% in mean and of 58% in peak flow velocities, which were significantly greater than the peak and mean flow rates produced by passive movements. The active combined exercise would therefore be the most effective in eliminating stasis and could contribute to the prevention of deep-vein thrombosis.