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EFFECT OF INTERMITTENT PNEUMATIC COMPRESSION ON QUALITY OF LIFE AND EDEMA IN PATIENTS WITH CHRONIC VENOUS INSUFFICIENCY
ÖZLEM ÇINAR ÖZDEMIR PT. PhD. Assist. Prof., YEŞIM BAKAR PT. PhD. Assoc. Prof.
Abant Izzet Baysal University, School of Physical Therapy and Rehabilitation, Bolu, Turkey
Introduction: The aim of the study was to investigate the effect of intermittent pneumatic compression on quality of life and edema in people with chronic venous insufficiency
Materials & Methods: This study involved 28 individuals stage 2 chronic venous insufficiency. Individuals were divided into two groups and the first group (n=14) was included in consisting of intermittent pneumatic compression (IPC), skin care, compression stockings and exercise, the second group (n=14) was included in a program consisting of compression stockings, skin care and exercise. The mean age of the subjects in the study at the IPK group was 51.86±9.63 year and in the stocking group was 53.29±14.45 year. Edema quantities were measured by Leg Q Meter using limb circumference, and pain assessment was done with “Visual Analogue Scale”. General quality of life was measured by “Nottingham Health Profile”(NHP), disease specific quality of life was determined by using “Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms” and depression state assessment was done by using “Beck Depression Scale”. Participants taken in treatment 5 days per week along 4 weeks. Individuals were assessed pre-treatment, post-treatment and 4 weeks later after treatment(control measurement).
Results: There was found significant difference about circumference measurements of CC (Thigh), CE (Knee), CG (Groin) pre- and post-treatment time by the comparison of compression stocking and IPC groups (p<0.05). Also there was found significant difference in pretreatment-control circumference measurements of CF (Thigh) (p<0.05). By the comparison of stocking and IPC groups’ NHP values, there was found significant difference in pre-treatment and post-treatment time (p<0.05). When analyzed average changes between pre-treatment time and post-treatment time in groups, maximum change occurred in IPC group.
Discussion: Chronic venous insufficiency is a chronic disease which effects badly patient’s quality of life by starting edema clinical view. We think that using compression stocking and apply IPC treatment approach from early phase of disease will decrease the symptoms and contribute increasing the quality of life.
THE EUROPEAN JOURNAL OF LYMPHOLOGY - Vol. XXVI - Nr. 72 - 2015
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