
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
More infoVenous ulcers (VU) are open wounds that attack the integumentary system and are caused by venous dysfunction. They are a serious public health problem, affecting approximately 14% to 22.8% of the world's population and generating social impacts such as isolation, absence from work, early retirement, low self-esteem and depression. In addition, there is the economic impact that is related to the difficulty of healing and frequent recurrence of the wound, which generates costs for the health system and for the person with VU. Physical therapy interventions can be used to assist in the healing process. Among the therapies, physical exercises stand out.
ObjectiveTo evaluate the area of chronic venous ulcers in patients submitted to an exercise protocol.
MethodsCase study, with two volunteers and three UV, composed of a physical exercise protocol for lower limbs during sixteen sessions, two per week. Eligibility criteria were: >18 years; having chronic venous insufficiency CEAP 6, without associated arterial disease; and ulcers >1 cm². Study with blinding of the evaluator and the researcher who performed the analyses.
ResultsUV 01 started with an area of 40.7 cm² after treatment the area became 17.8 cm²; the UV 02 before the treatment was 42 cm², after, the area became 27 cm². UV 03 had an area of 73.9 cm² before treatment and ended with 35.5 cm².
ConclusionThe physiotherapeutic treatment with physical exercises for the lower limbs, consisting of stretching, strengthening, aerobic, proprioception and relaxation exercises, provided a reduction in the area of the venous wound.
ImplicationsPhysical exercise can help in the conventional treatment of wounds, thus helping in healing time, delaying ulcer recurrence, in addition to all the already known benefits of exercise. In this way, this case study can be the basis for work with a larger sample number so that an adequate treatment protocol can be defined that enhances healing and improves the patient's vascular condition, preventing or reducing cases of recurrence.
Conflict of interest: The authors declare no conflict of interest.
Acknowledgment: The UFPB for the financial aid with a Scientific Initiation scholarship within the PIBIC Program to carry out the research.
Ethics committee approval: UFPB. 5.156.847