Objective Despite the fact that muscle pump activation is known to positively impact chronic lower limb edema, objective measurements of standardized exercises for venous-lymphatic rehab are lacking. The aim of this investigation is to determine the effectiveness of an addressed physical activity exploiting the advantages of an aquatic environment.Material and methods Thirty-two lower limbs of 16 patients affected by bilateral chronic leg swelling were included (12 females, 4 males). All the patients underwent a protocol of five sessions of physical exercises specifically conceived inside a pool. Volumetry, subcutaneous thickness, ankle range of motion and symptomatology were assessed as outcome measures.Results One week after the end of the protocol, the average reduction in lower limb volume was 303.1369.72ml (p=0.00002) and 334.38 +/- 62.50ml (p=0.000003) in the right and left legs, respectively. Ankle range of motion and feeling of heaviness significantly improved.Conclusion A specifically designed aquatic protocol is able to positively impact chronic leg swelling offering a first line rehab for this medical condition.

A specifically designed aquatic exercise protocol to reduce chronic lower limb edema

GIANESINI, Sergio
Primo
;
TESSARI, Mirko
Secondo
;
MALAGONI, Anna Maria;MENEGATTI, Erica;OCCHIONORELLI, Savino;BASAGLIA, Nino
Penultimo
;
ZAMBONI, Paolo
Ultimo
2017

Abstract

Objective Despite the fact that muscle pump activation is known to positively impact chronic lower limb edema, objective measurements of standardized exercises for venous-lymphatic rehab are lacking. The aim of this investigation is to determine the effectiveness of an addressed physical activity exploiting the advantages of an aquatic environment.Material and methods Thirty-two lower limbs of 16 patients affected by bilateral chronic leg swelling were included (12 females, 4 males). All the patients underwent a protocol of five sessions of physical exercises specifically conceived inside a pool. Volumetry, subcutaneous thickness, ankle range of motion and symptomatology were assessed as outcome measures.Results One week after the end of the protocol, the average reduction in lower limb volume was 303.1369.72ml (p=0.00002) and 334.38 +/- 62.50ml (p=0.000003) in the right and left legs, respectively. Ankle range of motion and feeling of heaviness significantly improved.Conclusion A specifically designed aquatic protocol is able to positively impact chronic leg swelling offering a first line rehab for this medical condition.
2017
Gianesini, Sergio; Tessari, Mirko; Bacciglieri, Primo; Malagoni, Anna Maria; Menegatti, Erica; Occhionorelli, Savino; Basaglia, Nino; Zamboni, Paolo
File in questo prodotto:
File Dimensione Formato  
0268355516673539.pdf

accesso aperto

Tipologia: Full text (versione editoriale)
Licenza: PUBBLICO - Pubblico con Copyright
Dimensione 262.04 kB
Formato Adobe PDF
262.04 kB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/2354652
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 20
  • ???jsp.display-item.citation.isi??? 17
social impact