Systematic review of exercise therapy in the management of post-thrombotic syndrome.

IF 1.6 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Phlebology Pub Date : 2022-12-01 Epub Date: 2022-09-26 DOI:10.1177/02683555221129738
Sara Jasionowska, Benedict R H Turner, Matthew Machin, Sarah Onida, Adam M Gwozdz, Joseph Shalhoub, Alun H Davies
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Abstract

Objectives: Exercise improves haemodynamic parameters in patients with chronic venous disease. There is a paucity of evidence on its effect in post-thrombotic syndrome (PTS). The aim of this systematic review is to assess the impact of exercise in PTS.

Methods: Adhering to PRISMA guidelines and following PROSPERO registration (CRD42021220924), MEDLINE, Cochrane Library, EMBASE database, and trial registries were searched on 19th May 2022.

Results: One article met the inclusion criteria and a narrative synthesis was carried out. The included randomised controlled trial reported a between-group mean difference of 4.6 points (p = .027) in the VEINES-QOL score and -2.0 points (p = .14) in the Villalta score, in favour of exercise therapy. The statistical significance threshold was not reached.

Conclusion: Data on exercise in PTS remains sparse but exercise appears to be a safe intervention. In the context of this literature, a potential future trial and outcome reporting measures are suggested.

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运动疗法治疗血栓后综合征的系统综述。
目标:运动可改善慢性静脉疾病患者的血流动力学参数。关于运动对血栓后综合征(PTS)的影响,目前还缺乏相关证据。本系统综述旨在评估运动对 PTS 的影响:方法:2022 年 5 月 19 日,根据 PRISMA 指南和 PROSPERO 注册(CRD42021220924),检索了 MEDLINE、Cochrane 图书馆、EMBASE 数据库和试验登记处:结果:有一篇文章符合纳入标准,并进行了叙述性综合。纳入的随机对照试验报告显示,运动疗法在VEINES-QOL评分和Villalta评分中的组间平均差异分别为4.6分(p = .027)和-2.0分(p = .14)。未达到统计学显著性临界值:结论:有关运动治疗 PTS 的数据仍然很少,但运动似乎是一种安全的干预措施。根据这些文献,我们建议未来可能进行的试验和结果报告措施。
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来源期刊
Phlebology
Phlebology 医学-外周血管病
CiteScore
3.30
自引率
11.80%
发文量
84
审稿时长
6-12 weeks
期刊介绍: The leading scientific journal devoted entirely to venous disease, Phlebology is the official journal of several international societies devoted to the subject. It publishes the results of high quality studies and reviews on any factor that may influence the outcome of patients with venous disease. This journal provides authoritative information about all aspects of diseases of the veins including up to the minute reviews, original articles, and short reports on the latest treatment procedures and patient outcomes to help medical practitioners, allied health professionals and scientists stay up-to-date on developments. Print ISSN: 0268-3555
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