Optimizing calf muscle pump function

Phlebology
Christopher R LattimerEvi Kalodiki

Abstract

Background The tip toe manoeuvre has been promoted as the gold standard plethysmography test for measuring calf muscle pump function. The aim was to compare the tip toe manoeuvre, dorsiflexion manoeuvre and a body weight transfer manoeuvre using the ejection fraction of air-plethysmography and evaluate which has the best pumping effect. Methods Sixty-six archived tracings on 22 legs were retrieved from an air-plethysmography workshop and analysed. Pumping performance was measured using the calf volume reduction after each manoeuvre. Results Expressed as median [inter-quartile range], body weight transfer manoeuvres resulted in a significantly greater ejection fraction (%) than tip toe manoeuvres at 59.7 [53.5-63.9] versus 42.6 [30.5-52.6], P < 0.0005 (Wilcoxon). There was no significant difference in the ejection fraction between the tip toe manoeuvre versus dorsiflexion manoeuvre, P = 0.615. The repeatability (confidence interval: 95%) of 66 ejection fraction tests was excellent: tip toe manoeuvre (±1.2), dorsiflexion manoeuvre (±1.3) and body weight transfer manoeuvre (±1.6). Conclusion The body weight transfer manoeuvre appears to be a better method of measuring the full potential of the calf muscle pump with a 40.1% relativ...Continue Reading

References

Oct 1, 1989·Journal of Vascular Surgery·P S van BemmelenD E Strandness
Nov 1, 1995·Journal of Vascular Surgery·T L BackR W Hobson
Dec 1, 1994·Journal of Vascular Surgery·C T ArakiR W Hobson
Apr 14, 1999·The British Journal of Surgery·D YangM C Stacey
Jul 25, 2000·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·T YamakiK Sasaki
Sep 7, 2002·Archives of Surgery·Paul J ZajkowskiLazar J Greenfield
Jun 6, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F P DixC N McCollum
Jan 14, 2004·Journal of Vascular Surgery·Frank T PadbergSue Ann Sisto
Dec 29, 2004·Journal of Vascular Surgery·Bo EklöfUNKNOWN American Venous Forum International Ad Hoc Committee for Revision of the CEAP Classification
Mar 27, 2009·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Michael I ShimanRobert S Kirsner
Nov 8, 2013·JAMA Dermatology·Elizabeth YimRobert S Kirsner
Oct 1, 2013·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Takashi YamakiHiroyuki Sakurai
Jan 1, 2014·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Christopher R LattimerGeorge Geroulakos
Jul 1, 2014·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Katherine J WilliamsAlun H Davies
Jan 1, 2015·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Seshadri RajuTamekia L Jones
May 11, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C R LattimerG Geroulakos
Jun 19, 2016·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Ralph L M KurstjensCees H A Wittens
Oct 30, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C R Lattimer, E Mendoza

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Citations

Sep 7, 2017·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Christopher R LattimerEvi Kalodiki
Jan 22, 2020·Journal of Neurosurgical Sciences·Giuseppe La RoccaGiovanni Sabatino
Jul 19, 2020·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Pasquale De BonisAlba Scerrati

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