The impact of kinetic techniques in the medical rehabilitation of people with varicose vein disease: a clinical case report

Abstract

Background. The most severe complication of varicose veins disease is acute varicothromboembolism (AVTP). Some specialists in the field are oriented towards surgical intervention to prevent complication and the risk of pulmonary embolism, conservatory treatment with the combination of physiotherapeutic methods. Objective(s). The aim of this research was to evaluate the impact of active kinetic techniques in the medical and physio-functional rehabilitation of people with varicose disease. Materials and methods. Patient with varicose disease of the MI, included in a two weeks physiofunctional program. Buerger gymnastics associated with breathing exercises, adjuvant treatment with lymphatic drainage techniques and strength/resistance training. Pain assessment by VAS scale, VAS score assessed by Likert scale, functional capacity estimated by TM6. Results. At the end of two weeks of physiokinetic rehabilitation, the patient reported a significant decrease in pain intensity, with a VAS score from 6/10 to 4/10 conventional points. Also, the Likert scale score showed a decrease from 15 points initially to 8 points after the application of the functional treatment (on account of decreased edema and pain). The 6-minute walk test showed an increase in functional capacity. After the physiofunctional treatment the patient walked 54 meters more (the initial distance 432 meters, and the final distance – 486 meters) with a speed of 1.35 m/s compared to the initial 1.2m/s. Conclusion(s). Our study has shown that the association of kinetic methods (Buerger gymnastics and breathing exercises) and their combination with other active and passive techniques (lymphatic drainage and strength/resistance training) improves the functional status of people with varicose vein disease.