Effect of dysmorphic plantar arch on venous hemodynamics of the lower limb.

IF 1.6 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

Phlebology Pub Date : 2023-07-01 DOI:10.1177/02683555231176940

Laure Tsimba, Didier Rastel, Emilie Dechandon, Patrick Vincent, Céline Micholet, Cyril Chaigneau, Stéphane Avril, Miquel Aguirre

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Abstract

Background: The role of the plantar venous pump (PVP) on venous return is evident but the effects of the foot morphology have never been characterized properly.

Method: 52 healthy volunteers-26 with normal plantar arch (control) and 26 with dysmorphic plantar arch (in two subgroups: 13 flat feet, 13 hollow feet)-were included. Using Doppler ultrasound, we measured the diameter and the peak systolic velocity in the large veins of the lower limb after PVP stimulation by manual compression and bodyweight transfer.

Result: The mean peak systolic velocity of the studied veins varied from 12.2 cm/s to 41.7 cm/s in the control group and from 10.9 cm/s to 39.1 cm/s in the dysmorphic plantar group. The foot arch morphology did not affect significantly the venous blood flows, except in the great saphenous vein during manual compression.

Conclusion: The plantar morphology did not induce a significant increase of venous blood velocity resulting from PVP stimulation.

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足底弓畸形对下肢静脉血流动力学的影响。

背景:足底静脉泵(PVP)对静脉回流的作用是显而易见的，但足底形态的影响从未被恰当地描述过。方法:52名健康志愿者，其中26名足底弓正常(对照组)和26名足底弓畸形(分为两个亚组:13名平足，13名空心足)。采用多普勒超声测量PVP人工压迫和体重转移刺激后下肢大静脉内径和峰值收缩速度。结果:对照组静脉收缩速度峰值平均为12.2 ~ 41.7 cm/s，足底畸形组静脉收缩速度峰值平均为10.9 ~ 39.1 cm/s。足弓形态对静脉血流量无显著影响，但手压大隐静脉除外。结论:PVP刺激对足底静脉血流速无明显影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Phlebology 医学-外周血管病

CiteScore

3.30

自引率

11.80%

发文量

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