{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T14:37:10Z","timestamp":1784817430165,"version":"3.55.0"},"reference-count":23,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo  Contexto A insufici\u00eancia venosa cr\u00f4nica (IVC) \u00e9 uma doen\u00e7a comum, uma disfun\u00e7\u00e3o da bomba muscular da panturrilha que repercute na hemodin\u00e2mica das estruturas.  Objetivos Analisar os efeitos dos exerc\u00edcios de fortalecimento muscular da panturrilha na hemodin\u00e2mica venosa em pacientes com IVC.  M\u00e9todos O estudo contou com a participa\u00e7\u00e3o de 13 pacientes e 25 membros inferiores com IVC, classificados entre C1 e C5 da classifica\u00e7\u00e3o Cl\u00ednica, Etiologia, Anatomia e Fisiopatologia (CEAP), oriundos do ambulat\u00f3rio de cirurgia vascular do Hospital Universit\u00e1rio Regional dos Campos Gerais. As vari\u00e1veis analisadas foram dinamometria isom\u00e9trica, goniometria, perimetria, adipometria no in\u00edcio, primeiro m\u00eas, segundo m\u00eas e final da aplica\u00e7\u00e3o do protocolo de exerc\u00edcios.  Resultados Os valores da dorsiflex\u00e3o e da plantiflex\u00e3o aumentaram 5\u00ba (p &lt; 0,001). Na adipometria notou-se uma redu\u00e7\u00e3o de 5 mm (p &lt; 0,001). Quando separados em grupos pela CEAP, na C2 houve aumento de 5\u00ba na dorsiflex\u00e3o (p = 0,02) e na plantiflex\u00e3o (p &lt; 0,001); na C3 houve aumento de 5\u00ba na dorsiflex\u00e3o (p = 0,003) e redu\u00e7\u00e3o de 1 mm na adipometria (p &lt; 0,004); na C1 houve aumento da perimetria de 1,2 cm (p = 0,04).  Conclus\u00f5es A aplica\u00e7\u00e3o de protocolos de exerc\u00edcios deveria ser considerada como uma forma de tratamento para IVC, pois impacta positivamente em fatores de risco e nas fun\u00e7\u00f5es que est\u00e3o deterioradas pela patologia.<\/jats:p>","DOI":"10.1590\/1677-5449.200197","type":"journal-article","created":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T12:38:59Z","timestamp":1629117539000},"source":"Crossref","is-referenced-by-count":5,"title":["Efeitos do fortalecimento muscular do tr\u00edceps sural na fun\u00e7\u00e3o da bomba venosa na insufici\u00eancia venosa cr\u00f4nica"],"prefix":"10.1590","volume":"20","author":[{"given":"Ana Carla","family":"Schmidt","sequence":"first","affiliation":[{"name":"Centro de Ensino Superior dos Campos Gerais,  Brasil; Universidade Estadual de Ponta Grossa,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7608-5790","authenticated-orcid":false,"given":"Luisa Pereira de Oliveira Zanetti","family":"Gomes","sequence":"additional","affiliation":[{"name":"Universidade da Regi\u00e3o de Joinville,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila Martins","family":"Marinelli","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ponta Grossa,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo Zanetti","family":"Gomes","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ponta Grossa,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/j.ejvs.2010.12.003","article-title":"Efficacy and tolerability of a red-vine-leaf extract in patients suffering from chronic venous insufficiency\u2013results of a double-blind placebo-controlled study","volume":"41","author":"Rabe E","year":"2011","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1177\/1538574406296246","article-title":"Patterns of venous reflux and obstruction in patients with skin damage due to chronic venous disease","volume":"41","author":"Labropoulos N","year":"2007","journal-title":"Vasc Endovascular Surg"},{"issue":"5","key":"ref3","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1111\/ddg.13242","article-title":"Chronic venous insufficiency: a review of pathophysiology, diagnosis, and treatment","volume":"15","author":"Santler B","year":"2017","journal-title":"J Dtsch Dermatol Ges"},{"issue":"1","key":"ref4","first-page":"1147","article-title":"Existe associa\u00e7\u00e3o entre doen\u00e7as venosas e n\u00edvel de atividade f\u00edsica em jovens?","volume":"24","author":"Pena JCO","year":"2011","journal-title":"Fisioter Mov"},{"key":"ref5","first-page":"463","article-title":"Atividade f\u00edsica habitual e qualidade de vida relacionada \u00e0 sa\u00fade em mulheres com doen\u00e7a vascular perif\u00e9rica","volume":"12","author":"Silva DK","year":"2008","journal-title":"Rev Bras Ci\u00ean Mov."},{"issue":"12","key":"ref6","article-title":"Physical exercise for the treatment of non\u2010ulcerated chronic venous insufficiency","volume":"12","author":"Araujo DN","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"ref7","first-page":"130","article-title":"Rela\u00e7\u00e3o entre exerc\u00edcio f\u00edsico e insufici\u00eancia venosa cr\u00f4nica","volume":"20","author":"Alberti LR","year":"2010","journal-title":"Rev Med Minas Gerais."},{"key":"ref8","first-page":"3219","article-title":"Efeitos do fortalecimento muscular da panturrilha na hemodin\u00e2mica venosa e na qualidade de vida em um portador de insufici\u00eancia venosa cr\u00f4nica","volume":"1","author":"Lima RCM","year":"2002","journal-title":"J Vasc Bras"},{"issue":"10","key":"ref9","doi-asserted-by":"crossref","first-page":"2857","DOI":"10.1519\/JSC.0b013e3181e840f3","article-title":"The mechanisms of muscle hypertrophy and their application to resistance training","volume":"24","author":"Schoenfeld BJ","year":"2010","journal-title":"J Strength Cond Res"},{"key":"ref10","series-title":"IBM SPSS Statistics for Windows. 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