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Progressive resistant exercise programme for healing venous leg ulcers

Phase 2
Completed
Conditions
Venous leg ulceration
Cardiovascular - Other cardiovascular diseases
Registration Number
ACTRN12606000491561
Lead Sponsor
Principal investigator (Andrew Jull)
Brief Summary

The exercise programme consisted of three sets progressive repetitions (80% of the participant's maximum number, re-prescribed every three weeks) of two-legged heel raises every alternate day. All participants received compression with a system of their own or their nurse's choosing and any dressing could be used. The outcomes were change in calf muscle pump function, changes in ulcer area, number of participants with healed ulcers, time-to-complete healing, and adverse events. Participants were followed up for 12 weeks after randomisation. Forty participants were randomly assigned to an exercise programme or usual care (compression alone). Calf muscle pump changes favoured the exercise group, but the healing outcomes did not. The latter outcomes may have been influenced by an imbalance of large ulcers randomised to the exercise group. More adverse events were reported in the exercise group than the usual care group.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
40
Inclusion Criteria

Community-based diagnosis of venous ulceration based on case definition of clinical presentation, absence of other causative diseases and ankle-brachial index greater than 0.8; able to be treated with compression therapy; able to give informed consent; and able to perform at least one heel raise.mmunity-based diagnosis of venous ulceration based on case definition of clinical presentation, absence of other causative diseases and ankle-brachial index greater than 0.8; able to be treated with compression therapy; able to give informed consent; and able to perform at least one heel raise.

Exclusion Criteria

History of rheumatoid arthritis; exercise intervention contraindicated by unstable medical condition such as heart failure.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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