Effects of Care Incorporating Passive Motion Exercise of The Ankle Plantar Dorsiflexion on Lower Extremity Hemodynamics and Comfort Using Physical Methods for Deep Vein Thrombosis（DVT）Prevention

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  • SHIMAOKA Maya
    Nursing Department of Yamaguchi　University Hospital
  • YAMASE Hiroaki
    Department of Clinical Nursing, Yamaguchi University Graduate School of Medicine
  • TADO Asami
    Department of Clinical Nursing, Yamaguchi University Graduate School of Medicine
  • MUKAE Gou
    Nursing Department of Yamaguchi　University Hospital

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Other Title
  • 深部静脈血栓症の理学的予防法において足関節底背屈他動運動を取り入れたケアが下肢血行動態及び安楽に及ぼす影響
  • シンブ ジョウミャク ケッセンショウ ノ リガクテキ ヨボウホウ ニ オイテ アシカンセツテイ ハイクツタドウ ウンドウ オ トリイレタ ケア ガ カシ ケッコウ ドウタイ オヨビ アンラク ニ オヨボス エイキョウ

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Abstract

<p>This study aimed to evaluate the effects　of care incorporating passive motion exercise of the ankle plantar dorsiflexion on lower extremity hemodynamics and comfort using physical methods-for deep vein thrombosis（DVT）prevention.</p><p>We recruited 16 healthy women, aged 20-40 years old, using a simple random allocation crossover design. We categorized them into three groups：intermittent pneumatic compression was performed continuously（IPC group）；the patients underwent passive exercise of ankle dorsiflexion and plantar flexion（ankle exercise group），and IPC was removed（IPC removal group）．We evaluated lower extremity hemodynamics, coagulation and fibrinolysis, autonomic nervous functions, and subjective sensation during each intervention.</p><p>The ankle exercise group showed a decrease in the maximum blood flow velocity in the femoral vein and　deoxygenated hemoglobin. Three coagulation and fibrinolysis complexes, namely, fibrin monomer complex, thrombin-antithrombin complex, and plasmin-alpha2-plasmininhibitor-complex, showed no change among the three groups. One autonomic nervous function, the　high-frequency component, remained lower in the IPC group than in the other two groups after 15 minutes. Subjective sensation was highest in the IPC group.</p><p>The ankle exercise group did not show exacerbation of lower limb venous stasis and coagulability, suggesting that a nursing intervention reduces discomfort that occurs with continuous use of IPC.</p>

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