Effect of the Foot and Ankle Exercise on Blood Flow Velocity of the Common Femoral Vein in Patients with Hip Fracture

Main Article Content

Arphaporn Plueangklang
Suchira Chaiviboontham
Paphon Sa-ngasoongsong
Chinnarat Buangam

Abstract

This quasi-experimental study with one group, repeated-measures design aimed to compare 1) the peak systolic velocity (PSV) and the mean diastolic velocity (MDV) of the common femoral vein before and after foot and ankle exercise (FAE) 2) thigh and calf circumference after FAE in patients with hip fractured in each interval time. The study was guided by the physiology of DVT formation. The sample were 24 patients with fractured hips at Ramathibodi Hospital. The Friedman test, Wilcoxon Signed-Rank Test, and One-way repeated measures ANOVA were used as data analysis. The results showed that 100% of the patients were
able to perform foot and ankle exercise (FAE). The PSV and MDV in the common femoral vein on the fractured side after FAE dramatically increase more than before FAE and maintain till 5 and 15 minutes after FAE. The circumference of the calf did not increase at the day of discharge.The results suggest that the FAE could increase blood flow velocity of the common femoral vein in patients with hip fracture leading to prevent DVT.
Keywords: Deep vein thrombosis, Hip fracture patients, Foot and ankle exercise, Blood flow velocity of the common femoral vein

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How to Cite
1.
Plueangklang A, Chaiviboontham S, Sa-ngasoongsong P, Buangam C. Effect of the Foot and Ankle Exercise on Blood Flow Velocity of the Common Femoral Vein in Patients with Hip Fracture . Nurs Res Inno J [Internet]. 2021 May 5 [cited 2024 Nov. 20];27(1):92-107. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/242895
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บทความวิจัย

References

Sirachainan N. Venous thrombosis patient care guidelines.In: Chuansumrit A, editors. Hemophilia and venous

thrombosis: diagnosis and treatment guidelines. Bangkok:Chaicharoen; 2011. (in Thai).

Carison DS. Preventing deep vein thrombosis in perioperative patients. OR Nurse.2012; 6(5):14-20.

Tosone NC, Costanzo C. Development of a guideline for treatment of deep and superficial venous thrombosis in the emergency department. Adv Emerg Nurs J. 2012;34(2):133-46. doi: 10.109 7/TME. 0b013e318253f72c.

Liew NC, Alemany GV, Angchaisuksiri P, Bang SM,Choi, G., DE Silva DA, et al. Asian venous

thromboembolism guidelines: updated recommendations for the prevention of venous thrombo embolism. Int Angiol.2017;36(1):1-20. doi: 10.23736/S0392-9590.16.03765-2.

Zhang BF, Wei X, Huang H, Wang PF, Liu P, Qu SW, et al. Deep vein thrombosis in bilateral lower extremities after hip fracture: a retrospective study of 463 patients. Clin Interv Aging. 2018; 18(13): 681-9. doi: 10.2147/

CIA.S161191.

Medical Statistics. Statistics for hip fracture patients.Ramathibodi Hospital. Printing House; 2014-2015.

Promlek K. The development and evaluation of clinical nursing practice guideline for preventing deep vein

thrombosis in critically i trauma patients. [dissatation]Prince of Songkla University; 2010. (in Thai).

Pootracool P. Acute Deep Vein Thrombosis in Trauma Patient. In: Sumritpradit P, Leelayana P, editors. Textbook of trauma care with and without subspacialties. (7th ed.).Bangkok: Bangkok Wetchasan Printing House; 2012. (inThai).

Suphachatwong C. Bone fracture and hip dislocation. In:Wajanavisit W, Laohacharoensombat W, Kawinwonggowit V, Mulpruek P, editors. Orthopedic (2nd ed.). Bangkok:Holistic Publishing Ltd; 2004. (in Thai).

American academy of orthopaedic surgeons [AAOS]. Deep vein thrombosis. 2015. [cited 2018 March 11]. Available from: https://orthoinfo.aaos.org/en/diseases--conditions/deep-vein-thrombosis/

Friedman SM, Uy JD. Venous thromboembolism and postoperative management of anticoagulation. Clin Geriatr Med. 2014;30:285-291.

Wongkongkam K, Nakon O. Nursing care for venous system disease. Surgical nursing: cardiovascular diseases.Bangkok: Faculty of Nursing, Mahidol University; 2016.(in Thai).

Mutirangura P. Deep vein thrombosis. Emergency vascular surgery. Bangkok: Akson Samphan Printing House; 2010.(in Thai).

Thongpa S, Songwathana P, Sae-Sia W. Comparison of femoral venous blood flow velocity after foot reflexology and automatic intermittent pneumatic calf compression in traumatic patients. Thai Journal of Nursing Council.2012;27(3):127-41. (in Thai).

Sareeso P, Utriyaprasit K. Application of evidence-based practice for deep vein thrombosis prevention in medicalsurgical patients. Nursing Science Journal of Thailand.2011;29(2): 27-36. (in Thai).

Kwon OY, Jung DY, Kim Y, Cho SH, Yi CH. Effects of ankle exercise combined with deep breathing on blood flow velocity in the femoral vein. Aust J Physiother. 2003;49(4):253-8.

Palamone J, Brunovsky S, Groth M, Morris L, Kwasny M. ‘‘Tap and Twist’’: preventing deep vein thrombosis in

neuroscience patients through foot and ankle range-ofmotion exercises. J Neurosci Nurs. 2011;43(6):308-14.

doi:10.1097/JNN.0b013e318234e9f2.

Sochart DH, Hardinge K. The relationship of foot and ankle movements to venous return in the lower limb. J

Bone Joint Surg. 1999;700-4.

Toya K, Sasano K, Takasoh T, Nishimoto T, Fujimoto Y,Kusumoto Y, et al. T. Ankle positions and exercise

intervals effect on the blood flow velocity in the common femoral vein during ankle pumping exercises. J Phys Ther Sci. 2016;28(2): 685-8.

Wang Z, Chen Q, Ye M, Shi GH, Zhang B. Active ankle movement may prevent deep vein thrombosis in patients undergoing lower limb surgery. Ann Vasc Surg.2016;32:65-72.

Yamashita K, Yokoyama T, Kitaoka N, Nishiyama T,Manabe M. Blood flow velocity of the femoral vein with

foot exercise compared to pneumatic foot compression. JClin Anesth. 2005;17: 102-5.

Assalee R. Nursing care of patients with vascular disease.In: Srimoragot P, editors Medical-surgical nursing:

clinical management for positive outcomes (4th ed.).Bangkok: iGroup Press; 2010. (in Thai).

Robert S, Raymond A, Raymond A. (Ed.). Venous and lymphatic diseases. China: China Translation & Printing

Services, 2011.

Erdfelder E, Faul F, Buchner A. GPOWER: a general power analysis program. Behav Res Methods Instrum &

Comput 1996;28:1-11.

Nakaphong A. Physical status, depression, nutritional self-care and nutritional status of the community dwelling elderly, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University;

(in Thai).

The Royal College of Anesthesiologists of Thailand and Thai Association for the Study of Pain. Clinical guidance for acute pain management. Bangkok: National Library of Thailand; 2554. (in Thai).

Black MC. Anatomy and physiology of the lowerextremity deep and superficial veins. Tech Vasc Interv

Radiol. 2014;17(2):68-73.

Padberg F. Normal venous circulation. In: Gloviczki P,editors. Vein handbook. 2018 [cited 2019 July 30].

Available from: https://www.veinforum.org/patients/vein-handbook/

Diaz JA, Henke PK. Venous pathophysiology. In: Sidawy AN, Perler BA, editors. Rutherford’s vascular surgery and endovascular therapy (9thed.). 2019. [cited 2019 July29]. Available from: https://www.Clinicalkey.com/#!/

content/book/3s2.0-B97803234 27913000098

Davies JB, Bull R, Wakelin M. Improving the calf pump using home-based exercises for patients with chronic

venous disease. Wounds UK. 2008;4(3):48-58.

O’Brien JA, Edwards HE, Finlayson KJ, Kerr G.Understanding the relationships between the calf muscle

pump, ankle range of motion and healing for adults with venous leg ulcers: a review of the literature. WPR.

;20:80-5.

Pounds LL, Killewich LA. In: Cronenwett JL, Johnston KW, editors. Venous physiology. Rutherford’s vascular

surgery (8thed.).Philadelphia, PA: Saunders/Elsevier Inc;2014. p.150-162.e2).

Hague A, Pherwani A, Rajagopalan S. Role of compression therapy in patho physiology of the venous system in lower limbs. Surgeon. 2017;15(1):40-6. doi: 10.1016/j.surge.2016.08.004.

Ermer-Seltun J. Lower extremity assessment. In: Bryant RA, editors. Acute and chronic wounds (5th ed.). 2016

[cited 2018 March 5], Available from: https://www.clinicalkey.com/nursing/#!/content/ book/3-s2.0-B97803233162170001 98?scrollTo=%23hl 0000583

Meissner MH, Moneta G, Burnand K, Gloviczki P, LohrJM, Lurie F, et al. The hemodynamics and diagnosis of

venous disease. J Vasc Surg. 2007;46:4S-24S. doi:10.1016/j.jvs.2007.09.043.

Unnanuntana A. Osteoporosis (2nd ed.). Bangkok: M T P Printing House; 2017.

McCollum C, Lowe C, Hansrani V, Ball S. In: Fillit HM,editors. Brocklehurst’s textbook of geriatric medicine and

gerontology (8th ed.). 2017 [cited 2019 July 11].Available from: https://www. clinicalkey.com/#!/

content/book/3-s2.0-B9780702061851000466?scrollTo=%23hl0 000407

McNamara SA. Prevention of venous thromboembolism.

AORN. 2014;99(5): 642-7.