Phlebology > Volume 23, Number 3 > Pp. 120-124

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Original articles

Correlation of haemodynamics and ankle mobility with clinical classes of clinical, aetiological, anatomical and pathological classification in venous disease

G Cavalheri, Jr ^*, J M P de Godoy   and C E Q Belczak 

^* Health Sciences Masters Degree Course, Medicine School, São José do Rio Preto (FAMERP); Department of FAMERP, CNPq Research; Doctorate Degree Course in Surgery, Medical Sciences School of Santa Casa, SP, Brazil

Correspondence: J M P de Godoy MD PhD, Department of FAMERP, CNPq Research, Rua Floriano Peixoto, 2950, São José do Rio Preto, SP 15020-010, Brazil. Email: godoyjmp{at}riopreto.com.br

Objectives: To correlate venous haemodynamic parameters of lower limbs and amplitude of ankle mobility with the clinical, aetiological, anatomical and pathological classification (CEAP) for venous disease.

Methods: Two hundred and eighty-four lower limbs of 142 Caucasian women were evaluated and distributed in six groups according to the CEAP classification: Group I = C0 and C1 (n = 24); Group II = C2 (n = 30); Group III = C3 (n = 27); Group IV = C4 (n = 23); Group V = C5 (n = 20) and Group VI = C6 (n = 18). Goniometric examinations of ankle joints and air plethysmography (APG) were performed. Analysis of variance and the Bonferroni correction, Kruskal-Wallis' non-parametric and Dunn tests were utilized for statistical analysis with the level of significance being set at 5% (P value < 0.05).

Results: There were significant restrictions in ankle mobility seen by goniometry at the C5 stage. In addition, significant changes in the venous-filling index were identified at C2, changes in the ejection fraction at C4 and changes in the residual volume fraction at the C4 stage.

Conclusion: The evolution of the clinical state of ankles affected by venous diseases is correlated to a reduction of joint mobility and haemodynamic alterations identified using APG.

Key Words: venous insufficiency • plethysmography • ankle • arthrometry • articular

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