Heel rise test as functional capacity predictor in elderly with chronic venous insufficiency
Keywords:
Venous Insufficiency, Health of the Elderly, Physical Therapy Speciality, Exercise Test.Abstract
Objectives: The aim of the study was to assess whether Heel Rise Test (HRT) is able to predict functional capacity in elderly patients who have Chronic Venous Insufficiency (CVI).
Methods: The sample consisted of individuals aged between 60 and 90 years diagnosed with CVI. The Incremental Shuttle Walk Test (ISWT) and HRT were done in the same day, in random order. The variables of the study: maximal distance, time and speed on ISWT; number of repetitions, time and repetition rate on HRT. The simple linear regression model was used to check how much HRT predicts the functional capacity in the elderly with CVD. The one-way ANOVA technique was used in order to compare the variables of the ISWT and HRT among the different age groups. The intra rater reliability of HRT was performed with intraclass correlation coefficient. The adopted significance level was p <0.05.
Results: Sixty-one individuals between 60-89 years (74.21 ± 8.10) with CVI performed all tests (51 females). The correlation between the number of plantar flexion and repetition rate of HRT in relation to distance, time and ISWT speed was statistically significant (p < 0.05). The time variable between HRT and ISWT did not show any significant correlation. A linear regression model that includes HRT repetition rate as independent variable explained 13% of maximum distance in ISWT (R²= 0.13; p<0.05). The comparison of same variables in different age groups showed significant difference only for the ISWT maximum distance.
Conclusions: The muscle performance is not the only factor that predicts functional capacity. Other factors are stronger determinants of functional capacity in older adults with mild severity of CVI.
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