Work

Physiotherapy Intervention in the Treatment of Venous Ulcers: Results from a Delphi Panel

Year: 2024
Type: article
Abstract: Background/Objectives: Venous ulcers is the most common complication of all ulcers of the lower limbs that occurs in patients with chronic venous insufficiency. The treatment of venous ulcers is multidisciplinary, with physiotherapy intervention serving as an adjuvant therapy in the management of these wounds. This study aims to investigate physiotherapeutic interventions for the management of venous ulcers; Methods: Exploratory and descriptive study using the Delphi method. The interventions were derived from a systematic review of the literature and presented to a panel of experts for evaluation. The panel comprised 12 experts in wound care, and two rounds of analysis were conducted. A quantitative analysis was performed to assess the level of agreement in responses, while qualitative analysis was applied to the experts' comments; Results: In the first round, the consensus varied between 80% to 100% within the answers, and in the second round it ranged from 83,3% to 100%. In the second round, all interventions obtained at least 80% consensus. The intervention includes the use of compression therapy and therapeutic exercise: resistance training, aerobic exercise, stretching, balance training, and the use of a vibrating platform. Conclusions: Physiotherapy can help as an adjuvant therapy to a specific local treatment of venous ulcers. The main intervention includes therapeutic exercise and the use of compression therapy.
Language: English
Subfield: Surgery
Field: Medicine
Open Access status: gold
Estimated APC paid: $1,137
OpenAlex ID: W4405515588
FWCI: 0.76
Cites: 27
Cited by: 2
Related to: 10