Efficacy of Pneumatic Compression Therapy vs Low Level Laser Therapy on Post Partum Varicos Veins, MOHAMED A.M. FARRAG, HALA M. HANAFY, MARWA A. MOHAMED and AHMED A. ATTIA
Abstract
Background: Veins are soft tube that returns blood from the arms and legs to the heart weakness of veones in pregnancy, post-partum due to long period studying, enlarged uterus and female body hormones have an affection the veins in the legs. This may also increasing the risk of them becoming varicose.
Purpose: Through this study the authors propose is treat-ment for varicose, which will not affect the mother of baby.
Martial and Methods: Thirty post-partum females com-plaining from varicose veins participated in this study. These patients would be randomly distributed by two equal groups.
•Group (A): 15 patients would be treated with pneumatic- compression therapy three times per week for 4 weeks.
•Group (B): 15 patients would be treated with low level longer therapy three times per week, for 4 weeks.
Assessment —> Doppler ultra-sound device.
Results: The current study proved that IPC has significant effects on venous blood flow based on the following physio-logical effects. IPC increases the velocity of venous return and reduces the amount of blood inside the veins at any time through stimulation of endothelial cell production of nitric oxide and creates shear stress on the walls of blood vessels, which is the probable physiologic mechanism for enhanced nitric oxide production. Increased nitric oxide production inhibits platelet aggregation and neutrophil adherence, both of which play important roles in the creation of secondary hypoxic injury. Nitric oxide is also a neurotransmitter that can influence vascular tone, thereby increasing blood flow.
Conclusion: The findings of the present study showed that the overall mean value of 9cm above medial malleolus, 10cm above medial malleolus 12cm below popliteal crease, 2cm below popliteal crease and level of popliteal crease was 30.67% for low level laser therapy group. While, in Pneumatic-compression therapy group the overall mean value of 9cm above medial malleolus, 10cm above medial malleolus, 12cm below popliteal crease, 2cm below popliteal crease and level of popliteal crease was 44.3 8%.