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[Musculo-venous pump in the elderly]

J Petermans1, M Zicot

  • 1CHR La Citadelle, bd du XIIe de Ligne 1, Liège, Belgique.

Journal Des Maladies Vasculaires
|January 1, 1994
PubMed
Summary

Elderly individuals show reduced musculo-venous pump function during active movement, but passive calf massage maintains normal function. Encouraging muscle and joint activity is key to preventing venous stasis in older adults.

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Area of Science:

  • Gerontology
  • Vascular Physiology
  • Biomedical Engineering

Background:

  • The musculo-venous pump is crucial for venous return, particularly in the lower limbs.
  • Age-related changes may affect the efficiency of the musculo-venous pump, potentially leading to venous stasis.
  • Understanding these changes is vital for maintaining vascular health in the elderly population.

Purpose of the Study:

  • To investigate the functional capacity of the musculo-venous pump in an elderly population without venous disease.
  • To compare the performance of the musculo-venous pump during active and passive movements in elderly individuals versus young adults.
  • To identify factors influencing musculo-venous pump efficiency in senescence.

Main Methods:

  • Utilized a digitized photoplethysmograph to measure venous refilling time (To) and venous drainage (Vo).
  • Assessed 17 elderly participants (mean age 82.2 years) and 15 young adults (mean age 45.1 years) during active and passive ankle flexions.
  • Evaluated 19 elderly participants (mean age 80.4 years) and 6 young adults (mean age 24 years) during passive calf massage.

Main Results:

  • Elderly individuals exhibited significantly lower venous refilling time (To) and venous drainage (Vo) during active ankle flexions compared to younger adults.
  • During passive calf massage, the performance of the musculo-venous pump in the elderly group was comparable to that of the younger group.
  • Venous refilling time and venous drainage values in the elderly during passive massage were within the normal range.

Conclusions:

  • Senescence itself does not inherently impair the venous system's function.
  • Extravascular factors, including muscle strength, coordination, and joint flexibility, significantly influence musculo-venous pump performance.
  • Promoting muscular and articular activity in the elderly is recommended to mitigate venous stasis and maintain vascular health.

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