Impact of Physical Activity as a Coadjuvant Treatment in the Healing of Venous Ulcers in Primary Health Care. (ACTIVE_LEGS)
Varicose Ulcer
About this trial
This is an interventional treatment trial for Varicose Ulcer focused on measuring Varicose ulcer, Exercise, Nurses, Healthy Aging
Eligibility Criteria
Inclusion Criteria:
- Individuals with a diagnosis of venous ulcers registered in electronic clinical history (history of chronic venous insufficiency and/or venous ulcer) and presence of an ankle brachial index (ABI) greater than 0.8 and less than 1.3.
- Presence at least a venous ulcer of 1cm or more in diameter. If the participant has more than one lesion, the nurse will select the lesion with the highest Resvech 2.0 score for the study.
- Independent ambulation or with the help of devices.
- Individuals who able to follow the demands of the trial and who provide their written informed consent to participate.
Exclusion Criteria:
- Patients with mixed ulcers.
- Acute phase deep vein thrombosis.
- Patients on treatment with antineoplastic agents.
- Decompensated heart failure.
- Rheumatoid arthritis.
- Acute phase dermatitis, at the time of the study.
- Patients immobilized at home, institutionalized or displaced residing outside the area where the research is conducted for more than 6 months a year or during the performance of the intervention.
- Absolute contraindication to perform physical exercise.
- Patients who are simultaneously participating in another clinical trial.
Sites / Locations
- Borja Jesús Herraiz Ahijado
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Control
Intervention
Usual Care: that consists of healing the wound (assessment, cleaning, disinfection, debridement and topical treatment) and compression therapy multilayer usual practice, according to the recommendations for the treatment of cutaneous ulcers of the Region of Madrid.
ACTIVE LEGS: The usual care plus experimental intervention. It is a structured educational intervention, directed by nurses and carried out in the health center consultations. The intervention "Active Legs" has been designed based on the available evidence. It incorporates a program of lower limb exercise at home and daily walking patterns. Home program of lower limb exercises. The nurse will instruct the patients in the performance of 4 exercises of lower limbs of progressive difficulty that must be performed at home 5 days a week, twice a day Daily walking program. In addition, patients must ambulate progressively until reaching the marked goal (150 min / week (30 minutes for 5 days a week)) . At the start of the study, the "Active Legs" diary will be provided, showing the patterns of the exercise and walking program graphically and a pedometer.