title: Comparative study on the effectiveness of myofascial release manual therapy and physical therapy for venous insufficiency in postmenopausal women.
abstract: OBJECTIVE
  Venous insufficiency is present in a large number of postmenopausal women, increasing their risk of disability. The objective of this study was to determine the effects of myofascial release therapy and conventional kinesiotherapy on venous blood circulation, pain and quality of life in postmenopausal patients with venous insufficiency.
  
  
  METHODS
  A randomised controlled trial was undertaken. We enrolled 65 postmenopausal women with stage I or II venous insufficiency on the clinical, aetiological, anatomical and physiopathological (CEAP) scale of venous disorders, randomly assigning them to a control (n=32) or experimental (n=33) group. The control and experimental group patients underwent physical venous return therapy (kinesiotherapy) for a 10-week period, during which the experimental group patients also received 20 sessions of myofascial release therapy. Main outcome measures determined pre- and post-intervention were blood pressure, cell mass, intracellular water, basal metabolism, venous velocity, skin temperature, pain and quality of life.
  
  
  RESULTS
  Basal metabolism (P<0.047), intracellular water (P<0.041), diastolic blood pressure (P<0.046), venous blood flow velocity (P<0.048), pain (P<0.039) and emotional role (P<0.047) were significantly higher in the experimental group than in the control group after the 10-week treatment programme.
  
  
  CONCLUSIONS
  The combination of myofascial release therapy and kinesiotherapy improves the venous return blood flow, pain and quality of life in postmenopausal women with venous insufficiency.
authors.affiliation: Department of Physical Therapy, University of Granada (UGR), Granada, Spain. elenita fisio@hotmail.com
authors.forename: Elena
authors.initials: E
authors.lastname: Ramos-González
authors.forename: Carmen
authors.initials: C
authors.lastname: Moreno-Lorenzo
authors.forename: Guillermo A
authors.initials: GA
authors.lastname: Matarán-Peñarrocha
authors.forename: Rafael
authors.initials: R
authors.lastname: Guisado-Barrilao
authors.forename: María Encarnación
authors.initials: ME
authors.lastname: Aguilar-Ferrándiz
authors.forename: Adelaida María
authors.initials: AM
authors.lastname: Castro-Sánchez
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D001481:Basal Metabolism; D001783:Blood Flow Velocity; D001794:Blood Pressure; D001834:Body Water; D004644:Emotions; D005260:Female; D006801:Humans; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D059408:Pain Management; D026741:Physical Therapy Modalities; D017698:Postmenopause; D011788:Quality of Life; D014680:Veins / Q000503:physiopathology*; D014689:Venous Insufficiency / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*