Phlebologie 2023; 52(05): 223-230
DOI: 10.1055/a-2075-1638
Curriculare Fortbildung

Physiologie des Venensystems der Extremitäten – Teil 2: Einflussfaktoren

Physiology of the Venous System of the Extremities – Part 2: Influencing Factors
Uwe Wahl

Neben den Grundbausteinen des Venensystems gibt es Einflussfaktoren auf die venöse Hämodynamik, die bedingt oder komplett modifizierbar sind. Das Erkennen dieser Einflussfaktoren hat in der Praxis einen hohen Stellenwert, da sich daraus diagnostische sowie therapeutische Konsequenzen ergeben. Berufliche Zwangshaltungen gilt es zu identifizieren, weil hier ein prophylaktischer Therapieansatz bestehen kann.

Abstract

In addition to the underlying components of the venous system, other factors continually influence venous haemodynamics to varying degrees. Non-modifiable influencing factors are, for instance, age, genetic predisposition, and sex. Since nicotine consumption and obesity also contribute to the development of chronic venous disorders (CVD), it is important to eliminate these modifiable influencing factors. Diseases of the musculoskeletal apparatus, such as foot deformities or restricted joint mobility, are modifiable. Inquiring about and recognising musculoskeletal pathologies is particularly important in daily clinical practice, since physiotherapeutic measures can positively influence venous haemodynamics by improving musculoskeletal function. Occupational and non-occupational forced postures need to be identified as they can be a risk factor for CVD. Knowledge of the mechanisms of vein physiology, which are influenced by underlying components and factors, helps in everyday clinical practice to diagnose venous disorders and to select appropriate treatment methods.



Publication History

Article published online:
18 October 2023

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