The role of the plantar venous pump (PVP) on venous return is evident but the effects of the foot morphology have never been characterized properly.
Method
52 healthy volunteers—26 with normal plantar arch (control) and 26 with dysmorphic plantar arch (in two subgroups: 13 flat feet, 13 hollow feet)—were included. Using Doppler ultrasound, we measured the diameter and the peak systolic velocity in the large veins of the lower limb after PVP stimulation by manual compression and bodyweight transfer.
Result
The mean peak systolic velocity of the studied veins varied from 12.2 cm/s to 41.7 cm/s in the control group and from 10.9 cm/s to 39.1 cm/s in the dysmorphic plantar group. The foot arch morphology did not affect significantly the venous blood flows, except in the great saphenous vein during manual compression.
Conclusion
The plantar morphology did not induce a significant increase of venous blood velocity resulting from PVP stimulation.
UhlJFGillotC. Anatomy of the foot venous pump: Physiology and influence on chronic venous disease. Phlebology2012; 27(5): 219–230. doi: 10.1258/phleb.2012.012b01
5.
UhlJGillotC. La pompe veineuse du pied: anatomie et physiologie. J Mal Vasc2010; 35: 107–107. doi: 10.1016/j.jmv.2009.12.006
6.
UhlJBertierCPrevoteauC. La pompe veineuse plantaire: Anatomie et hypothèses physiologiques. Phlébologie2009; 62(1): 9–18.
7.
HorwoodA. The biomechanical function of the foot pump in venous return from the lower extremity during the human gait cycle: An expansion of the gait model of the foot pump. Med Hypotheses2019; 129: 109220. doi: 10.1016/j.mehy.2019.05.006
8.
CorleyGJBroderickBJNestorSM, et al.The anatomy and physiology of the venous foot pump. Anat Rec (Hoboken)2010; 293(3): 370–378. doi: 10.1002/ar.21085
9.
RicciSMoroLAntonelli IncalziR. The foot venous system: Anatomy, physiology and relevance to clinical practice. Dermatol Surg2014; 40: 225–233. doi: 10.1111/dsu.12381
10.
BroderickBJCorleyGJQuondamatteoF. A haemodynamic study of the physiological mechanisms of the venous pump in the healthy human foot. Annu Int Conf IEEE Eng Med Biol Soc2008; 2008: 1411–1414. doi: 10.1109/IEMBS.2008.4649430
11.
Domeij-ArverudELatifiALabrutoF. Can foot compression under a plaster cast prevent deep-vein thrombosis during lower limb immobilisation?Bone Jt J2013; 95-B(9): 1227–1231. doi: 10.1302/0301-620X.95B9.31162
12.
CharlesTMackintoshSFingletonJ, et al.Efficacy of micromobile foot compression device in increasing lower limb venous blood flow. Int J Vasc Med2013; 2013: 948769. doi: 10.1155/2013/948769
13.
LurieFAwayaDJKistnerRL. Hemodynamic effect of intermittent pneumatic compression and the position of the body. J Vasc Surg2003; 37: 137–142. doi: 10.1067/mva.2002.24
UhlJ-FLo VuoloMGillotC. Anatomy of foot and ankle perforator veins2017. [Online]. Available at: www.phlebolymphology.org.
16.
HarrisRBeathT. Army foot survey; An investigation of foot aliments in Canadian soldiers. Ottawa, Canada: National Research Council of Canada, 1949.
17.
MaesRDojcinovicSAndrianneY. Study of the plantar arch: Correlations between and radiological parameters. Results of a prospective study of 79 cases. Rev Med Brux2006; 27(5): 422–429.
UhlJFChahimMAllaertFA. Static foot disorders: A major risk factor for chronic venous disease?Phlebology2012; 27: 13–18. doi: 10.1258/phleb.2011.010060
21.
FabryG. Clinical practice. Static, axial, and rotational deformities of the lower extremities in children. Eur J Pediatr2010; 169(5): 529–534. doi: 10.1007/s00431-009-1122-x
22.
Pita-FernándezSGonzález-MartínCSeoane-PilladoT. Validity of footprint analysis to determine flatfoot using clinical diagnosis as the gold standard in a random sample aged 40 years and older. J Epidemiol2015; 25(2): 148–154. doi: 10.2188/jea.JE20140082
23.
LandorfKRadfordJHudsonS. Minimal important difference (MID) of two commonly used outcome measures for foot problems. J Foot Ankle Res2010; 3(7): 7. doi: 10.1186/1757-1146-3-7
24.
UhlJF. 3D multislice CT to demonstrate the effects of compression therapy. Int Angiol2010; 29(5): 411–415.
25.
UhlJFChahimMAllaertFA. Compression versus inner sole for venous patients with foot static disorders: A prospective trial comparing symptoms and quality of life. Phlebology2015; 30(1): 32–38. doi: 10.1177/0268355513505508
26.
BinnsMPhoRWH. Anatomy of the ‘venous foot pump. Injury1988; 19(6): 443–445. doi: 10.1016/0020-1383(88)90144-1
27.
WhiteJVKatzMLCisekP. Venous outflow of the leg: Anatomy and physiologic mechanism of the plantar venous plexus. J Vasc Surg1996; 24: 819–824. doi: 10.1016/S0741-5214(96)70018-6
LabropoulosNBuckmanJSizeGWightmanR. Acute effects of intermittent pneumatic foot and calf compression on lower limb venous hemodynamics, Presented at the Society of Vascular Technology Twentieth Annual Conference, San Francisco, CA, USA, July 23–27, 19971997.
GardnerAMFoxRH. The venous: Influence on tissue perfusion and prevention of venous thrombosis. Ann Rheum Dis1992; 51(10): 1173–1178.
32.
Van BemmelenPSSpivackDKellyP. Reflux in foot veins is associated with venous toe and forefoot ulceration. J Vasc Surg2011; 53: 394–398. doi: 10.1016/j.jvs.2010.08.079
33.
Potério-FilhoJSilveiraSPotérioG. The effect of walking with high-heeled shoes on the leg venous pressure. Angiology2006; 57(4): 424–430. doi: 10.1177/0003319706290744
34.
LaughlinMH. Cardiovascular response to exercise determinants of maximal oxygen. Am J Physiol1999; 22(1): 245.
35.
ErcanSÇetinCYavuzT. Effects of isokinetic calf muscle exercise program on muscle strength and venous function in patients with chronic venous insufficiency. Phlebology2018; 33(4): 261–266. doi: 10.1177/0268355517695401
36.
PadbergFTJohnstonMVSistoSA. Structured exercise improves calf muscle pump function in chronic venous insufficiency: A randomized trial. J Vasc Surg2004; 39(1): 79–87. doi: 10.1016/j.jvs.2003.09.036
