The Effect of Muscle Exercise on Perforators Flow: A Prospective Cohort Study
<i>Background and objectives</i>: The metabolic response after exercise causes a significant increase in the muscle blood flow. While these effects are demonstrated for intra-muscular vessels, there is no evidence about the inter-muscular vessels, such as the septocutaneous perforators s...
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doaj-b518469325294145b57696aee8c61e462020-11-25T03:24:22ZengMDPI AGMedicina1010-660X2020-07-015633833810.3390/medicina56070338The Effect of Muscle Exercise on Perforators Flow: A Prospective Cohort StudyFrancesco Amendola0Luca Vaienti1Giuseppe Cottone2Giovanna Zaccaria3Zvi Steinberger4Nicole Dereatti5Michele Riccio6Glenda Giorgia Caputo7Francesco De Francesco8Nicola Zingaretti9Plastic and Reconstructive Surgery Department, I.R.C.C.S. Policlinico San Donato, Piazza Edmondo Malan, 2, 20097 San Donato Milanese, ItalyPlastic and Reconstructive Surgery Department, I.R.C.C.S. Policlinico San Donato, Piazza Edmondo Malan, 2, 20097 San Donato Milanese, ItalyPlastic and Reconstructive Surgery Department, I.R.C.C.S. Policlinico San Donato, Piazza Edmondo Malan, 2, 20097 San Donato Milanese, ItalyDepartment of Plastic and Reconstructive Surgery, Policlinico di Modena Azienda Ospedaliero-Universitaria di Modena, Via Largo del Pozzo, 71, 41125 Modena, ItalyHand and Microsurgery Department, Derech Sheba 2, 52621 Ramat Gan, IsraelSchool of Medicine, University of Udine, 33100 Udine, ItalyDepartment of Reconstructive Surgery and Hand Surgery, AOU “Ospedali Riuniti”, 60126 Ancona, ItalyClinic of Plastic and Reconstructive Surgery, Department of Medicine (DAME), University of Udine, Piazzale Santa Maria della Misericordia 15, 33100 Udine, ItalyDepartment of Reconstructive Surgery and Hand Surgery, AOU “Ospedali Riuniti”, 60126 Ancona, ItalyClinic of Plastic and Reconstructive Surgery, Department of Medicine (DAME), University of Udine, Piazzale Santa Maria della Misericordia 15, 33100 Udine, Italy<i>Background and objectives</i>: The metabolic response after exercise causes a significant increase in the muscle blood flow. While these effects are demonstrated for intra-muscular vessels, there is no evidence about the inter-muscular vessels, such as the septocutaneous perforators supplying the skin after they branch out from the deep source artery. The aim of our prospective study was to quantify the changes in the anterior tibial artery perforators arterial blood flow after mild isotonic exercise in a young and healthy population. <i>Material and Methods</i>: We performed a prospective analysis of 34 patients who were admitted to the Plastic Surgery Department from December 2019 to April 2020. Flow velocities of two previously identified anterior tibial artery perforators were recorded both before and after 10 complete flexion-extensions of the foot. The time to revert to basal flow was measured. We further classified the overmentioned patients based on their level of physical activity. <i>Results</i>: We registered a significant increase in systolic, diastolic and mean blood flow velocities both in proximal and distal anterior tibial artery perforators after exercise. Fitter patients exhibited a higher increase in proximal leg perforators than those who did less than three aerobic workouts a week. The time to return to basal flow ranged from 60 to 90 s. <i>Conclusions</i>: This was the first study to describe the effect of muscular activity on perforators blood flow. Even mild exercise significantly increases the perforator flow. Waiting at least two minutes at rest before performing the Doppler study, thus avoiding involved muscle activation, can notably improve the reliability of the pre-operative planning.https://www.mdpi.com/1010-660X/56/7/338perforatorflowmuscle exerciseanterior tibial artery perforatorshemodynamic flow |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Francesco Amendola Luca Vaienti Giuseppe Cottone Giovanna Zaccaria Zvi Steinberger Nicole Dereatti Michele Riccio Glenda Giorgia Caputo Francesco De Francesco Nicola Zingaretti |
spellingShingle |
Francesco Amendola Luca Vaienti Giuseppe Cottone Giovanna Zaccaria Zvi Steinberger Nicole Dereatti Michele Riccio Glenda Giorgia Caputo Francesco De Francesco Nicola Zingaretti The Effect of Muscle Exercise on Perforators Flow: A Prospective Cohort Study Medicina perforator flow muscle exercise anterior tibial artery perforators hemodynamic flow |
author_facet |
Francesco Amendola Luca Vaienti Giuseppe Cottone Giovanna Zaccaria Zvi Steinberger Nicole Dereatti Michele Riccio Glenda Giorgia Caputo Francesco De Francesco Nicola Zingaretti |
author_sort |
Francesco Amendola |
title |
The Effect of Muscle Exercise on Perforators Flow: A Prospective Cohort Study |
title_short |
The Effect of Muscle Exercise on Perforators Flow: A Prospective Cohort Study |
title_full |
The Effect of Muscle Exercise on Perforators Flow: A Prospective Cohort Study |
title_fullStr |
The Effect of Muscle Exercise on Perforators Flow: A Prospective Cohort Study |
title_full_unstemmed |
The Effect of Muscle Exercise on Perforators Flow: A Prospective Cohort Study |
title_sort |
effect of muscle exercise on perforators flow: a prospective cohort study |
publisher |
MDPI AG |
series |
Medicina |
issn |
1010-660X |
publishDate |
2020-07-01 |
description |
<i>Background and objectives</i>: The metabolic response after exercise causes a significant increase in the muscle blood flow. While these effects are demonstrated for intra-muscular vessels, there is no evidence about the inter-muscular vessels, such as the septocutaneous perforators supplying the skin after they branch out from the deep source artery. The aim of our prospective study was to quantify the changes in the anterior tibial artery perforators arterial blood flow after mild isotonic exercise in a young and healthy population. <i>Material and Methods</i>: We performed a prospective analysis of 34 patients who were admitted to the Plastic Surgery Department from December 2019 to April 2020. Flow velocities of two previously identified anterior tibial artery perforators were recorded both before and after 10 complete flexion-extensions of the foot. The time to revert to basal flow was measured. We further classified the overmentioned patients based on their level of physical activity. <i>Results</i>: We registered a significant increase in systolic, diastolic and mean blood flow velocities both in proximal and distal anterior tibial artery perforators after exercise. Fitter patients exhibited a higher increase in proximal leg perforators than those who did less than three aerobic workouts a week. The time to return to basal flow ranged from 60 to 90 s. <i>Conclusions</i>: This was the first study to describe the effect of muscular activity on perforators blood flow. Even mild exercise significantly increases the perforator flow. Waiting at least two minutes at rest before performing the Doppler study, thus avoiding involved muscle activation, can notably improve the reliability of the pre-operative planning. |
topic |
perforator flow muscle exercise anterior tibial artery perforators hemodynamic flow |
url |
https://www.mdpi.com/1010-660X/56/7/338 |
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