Limited range of motion is a significant factor in XXXX .

@entity1 @entity66 @entity41 @entity1066 @entity3179 @entity4096 @entity393 @entity1411 @entity291
PURPOSE: @entity291 muscle pump dysfunction is a recognized factor in @entity4096 ( @entity4096 ). We investigated the hypothesis that limbs with @entity4096 have a reduced ankle range of motion (ROM) that may be responsible for the poor @entity291 pump function associated with @entity3179 . METHODS: Ankle ROM and @entity291 pump function were assessed in 32 limbs of 26 adult @entity1 . Limbs were selected on the basis of clinical presentation: normal (n = 6 limbs), class 1 or 2 @entity4096 with no history of @entity1066 (n = 9 limbs), class 3 @entity4096 with healed @entity1066 (n = 9 limbs), and class 3 @entity4096 with active @entity1066 (n = 8 limbs). ROM was determined by goniometry during maximal @entity1411 and dorsiflexion of the ankle. @entity291 pump function was determined by air plethysmographic measurement of ejection fraction (EF) and @entity41 ( @entity41 ). RESULTS: Ankle ROM was significantly (p < 0.05) reduced in each @entity4096 group compared with age-matched control subjects, because of @entity393 and dorsiflexion. @entity291 pump function was significantly impaired (decreased EF and increased @entity41 ) in ulcerated limbs. ROM was significantly correlated to EF and @entity41 . Impairment of ROM and @entity291 pump function was associated with deterioration in the clinical classification of @entity66 . CONCLUSIONS: Limbs with @entity4096 have a limited ankle ROM that decreases with increasing severity of clinical symptoms. This decreased ROM is associated with, and may contribute to, poor @entity291 pump function.
