J Vasc Nurs. 2026 Mar;44(1):6-11. doi: 10.1016/j.jvn.2025.09.003. Epub 2025 Oct 10.
ABSTRACT
INTRODUCTION: Chronic Venous Insufficiency (CVI) is characterized by impaired venous return, leading to venous hypertension. As it progresses, patients tend to develop functional alterations. The Human Activity Profile (HAP) is a validated instrument for assessing daily functional performance in chronic conditions. However, its validity and clinical utility as a functional assessment tool specifically for people with CVI remain unexplored.
OBJECTIVE: To verify the validity of HAP in functional evaluation by the association with functional aspects in patients with CVI.
METHODS: This is a cross-sectional study in which 50 patients with CVI (65.7 ± 11.5 years, CEAP 1 to 6) were recruited and submitted to assessment of physical activity level and functional performance by the HAP. Patients also performed the Sit-to-Stand Test (SST) of 5 repetitions and 60 s to assess lower limb strength and endurance. Ankle dorsiflexion range of motion (ROM) was assessed by the Weight Bearing Lunge Test (WBLT), calf muscle strength and endurance by the Heel-Rise Test (HRT), and handgrip strength by dynamometry. The CIVIQ-14 questionnaire assessed health-related quality of life, and calf circumference was also evaluated.
RESULTS: In the correlation analysis, HAP correlated with WLT (r = 0.606; p < 0.001), HRT repetitions (r = 0.457; p = 0.001), HRT execution time (r = 0.427; p = 0.002), STS5 (r=-0.430; p = 0.002), STS60 (r = 0.450; p = 0.001), and quality of life (r=-0.631; p = 0.002). Participants in the highest HAP group performed better on the WBLT, HRT (repetitions and time), and STS60 (p < 0.05). A significant difference was found in the HAP score (p = 0.037) when the sample was stratified into mild CVI (CEAP ≤ 3) and severe CVI (CEAP ≥ 4).
CONCLUSION: HAP is a valuable tool that can be used both in the assessment of functionality and in monitoring clinical management and progression of CVI.
PMID:41819866 | DOI:10.1016/j.jvn.2025.09.003