Compression bandaging in the treatment of venous leg ulcers

Ea, Nelson

doi:10.12968/jowc.1996.5.9.415

Cited by 50 publications

(16 citation statements)

References 12 publications

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“…Compression bandaging systems are recommended during the therapy phase of treatment and • are suitable for compression therapy [2,3]. The compression bandage is applied to a limb at different elongations to obtain a target interface pressure.…”

Section: Discussionmentioning

confidence: 99%

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An Approach to Determine Pressure Profile Generated by Compression Bandage Using Quasi-Linear Viscoelastic Model

Kumar

Das

Alagirusamy

2012

Journal of Biomechanical Engineering

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Understanding the stress relaxation behavior of the compression bandage could be very useful in determining the behavior of the interface pressure exerted by the bandage on a limb during the course of the compression treatment. There has been no comprehensive study in the literature to investigate the pressure profile (interface pressure with time) generated by a compression bandage when applied at different levels of strain. The present study attempts to describe the pressure profile, with the use of a quasi-linear viscoelastic model, generated by a compression bandage during compression therapy. The quasi-linear viscoelastic (QLV) theory proposed by Fung (Fung, 1972, "Stress Strain History Relations of Soft Tissues in Simple Elongation," Biomechanics: Its Foundations and Objectives, Y. C. Fung, N. Perrone, and M. Anliker, eds., Prentice-Hall, Englewood Cliffs, NJ, pp. 181-207). was used to model the nonlinear time- and history-dependent relaxation behavior of the bandage using the ramp strain approach. The regression analysis was done to find the correlation between the pressure profile and the relaxation behavior of the bandage. The parameters of the QLV model, describing the relaxation behavior of the bandage, were used to determine the pressure profile generated by the bandage at different levels of strain. The relaxation behaviors of the bandage at different levels of strain were well described by the QLV model parameters. A high correlation coefficient (nearly 0.98) shows a good correlation of the pressure profile with the stress relaxation behavior of the bandage.The prediction of the pressure profile using the QLV model parameters were in agreement with the experimental data. The pressure profile generated by a compression bandage could be predicted using the QLV model describing the nonlinear relaxation behavior of the bandage. This new application of the QLV theory helps in evaluating the bandage performance during compression therapy as scientific wound care management.

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Section: Discussionmentioning

confidence: 99%

“…Compression therapy has been proven useful in venous leg ulcers and is a key treatment in phlebo-lymphatic diseases [1][2][3]. The efficacy of the treatment is undoubtedly dependent on the 'Correspondir.g author.…”

Section: Introductionmentioning

confidence: 99%

An Approach to Determine Pressure Profile Generated by Compression Bandage Using Quasi-Linear Viscoelastic Model

Kumar

Das

Alagirusamy

2012

Journal of Biomechanical Engineering

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“…Venous ulcers are primarily caused by failure of the calf muscle pump to work efficiently, which can lead to valvular incompetence within the deep, superficial or perforating veins of the lower leg (Nelson 1996). Venous stasis may then occur, and this is exaggerated in patients with mobility problems (O'Hare 1995), or those whose occupation necessitated long periods of standing or sitting, with little active movement.…”

Section: Causes Of Venous Ulcersmentioning

confidence: 99%

“…With a figure-of-eight technique, however, these crossed areas of greater pressure may be dangerously high. Nelson (1996) claimed that class-3c bandages should not be applied in a figure-of-eight as this produces greater pressure than the simple spiral method.…”

Section: Compression Bandagingmentioning

confidence: 99%

Class‐3c compression bandaging for venous ulcers: comparison of spiral and figure‐of‐eight techniques

Coull

Tolson²,

McIntosh³

2006

Journal of Advanced Nursing

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“…The most effective treatment for venous ulcers is sustained graduated compression Stubbings 1990, Walshe 1995). Nelson (1996) concluded that between 40 and 80 per cent of venous ulcers heal in 12 weeks using high compression bandaging. The author assessed all patients attending the leg ulcer clinic for venous or arterial disease and used compression bandaging when the ulcers are of venous origin (see CE article on compression bandaging pages 49-56).…”

Section: Research-based Treatment Venous Ulcersmentioning

confidence: 99%