Do Custom-Fitted Pressure Garments Provide Adequate Pressure?

Mann, Roberta; Yeong, Eng-Kean; Colescott, D; Lh, Engrav

doi:10.1097/00004630-199705000-00013

Cited by 21 publications

(9 citation statements)

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“…10 This study set out to establish a method for measuring the actual subgarment pressure provided, during wear and tear, by using the Tekscan pressure-measuring equipment. The I-scan Ò (Tekscan Inc.) system has previously been used to measure local point pressure under arm burn garments, 5 and along the extremity on specified levels, 6,7 but not to measure the pressure profile along the extremity. The lack of significant difference within each manufacturer's garments as compared to initial values, during the 4 weeks of wear and tear, may indicate high quality and maintenance of pressure in the compression garments during the first weeks of usage.…”

Section: Figmentioning

confidence: 99%

“…4,5 Liu et al (2005) 6 measured in vivo subgarment pressure, on garments used for venous disorders, using Tekscan FlexiForce interface pressure sensors along the leg at 4 different levels. Macintyre (2007) 7 measured in vivo subgarment pressure under burn garments along the extremity in order to optimize compression using the I-scan Ò system with sensor 9801.…”

Section: Introductionmentioning

confidence: 99%

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Development of a Pressure-Measuring Device to Optimize Compression Treatment of Lymphedema and Evaluation of Change in Garment Pressure with Simulated Wear and Tear

Brorson

Hansson

Jense

et al. 2012

Lymphatic Research and Biology

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. (2012). Development of a pressure-measuring device to optimize compression treatment of lymphedema and evaluation of change in garment pressure with simulated wear and tear. Lymphatic Research and Biology, 10(2), 74-80. DOI: 10.108974-80. DOI: 10. /lrb.2012 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal AbstractThe use of compression garments in treating lymphedema following treatment of genital (penis, testes, uterus, cervical) and breast cancer treatment is a well-established practice. Although compression garments are classified in compression classes, little is known about the actual subgarment pressure exerted along the extremity. The aims of this study were to establish an in vitro method for measuring subgarment pressure along the extremity and to analyze initial and over time subgarment pressure of compression garments from three manufacturers. The measurements were performed with I-scan Ò (Tekscan Inc.) pressure measuring equipment once a week during a period of 4 weeks. Wear and tear was simulated by washing and putting on the garments on plastic legs every day. There was a statistically significant difference between the garments of some of manufacturers. There was no difference between garments from the same manufacturer. No significant decrease of subgarment pressure was observed during the trial period. The study demonstrated that Tekscan pressuremeasuring equipment could measure subgarment pressure in vitro. The results may indicate that there was a difference in subgarment pressure exerted by garments from different manufacturers and that there was no clear decrease in subgarment pressure during the first four weeks of usage.

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Section: Figmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of a Pressure-Measuring Device to Optimize Compression Treatment of Lymphedema and Evaluation of Change in Garment Pressure with Simulated Wear and Tear

Brorson

Hansson

Jense

et al. 2012

Lymphatic Research and Biology

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“…Compression for hand edema is usually achieved through Lycra gloves which exert around 35 ± 5 mmHg pressure on the tissues of the hand. 3 The garment acts as an external counter pressure 4 which compensates for the inelasticity of edematous tissues, and, therefore improves circulatory efficiency by facilitating venous and lymphatic flow. 3 …”

Section: Introductionmentioning

confidence: 99%

Effectiveness of edema management techniques for subacute hand edema: A systematic review

Miller

Shepstone

2017

Journal of Hand Therapy

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Study DesignSystematic review.IntroductionProlonged hand edema can have detrimental effects on range of motion and function. There is no consensus on how best to manage traumatic subacute edema. This is the first systematic review which examines the clinical effectiveness of edema treatments on hand volume.Purpose of the StudyThe purpose of this systematic review was to examine the evidence of effectiveness of treatments for sub-acute hand edema.MethodsA literature search of AMED, CINAHL, Embase, and OVID MEDLINE (from inception to August 2015) was undertaken. Studies were selected if they met the following inclusion criteria: randomized controlled or controlled trials in adults who have subacute swelling after a recent upper limb musculoskeletal trauma or cerebral vascular attack or after surgery. Two independent assessors rated study quality and risk of bias using the 24-point MacDermid Structured Effectiveness Quality Evaluation Scale (SEQES).ResultsTen studies met the inclusion criteria. Study quality ranged from 23 to 41 out of 48 points on the SEQES. A total of 16 edema interventions were evaluated across the studies. Due to heterogeneity of the patient characteristics, interventions, and outcomes assessed, it was not possible to pool the results from all studies. Therefore, a narrative best evidence synthesis was undertaken. There is low to moderate quality evidence with limited confidence in the effect estimate to support the use of manual edema mobilization methods in conjunction with standard therapy to reduce problematic hand edema.ConclusionManual edema mobilization techniques should be considered in conjunction with conventional therapies, in cases of excessive edema or when the edema has not responded to conventional treatment alone; however, manual edema mobilization is not advocated as a routine intervention.Level of Evidence2b.

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“…Significant reductions in scar redness and thickness were also observed in scars receiving PGT 25 . Because pressure garments are often used in conjunction with other forms of therapy, and due to the high incidence of patient non-compliance, the efficacy of PGT has been difficult to evaluate and neither the efficacy nor the optimal protocol for delivery have been scientifically established ,7,26-27 .…”

Section: Introductionmentioning

confidence: 99%

Burn Scar Biomechanics after Pressure Garment Therapy

Kim

Willard

Supp

et al. 2015

Plastic and Reconstructive Surgery

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Background The current standard of care for the prevention and treatment of scarring following burn injury is pressure garment therapy (PGT). Although this therapy has been used clinically for many years, controversy remains regarding its efficacy. The purpose of this study was to evaluate the efficacy of PGT in a female Red Duroc pig (fRDP) burn model where wound depth could be tightly controlled. Methods Full-thickness burn wounds were generated on fRDPs. At day 28 post-burn, PGT was applied to half of the wounds (10 mmHg), with control wounds covered with garments exerting no compression. Scar area, perfusion, hardness, and elasticity were quantified at days 0, 28, 42, 56, and 72 using computerized planimetry, Laser Doppler and torsional ballistometry. Scar morphology was assessed at days 28, 56 and 76 using histology, immunohistochemistry and transmission electron microscopy. Results Pressure garment therapy significantly hindered scar contraction with control scars contracting to 64.6 + 13.9% original area at day 72 while PGT scars contracted to 82.7 + 17.9% original area. PGT significantly reduced skin hardness and increased skin strength by 1.3X. No difference in perfusion or blood vessel density was observed. Average collagen fiber diameter was greater in control burns than PGT. Conclusions PGT was effective at reducing scar contraction and improving biomechanics compared to control scars. These results confirm the efficacy of pressure garments and highlight the need to further investigate the role of pressure magnitude and time of therapy application to enhance their efficacy for optimal biomechanics and patient mobility.

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Do Custom-Fitted Pressure Garments Provide Adequate Pressure?

Cited by 21 publications

References 0 publications

Development of a Pressure-Measuring Device to Optimize Compression Treatment of Lymphedema and Evaluation of Change in Garment Pressure with Simulated Wear and Tear

Development of a Pressure-Measuring Device to Optimize Compression Treatment of Lymphedema and Evaluation of Change in Garment Pressure with Simulated Wear and Tear

Effectiveness of edema management techniques for subacute hand edema: A systematic review

Burn Scar Biomechanics after Pressure Garment Therapy

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