Evaluation of Pressure-Applying Accuracy in Multilayer Bandaging Among Physiotherapists Who Treat Lymphedema

Woldman, Anat; Kaneti, Nurit; Carmeli, Eli

doi:10.1089/lrb.2017.0066

Cited by 6 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, some reports about measuring compression pressure in lymphedema treatments have been published. 18,[22][23][24][25] These authors claim that applying appropriate pressure is important in compression therapy. In lymphatic surgery, imaging examinations, including lymphoscintigraphy, indocyanine green lymphography, lymphatic ultrasound, or photoacoustic lymphography, are important.…”

Section: Discussionmentioning

confidence: 99%

Compression Pressure Variability in Upper Limb Multilayer Bandaging Applied by Lymphedema Therapists

Hara

Yoshida²,

Ikehata³

et al. 2021

Lymphatic Research and Biology

View full text Add to dashboard Cite

Background: Multilayer bandaging (MLB) is often used for lymphedema treatment. Even experienced lymphedema therapists have difficulty applying bandages correctly. The aim of this study was to demonstrate upper limb MLB pressure variability applied by lymphedema therapists. Methods and Results: Twenty-four lymphedema therapists were asked to apply MLB to the healthy volunteer's upper limb. The participants consisted of 20 females and 4 males with a mean age of 43.4 (range: 24-62) years. They included licensed massage therapists, nurses, a judo therapist, an occupational therapist, and a medical doctor. Twenty therapists (83.3%) had clinical experience applying MLB. Compression pressure was measured with PicoPress at 5 cm proximal to the wrist, immediately after the application (phase 1) and after exercise (phase 2). The mean MLB pressure was 67.7 -5.0 mmHg in phase 1 and 55.3 -4.1 mmHg in phase 2, which were significantly different ( p = 1.2 • 10 -10 ). There was a weak negative correlation between how long the therapist had been practicing MLB and MLB pressure (R = 0.29). Seventeen participants (70.8%) expressed that they had a target pressure in mind when performing MLB. Among the 17 participants, there was no correlation between the target and actual pressures (R = -0.055). Only three participants (17.6%) had an actual MLB pressure within 5 mmHg of their target. Conclusions: The mean MLB pressure was 55.3 -4.1 mmHg, which was thought to be too high for the upper limb. Education about applying appropriate MLB pressures to the limbs is necessary.

show abstract

Section: Discussionmentioning

confidence: 99%

Compression Pressure Variability in Upper Limb Multilayer Bandaging Applied by Lymphedema Therapists

Hara

Yoshida²,

Ikehata³

et al. 2021

Lymphatic Research and Biology

View full text Add to dashboard Cite

show abstract

“…For example, the use of bandages to apply pressure assumes that the bandages are applied in the identical way each time, however, the likelihood to precisely reproduce the same amount of pressure, even by the same person, is low. 11 Furthermore, if the level of a compression garment was the reference, this relies on the assumption of the accuracy of manufacturer's deemed compression class, which is not supported. 8 Finally, a sphygmomanometer as a reference may lack accuracy unless it is regularly maintained and appropriately calibrated.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8] This discrepancy has been largely attributed to how compression is applied 6,9,10 or clinicians' skill in applying the compression bandage. [11][12][13] The ability of the measuring device to accurately quantify interface pressure, however, has not been considered as a factor in this discrepancy.…”

Section: Introductionmentioning

confidence: 99%

The accuracy and precision of interface pressure measuring devices: A systematic review

et al. 2021

View full text Add to dashboard Cite

Introduction Interface pressure measuring devices are used to assess the pressures exerted by compression. Their performance, however, has not been considered as a contributing factor to reported inconsistences in the application of compression. A systematic review was undertaken to investigate the performance of commercially available devices used to measure interface pressure. Methods Six databases were searched identifying 17 devices, grouped into five sensor categories. Results A range of methodologies assessed the devices’ accuracy and precision, including method of pressure application, device calibration and type of surface used. No sensor category outperformed the others, however some individual sensors showed higher accuracy and/or precision compared to others. Two major factors influenced the performance of a number of sensors: the amount of applied pressure and the calibration method used. Conclusion Inconsistences in the application of compression may reflect, in part, issues related to accuracy and precision of the devices used to assess compression.

show abstract

“…The manometer was inflated to a value of 40 mm Hg, the value indicated by the manufacturer as the pressure at rest of the pneumatic bag, 38 and the knee was then wrapped with the bandage. The number of turns of the tensioned elastic bandage required to wrap the knee to reach the indicated compression range (30 mmHg≤×≥60 mm Hg) was noted, [39][40][41][42] and, if necessary, more than one band could be used. The level of compression that the sham group would receive with the untensioned bandage was also evaluated.…”

Section: Interventionsmentioning

confidence: 99%

“…The level of compression was defined following recommendations in the literature on interventions for compression in lymphedema and venous disorders and should be maintained between 30 and 60 mm Hg. [39][40][41][42] Variations within the stipulated minimum and maximum values may be changed according to the volunteers' self-report, indicating a moderate, comfortable and pain-free level of compression. The occurrence of any sign of venous stasis (redness and/or oedema) may also indicate the need for a reduction in the level of compression or interruption of the procedure.…”

Section: Compression Protocolmentioning

confidence: 99%

Effect of compression by elastic bandages on pain and function in individuals with knee osteoarthritis: protocol of a randomised controlled clinical trial

et al. 2022

View full text Add to dashboard Cite

IntroductionAlthough compression is used to control pain in knee osteoarthritis (KOA), its clinical application is poorly supported, and there is a lack of scientific evidence to support its clinical use. As a low-cost and accessible protocol, compression using elastic bands could be a non-pharmacological intervention to reduce pain and improve physical function in individuals with KOA. This study aims to evaluate the effects of compression on pain and function in individuals with KOA.Methods and analysisA randomised controlled clinical trial will be conducted. Individuals with KOA (n=90; both sexes; between 40 and 75 years old) will be allocated to three groups (n=30/group): compression (compression by the elastic bandage on the affected knee, once a day for 20 min, on four consecutive days); sham (same protocol, but the elastic band is placed around the affected knee without compression) and control (no intervention). The individuals in the three groups will be evaluated 1 day before the first intervention, 1 day after the last intervention, and at the 12th and 24th weeks after the end of the intervention. Pain intensity by the Visual Analogue Scale and pain scale from Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) will be the primary outcomes. The secondary variables will be physical function assessed by the WOMAC questionnaire and physical tests (step test; 30 s sit and stand test; 40 m accelerated walk test). The Global Rating of Change Scale (GRC) will also be applied to quantify the volunteers’ perceived change.Ethics and disseminationThe project was approved by the Human Research Ethics Committee of the Federal University of São Carlos, São Paulo, Brazil (3955692). The results will be published in peer-reviewed journals.Trial registration numberNCT04724902.

show abstract

Evaluation of Pressure-Applying Accuracy in Multilayer Bandaging Among Physiotherapists Who Treat Lymphedema

Cited by 6 publications

References 8 publications

Compression Pressure Variability in Upper Limb Multilayer Bandaging Applied by Lymphedema Therapists

Compression Pressure Variability in Upper Limb Multilayer Bandaging Applied by Lymphedema Therapists

The accuracy and precision of interface pressure measuring devices: A systematic review

Effect of compression by elastic bandages on pain and function in individuals with knee osteoarthritis: protocol of a randomised controlled clinical trial

Contact Info

Product

Resources

About