In vivo measurement of compression bandage interface pressures: The first study

Rimaud, Diana; Convert, Reynald; Calmels, P.

doi:10.1016/j.rehab.2014.06.005

Cited by 20 publications

(33 citation statements)

References 24 publications

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“…However, as the aim of this previous study was to compare the pressure applied by different application techniques, it was carried out for a single bandage type. Other studies were focused on the influence of bandage mechanical properties and position (supine, standing, sitting) on the interface pressure, 3,8,11,26 but as far as we know, none of them measured the stretch of the applied bandage, though it is one of the main parameters which controls the interface pressure.…”

Section: Introductionmentioning

confidence: 99%

Experimental Investigation of Pressure Applied on the Lower Leg by Elastic Compression Bandage

Chassagne

Martin²,

Badel³

et al. 2015

Ann Biomed Eng

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Compression therapy with stockings or bandages is the most common treatment for venous or lymphatic disorders. The objective of this study was to investigate the influence of bandage mechanical properties, application technique and subject morphology on the interface pressure, which is the key of this treatment. Bandage stretch and interface pressure measurements (between the bandage and the leg) were performed on 30 healthy subjects (15 men and 15 women) at two different heights on the lower leg and in two positions (supine and standing). Two bandages were applied with two application techniques by a single operator. The statistical analysis of the results revealed: no significant difference in pressure between men and women, except for the pressure variation between supine and standing positions; a very strong correlation between pressure and bandage mechanical properties (p < 0.00001) and between pressure and bandage overlapping (p < 0.00001); a significant pressure increase from supine to standing positions (p < 0.0001). Also, it showed that pressure tended to decrease when leg circumference increased. Overall, pressure applied by elastic compression bandages varies with subject morphology, bandage mechanical properties and application technique. A better knowledge of the impact of these parameters on the applied pressure may lead to a more effective treatment.

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Section: Introductionmentioning

confidence: 99%

Experimental Investigation of Pressure Applied on the Lower Leg by Elastic Compression Bandage

Chassagne

Martin²,

Badel³

et al. 2015

Ann Biomed Eng

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“…The PicoPress system is a portable digital gauge specially designed to measure the pressure exerted by a bandage. Its reliability and reproducibility have already been demonstrated, and it is known as one of the best systems for measuring interface pressure .…”

Section: Discussionmentioning

confidence: 99%

“…A transducer pad was placed about 12 cm above the inner ankle at the medial aspect of the lower leg, where the tendon changes into the muscular part of the gastrocnemius muscle. This point is known as the B1 point according to a previous report . The volunteer was placed in the supine position, and the bandage pressure during inactivity (the resting pressure) was measured.…”

Section: Methodsmentioning

confidence: 99%

“…In the supine position (resting position), a pressure of 35–45 mmHg was considered an optimal pressure . Surgical residents who achieved an optimal pressure in at least two of the three bandaging attempts were considered to have performed adequate‐quality compression bandaging.…”

Section: Methodsmentioning

confidence: 99%

“…The bandage applies pressure on the external surface of the leg, and this pressure is transmitted to the underlying veins. The efficacy of the compression mainly depends on the level of pressure applied to the leg . The pressure that develops beneath a bandage depends on the tension in the fabric of the elastic bandage (EB), the radius of curvature of the limb, the width of the EB and the number of layers applied .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Use of customised pressure‐guided elastic bandages to improve efficacy of compression bandaging for venous ulcers

Sermsathanasawadi

Chatjaturapat

Pianchareonsin

et al. 2016

International Wound Journal

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Compression bandaging is a major treatment of chronic venous ulcers. Its efficacy depends on the applied pressure, which is dependent on the skill of the individual applying the bandage. To improve the quality of bandaging by reducing the variability in compression bandage interface pressures, we changed elastic bandages into a customised version by marking them with circular ink stamps, applied when the stretch achieves an interface pressure between 35 and 45 mmHg. Repeated applications by 20 residents of the customised bandage and non-marked bandage to one smaller and one larger leg were evaluated by measuring the sub-bandage pressure. The results demonstrated that the target pressure range is more often attained with the customised bandage compared with the non-marked bandage. The customised bandage improved the efficacy of compression bandaging for venous ulcers, with optimal sub-bandage pressure.

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Numerical Approach for the Assessment of Pressure Generated by Elastic Compression Bandage

Chassagne

Molimard

Convert³

et al. 2016

Ann Biomed Eng

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Compression of the lower leg by bandages is a common treatment for the advanced stages of some venous or lymphatic pathologies. The outcomes of this treatment directly result from the pressure generated onto the limb. Various bandage configurations are proposed by manufacturers: the study of these configurations requires the development of reliable methods to predict pressure distribution applied by compression bandages. Currently, clinicians and manufacturers have no dedicated tools to predict bandage pressure generation. A numerical simulation approach is presented in this work, which includes patient-specific leg geometry and bandage. This model provides the complete pressure distribution over the leg. The results were compared to experimental pressure measurements and pressure values computed with Laplace's law. Using an appropriate surrogate model, this study demonstrated that such simulation is appropriate to account for phenomena which are neglected in Laplace's law, like geometry changes due to bandage application.

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In vivo measurement of compression bandage interface pressures: The first study

Cited by 20 publications

References 24 publications

Experimental Investigation of Pressure Applied on the Lower Leg by Elastic Compression Bandage

Experimental Investigation of Pressure Applied on the Lower Leg by Elastic Compression Bandage

Use of customised pressure‐guided elastic bandages to improve efficacy of compression bandaging for venous ulcers

Numerical Approach for the Assessment of Pressure Generated by Elastic Compression Bandage

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