Research into fabrics used in compression therapy and assessment of their impact on treatment regimens

Hegarty-Craver, Meghan; Grant, Edward; Kravitz, Steven R.; Reid, Lawrence D.; Kwon, Ki Yoon; Oxhenham, W

doi:10.12968/jowc.2014.23.sup9.s14

Cited by 13 publications

(5 citation statements)

References 11 publications

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“…The criteria established for carrying out the procedure are contestable by Laplace's Law. Components of the system influence the proportion of pressure as described by Muldoon (28) and Hegarty-Craver et al (29) and establish that the heterogeneity of body segment circumference, the number of layers, and the elastic property of the material determine the interface of the therapeutic compression system. The gold standard for the treatment of lymphedema is complex decongestive therapy and involves manual lymphatic drainage, physical exercises, compression, and skin care (30).…”

Section: Discussionmentioning

confidence: 99%

Reliability of Functional Compressive Bandaging in the Treatment of Lymphedema Secondary to the Treatment of Breast Cancer

et al. 2022

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Functional compressive bandaging (FCB) is a therapeutic resource used to control lymphedema resulting from the treatment of breast cancer. However, the reliability of the technique is unknown. We evaluated intra- and inter-rater reliability of the spiral technique in the four-layer FCB of the arm and forearm in breast cancer survivors with lymphedema. Forty-five breast cancer survivors with a mean age of 64.88±10.01 years participated in the study. Evaluations were performed by two examiners at different times analyzing the pressure exerted (mmHg) by the spiral FCB in the arm and forearm of the upper limb affected by lymphedema. The intraclass correlation coefficient (ICC2,1) was used to determine intra- and inter-examiner reliability, with a 95% confidence interval, minimum detectable change, and standard error of the measurement. Intra-rater reliability was considered low to high in the arm and forearm region. Inter-rater reliability in the arm region was considered low and in the forearm region low to moderate. Our results indicate that spiral FCB has low to moderate intra-examiner and inter-examiner reliability.

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Section: Discussionmentioning

confidence: 99%

Reliability of Functional Compressive Bandaging in the Treatment of Lymphedema Secondary to the Treatment of Breast Cancer

et al. 2022

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“…Additional information can be found in several recommended references. [3][4][5][6][7][8][9][10][11][12][13] Correspondence: Steven R. Kravitz…”

Section: Discussionmentioning

confidence: 99%

Measuring the interface pressure

Kravitz¹

2018

Veins and Lymphatics

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“…Al Khaburi et al 51,52 further studied effects of fabric thickness on pressure magnitudes of multicomponent compression systems, and established a mathematical model involving bandage thickness based on thick wall cylinder theory for interface pressure prediction. However, Hegarty-Craver et al 53 pointed out that as the limb is not a solid and uniform cylinder, the material friction and creep characteristics could influence the amount of applied pressure using Laplace's Law in practice of compression therapy. Following that, Sikka et al further developed a pressure prediction model based on conical limb geometry, 54 but the model did not cater to the change of tension in a dynamic situation.…”

Section: Practicality Of Laplace's Equation In Pressure Predictionmentioning

confidence: 99%

Determination of leg cross-sectional curvatures and application in pressure prediction for lower body compression garments

Liu

Lao

et al. 2018

Textile Research Journal

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It has been recognized that the cross-sectional curvatures of lower extremities directly influence pressure magnitudes and distributions exerted by compression garments. In the practice of compression therapy, higher peak pressures produced by compression shells occurred at anatomic sites with smaller radius of curvatures and led to side effects and discomfort perception. An effective and operational method to determine leg curvature properties in order to predict pressure performances is desirable to improve comfort and mechanical function of compression garment. By employing three-dimensional (3D) digital anthropometry and two-dimensional (2D) digital image simulation, the curvatures and radius of curvatures of a total of 300 cross-sectional slices involving 1200 anatomic sites along the lower limbs were determined onto the ten healthy female subjects when they were and were not wearing compression stockings. Based on the determined cross-sectional characteristics, the skin pressures were calculated using the circumference-based and the radius of curvature-based Laplace’s equations, respectively, which were further validated against the experimental skin pressures measured by a PicoPress transducer. This study provided quantitative evidence in the exploration of the working mechanisms of uneven pressures produced by compression garments, and established a standardized method to determine cross-section-related curvature characteristics for pressure assessment and prediction, which will contribute to improving user compliance of compression garments in long-term wear.

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Research into fabrics used in compression therapy and assessment of their impact on treatment regimens

Abstract: This study was sponsored by Carolon. L. Reid, and S. Kravitz are employees of Carolon and E. Grant is a Member of the Board. M. Hegarty-Craver and C. Kwon have received monetary compensation as researchers for Carolon.

Cited by 13 publications

References 11 publications

Reliability of Functional Compressive Bandaging in the Treatment of Lymphedema Secondary to the Treatment of Breast Cancer

Reliability of Functional Compressive Bandaging in the Treatment of Lymphedema Secondary to the Treatment of Breast Cancer

Measuring the interface pressure

Determination of leg cross-sectional curvatures and application in pressure prediction for lower body compression garments

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