S.T.R.I.D.E. Professional Guide to Compression Garment Selection for the Lower Extremity

Bjork, Robyn; Ehmann, Suzie

doi:10.12968/jowc.2019.28.sup6a.s1

Cited by 49 publications

(37 citation statements)

References 68 publications

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“…Both bandages and stockings perform on the same principle: the higher the stiffness, the larger the improvement of hemodynamic parameters and the more effective the reduction of edema. 12 As most cases of chronic lower limb edema are of compound origin, affecting eventually the lymphatic output, principles of conservative management of lymphatic congestion may be extrapolated into the cases of chronic edema and incorporated into the community health system. 13 Mixedetiology limb edema can be one of the major complaints not only among the elderly population, 14 but also within hospice patients.…”

Section: Discussionmentioning

confidence: 99%

Lay Caregivers Education in Multicomponent Compression Bandaging in Obese Patients with Lower Limb Edema: A Case–Control Pilot Study

Grądalski¹,

Ochałek

2020

Lymphatic Research and Biology

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Background: A report on the usefulness of the instruction of lay carers in multilayer short-stretch compression bandaging within the initial intensive phase physical treatment of mixed-etiology chronic lower limb edema. Methods and Results: In a group of adult obese patients (including 24 females) with venous insufficiency and chronic bilateral lower limb edema, and without a history of physical therapy, 20 (ambulatory managed) were bandaged once daily (four layers, short stretch with cotton tube, and foam padding underneath) for 3 weeks (Monday-Friday) by skilled physiotherapists, and in 20 cases (education group, EG), the patients' lay carers were educated by these physiotherapists according to the same regime during one session. The outcome measures included limb volume (the method of circumference measurement with a tape at 4 cm intervals) after 1, 3, and 6 months, the time to reach the maintenance phase, the frequency of complementary bandaging during this phase, and the sense of self-efficacy (General Self-Efficacy scale, GSEs). No significant differences were noted between the two groups in the baseline measurements of age, body mass, and limb volume. The carers were able to apply compression bandages in all cases during the observation period. The time to reach the maintenance phase was longer in EG (6 vs. 1 weeks; p < 0.001). A similar median reduction in edema volume was observed at the end of the bandaging period, which continued for 3 and 6 months. It was only in EG that further improvement between 1 and 3 months was observed (p = 0.008). All participants represented an equally high optimistic sense of personal competence (GSEs). Conclusions: The instruction of lay carers in bandaging may provide a simple clinically effective solution for lower limb edema management, thus lowering its costs.

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Section: Discussionmentioning

confidence: 99%

Lay Caregivers Education in Multicomponent Compression Bandaging in Obese Patients with Lower Limb Edema: A Case–Control Pilot Study

Grądalski¹,

Ochałek

2020

Lymphatic Research and Biology

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“…is the first step towards that goal. 1 Most compression garment labelling and prescription indicate only the 'dosage', or mmHg of compression pressure. The caveat is that dosage alone is inadequate information to determine a garment's therapeutic efficacy.…”

Section: Stride Professional Guide To Compression Garment Selecmentioning

confidence: 99%

“…clearly explains the science of compression and bridges the gap in our knowledge base. 1 It provides a method for compression garment selection now and a platform from which to garner more data in the future. Most of the data we are currently missing on packaging is sitting in research and development labs of compression garment manufacturers or can be easily tested.…”

Section: Stride Professional Guide To Compression Garment Selecmentioning

confidence: 99%

S.T.R.I.D.E. professional guide to compression garment selection for the lower extremities

Bjork¹

2019

J Wound Care

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“…2 13–16 Professional guidelines for selection of compression devices for lower extremities, not limited to oedema, are presented by Bjork et al. 17…”

Section: Introductionmentioning

confidence: 99%

Textile-based compression therapy in managing chronic oedema: Complex interactions

2020

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Background Compression is a common therapy for management of chronic disease, including oedema of the lower limb. Modern compression interventions exert pressure on the lower limb through use of one or more materials which exert pressure against the limb over time. Where these materials are textiles, they range from elastic to inelastic, and are produced using knitting, weaving, or other textile technologies which can be manipulated to control performance properties. Thus, understanding of both the materials/textiles and the human body is needed if the most appropriate compression device and treatment strategy is to be used. Neither is independent of the other. This review aims to enhance understanding of critical textile performance properties and how selection of textiles may affect treatment efficacy when managing chronic oedema of the lower limb. Method Relevant papers for review were identified via PubMed Central® library, and Google Scholar using keywords associated with textile-based treatments of the oedematous lower limb and wider interdisciplinary factors. Results Assessment of the disorder, the severity of oedema, and location of fluid accumulation are required to inform treatment of chronic oedema. While the need to understand the patient is well established (e.g. age, sex, body mass index, skin thickness and colour, patient compliance with treatment), information about preferred compression systems and material structures, and inherent properties of these, is generally lacking. Conclusion Greater detail about materials used (e.g. fabric structure, number and order of layers, fibre content) and patient diagnosis (e.g. underlying cause, severity, location of oedema; patient age and sex; evidence of compliance with treatment; pressure exerted; lower leg shape, size, and properties of the tissue) is needed to facilitate advances in efficacy of compression treatment. Reduced limb swelling with a textile-based treatment occurs simultaneously with changes to the textile itself. Textiles cannot be considered inert.

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S.T.R.I.D.E. Professional Guide to Compression Garment Selection for the Lower Extremity

Abstract: An algorithm incorporating both textile characteristic and oedema presentation to optimize medical compression garment selection.

Cited by 49 publications

References 68 publications

Lay Caregivers Education in Multicomponent Compression Bandaging in Obese Patients with Lower Limb Edema: A Case–Control Pilot Study

Lay Caregivers Education in Multicomponent Compression Bandaging in Obese Patients with Lower Limb Edema: A Case–Control Pilot Study

S.T.R.I.D.E. professional guide to compression garment selection for the lower extremities

Textile-based compression therapy in managing chronic oedema: Complex interactions

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