The Effect of Medical Elastic Compression Stockings with Different Slope Values on Edema

Abstract

There is a statistically significant difference in CFR, and consequently in the development of edema, between not wearing an elastic compression stocking and wearing an elastic compression stocking. There is also a statistically significant difference in CFR between elastic compression stockings with the same compression, but a low slope profile and a high slope profile. Stockings with a low slope, but a higher compression may perform as well as stockings with a higher slope but a lower compression in reducing the CFR. In patients with a strong tendency to develop edema it may be advisable to prescribe stockings with a high slope profile.

Abordagem de pacientes com úlcera da perna de etiologia venosa

“…Compression treatment is mandatory for that, 28,29 since it acts on the macrocirculation, increasing deep venous return, decreasing pathologic reflux during deambulation and increasing stroke volume during the activation of the calf muscles.…”

Hysteresis and medical compression bandage and stockings

“…the correct dosage for a given situation. [1][2][3] So: i) correct prescription of stockings would be facilitated if manufacturers would provide the hysteresis curves for each of their stocking's model; ii) such measures would also help avoid the use of compression class systems, which vary significantly from country to country. …”

In vitro measurements of compression bandages and bandage systems: a review of existing methods and recommendations for improvement

“…There are several classification systems in different part of the world, which have one thing in common, they are all based on the findings of in vitro measurements. 11 For bandages or bandage systems that are used for compression therapy, there is no common language to describe the physical properties. There is only one classification system for bandages, which is based on force-elongation curves obtained in a laboratory.…”

“…This slope value is determined in the laboratory. 11 Neumann states that it is not sufficient to determine the compression (class) of the MECS alone, also the stiffness or elasticity coefficient is of importance for the final results of compression therapy. He provides objective criteria for prescribing MECS for venous diseases in phlebology.…”