Study on different bandages and application techniques for achieving stiffer compression

Abstract

Objectives

The objective of this study was to investigate the relationship between interface pressure and stiffness of compression achieved by various combinations of bandages and application techniques.

Method

There were eight healthy volunteers. One roll (4.5 m) of four types of bandages with different extensibilities (0, 90, 108 and 218%) was applied to the leg in single-layer bandage fashion with eight random tensions. Then, the leg was wrapped with one to eight rolls in multi-layer bandage fashion.

Results

Each combination of bandage and application technique displayed an indigenous linear interface pressure-static stiffness index relationship. With single-layer bandage, lower extensibility was associated with higher static stiffness index at a given interface pressure. With multi-layer bandage, the static stiffness index at a given interface pressure was independent of the bandage type.

Conclusion

The stiffness at a given interface pressure was affected by the extensibility with single-layer bandage but not with multi-layer bandage.

Keywords

Chronic venous insufficiency bandage application stiffness

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References

Partsch

Clark

Mosti

. Classification of compression bandages: practical aspects. Dermatol Surg 2008; 34: 600–609.

Partsch

Menzinger

Mostbeck

. Inelastic leg compression is more effective to reduce deep venous refluxes than elastic bandages. Dermatol Surg 1999; 25: 695–700.

Coleridge-Smith

Labropoulos

Partsch

. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs––UIP consensus document. Part I. Basic principles. Eur J Vasc Endovasc Surg 2006; 31: 83–92.

Mosti

Mattaliano

Polignano

. Compression therapy in the treatment of leg ulcers. ACTA VULVOL 2009; 7: 1–20.

Suehiro

Okada

Yoshimura

. Elastic multilayer bandages for chronic venous insufficiency: features of our technique. Ann Vasc Dis 2012; 5: 347–351.

Partsch

Clark

Bassez

. Measurement of lower leg compression in vivo: recommendations for the performance of measurements of interface pressure and stiffness: consensus statement. Dermatol Surg 2006; 32: 224–232; discussion 233.

Partsch

. The static stiffness index: a simple method to assess the elastic property of compression material in vivo. Dermatol Surg 2005; 31: 625–630.

Eberhardt

Raffetto

. Chronic venous insufficiency. Circulation 2005; 111: 2398–2409.

Milic

Zivic

Bogdanovic

. The influence of different sub-bandage pressure values on venous leg ulcers healing when treated with compression therapy. J Vasc Surg 2010; 51: 655–661.