To report pressure and stiffness, in healthy volunteers, of a new compression device with an air bladder inflated by a pump to regulate pressure.
Methods
The device was applied to 60 legs of 30 volunteers and set to exert different pressures of 20–50 mmHg. The exerted pressure was measured in supine and standing positions and during simple physical exercises; static stiffness index, dynamic stiffness index, and walking pressure amplitudes were calculated.
Results
The exerted pressure showed a good correlation with the expected pressure at each pressure range. The stiffness indices were >10 mmHg in the range of inelastic materials. The device was considered very easy to apply and use by the testing researchers.
Conclusions
The device stiffness is in the same range as the inelastic bandages. Consequently, similar hemodynamic effectiveness could be expected but must be proved. Unlike inelastic bandages, this device was easy to apply and use.
PartschHFlourMSmithPC. Indications for compression therapy in venous and lymphatic disease. Consensus based on experimental data and scientific evidence. Int Angiol2008; 2: 193–219.
2.
RabeEPartschHHafnerJ, et al.Indications for medical compression stockings in venous and lymphatic disorders: an evidence-based consensus statement. Phlebology2018; 33: 163–184.
3.
O'DonnellTFJPassmanMAMarstonWA, et al.Management of venous leg ulcers: clinical practice guidelines of the Society for Vascular Surgery ® and the American Venous Forum. J Vasc Surg2014; 60(2 Suppl): 3S–59S.
4.
MostiGMattalianoVPartschH. Inelastic compression increases venous ejection fraction more than elastic bandages in patients with superficial venous reflux. Phlebology2008; 23: 287–294.
5.
MostiGPartschH. Duplex scanning to evaluate the effect of compression on venous reflux. Int Angiol2010; 29: 416–420.
6.
PartschHMenzingerGMostbeckA. Inelastic leg compression is more effective to reduce deep venous refluxes than elastic bandages. Dermatol Surg1999; 25: 695–700.
7.
PartschH. Do we still need compression bandages? Haemodynamic effects of compression stockings and bandages. Phlebology2006; 21: 132–138.
8.
ProtzKHeyerKDörlerM, et al.Compression therapy: scientific background and practical applications. J Dtsch Dermatol Ges2014; 12: 794–801.
9.
ProtzKDissemondJAugustinM, et al.Phlebological compression bandaging competence: comparing performance of nurses before and after one-off training. JWC2022; 31: 2–7.
10.
NingJMaWFishJ, et al.Interface pressure changes under compression bandages during period of wearing. J Vasc Surg Venous Lymphat Disord2021; 9: 971–976.
11.
ProtzKHeyerKVerheyen-CronauI, et al.Loss of interface pressure in various compression bandage systems over seven days. Dermatology2014; 229: 343–352.
12.
DamstraRJBrouwerERPartschH. Controlled, comparative study of relation between volume changes and interface pressure under short-stretch bandages in leg lymphedema patients. Dermatol Surg2008; 34: 773–778.
13.
MostiGPartschH. Self-management by firm, non-elastic adjustable compression wrap device. Veins and Lymphatics2017; 6: 7003. DOI: 10.4081/vl.2017.7003.
14.
DamstraRJPartschH. Prospective, randomized, controlled trial comparing the effectiveness of adjustable compression Velcro® wraps versus inelastic multicomponent compression bandages in the initial treatment of leg lymphedema. J Vasc Surg Venous Lymphat Disord2013; 1: 13–19.
15.
MostiGCavezziAPartschH, et al.Adjustable Velcro® compression devices are more effective than inelastic bandages in reducing venous edema in the initial treatment phase: a randomized controlled trial. Eur J Vasc Endovasc Surg2015; 50: 368–374.
16.
MostiGManciniSBruniS, et al.Adjustable compression wrap devices are cheaper and more effective than inelastic bandages for venous leg ulcer healing. A Multicentric Italian Randomized Clinical Experience. Phlebology2020; 35: 124–133.
17.
BenigniJPUhlJFBaletF, et al.Evaluation of three different devices to reduce stasis edema in poorly mobile nursing home patients. Int Angiol2018; 37: 322–326.
18.
PartschH. The static stiffness index: a simple method to assess the elastic property of compression material in vivo. Dermatol Surg2005; 31: 625–630.
19.
PartschH. The use of pressure change on standing as a surrogate measure of the stiffness of a compression bandage. Eur J Vasc Endovasc Surg2005; 30: 415–421.
20.
PartschHClarkMBassezS, et al.Measurement of lower leg compression in vivo: recommendations for the performance of measurements of interface pressure and stiffness. Dermatol Surg2006; 32: 224–233.
21.
MostiG. Elastic or inelastic compression in patients with leg ulcer and restricted mobility?Veins and Lymphatics2012; 2: e20. DOI: 10.4081/vl.2013.e20
22.
MostiGPartschH. A new two component compression system turning an elastic bandage into an inelastic compression device: interface pressure, stiffness, and haemodynamic effectiveness. Eur J Vasc Endovasc Surg2018; 55: 126–131.
23.
MostiGPartschH. A wearable compression device to normalise calf muscle pump function in chronic venous insufficiency for each postural position. Eur J Vasc Endovasc Surg2019; 57: 702–707.
24.
PartschHSchurenJMostiG, et al.The Static Stiffness Index: an important parameter to characterise compression therapy in vivo. J Wound Care2016; 25(Suppl 9): S4–S10.
25.
MostiGPartschH. Inelastic bandages maintain their hemodynamic effectiveness over time despite significant pressure loss. J Vasc Surg2010; 52: 925–931.
26.
MostiGMattalianoV. Simultaneous changes of leg circumference and interface pressure under different compression bandages. Eur J Vasc Endovasc Surg2007; 33: 476–482.
27.
HeckoSLutzeSArnoldA, et al.Improvement of occupational leg edema and discomforts (RCT). Clin Hemorheol Microcirc2022; 82: 125–139.
28.
BlazekCAmslerFBlaettlerW, et al.Compression hosiery for occupational leg symptoms and leg volume: a randomized crossover trial in a cohort of hairdressers. Phlebology2013; 28: 239–247.
29.
KaranikolicVBinicIJovanovicD, et al.The effect of age and compression strength on venous leg ulcer healing. Phlebology2018; 33: 618–626.
PartschH. Compression for the management of venous leg ulcers: which material do we have?Phlebology. 2014;29(1 suppl):140–145.
32.
LurieFKistnerR. Variability of interface pressure produced by ready-to-wear compression stockings. Phlebology2014; 29: 105–108.
33.
GianesiniSRaffettoJDMostiG, et al.Menegatti E Volume control of the lower limb with graduated compression during different muscle pump activation conditions and the relation to limb circumference variation. J Vasc Surg Venous Lymphat Disord2020; 8: 814–820.
34.
ReynoldsS. The impact of a bandage training programme. JWC1999; 8: 55–60.
35.
NelsonEARuckleyCVBarbenelJC. Improvements in bandaging technique following training. JWC1995; 4: 181–184.
36.
KellerAMüllerMLCalowT, et al.Bandage pressure measurement and training: simple interventions to improve efficacy in compression bandaging. Int Wound J2009; 6: 324–330.
37.
ZarchiKJemecGBE. Delivery of compression therapy for venous leg ulcers. JAMA Dermatol2014; 150: 730–736.
38.
AmslerFWillenbergTBlättlerW. Management of venous ulcer: a meta analysis of randomized studies comparing bandages to specifically designed stockings. J Vasc Surg2009; 50: 668–674.
39.
AshbyRLGabeRAliS, et al.Clinical and cost-effectiveness of compression hosiery versus compression bandages in treatment of venous leg ulcers (Venous leg Ulcer Study IV, VenUS IV): a randomised controlled trial. Lancet2014; 383: 871–879.
40.
PartschHHorakovaMA. Compression stockings in treatment of lower leg venous ulcer. Wien Med Wochenschr1994; 144: 242–249.
41.
European Committee for Standardization (CEN). Non-active medical devices. In: Working group 2ENV12718: European pre-standard ’medical CompressionHosiery.’CENTC205. Brussels: CEN, 2001.
42.
PartschBMayerWPartschH. Improvement of ambulatory venous hypertension by narrowing of the femoral vein in congenital absence of venous valves. Phlebology1992; 7: 101–104.
