Low Compression,High Gradient Stockings in Patients with Venous Insufficiency: Effect on the Musculo-Venous Pump,Evaluated by Strain Gauge Plethysmography
Restricted accessResearch articleFirst published online December, 1986
Low Compression,High Gradient Stockings in Patients with Venous Insufficiency: Effect on the Musculo-Venous Pump,Evaluated by Strain Gauge Plethysmography
In a prospective study 17 patients with superficial venous insufficiency were treated with a high gradient low compression stocking for a period of 6 weeks. The effect upon the musculo-venous pump was evaluated by ambulatory calf strain gauge plethysmography and compared to improvements in symptoms and clinical findings. The immediate effect of the stockings was a significant 22% reduction in venous reflux and 43% increase of the expelled volume. Moreover, an effect after 6 weeks (with the stockings applied during all daytime hours) was found even after the stockings were removed. This reduction of venous reflux of 30% and increase in expelled volume of 29% were statistically significant. Symptoms and objective findings were simultaneously improved. Finally the stockings were found to increase the maximal venous outflow by 27%.
AelvoetG.GeertsR.DockxP.The muscle pump function in chronic venous insufficiency. Plethysmographic results. Acta Derm Venerol1984;64:428–430.
2.
Van den BergE.BorgnisF.E.BollingerA.A.WuppermannTh.AlexanderK.A new method for measuring the effective compression of medical stockings. VASA1982;11:117–123.
3.
ChantA. D. B.The effects of posture, exercise and bandage pressure on the clearance of Na24 from the subcutaneous tissues of the foot. Br J Surg1972;59:552–555.
4.
ChantA.D.B.MagnussenP.KershawC.Support hose and varicose veins. Br Med J1985;290:204.
5.
FentemP.H.GoddardM.GoodenB. A.Support for varicose veins. Br Med J1976;1:254–256.
6.
FentemP. H.Claims about compression treatment for venous disease. Br Med J1982;285:61.
7.
FernandesE.FernandesJ.HornerJ.NeedhamT.NicolaidesA.Ambulatory calf volume plethysmography in the assessment of venous insufficiency. Br J Surg1979;66:327–330.
8.
GjøresJ.E.ThulesiusO.Compression treatment in venous insufficiency evaluated with foot volumetry. VASA1977;6:364–368.
9.
HallbookT.GøtlinJ.Straingauge plethysmography and phlebography in diagnosis of deep venous thrombosis. Acta Chir Scand1971;137:37–52.
10.
HobbsJ. T.The management of varicose veins. Surg Ann1980;12:169–186.
11.
HolfordC. P.Support for varicose veins. Br Med J1976;1:649.
12.
HolmJ.S.E.A simple plethysmographic method for differentiating primary from secondary varicose veins. Surg Gynecol Obstet1976;143:609–612.
13.
HornerJ.FernandesE.FernandesJ.NicolaidesA. N.Value of graduated compression stockings in deep venous insufficiency. Br Med J1980;280:820–821.
14.
JonesN.A.G.WeggP.H.ReesR.I.KakkarV.V.A physiological study of elastic compression stockings in venous disorders of the leg. Br J Surg1980;67:569–572.
15.
KakkarV.V.A physiological study of elastic compression stockings in venous disorders of the leg. Phlebologie1982;35:101–106.
16.
LawrenceD.KakkarV. V.Graduated, static external compression of the lower limb; a physiological assessment. Br J Surg1980;67:119–121.
17.
LewisC.E.L.AntoineJ.MuellerC.TalbotW.A.SwaroopR.EdwardsW. S.Elastic compression in the prevention of venous stasis. A critical evaluation. Am J Surg1976;132:739–743.
18.
NegusD.Claims about compression treatment for venous disease. Br Med J1982;285:439–440.
19.
NiederleP.PrerovskyI.The evaluation of venous muscle pump disorder in chronic venous insufficiency. VASA1976;5:24–27.
20.
NorgrenL.Functional evaluation of chronic venous insufficiency by foot volumetry. Acta Chir Scand1974;Suppl 444.
21.
NorrisC.S.TurleyG.BarnesR. W.Noninvasive quantitation of ambulatory venous hemodynamics during elastic compressive therapy. Angiology1984;35:560–567.
22.
O'DonnellT.F.RosenthalD.A.CollwA.D.BruceL. L.Effect of elastic compression on venous hemodynamics in postphlebetic limbs. JAMA1979;242:2766–2768.
23.
OrbachE. J.Compression therapy of vein and lymph vessel diseases of the lower extremities. Angiology1979;30:95–103.
24.
PartschH.Do we need firm compression stockings exerting high pressure?VASA1984;13:52–57.
25.
PartschH.Besserung der venösen Pumpleistung bei chronischer Veneninsufficienz durch Kompression unabhängig von Andruck und Material. VASA1984;13:58–64.
26.
PartschH.Kompressionsstrumpfe Klasse II als medizinische Indikation. VASA1985;14:390–393.
27.
PiersonS.Efficiency of graduated elastic compression in the lower leg. JAMA1983;249: 242–243.
28.
SigelB.EdelsteinA. L.FelixW.R.MennhardtC. R.Compression of the deep venous system of the lower leg during inactive recumbancy. Arch Surg1973;106:38–43.
29.
SigeJB.EdelsteinA.L.SavitchL.HastyJ.H.FelixH. R.Type of compression for reducing venous stasis. Arch Surg1975;110:171–175.
30.
SommervilleJ.J.F.BrowG.O.ByrneP.J.QuillR.D.FeganW. G.The effect of Elastic stockings on superficial venous pressures in patients with venous insufficiency. Br J Surg1974;61:979–981.
31.
StemmerR.Ambulatory elastocompressive treatment of the lower extremities particularly with elastic stockings. Der Kassenarzt1969;9:1–8.
32.
StemmerR.Le choix du bas de compression. Phlebologie1982;35:107–116.
33.
StruckmannJ.MathiesenF. R.Effekten af en gradueret lavkompressionsstrømpe TED hos patienter med varicer. Ugeskr Læg1984;146:2862–2864.
34.
StruckmannJ.MathiesenF.R.A noninvasive plethysmographic method for the evaluation of the musculovenous pump in the lower extremities. Acta Chir Scand1985;151:235–240.
