Measurement of Lower Leg Compression In Vivo: Recommendations for the Performance of Measurements of Interface Pressure and Stiffness

BACKGROUND Interface pressure and stiffness characterizing the elastic properties of the material are the deciding parameters determining the dosage of compression treatment and should therefore be measured in future clinical trials. AIM The aim of this consensus paper is to provide some recommendations regarding the use of suitable methods for this indication. METHOD This paper was formulated based on the results of an international consensus meeting between a group of medical experts and representatives from the industry held in January 2005 in Vienna, Austria. RESULTS Proposals are made concerning methods for measuring the interface pressure and for assessing the stiffness of a compression device in an individual patient. CONCLUSIONS In vivo measurement of interface pressure is encouraged when clinical and experimental outcomes of compression treatment are to be evaluated.

[1]  J C Barbenel,et al.  Device for measuring soft tissue interface pressures. , 1990, Journal of biomedical engineering.

[2]  J. Benigni,et al.  La contention médicale , 2000 .

[3]  R. Prescott,et al.  Effect of Time and Posture on Pressure Profiles Obtained by Three Different Types of Compression , 1991 .

[4]  In vivo pressure profiles of thigh‐length graduated compression stockings , 1999, The British journal of surgery.

[5]  R. Williams,et al.  Measurement of forces associated with compression therapy , 2006, Medical & Biological Engineering & Computing.

[6]  F. Fowkes.  Epidemiology of Chronic Venous Insufficiency , 1996 .

[7]  H. Partsch.  [Improving the venous pumping function in chronic venous insufficiency by compression as dependent on pressure and material]. , 1984, VASA. Zeitschrift fur Gefasskrankheiten.

[8]  T. I. King,et al.  Physical properties of short-stretch compression bandages used to treat lymphedema. , 2001, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[9]  E. Yeong,et al.  A new tool to measure pressure under burn garments. , 1997, The Journal of burn care & rehabilitation.

[10]  W. Tennant,et al.  Testing Compression Bandages , 1988 .

[11]  J M Melhuish,et al.  The physics of sub-bandage pressure measurement. , 2000, Journal of wound care.

[12]  P. Nelemans,et al.  The Effect of Medical Elastic Compression Stockings with Different Slope Values on Edema: Measurements Underneath Three Different Types of Stockings , 2000, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[13]  M. D. Steinberg,et al.  Design and evaluation of a device for measurement of interface pressure. , 1993, Journal of biomedical engineering.

[14]  H. D. de Vet,et al.  Elastic compression stockings: durability of pressure in daily practice. , 1997, VASA. Zeitschrift fur Gefasskrankheiten.

[15]  M. Jünger,et al.  The ratio of working pressure to resting pressure under compression stockings: Its significance for the improvement of venous perfusion in the legs , 2001, Phlebologie.

[16]  H. Neumann,et al.  Long cotton wool rolls as compression enhancers in macrosclerotherapy for varicose veins. , 1999, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[17]  M. Hirai.  The effect of posture and exercise on elastic stocking compression at different sites of the leg. , 1999, VASA. Zeitschrift fur Gefasskrankheiten.

[18]  A.-A. Ramelet,et al.  Compression therapy : Special section on phlebology , 2002 .

[19]  T. Raj,et al.  How long do compression bandages maintain their pressure during ambulatory treatment of varicose veins? , 1980, The British journal of surgery.

[20]  F. Vin.  Conférence Internationale de Consensus sur la Compression , 2003 .

[21]  R. Williams,et al.  Movement-related variation in forces under compression stockings. , 1999, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[22]  E. A. Nelson,et al.  Improvements in bandaging technique following training. , 1995, Journal of wound care.

[23]  M. Neumann,et al.  Pressure Differences of Elastic Compression Stockings at the Ankle Region , 1997, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[24]  H Fischer,et al.  [Compression therapy]. , 1979, Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete.

[25]  G Welch.  Interface pressure measurement. , 1989, Decubitus.

[26]  A. Williams,et al.  'Putting the pressure on': a study of compression sleeves used in breast cancer-related lymphoedema. , 1999, Journal of tissue viability.

[27]  M W Ferguson-Pell,et al.  Design Criteria for the Measurement of Pressure at Body/Support Interfaces: , 1980 .

[28]  R. STOLK,et al.  A Method for Measuring the Dynamic Behavior of Medical Compression Hosiery during Walking , 2004, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[29]  H. Partsch,et al.  Does thigh compression improve venous hemodynamics in chronic venous insufficiency? , 2002, Journal of vascular surgery.

[30]  C Gillot,et al.  [Role of the lesser saphenous vein in essential varices]. , 1973, Phlebologie.

[31]  J. Bergan,et al.  Compression Therapy of the Extremities , 2001 .

[32]  R. Taylor,et al.  Using a bandage pressure monitor as an aid in improving bandaging skills. , 1998, Journal of wound care.

[33]  G. Burg,et al.  A comparison of multilayer bandage systems during rest, exercise, and over 2 days of wear time. , 2000, Archives of dermatology.

[34]  H. Neumann,et al.  Effects of Medical Elastic Compression Stockings on Interface Pressure and Edema Prevention , 1996, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[35]  Anpressdruck eines zirkulären Fertigverbandes im Vergleich zu phlebologischen Kompressionsverbänden , 2001, Der Hautarzt.

[36]  M. Hirai,et al.  Changes in Interface Pressure under Elastic and Short-Stretch Bandages during Posture Changes and Exercise , 1998 .

[37]  I D Swain,et al.  The measurement of interface pressure and its role in soft tissue breakdown. , 2002, Journal of tissue viability.

[38]  J. H. Jhoun,et al.  Use of diaphragm transducers in the measurement of pressures on soft materials , 1998, Medical and Biological Engineering and Computing.

[39]  C A Harries,et al.  Measuring pressure under burns pressure garments using the Oxford Pressure Monitor. , 1989, Burns : journal of the International Society for Burn Injuries.

[40]  Michael Clark,et al.  Effect of compression on blood flow in lower limb wounds , 2004, International wound journal.

[41]  T. Klyscz,et al.  Dynamische In-vivo-Messungen des Anpreßdruckes von Kompressionsstrümpfen mit einer Mikro-Sonde - Dynamic In Vivo Measurements of the Pressure Exerted by the Compression Stocking Using a Microtip Probe , 1996 .

[42]  R. Williams,et al.  Evaluation of Compression under an Elastic Tubular Bandage Utilised as an Introduction to Compression Therapy in the Treatment of Venous Leg Ulcers , 2000 .

[43]  K. Aryal,et al.  Effect of Posture on the Pressure Exerted by Below-Knee Class II Compression Stockings on Normal Subjects , 2002 .

[44]  May Stinson,et al.  Measuring interface pressure: a laboratory-based investigation into the effects of repositioning and sitting. , 2002, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[45]  M. Clark,et al.  Measurement of the skin microcirculation through intact bandages using laser Doppler flowmetry , 2004, Medical and Biological Engineering and Computing.

[46]  Hugo Partsch,et al.  The Static Stiffness Index: A Simple Method to Assess the Elastic Property of Compression Material In Vivo , 2005, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[47]  A. Mostbeck,et al.  Inelastic leg compression is more effective to reduce deep venous refluxes than elastic bandages. , 1999, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[48]  N J Paris-Seeley,et al.  A compliance-independent pressure transducer for biomedical device-tissue interfaces. , 2000, Biomedical instrumentation & technology.

[49]  L Danielsen,et al.  Subbandage pressure measurements comparing a long-stretch with a short-stretch compression bandage. , 1998, Acta dermato-venereologica.

[50]  M. Jünger,et al.  Interface pressure under a ready made compression stocking developed for the treatment of venous ulcers over a period of six weeks. , 2003, VASA. Zeitschrift fur Gefasskrankheiten.

[51]  R. Spence,et al.  Inelastic versus elastic leg compression in chronic venous insufficiency: a comparison of limb size and venous hemodynamics. , 1996, Journal of vascular surgery.

[52]  Holger Hänssle,et al.  Instruction of Compression Therapy by Means of Interface Pressure Measurement , 2000, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[53]  Effect of posture on the pressure exerted by Below-Knee class II compression stockings on normal subjects , 2002 .

[54]  Z. Moore.  Compression bandaging: are practitioners achieving the ideal sub-bandage pressures? , 2002, Journal of wound care.

[55]  C. Wolsley,et al.  Review of interface pressure measurement to establish a protocol for their use in the assessment of patient support surfaces. , 2000, Journal of tissue viability.

[56]  V Allen,et al.  Accuracy of interface pressure measurement systems. , 1993, Journal of biomedical engineering.

[57]  M. Ferguson-Pell,et al.  Evaluation of a sensor for low interface pressure applications. , 2000, Medical engineering & physics.