Comparison of handling, pressure and wearing comfort of different compression devices for decongestion therapy

Compression therapy is an effective therapeutic measure for prevention and therapy of venous leg ulcers (VLU) as well as their recurrence. If properly performed, it causes an increase in venous return, reduces pressure and volume overload in the vein system of the leg. Also it reduces edema, improves pathological changes in micro and macro circulation, and reduces pain.1,2 In the decongestion phase a florid VLU needs to be treated with strong compression.3,4 For this purpose, short-stretch bandages, multicomponent systems or adaptive compression bandages can be used. The success of compression bandaging depends on the experience, knowledge and practical skills of the supplier.5,6 Studies indicate that knowledge and skills of users are insufficient.7-9 Badly performed compression bandagings are often rejected by patients.10,11 The quality of application has a huge influence on the success of therapy.