Controlled, Comparative Study of Relation between Volume Changes and Interface Pressure under Short-Stretch Bandages in Leg Lymphedema Patients
Identifieur interne : 007001 ( Main/Exploration ); précédent : 007000; suivant : 007002Controlled, Comparative Study of Relation between Volume Changes and Interface Pressure under Short-Stretch Bandages in Leg Lymphedema Patients
Auteurs : Robert J. Damstra [Pays-Bas] ; Els R. Brouwer [Pays-Bas] ; Hugo Partsch [Autriche] ; H. A. Martino NeumannSource :
- Dermatologic surgery [ 1076-0512 ] ; 2008.
Descripteurs français
- Pascal (Inist)
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English descriptors
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Abstract
BACKGROUND Pressure loss under short-stretch bandages (SSBs) is a well-known phenomenon and is thought to be related to bandage relaxation and poor quality of application. AIM The aim was to demonstrate that therapeutically intended volume reduction of the compressed leg is the most important cause for the loss of bandage pressure. DESIGN This was an experimental, controlled comparative study. METHODS In 20 patients suffering from lymphedema of the lower extremities and in 9 healthy persons, lower leg volume was measured by water displacement. After application of a pressure measurement device (Kikuhime) at the B1 region, SSBs were applied on one leg according to a standard protocol. Volume and pressure measurements were performed at 0, 2, and 24 hours in supine as well as standing positions. RESULTS A significant reduction of leg volume is already achieved 2 hours after bandage application, both in lymphedema patients and in normal controls. A further volume decrease of the lymphedematous legs is observed in the following 24 hours after application of a new bandage (-290 mL). The volume reduction is associated with a significant loss of bandage pressure from initial values over 60 mmHg by 37 and 48% in controls and lymphedema patients, respectively. CONCLUSIONS Inelastic, multilayer, multicomponent compression bandages lead to an immediate reduction of leg volume, both in lymphedematous and in normal legs. This therapeutically intended volume reduction seems to be the main reason for the fast decrease of the subbandage pressure.
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Brouwer</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Dermatology, Phlebology and Lymphology, Hospital Nij Smellinghe</s1><s2>Drachten</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Partsch, Hugo" sort="Partsch, Hugo" uniqKey="Partsch H" first="Hugo" last="Partsch">Hugo Partsch</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Private Practice</s1><s2>Vienna</s2><s3>AUT</s3><sZ>3 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Martino Neumann, H A" sort="Martino Neumann, H A" uniqKey="Martino Neumann H" first="H. A." last="Martino Neumann">H. A. 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Damstra</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Dermatology, Phlebology and Lymphology, Hospital Nij Smellinghe</s1><s2>Drachten</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Brouwer, Els R" sort="Brouwer, Els R" uniqKey="Brouwer E" first="Els R." last="Brouwer">Els R. Brouwer</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Dermatology, Phlebology and Lymphology, Hospital Nij Smellinghe</s1><s2>Drachten</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Partsch, Hugo" sort="Partsch, Hugo" uniqKey="Partsch H" first="Hugo" last="Partsch">Hugo Partsch</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Private Practice</s1><s2>Vienna</s2><s3>AUT</s3><sZ>3 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Martino Neumann, H A" sort="Martino Neumann, H A" uniqKey="Martino Neumann H" first="H. A." last="Martino Neumann">H. A. Martino Neumann</name></author></analytic><series><title level="j" type="main">Dermatologic surgery</title><title level="j" type="abbreviated">Dermatol. surg.</title><idno type="ISSN">1076-0512</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Dermatologic surgery</title><title level="j" type="abbreviated">Dermatol. surg.</title><idno type="ISSN">1076-0512</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bandage</term><term>Comparative study</term><term>Dermatology</term><term>Human</term><term>Leg</term><term>Lymphedema</term><term>Pressure</term><term>Relation</term><term>Surgery</term><term>Treatment</term><term>Volume</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Chirurgie</term><term>Etude comparative</term><term>Relation</term><term>Volume</term><term>Pression</term><term>Bandage</term><term>Jambe</term><term>Homme</term><term>Dermatologie</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BACKGROUND Pressure loss under short-stretch bandages (SSBs) is a well-known phenomenon and is thought to be related to bandage relaxation and poor quality of application. AIM The aim was to demonstrate that therapeutically intended volume reduction of the compressed leg is the most important cause for the loss of bandage pressure. DESIGN This was an experimental, controlled comparative study. METHODS In 20 patients suffering from lymphedema of the lower extremities and in 9 healthy persons, lower leg volume was measured by water displacement. After application of a pressure measurement device (Kikuhime) at the B1 region, SSBs were applied on one leg according to a standard protocol. Volume and pressure measurements were performed at 0, 2, and 24 hours in supine as well as standing positions. RESULTS A significant reduction of leg volume is already achieved 2 hours after bandage application, both in lymphedema patients and in normal controls. A further volume decrease of the lymphedematous legs is observed in the following 24 hours after application of a new bandage (-290 mL). The volume reduction is associated with a significant loss of bandage pressure from initial values over 60 mmHg by 37 and 48% in controls and lymphedema patients, respectively. CONCLUSIONS Inelastic, multilayer, multicomponent compression bandages lead to an immediate reduction of leg volume, both in lymphedematous and in normal legs. This therapeutically intended volume reduction seems to be the main reason for the fast decrease of the subbandage pressure.</div></front></TEI><affiliations><list><country><li>Autriche</li><li>Pays-Bas</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><noCountry><name sortKey="Martino Neumann, H A" sort="Martino Neumann, H A" uniqKey="Martino Neumann H" first="H. A." last="Martino Neumann">H. A. Martino Neumann</name></noCountry><country name="Pays-Bas"><noRegion><name sortKey="Damstra, Robert J" sort="Damstra, Robert J" uniqKey="Damstra R" first="Robert J." last="Damstra">Robert J. Damstra</name></noRegion><name sortKey="Brouwer, Els R" sort="Brouwer, Els R" uniqKey="Brouwer E" first="Els R." last="Brouwer">Els R. Brouwer</name></country><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Partsch, Hugo" sort="Partsch, Hugo" uniqKey="Partsch H" first="Hugo" last="Partsch">Hugo Partsch</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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