Adjustable compression wraps: stretch, interface pressures and static stiffness indices.

IF 1.5 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

International Angiology Pub Date : 2023-06-01 DOI:10.23736/S0392-9590.23.04957-X

Jean-Patrick Benigni, Jean-François Uhl, Pascal Filori, Florence Balet, Liliane Penoel

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引用次数: 0

Abstract

Background: Adjustable compression wraps (ACWs) may represent the future of compression for the treatment of the most severe stages of chronic venous diseases and lymphedema. We tested in five healthy subjects: Coolflex® from Sigvaris®; Juzo wrap 6000®, Readywrap® from Lohmann Rauscher®; Juxtafit® and Juxtalite® from Medi®, Compreflex® from Sigvaris®. The objective of this pilot study was to study the stretch, interface pressures, and Static Stiffness Index (SSI) of the six ACWs applied to the leg.

Methods: The stretch was evaluated by stretching the ACWs to their maximum length. Interface pressure measurements were performed using a PicoPress^® transducer and a probe placed at point B1. Interface pressures were measured in the supine resting position and in the standing position. We calculated the SSI. We started the measurements at 20 mmHg in the supine position and increased the pressures by 5 mmHg to 5 mmHg.

Results: Coolflex® (inelastic ACW) cannot exceed a maximum pressure of 30 mmHg at rest with a maximum SSI of approximately 30 mmHg. Juzo wrap 6000® (a 50% stretch) and Readywrap® (a 60% stretch) have a profile of stiffness very near one to the other. The optimal stiffness for Juzo is from 16 mmHg to of 30 mmHg for a resting pressure between 25 mmHg and 40 mmHg. For Readywrap, the optimal stiffness is from 17 mmHg to 30 mmHg with a maximum SSI of 35mmHg. The optimal application zone of this wrap at rest is 30 to 45 mmHg. Juxtafit®, Juxtalite® and Compreflex® (respectively 70%, 80%, 124% stretch) can be applied with pressures above 60 mmHg but with maximum SSI of 20 mmHg for Circaid® and>30 mmHg for Compreflex®.

Conclusions: This pilot study allows us to propose a classification of wraps according to their stretch: inelastic ACW and short or long stretch ACW (50-60% and 70%, 80%, and 124% stretch). Their stretch and stiffness could help to better determine what could be expected of ACWs in clinical practice.

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可调压缩包:拉伸，界面压力和静态刚度指标。

背景:可调节压缩包(ACWs)可能代表了未来的压缩治疗慢性静脉疾病和淋巴水肿的最严重阶段。我们在五名健康受试者中进行了测试:Sigvaris®的Coolflex®;Juzo wrap 6000®，罗曼·劳舍尔的Readywrap®;medii®的joutafit®和joutalite®，Sigvaris®的Compreflex®。这项初步研究的目的是研究施加在腿上的六个acw的拉伸、界面压力和静态刚度指数(SSI)。方法:通过将acw拉伸至最大长度来评估其拉伸程度。使用PicoPress®传感器和放置在B1点的探针进行界面压力测量。在仰卧位和站立位分别测量界面压力。我们计算了SSI。我们在仰卧位开始测量20毫米汞柱，并将压力增加5毫米汞柱至5毫米汞柱。结果:Coolflex®(非弹性ACW)在静止状态下的最大压力不能超过30mmhg，最大SSI约为30mmhg。Juzo wrap 6000®(50%拉伸)和Readywrap®(60%拉伸)的刚度非常接近。当静息压力在25 ~ 40 mmHg之间时，Juzo的最佳刚度范围为16 ~ 30 mmHg。Readywrap的最佳刚度范围为17mmhg ~ 30mmhg，最大SSI为35mmHg。在静息状态下，该贴膜的最佳应用范围为30 ~ 45mmhg。分别为70%、80%和124%拉伸的jutafit®、jutalite®和Compreflex®可应用于压力高于60 mmHg的环境，但Circaid®的最大SSI为20 mmHg, Compreflex®的最大SSI为30 mmHg。结论:这项初步研究允许我们根据膜的拉伸程度提出一种分类:无弹性ACW和短或长拉伸ACW(50-60%、70%、80%和124%拉伸)。它们的拉伸和刚度可以帮助更好地确定在临床实践中对acw的期望。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Angiology 医学-外周血管病

CiteScore

2.80

自引率

28.60%

发文量

审稿时长

6-12 weeks

期刊介绍： International Angiology publishes scientific papers on angiology. Manuscripts may be submitted in the form of editorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work. Duties and responsibilities of all the subjects involved in the editorial process are summarized at Publication ethics. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (ICMJE).