The use of pressure change on standing as a surrogate measure of the stiffness of a compression bandage

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Objective: To measure interface pressure and stiffness of short-stretch and long-stretch bandages applied with variable strength. These parameters have a deciding influence on the efficacy of compression therapy in chronic venous disease. Design: Prospective experimental study. Materials and methods: Compression bandages constructed of different materials were applied with light, moderate and high pressure. Interface pressure was measured over the medial aspect of leg in 12 healthy individuals. Long-stretch bandages were compared to short-stretch bandages. The difference between standing and supine pressure was used to characterise stiffness. Results: In the low pressure range the median pressure of the final bandage in the supine position was between 18 and 30 mmHg for the long-stretch and 25-33.5 mmHg for the short-stretch bandages (p<0.01, Mann-Whitney U-test). The median differences between standing and supine pressure were between 2.0 and 8.5 for the long-stretch and 6.0-10.5 mmHg for the short-stretch material. In the group of moderate pressure the median values in the supine position were in a range 33.0-58.0 mmHg, for long-stretch and 39.0-49.5 mmHg for short-stretch bandages, with an increase after standing of 6.0-7.0 mmHg with long-stretch, and 14.0-21.0 mmHg with short-stretch bandages (p<0.01, Mann-Whitney U-test). The median supine pressure values in the high pressure group were between 52.0 and 67.0 mmHg for long-stretch and 59.5-67.0 mmHg for short-stretch material. The median increase during standing ranged between 8.5 and 14.5 mmHg in the elastic group and 23.0-33.0 in the inelastic group (p<0.01, Mann-Whitney U-test). Conclusion: A bandage applied with light pressure corresponds to the moderate pressure category of stockings. The difference between the sub-bandage pressure from supine to standing can be used to characterise the stiffness of a bandage. © 2005 Elsevier Ltd. All rights reserved.




Partsch, H. (2005). The use of pressure change on standing as a surrogate measure of the stiffness of a compression bandage. European Journal of Vascular and Endovascular Surgery, 30(4), 415–421.

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