https://doi.org/10.4081/vl.2024.12240

Interface pressures and stiffnesses of different bandages studied on a Hiraï leg

Vol. 13 (2024): Early Access
Submitted: 28 December 2023
Accepted: 18 February 2024
Published: 21 February 2024
bandage, pressure, stiffness, Hirai leg
Abstract Views: 1147
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Authors

Jean-Patrick Benigni
benigni.jp@orange.fr
https://orcid.org/0000-0002-6433-0813
Faculté de Médecine, Sorbonne Université, Paris, France.
Jean-François Uhl
Université Paris Cité, France.
Florence Balet
Nurse, Adapei Var-Méditerranée, Pélissanne, France.
Pascal Filori
Physiotherapist, Marseille, France.

Hirai et al. have developed a tool to assess the in vitro pressures of different compression devices. This tool has the advantage of being easy to use and finally inexpensive. The study of 7 bandages (Biflex 16, Urgo K2, Urgo K1, Coban 2, Biflex kit, Rosidal K and Rosidal Sys) on a Hirai leg allowed a precise analysis of the evolution of pressures and stiffnesses. Interface pressures were measured using the Picopress system and a 5 cm diameter probe. The difference between pre-stretch and stretch pressures in mmHg characterized stiffness. If the difference is greater than 10 mmHg, the bandage is considered stiff. These bandages were applied with a pressure of 45±2 mmHg at point B1. One hundred extension maneuvers were then performed. A decrease in mean pre-stretch pressures was noted more frequently for Rosidal K, Urgo K1 and Coban 2 than for the other bandages. Biflex 16 has a stiffness of less than 10 mmHg (p<0.001). Urgo K1, Urgo K2, Coban 2, Kit Biflex have very similar stiffnesses (p=ns). Rosidal K and Rosidal Sys have higher stiffness (p<0.001).

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Crossref
Scopus
Google Scholar
Europe PMC
Partsch H, Schuren J, Mosti G, Benigni JP. The Static Stiffness Index: an important parameter to characterize compression therapy in vivo. J Wound Care. 2016;25:S4-10. DOI: https://doi.org/10.12968/jowc.2016.25.Sup9.S4
Mosti G, Mattaliano V, Partsch H. Inelastic compression increases venous ejection fraction more than elastic bandages in patients with superficial venous reflux. Phlebology. 2008;23:287-94. DOI: https://doi.org/10.1258/phleb.2008.008009
Abu-Own A, Shami SK, Chittenden SJ, et al. Microangiopathy of the skin and the effect of leg compression in patients with chronic venous insufficiency. J. Vasc. Surg. 1994;19:1074-83. DOI: https://doi.org/10.1016/S0741-5214(94)70220-9
Partsch H. Compression therapy: clinical and experimental evidence. Ann Vasc Dis. 2012;5:416-22. DOI: https://doi.org/10.3400/avd.ra.12.00068
Chassagne F, Molimard J, Convert R, et al. Bandages Static Stiffness Index Is Not Influenced by Calf Mechanical Properties but Only by Geometrical Changes. Biomechanics. 2022;2:87-94. DOI: https://doi.org/10.3390/biomechanics2010009
European Committee for Standardization (CEN). Non active medical devices. Working Group 2 ENV 12718: European. Pre-standard Medical Compression Hosiery. CEN TC 205. Brussels, Belgium: CEN; 2001.
Partsch H, Clark M, Mosti G, et al. Classification of compression bandages: practical aspects. Dermatologic surgery. 2008;34:600-9. DOI: https://doi.org/10.1097/00042728-200805000-00002
Hirai M, Niimi K, Miyazaki K, et al. Development of a device to determine the stiffness of elastic garments and bandages. Phlebology. 2011;26:285-91. DOI: https://doi.org/10.1258/phleb.2010.010041
Benigni J-P, Cornu-Thénard A, Uhl JF, Blin E. Superimposition of medical compression stockings Interface pressure measurements in normal legs and calculation of the stiffness. Phlébologie. 2009;62:67-74.
Jindal R, Balet F, Filori P, et al. Interest of a standardized treadmill test to evaluate pressure drops and stiffness indices under short stretch bandages. Indian Journal of Vascular and Endovascular Surgery. 2020;7:385-8. DOI: https://doi.org/10.4103/ijves.ijves_37_20
Wong IK, Man MB, Chan OS, et al. Comparison of the interface pressure and stiffness of four types of compression systems. J Wound Care. 2012;21:161-7. DOI: https://doi.org/10.12968/jowc.2012.21.4.161
Andriessen A, Abel M. Experimental study on efficacy of compression systems with a high static stiffness index for treatment of venous ulcer patients. Veins and Lymphatics. 2013;2:e8. DOI: https://doi.org/10.4081/vl.2013.e8
Mosti G, Wittens C, Caggiati A. Black holes in compression therapy: A quest for data. J Vasc Surg Venous Lymphat Disord. 2024;12:101733. DOI: https://doi.org/10.1016/j.jvsv.2023.101733

How to Cite

Benigni, J.-P., Uhl, J.-F., Balet, F., & Filori, P. (2024). Interface pressures and stiffnesses of different bandages studied on a Hiraï leg. Veins and Lymphatics, 13. https://doi.org/10.4081/vl.2024.12240
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