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: 1226
PDF: 22
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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).

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

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
Copyright (c) 2024 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.