Effects of intermittent pneumatic compression treatment on clinical outcomes and biochemical markers in patients at low mobility with lower limb edema

Tessari, Mirko; Tisato, Veronica; Rimondi, Erika; Zamboni, Paolo; Malagoni, Anna Maria

doi:10.1016/j.jvsv.2018.01.019

Cited by 15 publications

(21 citation statements)

References 28 publications

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“…It is clear how the simplicity of application, the null invasiveness and the inexpensiveness of LKT make this approach potentially viable option for the treatment of lower limbs lymphedema, although the right application from the operator appears to be a determinant factor to maximize alleged effects of the technique (Wu et al, 2015). Similarly, IPC is characterized by some advantages compared to other classical approaches for the management of lymphedema, resulting easier to wear and apply compared to compression elastic stockings and bandages (Tessari et al, 2018), as well as less challenging for the therapist compared to manual lymphatic drainage, inasmuch independent from the therapist dexterity and time available. Moreover, a further advantage of modern IPC devices is the possibility to accurately personalize the treatment in terms of grade of compression.…”

Section: Fig 1 -Mean Circumference Reduction Of Lower Limbs In All Detection Points Regarding Group a (Lkt) And Group B (Ipc) (The X Axismentioning

confidence: 99%

“…The application times are also variable and to be commensurate with the extent of the problem to be treated, with an average duration per session of between 30 and 50 minutes and a variable treatment frequency, until reaching the two daily sessions for periods of a few weeks in particularly problematic pathological conditions (Feldman et al, 2012). Many research highlighted positive effect from IPC therapy in presence of libs edemas of traumatic (Airaksinen et al, 1991), oncologic (Gurdal et al, 2012), venous-lymphatic (Aldrich et al, 2017) and neurologic-immobilization (Tessari et al, 2018) origin. Another alternative method of treatment of limbs edema, with a growing success in the physiotherapy field, is the application of Lymphatic Kinesiology Taping (LKT) (Kase and Stockheimer, 2006).…”

Section: Introductionmentioning

confidence: 99%

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New technologies in vascular rehabilitation

Prosperi

Barassi

Supplizi

et al. 2021

JAHC

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Lymphedema of lower limbs represents an important health problem, characterized by the necessity to identify new methods of treatment. The aim of this study was to evaluate the efficacy of the treatment with Lymphatic Kinesiology Taping (LKT) or Intermittent Pneumatic Compression therapy (IPC) on a homogeneous group of 40 women affected by primary lymphedema within stage 2 of lower limbs, comparing the two methods. Patients were equally and randomly divided into a group A subjected to application of LKT and group B subjected to IPC. All patients were evaluated through electric bioimpedentiometry (analysis of Total Body Water and Extracellular Water) and circumferential measurement of lower limbs through a measurement tape, both before and after the protocol (T0 and T1). Both treatment groups highlighted an improvement of the lymphedema, with a marked reduction of volume of lower limbs and a better hydric balance of the body. LKT and IPC can be considered as viable options for the treatment of primary lymphedema within stage 2 of lower limbs.

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Section: Fig 1 -Mean Circumference Reduction Of Lower Limbs In All Detection Points Regarding Group a (Lkt) And Group B (Ipc) (The X Axismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

New technologies in vascular rehabilitation

Prosperi

Barassi

Supplizi

et al. 2021

JAHC

View full text Add to dashboard Cite

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“…Intermittent pneumatic compression (IPC) has established potential in the treatment of chronic wounds. There is evidence that the technique can improve the symptoms of arterial insufficiency, 1,2 and reduce oedema 3‐5 . Certain types of IPC have also been shown to promote the healing of wounds, and the reduction of the associated chronic pain 6‐9 .…”

Section: Introductionmentioning

confidence: 99%

“…There is evidence that the technique can improve the symptoms of arterial insufficiency, 1,2 and reduce oedema. [3][4][5] Certain types of IPC have also been shown to promote the healing of wounds, and the reduction of the associated chronic pain. [6][7][8][9] Yet, these devices often apply relatively high intermittent pressure over a wound site, which may cause concern to patients and clinicians, may interfere with existing treatments, and may not always be tolerated.…”

Section: Introductionmentioning

confidence: 99%

The use of intermittent pneumatic compression of the thigh to affect arterial and venous blood flow proximal to a chronic wound site

Morris

Ridgway

Woodcock

2020

International Wound Journal

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Intermittent pneumatic compression of the lower limbs has been shown to have beneficial effects in patients with chronic ulceration. However, the intermittent compression cuff will normally be applied over the wound, which may produce discomfort or interfere with other treatments. Thigh‐only approaches to intermittent pneumatic compression could solve this problem. This study aimed to demonstrate if such a system would have positive effects on venous and arterial blood flow distal to the compression site, but proximal to wound sites. The distal venous and arterial effects of a prototype thigh‐only 3‐chamber sequential intermittent pneumatic compression system were tested in 20 healthy volunteers, and 13 patients with ulcers of various aetiologies using Doppler ultrasound. The system produced hyperaemic responses in the arterial flow of both test groups. The peak venous velocity on deflation of the first and second chambers of the cuff was also greater in the patients with ulceration than in the healthy volunteers (11.6 cm/s vs 8.3 cm/s, P = .1). This work demonstrates that compression of the thigh alone can produce positive haemodynamic effects in the calves of patients with chronic wounds, and that this approach should be investigated as a therapy to improve blood flow to wound sites.

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“…Intermittent pneumatic compression (IPC) is recognized as a noble noninvasive technique with proven benefit in clinical practice. Currently, IPC is widely used in venous thromboembolism prophylaxis in patients with increased bleeding risk, as well as in the treatment of lower extremity edema and venous ulcers . This device is comprised of an air pump machine and either sleeves or boots that have separate compartments that inflate sequentially; commonly cycles of compression and decompression are used with the goal of generating pressure gradients along tissue with a subsequent increase of blood flow and venous return, hence it is an emerging tool for palliative intervention in patients with end‐stage renal disease (ESRD) while receiving hemodialysis (HD).…”

Section: Introductionmentioning

confidence: 99%

Intermittent pneumatic compression in patients with ESRD. A systematic review

Torres

Fuentes

Saadaldin

et al. 2019

Hemodialysis International

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Introduction: Patients with end‐stage renal disease (ESRD) experience frequent hemodialysis (HD) complications. Intradialytic hypotension (IDH) is a common complication presenting in approximately between 20 and 50% of HD sessions. Available interventions such as volume replacement or vasoactive medications are associated with significant side effects. Intermittent pneumatic compression (IPC) has been proposed as a feasible intervention for the prevention of IDH, treatment of peripheral arterial disease and venous ulcers. These devices apply intermittent pressure to the legs improving arterial blood flow, mobilization of pooled blood with an increase in venous return increasing the effective circulatory volume. Our goal was to identify the published clinical evidence on whether IPC has a circulatory benefit and is it well‐tolerated among patients receiving HD. Methods: We conducted a systematic review to identify studies assessing the efficacy and safety of IPC in patients with ESRD. Our primary outcome was IDH. Secondary outcomes such as HD comfort, ultrafiltration volume, and physical activity were collected. No restrictions where used and we included all observational and interventional studies. Two reviewers performed screening and study quality assessment. Findings: We included seven studies. Out of the seven studies, five addressed IDH, and the rest were included for secondary outcomes such as physical capacity and HD comfort. In one randomized crossover trial comparing exercise against IPC, 21 patients were randomized to 3 different arms (no intervention, cycling, IPC) a decrease in the rates of IDH with IPC was described (43%, 38%, and 24% respectively P = 0.014). The smaller studies corroborated these results. All studies where at high risk of bias. Discussion: IPC might offer significant benefits for patients undergoing HD not limited to prevention of IDH but also improvement of hemodialysis comfort and physical capacity. However, our results should be interpreted in the context of its limitations.

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Effects of intermittent pneumatic compression treatment on clinical outcomes and biochemical markers in patients at low mobility with lower limb edema

Cited by 15 publications

References 28 publications

New technologies in vascular rehabilitation

New technologies in vascular rehabilitation

The use of intermittent pneumatic compression of the thigh to affect arterial and venous blood flow proximal to a chronic wound site

Intermittent pneumatic compression in patients with ESRD. A systematic review

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