Adjustable Velcro® Compression Devices are More Effective than Inelastic Bandages in Reducing Venous Edema in the Initial Treatment Phase: A Randomized Controlled Trial

Mosti, Giovanni; Cavezzi, Attilio; Partsch, Hugo; Urso, S; Campana, F.

doi:10.1016/j.ejvs.2015.05.014

Cited by 110 publications

(72 citation statements)

References 17 publications

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“…The sum of scores was calculated to provide a comfort index and an index of other parameters. 22 The researchers reported that mean interface pressures were higher in the bandaging group than the AVCD group at supine and standing at application; however, at Time 1 (24 hours) this was reversed. Mean volume reduction at Time 1 and 7 was significantly higher in the AVCD group than the bandaging group (p>.001).…”

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confidence: 99%

“…However, outcomes were limited to a 24 hour period, and details of clinical effectiveness or patient comfort over a longer period were not reported. 21 In the second research paper, Mosti et al 22 compared the efficacy and comfort of inelastic bandaging (IB) and an Adjustable Velcro Compression Device (AVCD) in 36 patients (40 legs) with untreated venous oedema due to superficial or deep venous insufficiency. Patients had a mean age of 71.4 years.…”

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confidence: 99%

“…One group was randomised to a week of treatment with a short stretch bandaging system applied in a spiral method to achieve a supine sub-bandage pressure of 60mmHg (as measured by the PicoPress). 22 The second group was treated with the Juxta-Fit garment applied to achieve a pressure of 40mmHg when supine, with the instruction to adjust the device if they became aware of a decrease in the compression. Leg volume was calculated using the truncated cone formula (at 4cm interval circumferences were completed at Time 1 and 7 using visual analogue scales to subjectively assess symptoms such as pain, heaviness, swelling sensation, discomfort, itching and restless leg using scores from 0-10.…”

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confidence: 99%

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A review of the evidence for adjustable compression wrap devices

Williams

2016

J Wound Care

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Compression therapy is a key component in the effective management of people with lower limb problems associated with venous, lymphatic and fat disorders such as lipoedema. Individuals with lymphoedema, venous ulceration and lipoedema often require long-term compression therapy to prevent and manage problems such as chronic ulceration and skin changes, persistent swelling and shape distortion. Challenges remain in achieving acceptable, safe, effective and cost-efficient compression therapy choices. Adjustable compression wrap devices using hook and loop fasteners, commonly called VELCRO brand fasteners, present new opportunities for improving treatment outcomes, supporting patient independence and self-management in the use of compression therapy. This paper reports the findings of an evidence review of adjustable compression wrap devices in people with lymphoedema, chronic oedema, venous ulceration and lipoedema. Declaration of interest: The authors have no conflict of interest to declare.

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A review of the evidence for adjustable compression wrap devices

Williams

2016

J Wound Care

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“…This fact also explains the more pronounced edema reduction of Velcro-devices versus inelastic bandages in lymphedema patients. 17 Only few studies are available up to now concerning the clinical efficacy of Velcro systems. 18 The presented study should show that self-management using such devices is feasible and promising.…”

Section: Discussionmentioning

confidence: 99%

Self-management by firm, non-elastic adjustable compression wrap device [Translation of Druckmessungen unter Klettverschluss-Kompression - Selbstbehandlung durch feste, unelastische Beinwickelung]

Mosti¹,

Partsch

2017

Veins and Lymphatics

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Severe forms of chronic venous insufficiency and lymphedema require strong compression-pressure, which exceeds the pressure exerted by medical compression stockings (>40 mmHg). The aim was to investigate if patients are able to apply a Velcro-band compression device (Circaid Juxta Lite™) themselves with sufficient pressure. Thirty-one patients (CEAP C6=23, C5=5, C3=2, mixed ulcer=1) applied Juxta Lite™ on their own legs after a short instruction and were asked to readjust the pressure by their subjective feeling. Sub- bandage pressure was measured after application and 24 h later. In 30 patients without arterial occlusive disease the median sub- bandage pressure values on day 1 and day 2 were 44,5 mmHg (IQR 42-48), and 46 mmHg (IQR 44-48,25) respectively. One patient with an arterialvenous leg ulcer showed pressures of 34 and 36 mmHg. All measured pressure values corresponded to the pursued target range, demonstrating that adequate self application of Velcro bands is feasible and that patents can maintain this pressure by re-adjustment.Source: this paper is an abridged translation of Mosti G, Partsch H. Druckmessungen unter Klettverschluss-Kompression - Selbstbehandlung durch feste, unelastische Beinwickelung. Vasomed 2017;5:212-6.

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“…4b). If a patient is still able to put on his/her shoes independently, he/she can be considered for independent handling of the materials of adaptive compression therapy (34). It has been shown that patients can sometimes already manage these systems independently after only a short introduction (35).…”

Section: New Developmentsmentioning

confidence: 99%

Practical aspects of compression therapy – Update 2016

Protz¹,

Heyer²

2016

Phlebologie

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SummaryCompression therapy is a complex form of therapy. It requires equally practical abilities and theoretical knowledge, as well as an understanding of available materials and the methods in question. All these mentioned aspects of today’s practical compression therapy show deficits.This article shows the current status of treatment of patients with venous leg ulcers in Germany. Based on this, strategies are described, which aim to improve the status of information of the patients, the expertise of the users and the further spread of modern and specialized materials.It is possible and appropriate to better the individual status of treatment of patients through further qualification of carers. This should include the proper usage of materials and methods.

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Adjustable Velcro® Compression Devices are More Effective than Inelastic Bandages in Reducing Venous Edema in the Initial Treatment Phase: A Randomized Controlled Trial

Cited by 110 publications

References 17 publications

A review of the evidence for adjustable compression wrap devices

A review of the evidence for adjustable compression wrap devices

Self-management by firm, non-elastic adjustable compression wrap device [Translation of Druckmessungen unter Klettverschluss-Kompression - Selbstbehandlung durch feste, unelastische Beinwickelung]

Practical aspects of compression therapy – Update 2016

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