Compression therapy in breast cancer-related lymphedema: A randomized, controlled comparative study of relation between volume and interface pressure changes
Abstract:Inelastic, multi-layer, multi-component compression bandages with lower pressure (20-30 mm Hg) are better tolerated and achieve the same amount of arm volume reduction as bandages applied with higher pressure (44-58 mm Hg) in the first 24 hours.
“…Previous research has showed that the subgarment pressure used often is higher than needed for sufficient treatment. 3 A method for measuring subgarment pressure in vivo, and for determining at which pressure the treatment effect is optimal, is essential to ameliorate the treatment of lymphedema.…”
Section: Resultsmentioning
confidence: 99%
“…Compliance is essential to maintain the compression therapy and hence a stable arm volume postoperatively. 3 The aims of the present study were to establish a method of measuring subgarment pressure using the I-scan Ò (Tekscan Inc.) pressure measuring equipment and to analyze initial and post-wear and tear subgarment pressure along the extremity of 5 similar compression garments from three different manufacturers.…”
Section: Lymphatic Research and Biologymentioning
confidence: 99%
“…A variety of pressure transducers have been used in studies to measure surface pressures at the interface between compression garments and the skin; for example, the Kikuhime device 3 (TT Medi Trade, Sorø, Denmark) and the I-scan Ò system 4-7 (Tekscan Inc., Boston, MA). The Kikuhime device consists of a 3-mm thick air-filled rubber bladder pressure transducer, which can measure pressure at one point, whereas the I-scan Ò system uses one or multiple sensors and is ultra thin (0.15 mm).…”
. (2012). Development of a pressure-measuring device to optimize compression treatment of lymphedema and evaluation of change in garment pressure with simulated wear and tear. Lymphatic Research and Biology, 10(2), 74-80. DOI: 10.108974-80. DOI: 10. /lrb.2012 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal
AbstractThe use of compression garments in treating lymphedema following treatment of genital (penis, testes, uterus, cervical) and breast cancer treatment is a well-established practice. Although compression garments are classified in compression classes, little is known about the actual subgarment pressure exerted along the extremity. The aims of this study were to establish an in vitro method for measuring subgarment pressure along the extremity and to analyze initial and over time subgarment pressure of compression garments from three manufacturers. The measurements were performed with I-scan Ò (Tekscan Inc.) pressure measuring equipment once a week during a period of 4 weeks. Wear and tear was simulated by washing and putting on the garments on plastic legs every day. There was a statistically significant difference between the garments of some of manufacturers. There was no difference between garments from the same manufacturer. No significant decrease of subgarment pressure was observed during the trial period. The study demonstrated that Tekscan pressuremeasuring equipment could measure subgarment pressure in vitro. The results may indicate that there was a difference in subgarment pressure exerted by garments from different manufacturers and that there was no clear decrease in subgarment pressure during the first four weeks of usage.
“…Previous research has showed that the subgarment pressure used often is higher than needed for sufficient treatment. 3 A method for measuring subgarment pressure in vivo, and for determining at which pressure the treatment effect is optimal, is essential to ameliorate the treatment of lymphedema.…”
Section: Resultsmentioning
confidence: 99%
“…Compliance is essential to maintain the compression therapy and hence a stable arm volume postoperatively. 3 The aims of the present study were to establish a method of measuring subgarment pressure using the I-scan Ò (Tekscan Inc.) pressure measuring equipment and to analyze initial and post-wear and tear subgarment pressure along the extremity of 5 similar compression garments from three different manufacturers.…”
Section: Lymphatic Research and Biologymentioning
confidence: 99%
“…A variety of pressure transducers have been used in studies to measure surface pressures at the interface between compression garments and the skin; for example, the Kikuhime device 3 (TT Medi Trade, Sorø, Denmark) and the I-scan Ò system 4-7 (Tekscan Inc., Boston, MA). The Kikuhime device consists of a 3-mm thick air-filled rubber bladder pressure transducer, which can measure pressure at one point, whereas the I-scan Ò system uses one or multiple sensors and is ultra thin (0.15 mm).…”
. (2012). Development of a pressure-measuring device to optimize compression treatment of lymphedema and evaluation of change in garment pressure with simulated wear and tear. Lymphatic Research and Biology, 10(2), 74-80. DOI: 10.108974-80. DOI: 10. /lrb.2012 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal
AbstractThe use of compression garments in treating lymphedema following treatment of genital (penis, testes, uterus, cervical) and breast cancer treatment is a well-established practice. Although compression garments are classified in compression classes, little is known about the actual subgarment pressure exerted along the extremity. The aims of this study were to establish an in vitro method for measuring subgarment pressure along the extremity and to analyze initial and over time subgarment pressure of compression garments from three manufacturers. The measurements were performed with I-scan Ò (Tekscan Inc.) pressure measuring equipment once a week during a period of 4 weeks. Wear and tear was simulated by washing and putting on the garments on plastic legs every day. There was a statistically significant difference between the garments of some of manufacturers. There was no difference between garments from the same manufacturer. No significant decrease of subgarment pressure was observed during the trial period. The study demonstrated that Tekscan pressuremeasuring equipment could measure subgarment pressure in vitro. The results may indicate that there was a difference in subgarment pressure exerted by garments from different manufacturers and that there was no clear decrease in subgarment pressure during the first four weeks of usage.
“…Bandages changed daily should not be applied with the same high pressure compared to bandages changed once or twice weekly. The optimal pressure range for reducing edema, corresponding to a pressure range around 30 mm Hg for the upper and 50-60 mm Hg for the lower extremity [1,2,6]. Higher pressures may be counterproductive.…”
“…Compression mechanisms are one of the main forms of therapy to reduce the volume of edema. A study comparing multicomponent and twocomponent inelastic bandages reported good results using multicomponent bandaging (Damstra et al 2009;Kang et al 2012). However, the twocomponent system is considered a suitable alternative (Lamprou et al 2011).…”
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