Compression therapy in venous diseases: current forms of compression materials and techniques

Berszakiewicz, Andrzej; Sieroń, Aleksander; Krasiński, Zbigniew; Cholewka, Armand; Stanek, Agata

doi:10.5114/ada.2019.86991

Cited by 14 publications

(12 citation statements)

References 29 publications

(98 reference statements)

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“…Finally, the presence of contraindications to CT was an exclusion criterion. During the first visit/assessment, ready-made compression hosiery was prescribed (stockings, tights, knee-high socks), with the compression level selected individually based on the international guidelines [10,11,[13][14][15]. Each patient was educated on the need to wear their prescribed compression products daily for not less than 8 h/day.…”

Section: Methodsmentioning

confidence: 99%

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The effect of compression therapy on quality of life in patients with chronic venous disease: a comparative 6-month study

Berszakiewicz

Kasperczyk²,

Sieroń

et al. 2021

pdia

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Introduction: Chronic venous diseases (CVD), because of its chronic and progressive nature, impairs patients' quality of life (Qol). Aim: To compare the QoL in patients with primary superficial venous insufficiency at different stages before and after compression therapy (CT). Material and methods: We compared the change in the QoL parameters from baseline to the end of a 6-month compression therapy. 180 subjects were enrolled. They were subdivided into 6 equal subgroups according to CEAP classes. The QoL was assessed using questionnaires, the general SF-36v2 and the disease-specific CIVIQ-20. At the beginning and after the completion of the study intervention, the severity of CVD was assessed in each patient using CEAP and VCSS. The pain intensity was assessed using the numerical rating scale. Results: The CT reduced the severity of CVD, which translated into the increased size of C2 an d C5 subgroups, and reduced size of C3 and C6 subgroups. Another marker of reduced severity of CVD after CT was a significant reduction in VCSS scores in C1, and C3-C6 subgroups. A 6-month CT was associated with a significant QoL improvement in all CEAP class-based subgroups, across all individual and composite domains of SF-36v2, as well as dimensions and GIS of CIVIQ-20. Similarly, there was a significant pain reduction reported in all CEAP class-based subgroups. Conclusion: Compression therapy using ready-made compression hosiery significantly affects the quality of life in patients with chronic venous disease at all its stages, CEAP classes C1-C6.

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Section: Methodsmentioning

confidence: 99%

“…Compression therapy (CT) is an established treatment of CVD with a plethora of clinical studies supporting its efficacy [ 10 , 11 ]. However, the number of papers evaluating the changes in quality of life after using CT is relatively low.…”

Section: Introductionmentioning

confidence: 99%

The effect of compression therapy on quality of life in patients with chronic venous disease: a comparative 6-month study

Berszakiewicz

Kasperczyk²,

Sieroń

et al. 2021

pdia

Self Cite

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“…5 6 Choosing optimal ECS therapy appears to be challenging since several decisions have to be made regarding the ECS characteristics (for example, pressure class, stiffness and ECS type) to optimally match the patient's clinical characteristics. [7][8][9] Patients then are expected to apply and remove their ECS themselves. However, a large proportion of both patients with DVT and CVI are non-compliant to ECS therapy.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Using the Functional Resonance Analysis Method to explore how elastic compression therapy is organised and could be improved from a multistakeholder perspective

et al. 2021

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ObjectivesElastic compression stocking (ECS) therapy is an important treatment for patients with deep venous thrombosis (DVT) and chronic venous insufficiency (CVI). This study aimed to provide insight into the structure and variability of the ECS therapy process, its effects on outcomes, and to elicit improvement themes from a multiple stakeholder perspective.DesignThirty semi-structured interviews with professionals and patients were performed. The essential functions for the process of ECS therapy were extracted to create two work-as-done models using the Functional Resonance Analysis Method (FRAM). These findings were used to guide discussion between stakeholders to identify improvement themes.SettingTwo regions in the Netherlands, region Limburg and region North-Holland, including an academic hospital and a general hospital and their catchment region.ParticipantsThe interviewees were purposely recruited and included 25 healthcare professionals (ie, general practitioners, internists, dermatologists, nurses, doctor’s assistants, occupational therapists, home care nurses and medical stocking suppliers) and 5 patients with DVT or CVI.ResultsTwo FRAM models were created (one for each region). The variability of the functions and their effect on outcomes, as well as interdependencies between functions, were identified. These were presented in stakeholder meetings to identify the structure of the process and designated variable and uniform parts of the process and its outcomes. Ultimately, six improvement themes were identified: dissemination of knowledge of the entire process; optimising and standardising initial compression therapy; optimising timing to contact the medical stocking supplier (when oedema has disappeared); improving the implementation of assistive devices; harmonising follow-up duration for patients with CVI; personalising follow-up and treatment duration in patients with DVT.ConclusionsThis study provided a detailed understanding of how ECS therapy is delivered in daily practice by describing major functions and variability in performances and elicited six improvement themes from a multistakeholder perspective.

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“…[ 13,19 ] Compression therapy for VLU treatment currently includes the use of bandages, compression stockings, and pneumatic compression devices (PCD). [ 20,21 ] Table 1 compares the advantages and disadvantages of those three types of treatment.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the stiffness of the SSB material generates high sub‐bandage pressures during exercise, which provides a massaging effect during walking. [ 21 ]…”

Section: Introductionmentioning

confidence: 99%

Smart Compression Therapy Devices for Treatment of Venous Leg Ulcers: A Review

Rezende

O’Flynn

O’Mahony

2022

Adv Healthcare Materials

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Venous leg ulcers can have significant social and economic impacts, and are generally treated by applying compression to the lower limb, which aids in promoting blood return to the heart. Compression therapies commonly involve the use of passive bandages that suffer from issues associated with incorrect application, and although automated solutions have begun to appear; these are often bulky and hinder mobility. Emerging microtechnologies and new materials enable the development of "smart" compression therapy devices, which are defined as systems that use miniaturized and lightweight actuators and electronics to control the applied pressure. This paper reviews the state of the art in smart compression therapy research. A total of seventeen different devices has been identified, categorized as using one of three actuation mechanisms: pneumatic compression, motor-driven mechanisms, and smart materials (including shape memory alloys, shape memory polymers, and electroactive polymers). The field is still in its relative infancy and further refinements are required to create mass manufacturable compression dressing systems that meet medical, ergonomic, and economic standards. The use of miniaturized actuators has immense potential for the development of smart compression dressings, which will ultimately lead to higher compliance, increased patient comfort, enhanced mobility, and better treatment outcomes.

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Compression therapy in venous diseases: current forms of compression materials and techniques

Cited by 14 publications

References 29 publications

The effect of compression therapy on quality of life in patients with chronic venous disease: a comparative 6-month study

The effect of compression therapy on quality of life in patients with chronic venous disease: a comparative 6-month study

Using the Functional Resonance Analysis Method to explore how elastic compression therapy is organised and could be improved from a multistakeholder perspective

Smart Compression Therapy Devices for Treatment of Venous Leg Ulcers: A Review

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