Getting the right fit: Made-to-measure garments for lymphoedema management

Lee, Natalie; Wigg, Jane

doi:10.12968/bjcn.2013.18.sup4.s28

Cited by 9 publications

(7 citation statements)

References 4 publications

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“…The results of this study show that the fit of the garment without causing pressure marks or restriction of motion is, on average, the most important aspect for the patients (Table 2). However, these patients' needs are often not sufficiently addressed by the currently available compression garments, which is supported by the observation that patients often present to therapists with ill-fitting garments frequently reporting them as being uncomfortable and therefore intolerable (Lee and Wigg, 2013). This drawback leads to a reduced adherence, negatively affecting the success of lymphoedema management (Lee and Wigg, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…However, these patients' needs are often not sufficiently addressed by the currently available compression garments, which is supported by the observation that patients often present to therapists with ill-fitting garments frequently reporting them as being uncomfortable and therefore intolerable (Lee and Wigg, 2013). This drawback leads to a reduced adherence, negatively affecting the success of lymphoedema management (Lee and Wigg, 2013). The patients evaluations in this study indicate that JOBST Elvarex Plus gloves without a seam may close this product gap as they fulfil two major requirements, which are good adaption to the anatomical shape and as little motion restriction as possible, and this is significantly better than the gloves with a seam (Figure 1a and 2a).…”

Section: Discussionmentioning

confidence: 99%

“…Bulky seams or improper fitting garments are not only uncomfortable but can lead to severe health problems such as pressure damage or even necrosis (Williams, 2003;Hampton, 2003). In addition, reduced mobility and function of the oedematous limb caused by the compression garment may result in a reduced quality of life for patients who already suffer from a reduced quality of life due to their oedema (Williams et al, 2005;Lee and Wigg, 2013). Viehoff et al recently assessed the impact of lymphoedema from the patient's perspective using the international classification of functioning, disability and health.…”

Section: Study Design and Settingsmentioning

confidence: 99%

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Impact of seamless compression garments on limb functionality, comfort and quality of life

Miller¹

2017

Br J Community Nurs

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Lymphoedema is a chronic disease affecting the patients' quality of life (QoL) especially with regard to mobility and daily activities. Lymphoedema cannot be cured but symptoms can effectively be improved by a comprehensive approach and the continuous use of compression therapy. An appropriate fitted compression garment is essential for compliance and thus a prerequisite for successful lymphoedema management. Compression garments with bulky seams are not only uncomfortable they also can lead to severe pressure marks or even reduce the mobility and function of the affected limb, which may negatively impact the already reduced QoL of lymphoedema patients. A prospective multicentre observational study was conducted to compare compression garments without and with a seam for hands and toes in 143 patients with lymphoedema. Product performance, lymphoedema symptoms, functionality of hands/toes, QoL and patient satisfaction were documented for the previously worn compression garment as well as for the 3D flat knitted JOBST® Elvarex Plus compression garment without a seam. The JOBST Elvarex Plus glove was perceived very positively by patients, who rated the mobility of the fingers, the adaptability to the shape of the hand/fingers, the fit of cuffs/welts, and the tactile sense of the fingers to be significantly better compared to the previous glove. Also pressure marks between fingers/toes and pressure marks due to cuffs/welts were significantly less frequent when wearing JOBST Elvarex Plus. Also pain, sensation of heaviness, swelling, tightness and dryness of skin were significantly improved when wearing JOBST Elvarex Plus gloves. Furthermore, 80% of the patients rated the wearing comfort of JOBST Elvarex Plus to be better than their previous garments with a seam. Regarding functionality, patients were significantly less limited in their daily activities when wearing JOBST Elvarex Plus garments. Finally, when wearing JOBST Elvarex Plus gloves and toe caps, patients rated the negative effect of their lymphoedema on their QoL to be significantly lower. In conclusion, the application of anatomically adapted compression garments without a seam led to improving patient's reported lymphoedema symptoms, increased patient's satisfaction with the compression garment and supported a better QoL.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Design and Settingsmentioning

confidence: 99%

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Impact of seamless compression garments on limb functionality, comfort and quality of life

Miller¹

2017

Br J Community Nurs

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“…The interface pressure in other medical compression products is said to be influence by body curvature (i.e. concave or convex) and the limbs or segments circumference (Aiman et al 2015;Lee & Wigg 2013;Macintyre & Baird 2006;Teng et al 2006). Supposedly, in the current study, the interface pressure should be lower at top garment, as the trunk have larger dimension than pelvis-thighs.…”

Section: The Effects Of Body Dimension On Orthosis Interface Pressurementioning

confidence: 99%

Interface Pressure of Lycra Orthosis at Different Postures in Children with Cerebral Palsy (CP)

Shaari¹,

Osman²,

Shasmin³

2018

JSM

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Medical compression garment functions by exerted interface pressure between the fabric and skin. Yet, none of the previous studies have determine the pressure level of Lycra based orthosis. The current work aimed to determine the pressure level of Lycra orthosis at different postures in children with CP. Five (5) children with CP were recruited. Each were given a custom made Lycra orthosis. Two Tekscan medical sensor were placed over lateral side of upper garment and pants. The pressure was recorded when the child was in sitting, sit-to-stand (STS) and standing postures. There are significant differences of the interface pressure between each children, at different postures. The highest pressure recorded over upper garment is 122 mmHg and 120 mmHg over pants, both during sitting position. Overall, the Lycra orthosis exerted highest pressure over top garments than pants during sitting position.

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“…The increasing elderly and obese population means that patients with chronic oedema and venous disease will often have coexisting complex clinical and psychosocial needs. Issues such as stroke, arthritis, obesity, and age-related frailty can result in reduced mobility, strength, and dexterity; vulnerable skin conditions; and larger limb circumferences, which can have Managing chronic oedema and venous disease with made-to-order garments and Wigg, 2013). The clinician should have appropriate skills and knowledge regarding the indications for use and fitting of compression garments, choice of style, and construction of garments available and how to correctly measure the limb(s).…”

Section: Compression Garmentsmentioning

confidence: 99%

Managing chronic oedema and venous disease with made-to-order garments

Todd¹,

Elwell

Pritchard

2016

Br J Community Nurs

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Selecting the most appropriate compression garments is vital in the long-term management of venous disease and chronic oedema. The range of styles has improved greatly over the years and many garments are available on the UK Drug Tariff. Practitioners now have a wide range of options to choose from including the type of fabric, colour, compression class, and style of garment. These options increase the pratitioner's ability to select the most suitable garments and combine clinical and aesthetic needs, with the ultimate aim of improving compliance. The focus of this article is to highlight the aims and qualities of the various types of compression garments available, discuss the rationale for prescribing choice, and describe the benefits of Haddenham's Veni made-to-order compression leg garments in the management of chronic oedema and venous disease. Three case studies will demonstrate the effectiveness of the Veni made-to-order range of compression garments.

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Getting the right fit: Made-to-measure garments for lymphoedema management

Cited by 9 publications

References 4 publications

Impact of seamless compression garments on limb functionality, comfort and quality of life

Impact of seamless compression garments on limb functionality, comfort and quality of life

Interface Pressure of Lycra Orthosis at Different Postures in Children with Cerebral Palsy (CP)

Managing chronic oedema and venous disease with made-to-order garments

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