Self-Care-Based Treatment Using Ordinary Elastic Bandages for Venous Leg Ulcers

Suehiro, Kotaro; Morikage, Noriyasu; Harada, Takasuke; Samura, Makoto; Takeuchi, Yuriko; Mizoguchi, Takahiro; Hamano, Kimikazu

doi:10.3400/avd.oa.17-00029

Cited by 9 publications

(21 citation statements)

References 26 publications

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“…As for VU recurrence, CG showed 53.8%, and IG, 18.2%, (p = 0.057), besides delaying this event's occurrence. Studies have shown that, even though patients perform the care recommended by the guidelines, such as using compression stockings to prevent VU recurrences, it has been observed recurrence prevalence rates of up to 70% (11)(12)(32)(33) . These findings show that LLLT, besides contributing to the healing process, acts as an ally to conventional care and in reducing recurrences.…”

Section: Discussionmentioning

confidence: 99%

Venous ulcer healing treated with conventional therapy and adjuvant laser: is there a difference?

et al. 2021

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Objectives: to evaluate the effects of venous ulcer healing in patients after six months of conventional treatment and adjuvant low-power laser therapy. Methods: prospective cohort study nested in a randomized clinical trial with 38 patients, allocated into an intervention group (conventional treatment and adjuvant laser therapy) and a control group (conventional treatment). Patients were followed up as outpatients, sociodemographic and clinical variables were collected, and indicators of the outcomes Wound healing: secondary intention (1103) and Tissue integrity: skin and mucous membranes(1101) of the Nursing Outcomes Classification. Generalized estimating equations, Kaplan-Meier tests, and robust Poisson regression were used in the analysis. Results: the clinical indicators Decreased wound size and Scar formation showed a statistically significant difference in the intervention group, higher number of healed wounds, lower rate, longer time to relapse. Conclusions: laser therapy adjuvant to conventional treatment returned better results in healing and lower recurrence rates after six months of intervention.

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Section: Discussionmentioning

confidence: 99%

Venous ulcer healing treated with conventional therapy and adjuvant laser: is there a difference?

et al. 2021

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“…Clinicians play a virtual role in supporting patients to know about, perform, and believe in the importance of selfmanagement strategies for maintaining the achieved results in long follow-up. 20 The majority (81%) of patients can apply ordinary elastic bandages for venous leg ulcer management by themselves, 21 but the self-application of the short-stretch bandages is more problematic, as the variation in the strength of application generates higher fluctuations in obtained compression under the bandage. In addition, self-bandaging of lower legs by older obese subjects, frequently with comorbidities, may not be possible in the majority of cases.…”

Section: Discussionmentioning

confidence: 99%

Lay Caregivers Education in Multicomponent Compression Bandaging in Obese Patients with Lower Limb Edema: A Case–Control Pilot Study

Grądalski¹,

Ochałek

2020

Lymphatic Research and Biology

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Background: A report on the usefulness of the instruction of lay carers in multilayer short-stretch compression bandaging within the initial intensive phase physical treatment of mixed-etiology chronic lower limb edema. Methods and Results: In a group of adult obese patients (including 24 females) with venous insufficiency and chronic bilateral lower limb edema, and without a history of physical therapy, 20 (ambulatory managed) were bandaged once daily (four layers, short stretch with cotton tube, and foam padding underneath) for 3 weeks (Monday-Friday) by skilled physiotherapists, and in 20 cases (education group, EG), the patients' lay carers were educated by these physiotherapists according to the same regime during one session. The outcome measures included limb volume (the method of circumference measurement with a tape at 4 cm intervals) after 1, 3, and 6 months, the time to reach the maintenance phase, the frequency of complementary bandaging during this phase, and the sense of self-efficacy (General Self-Efficacy scale, GSEs). No significant differences were noted between the two groups in the baseline measurements of age, body mass, and limb volume. The carers were able to apply compression bandages in all cases during the observation period. The time to reach the maintenance phase was longer in EG (6 vs. 1 weeks; p < 0.001). A similar median reduction in edema volume was observed at the end of the bandaging period, which continued for 3 and 6 months. It was only in EG that further improvement between 1 and 3 months was observed (p = 0.008). All participants represented an equally high optimistic sense of personal competence (GSEs). Conclusions: The instruction of lay carers in bandaging may provide a simple clinically effective solution for lower limb edema management, thus lowering its costs.

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“…It was previously reported that sufficient compression could be maintained using this self-bandage technique. 4,6 Once the acute/subacute LDS had settled, compression therapy was no longer recommended. Patients were followed up every 3-6 months.…”

Section: Methodsmentioning

confidence: 99%

Post-treatment course of acute lipodermatosclerosis

et al. 2022

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Objectives We aimed to clarify whether acute lipodermatosclerosis (LDS) progress to chronic LDS without continued compression therapy. Methods Between April 2015 and November 2021, 30 patients with acute/subacute LDS, which was diagnosed clinically by presence of isolated, poorly demarcated, tender erythema, and induration limited to the lower leg(s), visited our clinic and were able to be followed up for longer than a year. We reviewed their treatment results and the post-treatment courses. Results In all cases, the symptoms in the acute phase subsided with compression bandages. After the discontinuation of compression therapy, 18 legs (56%) progressed to chronic LDS, and 14 legs (44%) did not. In the legs without progression, subcutaneous tissue in the affected leg was thicker compared with that in the contralateral leg (median 19.1 mm vs. 13.4 mm, p < 0.05) on the initial visit. In the legs with progression, the difference in subcutaneous tissue thickness between the affected and unaffected legs was not significant (10.0 mm vs. 7.6 mm). Conclusions Our findings suggest that in legs which later progress to chronic LDS, subcutaneous tissue contraction due to panniculitis is already present during the acute phase; therefore, long-term compression therapy is unlikely to improve the prognosis.

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Self-Care-Based Treatment Using Ordinary Elastic Bandages for Venous Leg Ulcers

Cited by 9 publications

References 26 publications

Venous ulcer healing treated with conventional therapy and adjuvant laser: is there a difference?

Venous ulcer healing treated with conventional therapy and adjuvant laser: is there a difference?

Lay Caregivers Education in Multicomponent Compression Bandaging in Obese Patients with Lower Limb Edema: A Case–Control Pilot Study

Post-treatment course of acute lipodermatosclerosis

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