The effect of elastic stockings on superficial venous pressures in patients with venous insufficiency

Somerville, Jason; Brow, G. O.; Byrne, P. J.; Quill, R; Fegan, W. G.

doi:10.1002/bjs.1800611213

Cited by 82 publications

(20 citation statements)

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“…Compression is known to be an efficacious means of treating the moderate to severe forms of venous disease. ECS can also prevent venous thrombosis in patients after surgery and reduce oedema in post-thrombotic disease (Choucair and Phillips 1998;Gardon-Mollard and Ramelet 1999;Neumann 1998;Partsch et al 2002;Somerville et al 1974;Van Geest et al 2000). It has been suggested in addition that compression may have beneficial effects on healthy sportsmen (Couzan and Pru¨fer 1999) and air travellers (Caillard and Clerel 1999).…”

Section: Introductionmentioning

confidence: 95%

Human muscle fatigue and elastic compressive stockings

et al. 2006

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The present study was performed to test if elastic compressive stockings (ECSs) increase muscle fatigability during sustained muscle contraction or if it improves the recovery after fatigue. Surface electromyograms (EMGs) were recorded on 4 leg and thigh muscles, and static ankle dorsal flexion force levels were measured in the right limb of 15 healthy subjects. The subjects maintained a 50% maximum ankle dorsal flexion force (MVF) for as long as possible without and, after a 30 min rest, with a European class I ECS. Finally, after another 30 mn rest, the pressure exerted by the ECS on the skin was measured at standard points on the limb, using a Salzmann apparatus. During the first 10 min of both rest periods, the subjects performed brief static maximum ankle dorsal flexions every 30 s. ECS exerted a 14.3 mm Hg mean pressure at tibial level C. Linear relationships, whose slopes were not influenced by ECS, existed between the maintenance time and both the mean power frequency and the logarithm of the total power of the tibialis anterior and gastrocnemius lateralis EMGs. The endurance times, the force recovery times after fatigue and the linear relationships between the logarithm of the time elapsing after exhaustion and the MVF reached during the recovery period were also independent of ECS. The results show that class I ECSs are not responsible for greater muscle fatigability; but they do not improve force recovery during rest following static fatiguing voluntary contractions.

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Section: Introductionmentioning

confidence: 95%

Human muscle fatigue and elastic compressive stockings

et al. 2006

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“…Using the Virchow's triad, Agu et al (1999) suggested a multifactorial mechanism of GCS in preventing DVT. By providing external mechanical support, key functions of GCS include increasing venous blood velocity (Litter 1952, Meyerowitz & Nelson 1964, Spiro et al 1970, Lawrence & Kakkar 1980, Ido et al 1995, decreasing vein diameter (Sarin et al 1992), counteracting the venous high pressure (Horner et al 1980, Jones et al 1980), controlling oedema (Myers et al 1972), restoring valve function (McLachlin et al 1960, Lewis et al 1976, Sarin et al 1992, and relieving symptoms (Somerville et al 1974). The results are the reduction of the occurrence of one or more factors of Virchow's triad -decreased intimal tear, reduced stasis, and decreased coagulability (Agu et al 1999).…”

Section: Graduated Compression Stockingsmentioning

confidence: 99%

Graduated compression stockings as prophylaxis for flight‐related venous thrombosis: systematic literature review

Hsieh

Lee²

2005

Journal of Advanced Nursing

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“…Many, but not all studies of gradient stockings demonstrate diminished venous reflux, increased blood flow velocity in the deep veins, and improved venous ambulatory pressures in patients with CVI. 69,[71][72][73][74][75][76] Other animal and clinical studies have demonstrated that compression also improves the cutaneous microcirculation, 73,74,77,78 as well as lymphatic flow. 69,79 Compression therapy has also been shown to enhance fibrinolysis, [80][81][82] and it may be an important mechanism in reducing fibrosis and promoting ulcer healing.…”

Section: Mechanical Therapymentioning

confidence: 99%

Chronic Venous Insufficiency and Venous Ulceration

Alguire

Mathes

1997

J Gen Intern Med

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OBJECTIVE:To review and summarize the literature on the normal venous circulation of the leg, and the epidemiology, pathophysiology, and treatment of chronic venous insufficiency (CVI).DATA SOURCES: English-language articles identified through a MEDLINE search using the terms venous insufficiency or varicose ulcer and epidemiology, pathophysiology, diagnosis, and clinical trial (pt), and selected cross-references. STUDY SELECTION:Articles on epidemiology, pathophysiology, and treatment of CVI. Randomized, controlled studies were specifically sought for treatment efficacy. DATA EXTRACTION:Data were manually extracted from selected studies and reviews; emphasis was placed on information relevant to the general internist. pproximately 5 million people in the United States exhibit some evidence of chronic venous insufficiency (CVI) and between 400,000 and 500,000 of these individuals have or will develop a venous leg ulcer. 1-3 The signs of CVI include engorgement of the cutaneous veins and dependent edema in mildly affected patients to pigmentation, dermatitis, and ulceration in the more severe cases. Although most patients are asymptomatic, others have leg heaviness and aching or recurrent and recalcitrant leg ulcers punctuated by bouts of cellulitis. These more severe cases are associated with recurrent hospitalization, high health-care costs, and disability. 4,5 Venous insufficiency with trophic skin changes or ulceration is a frustrating problem, which many physicians approach with a sense of ennui. This may be due to the chronic and remitting nature of the problem, the need for lifestyle modification, inconvenient therapies, and contradictory information regarding medical and surgical management. Nevertheless, CVI, including ulceration, is a manageable problem. The purpose of this review is to present the normal anatomy and physiology of the venous circulation and to summarize the epidemiology, pathophysiology, and treatment of CVI. DATA SYNTHESIS: METHODSA MEDLINE search for relevant English-language articles published between 1966 and 1996 was completed using the following MeSH terms: venous insufficiency or varicose ulcer and epidemiology, pathophysiology, diagnosis, and clinical trial (pt). When selecting articles on treatment, randomized, controlled trials were reviewed whenever possible. Emphasis was placed on reviewing articles with clinical relevance for internal medicine physicians. ANATOMY AND NORMAL PHYSIOLOGYVenous blood from the skin and subcutaneous fat is collected in a system of superficial venules and veins that drain toward the deep venous system underneath the fascia via three major pathways: (1) through the long or short saphenous veins, which join the deep system at the saphenofemoral and saphenopopliteal junctions; (2) through the perforating veins originating from the long or short saphenous veins or their branches; or (3) directly into the deep venous system or bypass the deep system entirely and enter the pelvis. 6 Deep veins are categorized as either intramuscular or intermuscular; o...

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The effect of elastic stockings on superficial venous pressures in patients with venous insufficiency

Cited by 82 publications

References 0 publications

Human muscle fatigue and elastic compressive stockings

Human muscle fatigue and elastic compressive stockings

Graduated compression stockings as prophylaxis for flight‐related venous thrombosis: systematic literature review

Chronic Venous Insufficiency and Venous Ulceration

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