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DOI: 10.1055/a-1487-4194
Static Stiffness Index of Two Multicomponent Bandage Compression Systems: Results of a Randomized Controlled Trial on Healthy Volunteers
Article in several languages: deutsch | English Supported by: Urgo Research Innovation and Development![](https://www.thieme-connect.de/media/10.1055-s-00034913/202201/lookinside/thumbnails/phlebo-14874194_10-1055-a-1487-4194_en-1.jpg)
Abstract
Purpose To compare the performances of two multicomponent compression systems.
Methods In this randomised controlled trial, both legs of 25 healthy volunteers were randomly bandaged with either a new generation of compression system (UrgoK1, one unique bandage) or an established system (UrgoK2, two bandages), as a control. Both systems were worn day and night. Working and resting interfaces pressures were measured, and Static Stiffness Index (SSI) calculated, immediately after application and after 4 h, 24 h, 48 h and 72 h.
Results After 4 hours, similar high working pressures and moderate resting pressures were registered with both systems. Over time, changes in pressures and in SSI followed the same curves. After 48 h, a SSI ≥ 10 mmHg was reached with 88 % and 76 % of the tested and control systems, respectively, validating the non-inferior rigidity of the tested system (p = 0.016). Both systems presented good holding properties and were well tolerated, but the tested system was perceived as significantly more comfortable and eventually preferred to the control system by the majority of the volunteers.
Conclusion The new compression system achieved similar performances to the control, but its better acceptability could become an asset for patients’ compliance. These promising results need to be confirmed in a clinical study on patients with leg ulcers and/or oedema.
Schlüsselwörter
Mehrkomponentenkompressionssystem - Statischer Steifigkeitsindex - GrenzflächendruckPublication History
Article published online:
21 December 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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Literatur
- 1 Haute Autorité de Santé. [Medical compression in chronic venous conditions. Haute Autorité de Santé] [Article in French]. Ann Dermatol Venereol 2013; 140 (05) 393-396 DOI: 10.1016/j.annder.2013.03.004jkh.
- 2 Rabe E, Földi E, Gerlach H. et al Leitlinie: Medizinische Kompressionstherapie der Extremitäten mit Medizinischem Kompressionsstrumpf (MKS), Phlebologischem Kompressionsverband (PKV) und Medizinischen adaptiven Kompressionssystemen (MAK) AWMF-Registernummer: 037/005. https://www.awmf.org/uploads/tx_szleitlinien/037-005l_S3k_Medizinische-Kompressionstherapie-MKS-PKV_2019-05.pdf (accessed March 15, 2021)
- 3 Dissemond J, Assenheimer B, Bültemann A. et al. Compression therapy in patients with venous leg ulcers. J Dtsch Dermatol Ges 2016; 14 (11) 1072-1087 DOI: 10.1111/ddg.13091.
- 4 Partsch B, Partsch H. Calf compression pressure required to achieve venous closure from supine to standing positions. J Vasc Surg 2005; 42 (04) 734-738 DOI: 10.1016/j.jvs.2005.06.030.
- 5 Partsch H, Stücker M, Vanscheidt W. et al. Bedeutung des adäquaten Drucks in der Kompressionstherapie: Basis der erfolgreichen Behandlung [Importance of adequate pressure in compression therapy: Basis for successful treatment]. Hautarzt 2019; 70 (09) 707-714 DOI: 10.1007/s00105-019-4413-9.
- 6 O’Meara S, Cullum N, Nelson EA. et al. Compression for venous leg ulcers. Cochrane Database Syst Rev 2012; 11: CD000265 DOI: 10.1002/14651858.CD000265.pub3.
- 7 O’Meara S, Tierney J, Cullum N. et al. Four layer bandage compared with short stretch bandage for venous leg ulcers: Systematic review and meta-analysis of randomised controlled trials with data from individual patients. BMJ 2009; 338: b1344 DOI: 10.1136/bmj.b1344.
- 8 Haute Autorité de Santé. Prise en charge de l’ulcère de jambe à prédominance veineuse hors pansement. Recommendations. Juin 2006. https://www.has-sante.fr/upload/docs/application/pdf/recommandations_finales_pdf.pdf (accessed November 30, 2020)
- 9 O’Donnell Jr TF, Passman MA, Marston WA. et al. Management of venous leg ulcers: clinical practice guidelines of the Society for Vascular Surgery (R) and the American Venous Forum. J Vasc Surg 2014; 60 (Suppl. 02) S3-S59 DOI: 10.1016/j.jvs.2014.04.049.
- 10 Scottish Intercollegiate Guidelines Network Management of chronic venous leg ulcers: A national clinical guideline. 2010 https://www.wwic.wales/uploads/files/documents/Professionals/Venous%20Leg%20Ulcer/sign120.pdf (accessed November 30, 2020)
- 11 Partsch H. The static stiffness index: a simple method to assess the elastic property of compression material in vivo. Dermatol Surg 2005; 31 (06) 625-630 DOI: 10.1111/j.1524-4725.2005.31604.
- 12 Partsch H, Clark M, Bassez S. et al. Measurement of lower leg compression in vivo: recommendations for the performance of measurements of interface pressure and stiffness: consensus statement. Dermatol Surg 2006; 32 (02) 224-233 DOI: 10.1111/j.1524-4725.2006.32039.x.
- 13 Partsch H, Schuren J, Mosti G. et al. The Static Stiffness Index: an important parameter to characterise compression therapy in vivo. J Wound Care 2016; 25 (Suppl. 09) S4-S10 DOI: 10.12968/jowc.2016.25.Sup9.S4.
- 14 Chassagne F, Helouin-Desenne C, Molimard J. et al. Superimposition of elastic and nonelastic compression bandages. J Vasc Surg Venous Lymphat Disord 2017; 5 (06) 851-858 DOI: 10.1016/j.jvsv.2017.07.006.
- 15 Renner R, Gebhardt C, Simon JC. Compliance hinsichtlich der Kompressionstherapie bei Patienten mit floridem Ulcus cruris venosum: Ergebnisse einer Querschnittsuntersuchung [Compliance to compression therapy in patients with existing venous leg ulcers. Results of a cross-sectional study]. Med Klin (Munich) 2010; 105 (01) 1-6 DOI: 10.1007/s00063-010-1001-2.
- 16 Stansal A, Lazareth I, Michon Pasturel U. et al. Compression therapy in 100 consecutive patients with venous leg ulcers. J Mal Vasc 2013; 38 (04) 252-258 DOI: 10.1016/j.jmv.2013.05.006.
- 17 Attal R, Mahé E, Bilan P. et al. [Compression care for venous leg ulcers: Assessment of medical practices in 100 patients]. J Mal Vasc [French] 2015; 40 (03) 158-164 DOI: 10.1016/j.jmv.2015.03.006.
- 18 Le Gloanec H, Boye T, Placidi E. [Non-observance of medical compression in venous ulcers treatment]. Phlébologie [French] 2017; 70 (02) 38-48 http://www.revue-phlebologie.org/donnees/portedocument/mes_telechargements2.php?cparam=905h6o79er6g3oi7yiy6br0u86sp7s4yf1jpw41a5tz6x91i6o0wfm06majii6p (accessed March 19, 2021)
- 19 Pottier A, Le Thuaut A, Durand C. et al. Evaluation of compression bandage application technique in patients with venous leg ulcers: A mixed methods observational study. Recherche en soins infirmiers 2019; 137 (02) 91-98 DOI: 10.3917/rsi.137.0091.
- 20 Lazareth I, Moffat C, Dissemond J. et al. Efficacy of two compression systems in the management of VLUs: results of a European RCT. J Wound Care 2012; 21: 553-558 DOI: 10.12968/jowc.2012.21.11.553.
- 21 Lantis JC, Barrett C, Couch KS. et al. A dual compression system: preliminary clinical insights from the US. J Wound Care 2020; 29 (Suppl. 09) S29-S37 DOI: 10.12968/jowc.2020.29.Sup9.S29.
- 22 Crebassa C, Allaert JF. [Venous leg ulcers treated in the community with a multicomponent compression system] [Article in French]. Phlebologie 2020; 73 (04) 67-77
- 23 Stücker M, Münter KC, Erfurt-Berge C. et al Clinical evaluation of a multicomponent compression system: Results of a prospective, observational, multicentre study on 702 patients. J Wound Care 2021; in press
- 24 Benigni JP, Lazareth I, Parpex P. et al. Efficacy, safety, and acceptability of a new two-layer bandage system for venous leg ulcers. J Wound Care 2007; 16 (09) 385-390 DOI: 10.12968/jowc.2007.16.9.27866.
- 25 Conde-Montero E, Bohbot S, Grado Sanz R. et al. Association of autologous punch grafting, TLC-NOSF dressing and multitype compression therapy to rapidly achieve wound closure in hard-to-heal venous leg ulcers. J Med Vasc 2020; 45 (06) 316-325 DOI: 10.1016/j.jdmv.2020.10.123.
- 26 Greenstein E, Tickner A. Addressing Compression Continuity, Consistency, and Comfort Using a Dual Compression System. Wound Manag Prev 2020; 66 (06) 4-7
- 27 Hanna R, Bohbot S, Connolly N. A comparison of interface pressures of three compression bandage systems. Br J Nurs 2008; 17 (20) S16-S24 DOI: 10.12968/bjon.2008.17.Sup9.31661.
- 28 Jünger M, Ladwig A, Bohbot S. et al. Comparison of interface pressures of three compression bandaging systems used on healthy volunteers. J Wound Care 2009; 18 (11) 474-480 DOI: 10.12968/jowc.2009.18.11.45000.
- 29 Lee AJ, Dale JJ, Ruckley CV. et al. Compression therapy: effects of posture and application techniques on initial pressures delivered by bandages of different physical properties. Eur J Vasc Endovasc Surg 2006; 31 (05) 542-552 DOI: 10.1016/j.ejvs.2005.10.023.
- 30 Wong IK, Man MB, Chan OS. et al. Andriessen A. Comparison of the interface pressure and stiffness of four types of compression systems. J Wound Care 2012; 21 (04) 161-167 DOI: 10.12968/jowc.2012.21.4.161.
- 31 Protz K, Heyer K, Verheyen-Cronau I. et al. Loss of interface pressure in various compression bandage systems over seven days. Dermatology 2014; 229 (04) 343-352 DOI: 10.1159/000365111.
- 32 Rimaud D, Convert R, Calmels P. In vivo measurement of compression bandage interface pressures: the first study. Ann Phys Rehabil Med 2014; 57 (06) 394-408 DOI: 10.1016/j.rehab.2014.06.005.
- 33 Mosti G, Mattaliano V, Partsch H. Influence of different materials in multicomponent bandages on pressure and stiffness of the final bandage. Dermatol Surg 2008; 34 (05) 631-639 DOI: 10.1111/j.1524-4725.2007.34119.x.
- 34 Mosti GB, Mattaliano V. Simultaneous changes of leg circumference and interface pressure under different compression bandages. Eur J Vasc Endovasc Surg 2007; 33 (04) 476-482 DOI: 10.1016/j.ejvs.2006.11.035.
- 35 Hirai M, Koyama A, Miyazaki K. et al. Interface pressure and stiffness in different combinations of compression material. Phlebology 2012; 27 (02) 82-89 DOI: 10.1258/phleb.2011.011010.
- 36 Hafner J, Botonakis I, Burg G. A comparison of multilayer bandage systems during rest, exercise, and over 2 days of wear time. Arch Dermatol 2000; 136 (07) 857-863 DOI: 10.1001/archderm.136.7.857.
- 37 Mosti G, Partsch H. Inelastic bandages maintain their hemodynamic effectiveness over time despite significant pressure loss. J Vasc Surg 2010; 52 (04) 925-931 DOI: 10.1016/j.jvs.2010.04.081.
- 38 Mosti G, Mattaliano V, Partsch H. Inelastic compression increases venous ejection fraction more than elastic bandages in patients with superficial venous reflux. Phlebology 2008; 23 (06) 287-294 DOI: 10.1258/phleb.2008.008009.
- 39 Miyazaki K, Hirai M, Koyama A. et al. Interface pressure is affected by slippage of bandages at thigh. Int Angiol 2012; 31 (06) 544-549
- 40 Sermsathanasawadi N, Tarapongpun T, Pianchareonsin R. et al. Customizing elastic pressure bandages for reuse to a predetermined, sub-bandage pressure: A randomized controlled trial. Phlebology 2018; 33 (09) 627-635 DOI: 10.1177/0268355517746434.