Journal article
Quantifying Graduation of Layered Below-Knee Compression Garment Combinations using Model-based Assessment
Journal of Vascular Surgery. Venous and Lymphatic Disorders, Vol.11(1), pp.183-191
2023
PMID: 35987491
Abstract
Objective:
Often people with lymphoedema and vascular conditions are prescribed layered compression garments to assist them in donning their garments and improve treatment compliance. However, there is little evidence measuring the interface pressure produced by these layered garments. This study aimed to explore the pressures produced by layering high and low class below knee compression garment combinations, quantify graduation of these combinations, and understand the effect that layer order has on the interface pressure.
Methods:
This study utilised a mechanical test design to measure interface pressure at four sites (B: smallest ankle, B1: below calf, C: widest calf, and D: below knee) for thirty combinations of low- and high-class compression garments using a PicoPress.
Results:
The results demonstrated a pattern consistent with graduation for sites B1 to D in 100% of garment combinations. However, graduation reversed from sites B to B1 in 100% of garment combinations, possibly due to limitations regarding the shape of the model limb. The results indicated no significant difference in interface pressure when the higher-class garment was applied as the bottom layer compared to the top layer. There was a strong correlation (R>0.95, p<0.001) between the actual pressures produced by combinations of garments and the expected pressure based on the addition of pressures of individual garments.
Conclusions:
Graduation was observed from site B1 to D, indicating that double layering of these garment combinations maintained guideline adherence. Layering garments produces pressures that are generally cumulative of the pressures of each garment alone, with some variance. Due to the uncertainty of the B results in this study, clinical implications in relation to the primary aim are limited. The findings from the secondary aim suggest that clinically, garment wearers can don their layered garments in any order and achieve the same interface pressure results.
Details
- Title
- Quantifying Graduation of Layered Below-Knee Compression Garment Combinations using Model-based Assessment
- Authors
- Maddison Taylor McLeod (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - LegacyKieran Broome (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health and Sport Sciences - LegacyKerri-Anne Von Deest (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - Legacy
- Publication details
- Journal of Vascular Surgery. Venous and Lymphatic Disorders, Vol.11(1), pp.183-191
- Publisher
- Elsevier BV
- Date published
- 2023
- DOI
- 10.1016/j.jvsv.2022.02.020
- ISSN
- 2213-3348
- PMID
- 35987491
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health - Occupational Therapy; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99665198702621
- Output Type
- Journal article
Metrics
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Peripheral Vascular Disease
- Surgery
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Source: SDGs from InCites