The Effect of Multi-Layer Bandage on the Interface Pressure Applied by Compression Bandages
Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 33122
The Effect of Multi-Layer Bandage on the Interface Pressure Applied by Compression Bandages

Authors: Jawad Al Khaburi, Abbas A. Dehghani-Sanij, E. Andrea Nelson, Jerry Hutchinson

Abstract:

Medical compression bandages are widely used in the treatment of chronic venous disorder. In order to design effective compression bandages, researchers have attempted to describe the interface pressure applied by multi-layer bandages using mathematical models. This paper reports on the work carried out to compare and validate the mathematical models used to describe the interface pressure applied by multi-layer bandages. Both analytical and experimental results showed that using simple multiplication of a number of bandage layers with the pressure applied by one layer of bandage or ignoring the increase in the limb radius due to former layers of bandage will result in overestimating the pressure. Experimental results showed that the mathematical models, which take into consideration the increase in the limb radius due to former bandage layers, are more accurate than the one which does not.

Keywords: Compression bandages, FlexiForce, interface pressure, venous ulcer

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1076640

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 2721

References:


[1] J. L.Beebe-Dimmer, J. R. Pfeifer, J. S. Engle and D.Schottenfeld, "The epidemiology of chronic venous insufficiency and varicose veins," Annals of Epidemiology, vol. 15, no. 3, pp. 175-184, Mar. 2005.
[2] C. V. Ruckley, C. J. Evans, P. L. Allan, A. J. Lee and F. G. Fowkes, "Chronic venous insufficiency: Clinical and duplex correlations. The Edinburgh Vein Study of venous disorders in the general population," Journal of Vascular Surgery, vol. 36, no. 3, pp. 520-525, 2002.
[3] S. O-Meara, J. Tierney, N. Cullum, M. J. Bland, P. J. Franks, T. Mole and M. Scriven, "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, vol. 338, pp. b1344, Apr. 2009.
[4] S. O-Meara, N. A. Cullum and E. A. Nelson, "Compression for venous leg ulcers," Cochrane Database of Systematic Reviews, (1), 2009.
[5] C. Moffatt, Compression Therapy in Practice, Aberdeen: Wound UK Publishing, 2007, 228pp.
[6] E. A. Nelson, A Study of Patient and Nurse Factors Influencing Sub- Bandage Pressure, Strathclyde: Stracthclyde University, 2001, 215 pp.
[7] P. De Bruyne and T. Dvorak, "The pressure exerted by an elastic stocking and its measurement," Medical and Biological Engineering and Computing, vol. 14, no. 1, pp. 94-96,1976.
[8] S. Thomas, "The use of the Laplace equation in the calculation of subbandage pressure," EWMA journal, vol. 3, no. 1, pp. 21-23, 2003.
[9] J. R. Basford, "The law of Laplace and its relevance to contemporary medicine and rehabilitation," Archives of Physical Medicine and Rehabilitation, vol. 83, no. 8, pp. 11651170, 2002.
[10] D. Wertheim, J. Melhuish, R. Williams and K. Harding, "Measurement of forces associated with compression therapy," Medical and Biological Engineering and Computing, vol. 37, no. 1, pp. 31-34, Jan. 1999.
[11] J. M. Melhuish, M. Clark, R. Williams and K. G. Harding, "The physics of sub-bandage pressure measurement," Journal of Wound Care, vol. 9, no. 7, pp. 308-310, Jul. 2000.
[12] J. A. J. Al Khaburi, Pressure mapping of medical compression bandages used for venous leg ulcer treatment, Leeds: University of Leeds, 2010, 300 pp.
[13] J. Al Khaburi, E. A. Nelson, J. Hutchinson and A. A. Dehghani-Sanij, "Impact of multi-layered compression bandages on sub-bandage interface pressure: a model," Phlebology, vol. 26, no.2, pp. 75-83, Mar 2011.
[14] E. J. Hearn, Mechanics of Materials Volume 1: An Introduction to the Mechanics of Elastic and Plastic Deformation of Solids and Structural Materials, Oxford: Butterworth-Heinemann, 1997, 450 pp.
[15] S. Thomas and P. Fram, "Laboratory-based evaluation of a compressionbandaging system," Nursing Times, vol. 99, no. 40, pp. 24-28, 2003.
[16] J. J. Dale, C.V. Ruckley, B. Gibson, D. Brown, A. J. Lee and R. J. Prescott, "Multi-layer compression: comparison of four Different fourlayer bandage systems applied to the leg," European Journal of Vascular and Endovascular Surgery, vol. 27, no. 1, pp. 94-99, Jan. 2004.
[17] A. Cornu-Thenard, P. Boivin, P. H. Carpentier, F. Courtet and P. Ngo, "Superimposed Elastic Stockings: Pressure Measurements," Dermatologic Surgery, vol. 33, no. 3, pp. 269-275, Mar. 2007.
[18] M. Ferguson-Pell, S. Hagisawa and D. Bain, "Evaluation of a sensor for low interface pressure applications," Medical Engineering & Physics, vol. 22, no. 9, pp. 657-663, Nov. 2000.
[19] E. R. Komi, J. R. Roberts and S. J. Rothberg, "Evaluation of thin, flexible sensors for time-resolved grip force measurement." Journal of Mechanical Engineering Science, vol. 221, pp. 1687-1699, Nov. 2007.
[20] W. Bolton, Measurement and instrumentation systems, Oxford: Newnes, 1996, 412 pp.