Evidence map›Paper›PMID 30088140›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Variability in compression pressure of multi-layer bandaging applied by lymphedema therapists.

Hisako Hara, Nobumitsu Hamanaka, Maki Yoshida, Noriko Ikehata, Shigeko Tachibana, Katsura Nakakawaji, Makoto Mihara

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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8citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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8 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Hisako HaraDepartment of Lymphatic and Reconstructive Surgery, JR Tokyo General Hospital, 2-1-3 Yoyogi, Shibuya-ku, Tokyo, 151-8528, Japan.
Nobumitsu HamanakaBethel South Shinjuku Clinic, Tokyo, Japan.
Maki YoshidaBethel South Shinjuku Clinic, Tokyo, Japan.
Noriko IkehataBethel South Shinjuku Clinic, Tokyo, Japan.
Shigeko TachibanaBethel South Shinjuku Clinic, Tokyo, Japan.
Katsura NakakawajiBethel South Shinjuku Clinic, Tokyo, Japan.
Makoto MiharaDepartment of Lymphatic and Reconstructive Surgery, JR Tokyo General Hospital, 2-1-3 Yoyogi, Shibuya-ku, Tokyo, 151-8528, Japan. mihara.plasticsurgery@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe success in multi-layer bandaging (MLB) relies on the technique of the therapists. The purpose of this study was to elucidate the compression pressure of MLB by lymphedema therapists.

methodsWe investigated the pressure of MLB applied by 48 lymphedema therapists. The average age was 43.5 (range 23-66) years old. Seventeen (35.4%) of the therapists had the clinical experience of MLB. We prepared ordinary compression materials and asked them to apply MLB to the whole lower limb of healthy volunteers, presuming moderate lymphedema. We attached the probe of Picopress at the Achilles tendon-muscle junction and measured the pressure three times: phase 1, resting condition; phase 2, after ankle exercise; and phase 3, after knee bend.

resultsThe average pressure in phases 1-3 was 51.9, 48.9, and 45.5 mmHg, respectively. Only 13 (27.1%) of the therapists achieved 50-59 mmHg which is suitable for lymphedema treatment and the pressure varied by the training courses. The pressure decreased as the blank period got longer after finishing training courses (R = - 0.39).

conclusionsThe pressure of MLB varied in different therapists and different training courses. This fact indicated the necessity of uniform curriculum in training courses including measurement of the bandaging pressure.

Indexed as

AdultAgedClinical CompetenceCompression BandagesDrainageExercise TherapyFemaleHumansLymphedemaMaleMiddle AgedPressureSurgical Wound InfectionTreatment OutcomeYoung AdultBandagingCDTComplete decongestive therapyLymphedemaMulti-layer bandagingPressure

Identifiers

PMID30088140

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.