Parametric modeling the human calves for evaluation and design of medical compression stockings

2020 ◽  
Vol 194 ◽  
pp. 105515 ◽  
Author(s):  
Wang Xi ◽  
Yang Bao ◽  
Li Qiao ◽  
Guo Xia ◽  
Tao Xiaoming
Phlebologie ◽  
2009 ◽  
Vol 38 (04) ◽  
pp. 157-163 ◽  
Author(s):  
A. Franek ◽  
L. Brzezinska-Wcislo ◽  
E. Blaszczak ◽  
A. Polak ◽  
J. Taradaj

SummaryA prospective randomized clinical trial was undertaken to compare a medical compression stockings with two-layer short-stretch bandaging in the management of venous leg ulcers. Study endpoints were number of completely healed wounds and the clinical parameters predicting the outcome. Patients, methods: Eighty patients with venous leg ulcers were included in this study, and ultimately allocated into two comparative groups. Group A consisted of 40 patients (25 women, 15 men). They were treated with the compression stockings (25–32 mmHg) and drug therapy. Group B consisted of 40 patients (22 women, 18 men). They were treated with the short-stretch bandages (30–40 mmHg) and drug therapy, administered identically as in group A. Results: Within two months the 15/40 (37.50%) patients in group A and 5/40 (12.50%) in group B were healed completely (p = 0.01). For patients with isolated superficial reflux, the healing rates at two months were 45.45% (10/22 healed) in group A and 18.18% (4/22 healed) in group B (p = 0.01). For patients with superficial plus deep reflux, the healing rates were 27.77% (5/18 healed) in group A and 5.55% (1/18 healed) in group B (p = 0.002). Comparison of relative change of the total surface area (61.55% in group A vs. 23.66% in group B), length (41.67% in group A vs. 27.99% in group B), width (46.16% in group A vs. 29.33% in group B), and volume (82.03% in group A vs. 40.01% in group B) demonstrated difference (p = 0.002 in all comparisons) in favour of group A. Conclusion: The medical compression stockings are extremely useful therapy in enhancement of venous leg ulcer healing (both for patients with superficial and for patients who had superficial plus deep reflux). Bandages are less effective (especially for patients with superficial plus deep reflux, where the efficiency compared to the stockings of applied compression appeared dramatically low). These findings require confirmation in other randomized clinical trials with long term results.


Author(s):  
Ferid Kırcı ◽  
Ecem Karamanlargil ◽  
Sena Cimilli Duru ◽  
Banu Nergis ◽  
Cevza Candan

VASA ◽  
2019 ◽  
Vol 48 (6) ◽  
pp. 502-508 ◽  
Author(s):  
Thea Westphal ◽  
Wolfgang Konschake ◽  
Hermann Haase ◽  
Marcus Vollmer ◽  
Michael Jünger ◽  
...  

Summary: Background: Because of side effects like skin dryness and consecutive symptoms like itching the therapy of chronic venous insufficiency (CVI) with medical compression stockings (MCS) can lead to a diminished wear comfort and restricted compliance. Compression stockings with integrated skin care may have a positive influence on the skin hydration and moreover a positive effect on patients compliance. Patients and methods: In this monocentric, randomized prospective, controlled trial a below knee conventional MCS was compared to a medical compression stocking with integrated skin care (MCS-SC), interface pressure range 23–32 mmHg. Participants: 50 patients with CVI. Primary outcome: skin hydration. Secondary outcomes: transepidermal water loss, skin roughness, leg volume, interface pressure and questionnaires about quality of life and wear comfort. Results: In patients wearing MCS the skin moisture decreased (p = 0.021) and the skin roughness increased significantly (p = 0.001), whereas in patients wearing the MCS-SC skin moisture and skin roughness changed only slightly (n.s.). These protective effects of MCS-SC compared to MCS were most common in patients with CVI at stage 3 (p = 0.046), in male patients (p = 0.013) and patients with initial dry skin (p = 0.034). Both MCS reduced lower leg volume, MCS by 80 ml (p < 0.001) and MCS-SC by 60 ml (p < 0.001), both MCS improved quality of life: leg complaints (p = 0.0003); functional status (p = 0.010), well-being and life satisfaction (p = 0.030). Wear comfort: In terms of tightness, constriction in bond area and strenuous donning the MCS-SC was assessed significantly more comfortable than MCS (p < 0.001). Conclusions: MCS-SC revealed to be superior to MCS with regard to skin moisture, particularly in patients with low skin humidity, in male patients and in patients with C3, varicose veins accompanied by edema.


Phlebologie ◽  
2016 ◽  
Vol 45 (01) ◽  
pp. 15-24 ◽  
Author(s):  
M. Marshall ◽  
R. Murena-Schmidt ◽  
W. Doppel ◽  
S. Hahn ◽  
C. Schwahn-Schreiber

SummaryBackground As detailed data are lacking on the provision of medical compression stockings (MCSs) in outpatient therapy of venous disorders in Germany, we examined various application parameters of mediven® roundknit garments in an 18-month observational study.Results Findings possibly indicative of impaired tolerability (dry skin [26.5–29.6 %], transient skin irritation [1.3–2.7 %]) were rare and decreased during the course of the study. The number of patients reporting a marked improvement during the past 12 months increased by 41.5–46.1 %, irrespective of the CEAP classification. Up to 84.5 % of participants reported that their well-being remained at a constantly high level, and the CEAP class improved objectively in 17.7 % of participants. The participants were prescribed an average of four prescriptions for MCSs (mainly compression class 2) which, irrespective of the CEAP and BMI, were mostly of a light quality. During the study, 65.3–75.6 % of patients wore the MCSs every day.Conclusion Our data show that mediven® MCSs are very well tolerated and lead to a subjective improvement in symptoms. Nevertheless, our results clearly confirm the need to optimise provision to patients with venous disorders.


2017 ◽  
Vol 88 (22) ◽  
pp. 2579-2589 ◽  
Author(s):  
Eren Oner ◽  
Gungor Durur ◽  
Huseyin Ender Cansunar

Venous insufficiency is one of the most common diseases in adults, a condition in which venous blood escapes from its normal ante grade way of flow and the veins have problems sending blood from the legs back to the heart. It can be caused by several different vein disorders, but generally arises from either blood clots or varicose veins. Medical compression stockings are widely used in the treatment of chronic venous insufficiency. From this perspective, the measurement of the effects of compression stockings and understanding the operating principle of them are very important. This paper introduces a novel testing instrument composed of a computer-controlled artificial leg, and investigates the accuracy of the pressure measurement of the dynamic leg by comparing it with the standard method. For this purpose the compression properties of standard medical stockings were measured by the new testing device and pressure readings were validated against the Kikuhime device. The results revealed that there were significant correlation coefficients, and the calibration and validation data proved that the results of the new device were consistent and repeatable.


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