Changes in Interface Pressure under Elastic and Short-Stretch Bandages during Posture Changes and Exercise

1998 ◽  
Vol 13 (1) ◽  
pp. 25-28 ◽  
Author(s):  
M. Hirai
Keyword(s):  
Clinical Practice ◽  
Prospective Study ◽  
Pressure Difference ◽  
Pressure Waveform ◽  
Pressure Measurements ◽  
Interface Pressure ◽  
Working Pressure ◽  
Time Of Application ◽  
College Of Nursing ◽  
Contraction And Relaxation

Objective: To evaluate the pressure under short-stretch and elastic bandages. Design: Prospective study in 20 healthy volunteers, comparing the two different kinds of bandages. Setting: Department of Surgery, Aichi Prefectural College of Nursing, Nagoya, Japan. Main outcome measures: Pressure measurements were made beneath the bandages with different initial pressures of 10, 20, 30, 40, 50, 60, and 70 mmHg, during supine resting, standing, tip-toe exercise and walking. Results: Short-stretch bandages showed a significant increase in pressure during standing and exercise at lower initial pressures compared with elastic bandages. In analysing the pressure waveform during tip-toe exercise and walking, a significantly greater pressure difference between muscle contraction and relaxation was noted for short-stretch bandages compared with elastic bandages at any initial pressures. Conclusions: Short-stretch bandages produce a higher working pressure and a larger pressure difference during exercise. However, the effect depends on the initial pressures at the time of application. In clinical practice, prevention of a decrease in pressure with time and uniform application of bandages are important.

Interface Pressure under Elastic Stockings with Compression Pads during Posture Changes and Exercise

1999 ◽  
Vol 14 (2) ◽  
pp. 71-76 ◽  
Author(s):  
M. Hirai
Keyword(s):  
Strain Gauge ◽  
Pressure Measurement ◽  
Varicose Veins ◽  
Pressure Measurements ◽  
Interface Pressure ◽  
Elastic Materials ◽  
Muscle Pump ◽  
Strain Gauge Plethysmography ◽  
Elastic Stockings ◽  
College Of Nursing

Objective: To quantify the influence of posture and exercise on the interface pressure obtained under elastic stockings with compression pads. Design: Interface pressure measurement and plethysmographic evaluation of elastic stockings with and without compression pads. Setting: Department of Surgery, Aichi Prefectural College of Nursing, Nagoya, Japan. Main outcome measures: Pressure measurements in 24 volunteers were obtained beneath elastic stockings, elastic bandages and short-stretch bandages during supine resting, standing, tip-toe exercise and walking, and the effect of elastic stockings on the muscle pump of the leg was evaluated by strain-gauge plethysmography in 40 limbs with varicose veins. Results: Without compression pads, only short-stretch bandages showed a significant increase in pressure during standing and exercise. When pads were used, however, elastic stockings and bandages also showed a significant increase. With pads, significant improvement in the expelled volume during exercise was observed by strain-gauge plethysmography. Conclusions: Interface pressure under elastic materials during posture and exercise is similar to that under short-stretch bandages when compression pads are used, and pads effectively augment the muscle pump.

Comparison of stiffness and interface pressure during rest and exercise among various arm sleeves

2010 ◽  
Vol 25 (4) ◽  
pp. 196-200 ◽  
Author(s):  
M Hirai ◽  
K Niimi ◽  
H Iwata ◽  
I Sugimoto ◽  
H Ishibashi ◽  
...  
Keyword(s):  
Pressure Difference ◽  
Pressure Transducer ◽  
Pressure Amplitude ◽  
Interface Pressure ◽  
Maximal Opening ◽  
High Level ◽  
Opening And Closing ◽  
Contraction And Relaxation ◽  
Rest And Exercise

Objectives To compare the interface pressure during rest and exercise among various kinds of arm sleeves. Methods The interface pressure underneath nine different arm sleeves was measured during 10 maximal opening and closing movements of fingers using a pressure transducer (Air Pack Type Analyser) in 16 healthy volunteers. Furthermore, in order to evaluate the characteristics of each arm sleeve, the extensibility, stiffness and thickness were determined in vitro by several apparatuses. Results There was a significant correlation between stiffness and extensibility. The stiffness was significantly correlated with the pressure difference between muscle contraction and relaxation during exercise. The higher the value of stiffness, the greater the pressure amplitude during exercise. Conclusion Short-stretch arm sleeves characterized with a high level stiffness, including thick round- and flat-knitted arm sleeves, are more beneficial for the augmentation of muscle pumping than long-stretch arm sleeves, in the same way as short-stretch bandages or stockings applied to the leg.

A comparison of interface pressure and stiffness between elastic stockings and bandages

2009 ◽  
Vol 24 (3) ◽  
pp. 120-124 ◽  
Author(s):  
M Hirai ◽  
K Niimi ◽  
H Iwata ◽  
I Sugimoto ◽  
H Ishibashi ◽  
...  
Keyword(s):  
Healthy Volunteers ◽  
Pressure Difference ◽  
Pressure Transducer ◽  
Stiffness Index ◽  
Static Stiffness ◽  
Interface Pressure ◽  
Elastic Stockings ◽  
Index Value ◽  
Contraction And Relaxation ◽  
Interface Pressures

Objectives To compare the interface pressure during posture changes and exercise between elastic stockings and bandages. Methods Using a pressure transducer (air pack-type analyzer), the interface pressures associated with three different elastic stockings and three different elastic bandages were measured during supine resting, standing and exercise in 15 healthy volunteers. Results Short-stretch bandages showed a significantly higher static stiffness index value, which is defined as the pressure difference between lying and standing, than long-stretch bandages and short-stretch stockings ( P < 0.001). Furthermore, short-stretch bandages showed a significantly greater pressure difference between muscle contraction and relaxation in both tip-toe and knee-bending exercises than long-stretch bandages and short-stretch stockings ( P < 0.001). Conclusion Short-stretch bandages can be expected to have more pronounced benefits for augmenting muscle pump than long-stretch bandages and short-stretch stockings.

scholarly journals A Comparative Study of 2-Hour Interface Pressure in Different Angles of Laterally Inclined, Supine, and Fowler’s Position

2021 ◽  
Vol 18 (19) ◽  
pp. 9992
Author(s):  
Soo-Yeon Kim ◽  
Yong-Soon Shin
Keyword(s):  
Comparative Study ◽  
Pressure Difference ◽  
Pressure Ulcers ◽  
Peak Pressure ◽  
Area Ratio ◽  
The Other ◽  
Pressure Measurements ◽  
Interface Pressure ◽  
Risk Area ◽  
Position Change

Insufficient research exists for position change intervals to eradicate pressure ulcers. We tried to provide evidence for the position change interval by comparing peak pressure, risk area ratio, and the time to reach 30 mmHg and 60 mmHg, and presented this in detail, according to the angle in the three positions. The study conducted RCTs on a total of 64 healthy adults. For two hours, interface pressure measurements were compared with 30° and 90° tilting at the inclined, 0° and 45° head-of-bed (HOB) elevation at the supine, and 30° and 45° HOB elevation at the Fowler’s position. The peak pressure on 30° tilting remained less than 60 mmHg for 2 h, unlike 90° tilting. To reach 60 mmHg took 78.18 min at 30° tilting, within 30 min at the 30° supine, 30° and 45° at the Fowler’s position, and 39.55 min at 0° supine. The pressure difference according to the angles was only significant at 30° and 90° tilting, with no difference in the other groups. To prevent pressure ulcers, position changes are required every 2 h in the 30° tilting position, every 1.5 to 2 h at 0° supine, and at least every 1.5 h for all the other positions.

Signal Interpretation Considerations When Estimating Subglottal Pressure From Oral Air Pressure

2019 ◽  
Vol 62 (5) ◽  
pp. 1326-1337 ◽  
Author(s):  
Brittany L. Perrine ◽  
Ronald C. Scherer ◽  
Jason A. Whitfield
Keyword(s):  
Standard Condition ◽  
Word Production ◽  
Air Pressure ◽  
Pressure Waveform ◽  
Pressure Measurements ◽  
Air Leak ◽  
Pressure Signal ◽  
Adult Participants ◽  
Syllable Repetition ◽  
Subglottal Pressure

Purpose Oral air pressure measurements during lip occlusion for /pVpV/ syllable strings are used to estimate subglottal pressure during the vowel. Accuracy of this method relies on smoothly produced syllable repetitions. The purpose of this study was to investigate the oral air pressure waveform during the /p/ lip occlusions and propose physiological explanations for nonflat shapes. Method Ten adult participants were trained to produce the “standard condition” and were instructed to produce nonstandard tasks. Results from 8 participants are included. The standard condition required participants to produce /pːiːpːiː.../ syllables smoothly at approximately 1.5 syllables/s. The nonstandard tasks included an air leak between the lips, faster syllable repetition rates, an initial voiced consonant, and 2-syllable word productions. Results Eleven oral air pressure waveform shapes were identified during the lip occlusions, and plausible physiological explanations for each shape are provided based on the tasks in which they occurred. Training the use of the standard condition, the initial voice consonant condition, and the 2-syllable word production increased the likelihood of rectangular oral air pressure waveform shapes. Increasing the rate beyond 1.5 syllables/s improved the probability of producing rectangular oral air pressure signal shapes in some participants. Conclusions Visual and verbal feedback improved the likelihood of producing rectangular oral air pressure signal shapes. The physiological explanations of variations in the oral air pressure waveform shape may provide direction to the clinician or researcher when providing feedback to increase the accuracy of estimating subglottal pressure from oral air pressure.

Assessing the accuracy of clinical signs in acute knee injuries in current clinical practice: a prospective study

2002 ◽  
Vol 171 (S2) ◽  
pp. 71-72
Author(s):  
S. R. Kearns ◽  
S. H. Orakzai ◽  
H. A. Ridha ◽  
G. Roche-Nagle ◽  
P. Keogh ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Prospective Study ◽  
Knee Injuries ◽  
Clinical Signs ◽  
Current Clinical Practice ◽  
A Prospective Study ◽  
Acute Knee

Relationship Between Unsteady Flow, Pressure Fluctuations, and Noise in a Centrifugal Pump—Part B: Effects of Blade-Tongue Interactions

1995 ◽  
Vol 117 (1) ◽  
pp. 30-35 ◽  
Author(s):  
S. Chu ◽  
R. Dong ◽  
J. Katz
Keyword(s):  
Unsteady Flow ◽  
Centrifugal Pump ◽  
Pressure Difference ◽  
Pressure Fluctuations ◽  
Primary Sources ◽  
Pressure Measurements ◽  
Local Pressure ◽  
Pressure Distributions ◽  
Flow Pressure ◽  
Tip Of The Tongue

Maps of pressure distributions computed using PDV data, combined with noise and local pressure measurements, are used for identifying primary sources of noise in a centrifugal pump. In the vicinity of the impeller pressure minima occur around the blade and near a vortex train generated as a result of non-uniform outflux from the impeller. The pressure everywhere also varies depending on the orientation of the impeller relative to the tongue. Noise peaks are generated when the pressure difference across the tongue is maximum, probably due to tongue oscillations, and when the wake impinges on the tip of the tongue.

Abstract P333: National Trends in the Quality of Office Blood Pressure Measurements, 2014-2019

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Kathryn Foti ◽  
Lawrence J Appel ◽  
Kunihiro Matsushita ◽  
Josef Coresh ◽  
G Caleb Alexander ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Clinical Practice ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Pressure Measurements ◽  
Hypertension Treatment ◽  
Digit Preference ◽  
Provider Characteristics ◽  
Over Time

Introduction: Clinical practice guidelines emphasize the importance of accurate blood pressure measurement and recording to diagnose and treat hypertension. Trends in terminal digit preference (typically manifest by a terminal digit of ‘0’) have not been examined nationally. The growing use of automated blood pressure devices may have reduced terminal digit preference and improved accuracy over time. Objective: To evaluate trends in terminal digit preference in office blood pressure measurements among adults with hypertension by patient and provider characteristics. Methods: We used IQVIA National Disease and Therapeutic Index (NDTI) data from January 2014 through June 2019. The NDTI is designed to be nationally-representative of all patient visits to office-based physicians and uses a two-stage stratified sampling design to sample ~4,000 physicians per quarter who report information on all patient visits on 2 random workdays. We included all hypertension treatment visits (~60M/year) among adults aged ≥18. We examined trends in the proportion of hypertension treatment visits with recorded systolic (SBP) and diastolic (DBP) blood pressure measurements with a terminal digit ‘0’. The expected percent of blood pressures with ‘0’ is 10% for automated and 20% for manual readings. Results: There was a decrease in the percent of visits with SBP (43.0% to 37.4%) or DBP (44.3% to 38.1%) recordings ending in zero ( Table ). The decrease in percent of SBPs with a terminal zero was similar by patient and provider characteristics, though the percentage of SBPs with a terminal ‘0’ was consistently higher among patients aged ≥60, when SBP ≥140 mmHg, and among cardiologists. Conclusions: Terminal digit preference is common indicating systematic error in blood pressure measurement and recording, despite some improvement over time. This may lead to under- and overtreatment of patients with hypertension. Improving the quality of blood pressure measurement is central to improving hypertension diagnosis and control in clinical practice.

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