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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2018 Mar 08

DOI: 10.23736/S0392-9590.18.03928-7


language: English

Evaluation of three different devices to reduce stasis edema in poorly mobile nursing home patients

Jean-Patrick BENIGNI 1 , Jean-François UHL 1, Florence BALET 2, Pascal FILORI 3, Maxime CHAHIM 1

1 French University Group for Medical Compression, Paris, France; 2 Nurse, EHPAD Le Grand Pré, Sénas, France; 3 Physiotherapist, Marseille, France


BACKGROUND: Prolonged immobility in the sitting position in the elderly is known to produce venous stasis with leg edema and possible skin changes. Compression stockings are often applied for this clinical problem. There are few experienced nursing staff available to supervise the difficult task of stocking application.
METHODS: The authors have researched other effective and simple devices that may be suitable alternatives. This article reports the results of three different devices to reduce leg edema, as measured by reduction in leg volume : an electro- stimulation device, an adjustable compression Velcro® wrap and a short stretch bandage, each tested over a two-hour period.
RESULTS: In this randomized pilot study including 38 patients, the authors observed no difference in leg volume following electro-stimulation (Veinoplus®). They noted a significant reduction in leg volume following use of the other two devices, more with the adjustable Velcro® wrap compression (Circaid Juxtafit®) than with the short stretch bandage (Rosidal K®). Measurement of the interface pressures created by these two devices and also assessing the stiffness created by applying each device for two hours confirm that pressure is more important than stiffness in the reduction of edema in these particular patients.
CONCLUSIONS: This pilot study is to be added to the results of previous published studies showing the efficacy in reducting leg edema of Velcro® adjustable compression wrap and its ease of use.

KEY WORDS: Leg volume - Interface pressure - Static stiffness index - Short stretch bandage - Electro-stimulation - Adjustable velcro® wrap compression

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Publication History

Article first published online: March 8, 2018
Manuscript accepted: March 2, 2018
Manuscript received: September 26, 2017

Cite this article as

Benigni JP, Uhl JF, Balet F, Filori P, Chahim M. Evaluation of three different devices to reduce stasis edema in poorly mobile nursing home patients. Int Angiol 2018 Mar 08. DOI: 10.23736/S0392-9590.18.03928-7

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