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Reich-Schupke S, Surhoff S, Stücker M. Pressure profiles of sport compression stockings. J Dtsch Dermatol Ges 2018; 14:495-506. [PMID: 27119471 DOI: 10.1111/ddg.12779] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND While sport compression stockings (SCS) have become increasingly popular, there is no regulatory norm as exists for medical compression stockings (MCS). The objective of this pilot study was to compare five SCS with respect to their pressure profiles ex vivo and in vivo, and in relation to German standards for MCS (RAL norm). PATIENTS AND METHODS In vivo (10 competitive athletes; standardized procedure using the Kikuhime pressure monitor) and ex vivo (tested at the Hohenstein Institute) pressure profiles were tested for the following products: CEP Running Progressive Socks, Falke Running Energizing, Sigvaris Performance, X-Socks Speed Metal Energizer, and 2XU Compression Race Socks. RESULTS Ex vivo ankle pressures of CEP (25.6 mmHg) and 2XU (23.2 mmHg) corresponded to class 2 MCS; that of Sigvaris (20.8 mmHg), to class 1 MCS. The remaining SCS achieved lower pressure values. The pressure gradients showed marked differences, and did not meet MCS standards. Average in vivo pressures were higher for 2XU, CEP, and Sigvaris than for Falke and X-Socks. However, in vivo values for all SCS were below those of class 1 MCS. None of the SCS showed the decreasing pressure gradient (from distal to proximal) required for MCS. CONCLUSIONS In vivo and ex vivo pressure profiles of all SCS examined showed marked heterogeneity, and did not meet MCS standards. Consequently, the clinical and practical effects of SCS cannot be compared, either. It would therefore be desirable to establish a classification that allows for the categorization and comparison of various SCS as well as their selection based on individual preferences and needs (high vs. low pressure, progressive vs. degressive profile).
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Affiliation(s)
- Stefanie Reich-Schupke
- Center for Venous Disorders (Dermatology and Vascular Surgery), Department of Dermatology, Allergology, und Venereology, University of Bochum, St. Josef Hospital, Bochum, Germany
| | - Stefan Surhoff
- Center for Venous Disorders (Dermatology and Vascular Surgery), Department of Dermatology, Allergology, und Venereology, University of Bochum, St. Josef Hospital, Bochum, Germany
| | - Markus Stücker
- Center for Venous Disorders (Dermatology and Vascular Surgery), Department of Dermatology, Allergology, und Venereology, University of Bochum, St. Josef Hospital, Bochum, Germany
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Reich-Schupke S, Surhoff S, Stücker M. Das Druckprofil von Sportkompressionsstrümpfen. J Dtsch Dermatol Ges 2016; 14:495-507. [DOI: 10.1111/ddg.12779_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Stefanie Reich-Schupke
- Venenzentrum der Dermatologischen und Gefäßchirurgischen Kliniken, Klinik für Dermatologie, Allergologie und Venerologie; Kliniken der Ruhr-Universität Bochum im St. Josef Krankenhaus; Bochum
| | - Stefan Surhoff
- Venenzentrum der Dermatologischen und Gefäßchirurgischen Kliniken, Klinik für Dermatologie, Allergologie und Venerologie; Kliniken der Ruhr-Universität Bochum im St. Josef Krankenhaus; Bochum
| | - Markus Stücker
- Venenzentrum der Dermatologischen und Gefäßchirurgischen Kliniken, Klinik für Dermatologie, Allergologie und Venerologie; Kliniken der Ruhr-Universität Bochum im St. Josef Krankenhaus; Bochum
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Coroneos CJ, Voineskos SH, Cornacchi SD, Goldsmith CH, Ignacy TA, Thoma A. Users' guide to the surgical literature: how to evaluate clinical practice guidelines. Can J Surg 2014; 57:280-6. [PMID: 25078935 DOI: 10.1503/cjs.029612] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Affiliation(s)
- Christopher J Coroneos
- The Division of Plastic and Reconstructive Surgery, Department of Surgery, McMaster University, and the Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ont
| | - Sophocles H Voineskos
- The Division of Plastic and Reconstructive Surgery, Department of Surgery, McMaster University, and the Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ont
| | - Sylvie D Cornacchi
- The Division of Plastic and Reconstructive Surgery, Department of Surgery, McMaster University, and the Surgical Outcomes Research Centre (SOURCE), McMaster University, Hamilton, Ont
| | - Charlie H Goldsmith
- The †Department of Clinical Epidemiology and Biostatistics, McMaster University, the Surgical Outcomes Research Centre (SOURCE), McMaster University, Hamilton, Ont., and the Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada and Arthritis Research Centre of Canada, Richmond, BC
| | - Teegan A Ignacy
- The Division of Plastic and Reconstructive Surgery, Department of Surgery, McMaster University, Hamilton, Ont., and the Surgical Outcomes Research Centre (SOURCE), McMaster University, Hamilton, Ont
| | - Achilleas Thoma
- The Division of Plastic and Reconstructive Surgery, Department of Surgery, McMaster University, the Department of Clinical Epidemiology and Biostatistics, and the Surgical Outcomes Research Centre (SOURCE), McMaster University, Hamilton, Ont
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Reich-Schupke S, Feldhaus F, Altmeyer P, Mumme A, Stücker M. Efficacy and comfort of medical compression stockings with low and moderate pressure six weeks after vein surgery. Phlebology 2013; 29:358-66. [PMID: 23563646 DOI: 10.1177/0268355513484142] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE The first two authors contributed equally to this work. A prospective, randomized study to evaluate efficacy, safety, and comfort of thigh-high, round knitted medical compression stockings (MCSs) with different pressure six weeks after vein surgery. METHODS Female patients undergoing vein surgery were randomized for a compression therapy with low (18-21 mmHg, group A) or moderate (23-32 mmHg, group B) pressure MCSs. Follow-up was done by a phlebological experienced, blinded physician (pressure control, clinical aspect, duplex scan, and questionnaire) one and six weeks after surgery. RESULTS Totally, 88 patients (41 in group A and 47 in group B) were analyzed. One week after surgery, patients of group B had significantly lower edema scores than patients of group A either in the clinical assessment (0.7 vs. 0.3; p = 0.016) or in the B-mode scan (0.9 vs. 0.4; p = 0.013). Significant less patients of group B had a feeling of "tightness" (p = 0.01) and significant more a reduction of discomfort (p = 0.01) after week 1 but with no significance in week 6. There was no significant difference according to other clinical and ultrasound findings such as hematoma, infection, hyperpigmentation, cording, or thrombosis after one or six weeks. In week 1 and week 6, more patients suffered from pain in group A (week 1 p = 0.24, week 6 p = 0.063). Application of the MCSs was easier in group A in week 1 but similar in groups A and B in week 6. Muscle vein thrombosis occurred in one patient of group A. CONCLUSION Compression stockings with a pressure of 23-32 mmHg facilitate a faster resolution of clinical and ultrasound verified edema and the subjective feelings of pain, tightness, and discomfort of the leg in the early period after surgery but have no difference in the longer post-surgical period compared to stockings with a pressure of 18-21 mmHg.
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Affiliation(s)
- Stefanie Reich-Schupke
- Department of Dermatology, Venerology and Allergology, Ruhr-University Bochum, Bochum, Germany
| | - Felix Feldhaus
- Department of Dermatology, Venerology and Allergology, Ruhr-University Bochum, Bochum, Germany
| | - Peter Altmeyer
- Department of Dermatology, Venerology and Allergology, Ruhr-University Bochum, Bochum, Germany
| | - Achim Mumme
- Department of Vascular Surgery, Ruhr-University Bochum, Bochum, Germany
| | - Markus Stücker
- Department of Dermatology, Venerology and Allergology, Ruhr-University Bochum, Bochum, Germany
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Hirai M, Iwata H, Miyazaki K, Koyama A, Nakamura H. Development of separated elastic stockings. Phlebology 2012; 28:201-8. [DOI: 10.1258/phleb.2011.011140] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Objectives To investigate the acceptability of newly developed separated elastic stockings, which are divided into two portions at the ankle. Methods The difficulty in putting on and taking off stockings was compared between the original or modified separated stockings with various techniques in order to reduce the shift of the stockings and current non-separated stockings in healthy volunteers and patients with lymphoedema by applying both stockings alternately. In the modified model, the shift during daily activities was measured in healthy volunteers and patients with lymphoedema. Results The two items, ‘easier compared with non-separated stockings’ and ‘much easier’, were chosen at rates of 75% and 81% for putting on and taking off stockings for the original separated stockings and 75% and 75% for the modified separated stockings, respectively. Complaints during daily activities with the modified type to the stockings decreased as compared with the original type. The shift of stockings after an average 11-hour application was 1.6 ± 3.0 SD mm (range: 0–10 mm). Conclusions Modified separated elastic stockings are easier to put on and take off compared with current non-separated stockings, and they can be used safely because of their low-level shift during daily activities.
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Affiliation(s)
- M Hirai
- Department of Vascular Surgery, Tohkai Hospital, Nagoya
| | - H Iwata
- Department of Vascular Surgery, Tohkai Hospital, Nagoya
- Department of Vascular Surgery, Aichi Medical University, Aichi
| | - K Miyazaki
- Department of Vascular Surgery, Tohkai Hospital, Nagoya
| | - A Koyama
- Department of Vascular Surgery, Tohkai Hospital, Nagoya
| | - H Nakamura
- Department of Development and Research, Toko Inc., Tokushima, Japan
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Carpentier PH, Becker F, Thiney G, Poensin D, Satger B. Acceptability and practicability of elastic compression stockings in the elderly: a randomized controlled evaluation. Phlebology 2011; 26:107-13. [DOI: 10.1258/phleb.2010.010010] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background Compression stockings are the cornerstone of the treatment of chronic venous disorders, but practical acceptability is an important limitation in the elderly. Objective To evaluate the practicability of compression stockings in elderly patients. Methods Twenty women aged 68–85 years without major disability were asked to put on, wear for three hours and take off Solegg® and Solegg® Fine compressive stockings (15–20 mmHg) in random order on different days, and to rate through questionnaires the difficulties and discomfort they experienced in comparison with their usual non-compressive stockings (controls). Results Foot and heel insertions of the compression stockings, as well as their removal, were found significantly more difficult, whereas comfort when they were on was higher. In the whole, the compression stockings were found to be more agreeable than the controls. Conclusion Difficulties regarding putting on and removal of the compression stockings remain significant but are counterbalanced by a better comfort when they are on.
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Affiliation(s)
- P H Carpentier
- Centre de Recherche Universitaire de La Léchère, Equipe THEMAS, Université Joseph Fourier, Grenoble, France
| | - F Becker
- Hôpitaux Universitaires de Genève, Service d'Angiologie et d'Hémostase, Genève, Suisse
| | - G Thiney
- Laboratoires Innothera, Service de Biophysique, Arcueil, France
| | - D Poensin
- Centre de Recherche Universitaire de La Léchère, Equipe THEMAS, Université Joseph Fourier, Grenoble, France
| | - B Satger
- Centre de Recherche Universitaire de La Léchère, Equipe THEMAS, Université Joseph Fourier, Grenoble, France
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Compliance hinsichtlich der Kompressionstherapie bei Patienten mit floridem Ulcus cruris venosum. ACTA ACUST UNITED AC 2010; 105:1-6. [DOI: 10.1007/s00063-010-1001-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2009] [Accepted: 12/07/2009] [Indexed: 10/19/2022]
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