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Phlebology 2009;24:120-124
doi:10.1258/phleb.2008.008057
© 2009 Royal Society of Medicine Press

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Original Articles

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

M Hirai * , K Niimi *, H Iwata {dagger}, I Sugimoto {dagger}, H Ishibashi {dagger}, T Ota {dagger} and H Nakamura {ddagger}

* Department of Vascular Surgery, Tohkai Hospital, Nagoya; {dagger} Department of Vascular Surgery, Aichi Medical University, Aichi; {ddagger} Department of Development and Research, Toko Inc., Tokushima, Japan

Correspondence: M Hirai MD PhD, Department of Vascular Surgery, Tohkai Hospital, 1-1-1 Chiyodabashi, Chikusaku, Nagoya 464-8512, Japan. Email: hiraimh{at}yahoo.co.jp

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.

Key Words: elastic stockings • elastic bandages • stiffness • compression pressure • muscle pump


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