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Updated: Jul 7, 2026

Fabrication of Compressed Hosiery and Measurement of its Pressure Characteristic Exerted on the Lower Limbs
Published on: May 27, 2020
Inelastic compression legging produces gradient compression and significantly higher skin surface pressures compared
Cassie N Kline1, Brandon R Macias, Emily Kraus
1Department of Orthopaedic Surgery, University of California-San Diego, CA 92103-8894, USA.
This study found that inelastic compression leggings with a pressure-adjustment system provide higher compression levels than elastic stockings. The inelastic option is the only one to achieve significant gradient compression from ankle to knee.
Area of Science:
- Vascular Medicine
- Biomedical Engineering
- Orthopedics
Background:
- Compression therapy is crucial for managing venous disorders.
- Existing elastic stockings offer graduated compression but may have limitations.
- Novel inelastic compression garments aim to improve therapeutic outcomes.
Purpose of the Study:
- To assess compression levels of an inelastic legging with a new pressure-adjustment system.
- To compare these levels against a standard elastic stocking.
- To evaluate the gradient compression effectiveness of both garment types.
Main Methods:
- 18 healthy subjects and 12 patients with venous reflux were fitted with custom elastic and inelastic compression garments.
- Skin surface pressures were measured using a Tekscan I-Scan device.
- Pressures were recorded under both elastic (Sigvaris 500) and inelastic (CircAid C3 with BPS) supports.
Main Results:
- Inelastic leggings generated significantly higher pressures (ankle: 50±3 mmHg, below-knee: 38±2 mmHg) than elastic stockings (ankle: 26±2 mmHg, below-knee: 23±1 mmHg).
- Only the inelastic legging with the Built-in-Pressure System (BPS) demonstrated significant ankle-to-knee gradient compression (p = .001).
Conclusions:
- Inelastic compression leggings with a pressure-adjustment system offer superior compression compared to traditional elastic stockings.
- The tested inelastic garment effectively produces significant gradient compression, potentially enhancing therapeutic benefits for venous conditions.
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