Related Experiment Video
Updated: Nov 23, 2025
08:39
Fabrication of Compressed Hosiery and Measurement of its Pressure Characteristic Exerted on the Lower Limbs
Published on: May 27, 2020
2.6K
Compression Pressure Variability in Upper Limb Multilayer Bandaging Applied by Lymphedema Therapists
Hisako Hara1,2, Maki Yoshida2, Noriko Ikehata2
1Department of Lymphatic and Reconstructive Surgery, JR Tokyo General Hospital, Tokyo, Japan.
Lymphatic Research and Biology
|January 4, 2021
Summary
Experienced lymphedema therapists struggle with consistent multilayer bandaging (MLB) pressure application. Education is needed to ensure appropriate MLB pressures for effective lymphedema treatment.
Area of Science:
- Physical Medicine
- Rehabilitation Medicine
- Medical Devices
Background:
- Multilayer bandaging (MLB) is a cornerstone therapy for lymphedema management.
- Accurate and consistent pressure application is crucial for MLB efficacy.
- Variability in MLB application by healthcare professionals may impact treatment outcomes.
Purpose of the Study:
- To quantify pressure variability in upper limb MLB applied by experienced lymphedema therapists.
- To assess the correlation between therapist experience and applied pressure.
- To evaluate the accuracy of pressure application relative to therapists' intended targets.
Main Methods:
- Twenty-four lymphedema therapists applied MLB to a healthy volunteer's upper limb.
- Compression pressure was measured using a PicoPress device.
- Measurements were taken immediately after application (phase 1) and after exercise (phase 2).
Main Results:
- Mean MLB pressure was 67.7 mmHg (phase 1) and 55.3 mmHg (phase 2), with significant differences between phases (p < 1.2 x 10^-10).
- A weak negative correlation was observed between years of practice and applied MLB pressure (R = 0.29).
- No correlation was found between target and actual pressures, with only 17.6% achieving their target within 5 mmHg.
Conclusions:
- Significant pressure variability exists in MLB application by experienced therapists.
- Current MLB pressure application may exceed recommended levels for the upper limb.
- Targeted education is necessary to improve the consistency and appropriateness of MLB pressure application in lymphedema care.
Related Concept Videos
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
711
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
711
01:23Peripheral Artery Disease V: Postoperative Nursing Management
138
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
138
01:27Assessment of the Cardiovascular System III: Palpation
716
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
716
01:26Peripheral Artery Disease IV: Nursing Management
160
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
160
01:28Special considerations while measuring blood pressure
977
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
977
01:21Sites for measruring blood pressure
2.9K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
2.9K