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Updated: Aug 9, 2025
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Fabrication of Compressed Hosiery and Measurement of its Pressure Characteristic Exerted on the Lower Limbs
Published on: May 27, 2020
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Adjustable compression wraps: stretch, interface pressures and static stiffness indices.
Jean-Patrick Benigni1, Jean-François Uhl2, Pascal Filori3
1Pitié-Salpétrière Faculty of Medicine, Sorbonne University, Paris, France, Italy - benigni.jp@orange.fr.
Summary
Adjustable compression wraps (ACWs) offer future treatment for severe venous diseases and lymphedema. This study classified ACWs by stretch, aiding clinical practice decisions for optimal compression therapy.
Area of Science:
- Vascular Medicine
- Lymphedema Management
- Compression Therapy
Background:
- Adjustable compression wraps (ACWs) are emerging as a key treatment for advanced chronic venous diseases and lymphedema.
- This pilot study evaluated six different ACWs for their mechanical properties.
Purpose of the Study:
- To assess the stretch, interface pressures, and Static Stiffness Index (SSI) of six distinct ACWs.
- To provide data that could inform the clinical application of ACWs.
Main Methods:
- Six ACWs were tested on five healthy subjects.
- Interface pressures were measured at rest (supine) and standing using a PicoPress transducer.
- Stretch and Static Stiffness Index (SSI) were calculated for each wrap.
Main Results:
- ACWs were categorized by stretch: inelastic (Coolflex®), short stretch (50-60% for Juzo wrap 6000® and Readywrap®), and long stretch (70-124% for Juxtafit®, Juxtalite®, and Compreflex®).
- Optimal pressure and stiffness ranges varied significantly between different ACW models.
- Inelastic ACWs had limited pressure capabilities, while long-stretch ACWs could achieve higher pressures but with lower stiffness.
Conclusions:
- A classification system for ACWs based on their stretch properties (inelastic, short, or long) was proposed.
- Understanding the stretch and stiffness characteristics of ACWs is crucial for effective clinical use.
- This research provides a foundation for selecting appropriate ACWs based on patient needs and therapeutic goals.
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