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Updated: Sep 11, 2025

Fabrication of Compressed Hosiery and Measurement of its Pressure Characteristic Exerted on the Lower Limbs
Published on: May 27, 2020
[Stiffness in compression therapy]
1Klinik für Dermatologie, Venerologie und Allergologie, Venenzentrum der dermatologischen und gefäßchirurgischen Kliniken, Katholisches Klinikum Bochum gGmbH, Gudrunstr. 56, 47791, Bochum, Deutschland. dennis.brass@klinikum-bochum.de.
Background:
The therapeutic effects of medical compression devices is determined not only by the resting pressure exerted at the ankle, which determines the compression classes I-IV, but also to a large extent by the elastic properties of the material during movement. These dynamic properties of compression stockings affect the massage effect on the lower extremity during movement and can be assessed using the stiffness of the compression material. Stiffness describes the increase in compression pressure under load due to the increase in circumference of the lower leg and can be determined using various methods both in vitro and in vivo.
Aim:
The aim of our review is to shed light on the various aspects of the stiffness of compression devices in order to raise awareness of this therapeutically relevant influencing factor.
Materials And Methods:
From July 2024 to September 2024, a web-based literature search was conducted on the topic of stiffness, compression therapy and compression materials in PubMed, as well as in online journals and printed literature.
Results And Conclusion:
Stiffness is a separate predictor for the effectiveness of compression therapy and can be used specifically in everyday clinical practice to select the optimum compression garment for different indications and patients. In the future, it would be desirable for manufacturers of compression products to clearly define stiffness in the product information in order to close the current information gap in the market.
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