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Anterior tibial compartment pressures during intermittent sequential pneumatic compression therapy
M K Gilbart1, D J Oglivie-Harris, C Broadhurst
1University of Toronto, Ontario, Canada.
The American Journal of Sports Medicine
|November 1, 1995
Summary
Sequential intermittent pneumatic compression (IPCs) temporarily increases anterior tibial compartment pressures in healthy individuals. While pressures may exceed levels causing ischemia, the short duration prevents adverse effects, allowing safe edema reduction.
Area of Science:
- Biomedical Engineering
- Physiology
- Orthopedics
Background:
- Sequential intermittent pneumatic compression (IPC) is used to manage edema.
- Understanding its effect on intramuscular pressure is crucial for safe application.
Purpose of the Study:
- To measure anterior tibial compartment pressures during IPC therapy.
- To assess the potential for ischemia and adverse effects.
Main Methods:
- Healthy volunteers (n=5) underwent IPC using a JOBST device.
- Anterior tibial compartment pressures were measured via slit catheter during calf inflation.
Main Results:
- Interstitial pressures peaked during maximal calf inflation, lasting ~120 seconds per cycle.
- Pressure variations within the IPC sleeve were minimal (<10%).
- IPC temporarily elevated intramuscular pressure above ischemic thresholds.
Conclusions:
- IPC can significantly, yet transiently, increase intramuscular pressure.
- The short duration of pressure elevation appears safe.
- The benefits of edema reduction with IPC can likely be safely achieved.