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Related Experiment Videos

Do custom-fitted pressure garments provide adequate pressure?

R Mann1, E K Yeong, M Moore

  • 1University of Washington Burn Center, Harborview Medical Center, Seattle 98104, USA.

The Journal of Burn Care & Rehabilitation
|May 1, 1997
PubMed
Summary

Custom-fitted pressure garments, a standard for hypertrophic scar treatment, deliver inconsistent pressure. This variability challenges the objective assessment of pressure garment therapy effectiveness.

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Area of Science:

  • Biomedical Engineering
  • Dermatology
  • Wound Healing

Background:

  • Pressure garment therapy is the global standard for managing hypertrophic scars.
  • Existing literature often lacks data on the actual pressure exerted by these garments.
  • Quantifying interface pressure is crucial for understanding therapeutic efficacy.

Purpose of the Study:

  • To measure the scar/garment interface pressure applied by custom-fitted pressure garments.
  • To assess the consistency and variability of pressure delivered by these devices.
  • To evaluate the impact of fitting techniques on pressure distribution.

Main Methods:

  • Utilized the Iscan system (Tekscan, Inc.) to record interface pressures.
  • Analyzed data from 144 custom-fitted pressure garments across various body locations.

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  • Calculated average pressures and relative standard deviations for different garment types.

    • Main Results:

    • Garments for the trunk, thigh, and arm averaged below 22 mm Hg.
    • Garments for the hand, leg, forearm, and foot averaged above 28 mm Hg.
    • Significant pressure variability was observed between garments, often exceeding average readings.

    Conclusions:

    • Custom-fitted pressure garments do not consistently deliver uniform pressure at the scar/garment interface.
    • The lack of verified pressure 'dose' limits the objective evaluation of pressure garment therapy.
    • Further research must precisely determine pressure levels to objectively assess treatment efficacy.