Original Articles
Vol. 14 (2025)
https://doi.org/10.4081/vl.2025.13611
In vivo stiffness of wraps: a tool to estimate the number of patients who will respond to treatment
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 10 January 2025
Accepted: 14 February 2025
Published: 13 March 2025
Accepted: 14 February 2025
Published: 13 March 2025
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Adjustable Compression Devices (ACDs), also known as wraps, offer a promising alternative treatment to bandages in complicated stages of chronic venous disorders. Nevertheless their characterisation and clinical place depending on their stiffness, are still pending questions. We propose a new approach to measuring stiffness in vivo in a small group of individuals
Measurement of the Static Stiffness Index (SSI) of two adjustable compression devices commercially available in 10 healthy volunteers.
Ten healthy volunteers of 37.6±8.6 years old (25-50), mean, Standard Deviation (SD), and range, respectively, participated in the study. SSI was measured at the resting pressure of 30 mmHg for both ACDs at point B1. SSI was 21.9±10.3 mmHg (0-33) for Coolflex and 12.5±6.2 (0.6-24.6) for Compreflex.
At a cut-off level of 10 mmHg of SSI, 10 % of volunteers for Coolflex and 30 % for Compreflex were under the cut-off level.
The SSI measured in vivo made it possible to discriminate between wraps and estimate the percentage of patients who would better respond to this treatment.
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Mosti G, Cavezzi A, Partsch H, et al. Adjustable Velcro® compression devices are more effective than inelastic bandages in reducing venous edema in the initial treatment phase: a randomized controlled trial. Eur J Vasc Endovasc 2015;50:368-74. DOI: https://doi.org/10.1016/j.ejvs.2015.05.014
Williams A. A review of the evidence for adjustable compression wrap devices. J Wound Care 2016;25:242-7. DOI: https://doi.org/10.12968/jowc.2016.25.5.242
Stather PW, Petty C, Howard AQ. Review of adjustable velcro wrap devices for venous ulceration. Int Wound J 2019;16:903-8. DOI: https://doi.org/10.1111/iwj.13116
Mosti G, Mancini S, Bruni S, et al. Adjustable compression wrap devices are cheaper and more effective than inelastic bandages for venous leg ulcer healing. A multicentric Italian randomized clinical experience. Phlebology 2020;35:124-33. DOI: https://doi.org/10.1177/0268355519858439
Cox A, Bousfield C. Velcro compression wraps as an alternative form of compression therapy for venous leg ulcers: a review. British Journal of Community Nursing 2021;26:S10-20. DOI: https://doi.org/10.12968/bjcn.2021.26.Sup6.S10
Benigni JP, Uhl JF, Balet F, Chahim M. Treatment protocol on stasis edema in poorly mobile nursing home patients. Int Angiol 2018;37:396-9. DOI: https://doi.org/10.23736/S0392-9590.18.04025-7
Damstra RJ, Partsch H. Prospective, randomized, controlled trial comparing the effectiveness of adjustable compression Velcro wraps versus inelastic multicomponent compression bandages in the initial treatment of leg lymphedema. J Vasc Surg: Venous and Lymph Dis 2013;1:13-9. DOI: https://doi.org/10.1016/j.jvsv.2012.05.001
Balet F, Benigni JP, Uhl JF, et al. Limitations to self-management of adjustable compression wraps in the elderly: results of a prospective cohort study. Int Angiol 2021;40:261-6. DOI: https://doi.org/10.23736/S0392-9590.21.04580-6
Rastel D, Pichot O. Auto-adjustable medical compression device to treat acute lipodermatosclerosis in superficial chronic venous disease, a case-report. JMV 2022;47:141-4. DOI: https://doi.org/10.1016/j.jdmv.2022.06.001
Mosti G, Wittens C, Caggiati A. Black Holes in compression therapy–A quest for data. J Vasc Surg: Venous and Lymphatic Disorders 2023;101733. DOI: https://doi.org/10.1016/j.jvsv.2023.101733
Benigni JP, Uhl JF, Filori P, et al. Adjustable compression wraps: stretch, interface pressures and static stiffness indices. Int Angiol 2023;42:247-53. DOI: https://doi.org/10.23736/S0392-9590.23.04957-X
Rabe E, Partsch H, Jünger M, et al. Guidelines for clinical studies with compression devices in patients with venous disorders of the lower limb. Eur J Vasc Endovasc 2008;35:494-500. DOI: https://doi.org/10.1016/j.ejvs.2007.08.006
Partsch H, Schuren J, Mosti G, Benigni JP. The Static Stiffness Index: an important parameter to characterise compression therapy in vivo. J Wound Care 2016;25:S4-10. DOI: https://doi.org/10.12968/jowc.2016.25.Sup9.S4
Spence RK, Cahall E. Inelastic versus elastic leg compression in chronic venous
insufficiency. A comparison of limb size and venous hemodynamics. J Vasc Surg 1996;24:783-7. DOI: https://doi.org/10.1016/S0741-5214(96)70013-7
Partsch H, Menzinger G, Mostbeck A. Inelastic leg compression is more effective
to reduce deep venous refluxes than elastic bandages. Dermatol Surg 1999;25:695-700. DOI: https://doi.org/10.1046/j.1524-4725.1999.98040.x
Mosti G, Mattaliano V, Partsch H. Inelastic compression increases venous ejection fraction more than elastic bandages in patients with superficial venous reflux. Phlebology 2008;23:287-94. DOI: https://doi.org/10.1258/phleb.2008.008009
Mosti G, Partsch H. Improvement of venous pumping function by double progressive compression stockings: higher pressure over the calf is more important than a graduated pressure profile. Eur J Vasc Endovasc 2014;47:545-9. DOI: https://doi.org/10.1016/j.ejvs.2014.01.006
Partsch H, Partsch B., Braun W. Interface pressure and stiffness of ready made compression stockings: comparison of in vivo and in vitro measurements. J Vasc Surg 2006;44:809-14. DOI: https://doi.org/10.1016/j.jvs.2006.06.024
Van Der Wegen‐Franken K, Tank B, Neumann M. Correlation between the static and dynamic stiffness indices of medical elastic compression stockings. Dermatol Surgery 2008;34:1477-85. DOI: https://doi.org/10.1111/j.1524-4725.2008.34312.x
Comité Européen de Normalisation. Adopted European pre-standard medical compression hosiery. ENV 12718, Brussels, Belgium, 2001.
Partsch H, Mosti G. Comparison of three portable instruments to measure compression pressure. Int Angiol 2010;29:426-30.
Partsch H, Clark M, Bassez S, et al. Measurement of lower leg compression in vivo: recommendations for the performance of measurements of interface pressure and stiffness. Dermatol Surg 2006;32:224-33. DOI: https://doi.org/10.1111/j.1524-4725.2006.32039.x
Hirai M, Niimi K, Miyazaki K, et al. Development of a device to determine the stiffness of elastic garments and bandages. Phlebology 2011;26:285-91. DOI: https://doi.org/10.1258/phleb.2010.010041
Uhl J-F, Benigni J-P, Cornu-Thénard A. Where should be stiffness measured in vivo? Veins and Lymphatics 2013;2:e5. DOI: https://doi.org/10.4081/vl.2013.e5
Ye C, Liu R, Ying MTC, et al. Characterizing the biomechanical transmission effects of elastic compression stockings on lower limb tissues by using 3D finite element modelling. Materials & Design 2023;232:112182. DOI: https://doi.org/10.1016/j.matdes.2023.112182
Begnini JP, Uhl JF, Balet F, Filori P. Interface pressures and stiffnesses of different bandages studied on a Hirai leg. Veins and Lymphatics 2024;13:12240. DOI: https://doi.org/10.4081/vl.2024.12240
Kravitz S, Hegarty-Craver M, Reid L. Challenging present concepts in compression therapy: static stiffness index is not consistent and not clinically relevant. J Wound Care 2016;25:S4-S8. DOI: https://doi.org/10.12968/jowc.2016.25.Sup2.S4
Thomas S. The production and measurement of sub-bandage pressure: Laplace's Law revisited. J Wound Care 2014;23:234-46. DOI: https://doi.org/10.12968/jowc.2014.23.5.234
Chassagne F, Molimard J, Convert R, et al. Bandages Static Stiffness Index Is Not Influenced by Calf Mechanical Properties but Only by Geometrical Changes. Biomechanics 2022;2:87-94. DOI: https://doi.org/10.3390/biomechanics2010009
Partsch H, Clark M, Mosti G, et al. Classification of compression bandages: practical aspects. Dermatol surgery 2008;34:600-9. DOI: https://doi.org/10.1111/j.1524-4725.2007.34116.x
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In vivo stiffness of wraps: a tool to estimate the number of patients who will respond to treatment. (2025). Veins and Lymphatics, 14. https://doi.org/10.4081/vl.2025.13611
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