Skip to main content
Log in

Numerical Approach for the Assessment of Pressure Generated by Elastic Compression Bandage

  • Published:
Annals of Biomedical Engineering Aims and scope Submit manuscript

Abstract

Compression of the lower leg by bandages is a common treatment for the advanced stages of some venous or lymphatic pathologies. The outcomes of this treatment directly result from the pressure generated onto the limb. Various bandage configurations are proposed by manufacturers: the study of these configurations requires the development of reliable methods to predict pressure distribution applied by compression bandages. Currently, clinicians and manufacturers have no dedicated tools to predict bandage pressure generation. A numerical simulation approach is presented in this work, which includes patient-specific leg geometry and bandage. This model provides the complete pressure distribution over the leg. The results were compared to experimental pressure measurements and pressure values computed with Laplace’s law. Using an appropriate surrogate model, this study demonstrated that such simulation is appropriate to account for phenomena which are neglected in Laplace’s law, like geometry changes due to bandage application.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Figure 8

Similar content being viewed by others

References

  1. Al Khaburi, J., A. A. Dehghani-Sanij, E. A. Nelson, and J. Hutchinson. Effect of bandage thickness on interface pressure applied by compression bandages. Med. Eng. Phys. 34:378–385, 2012.

    Article  PubMed  Google Scholar 

  2. Allaert, F.-A. Différentes indications de la compression élastique. Actual. Pharm. 54:14–20, 2015.

    Google Scholar 

  3. Amsler, F., T. Willenberg, and W. Blättler. In search of optimal compression therapy for venous leg ulcers: A meta-analysis of studies comparing divers bandages with specifically designed stockings. J. Vasc. Surg. 50:668–674, 2009.

    Article  PubMed  Google Scholar 

  4. Bonnaire, R., M. Verhaeghe, J. Molimard, P. Calmels, and R. Convert. Characterization of a pressure measuring system for the evaluation of medical devices. Proc. Inst. Mech. Eng. 228:1264–1274, 2014.

    Article  Google Scholar 

  5. Brizzio, E., F. Amsler, B. Lun, and W. Blättler. Comparison of low-strength compression stockings with bandages for the treatment of recalcitrant venous ulcers. J. Vasc. Surg. 51:410–416, 2010.

    Article  PubMed  Google Scholar 

  6. Chassagne, F., F. Martin, P. Badel, R. Convert, P. Giraux, and J. Molimard. Experimental investigation of pressure applied on the lower leg by elastic compression bandage. Ann. Biomed. Eng. 43:2967–2977, 2015.

    Article  PubMed  Google Scholar 

  7. Coleridge-Smith, P. D. Leg ulcer treatment. J. Vasc. Surg. 49:804–808, 2009.

    Article  PubMed  Google Scholar 

  8. Danielsen, L., S. Munk Madsen, L. Henriksen, J. Sindrup, and L. J. Petersen. Subbandage pressure measurements comparing a long-stretch with a short-stretch compression bandage. Acta Derm Venerol. 78:201–204, 1998.

    Article  CAS  PubMed  Google Scholar 

  9. Demanget, N., S. Avril, P. Badel, L. Orgéas, C. Geindreau, J.-N. Albertini, and J.-P. Favre. Computational comparison of the bending behavior of aortic stent-grafts. J. Mech. Behav. Biomed. Mater. 5:272–282, 2012.

    Article  PubMed  Google Scholar 

  10. Dubuis, L., S. Avril, J. Debayle, and P. Badel. Identification of the material parameters of soft tissues in the compressed leg. Comput. Methods Biomech. Biomed. Eng. 15:3–11, 2012.

    Article  CAS  Google Scholar 

  11. Frauziols, F., J. Molimard, L. Navarro, P. Badel, M. Viallon, R. Testa, and S. Avril. Prediction of the biomechanical effects of compression therapy by finite element modeling and ultrasound elastography. IEEE Trans. Biomed. Eng. 62:1011–1019, 2015.

    Article  PubMed  Google Scholar 

  12. Gerhardt, L.-C., A. Lenz, N. D. Spencer, T. Münzer, and S. Derler. Skin-textile friction and skin elasticity in young and aged persons. Skin Res. Technol. 15:288–298, 2009.

    Article  PubMed  Google Scholar 

  13. Hafner, J., I. Botonakis, and G. Burg. A comparison of multilayer bandage systems during rest, exercise, and over 2 days of wear time. Arch. Dermatol. 136:857–863, 2000.

    Article  CAS  PubMed  Google Scholar 

  14. Logan, R. A., S. Thomas, and E. F. Harding. A comparison of sub bandage pressures produced by experienced and inexperienced bandagers. J. Wound Care 1(3):23–26, 1992.

    Article  CAS  PubMed  Google Scholar 

  15. Melhuish, J. M., M. Clark, R. Williams, and K. G. Harding. The physics of sub-bandage pressure measurement. J. Wound Care 9:308–310, 2000.

    Article  CAS  PubMed  Google Scholar 

  16. Milic, D. J., S. S. Zivic, D. C. Bogdanovic, M. M. Jovanovic, R. J. Jankovic, Z. D. Milosevic, D. M. Stamenkovic, and M. S. Trenkic. The influence of different sub-bandage pressure values on venous leg ulcers healing when treated with compression therapy. J. Vasc. Surg. 51:655–661, 2010.

    Article  PubMed  Google Scholar 

  17. Partsch, H. Evidence based compression therapy. VASA 62(63):1–39, 2003.

    Google Scholar 

  18. Partsch, H. The use of pressure change on standing as a surrogate measure of the stiffness of a compression bandage. Eur. J. Vasc. Endovasc. Surg. 30:415–421, 2005.

    Article  CAS  PubMed  Google Scholar 

  19. Partsch, H., M. Clark, S. Bassez, J.-P. Benigni, F. Becker, V. Blazek, J. Caprini, A. Cornu-Thénard, J. Hafner, M. Flour, M. Jünger, C. Moffatt, and M. Neumann. Measurement of lower leg compression in vivo: Recommendations for the performance of measurements of interface pressure and stiffness: consensus statement. Dermatol. Surg. 32:224–232, 2006; (discussion 233).

    CAS  PubMed  Google Scholar 

  20. Partsch, H., and G. Mosti. Comparison of three portable instruments to measure compression pressure. Int. Angiol. 29:426–430, 2010.

    CAS  PubMed  Google Scholar 

  21. Raj, T. B., M. Goddard, and G. S. Makin. How long do compression bandages maintain their pressure during ambulatory treatment of varicose veins? Br. J. Surg. 67:122–124, 1980.

    Article  CAS  PubMed  Google Scholar 

  22. Rimaud, D., R. Convert, and P. Calmels. In vivo measurement of compression bandage interface pressures: The first study. Ann. Phys. Rehabil. Med. 57:394–408, 2014.

    Article  CAS  PubMed  Google Scholar 

  23. Rohan, C.-Y., P. Badel, B. Lun, D. Rastel, and S. Avril. Biomechanical response of varicose veins to elastic compression: A numerical study. J. Biomech. 46:599–603, 2013.

    Article  PubMed  Google Scholar 

  24. Schuren, J., and K. Mohr. The efficacy of Laplace’s equation in calculating bandage pressure in venous leg ulcers. WOUNDS UK 4:38–47, 2008.

    Google Scholar 

  25. Thomas, S. The use of the Laplace equation in the calculation of sub-bandage pressure. Eur. Wound Manag. Assoc. 3(1):21–23, 2003.

    Google Scholar 

  26. Thomas, S. Practical limitations of two devices used for the measurement of sub-bandage pressure: Implications for clinical practice. J. Wound Care 23:300–313, 2014.

    Article  CAS  PubMed  Google Scholar 

  27. Uhl, J.-F., S. Drapier, I. Gaied, and B. Lun. Pression théorique et pression mesurée in situ des BMC: apport de l’imagerie médicale et des techniques de simulations numériques. Phlébologie 58:131–138, 2005.

    Google Scholar 

Download references

Conflict of interest

Thuasne is a medical devices manufacturer.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fanette Chassagne.

Additional information

Associate Editor Amit Gefen oversaw the review of this article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chassagne, F., Molimard, J., Convert, R. et al. Numerical Approach for the Assessment of Pressure Generated by Elastic Compression Bandage. Ann Biomed Eng 44, 3096–3108 (2016). https://doi.org/10.1007/s10439-016-1597-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10439-016-1597-3

Keywords

Navigation