Abstract
Intermittent Pneumatic Compression (IPC) technique is prescribed for several treatments, as the management of venous leg ulcers or the prevention of deep vein thrombosis. Commercial devices do not enable the full customization of the compressive patterns due to design specifications and low dynamics. However, IPC can be implemented in a wide scenario of clinical protocols, and not only as a therapeutic tool. In this paper, the results of the research on IPC devices conducted at the Politecnico di Torino (Turin, Italy) are presented. In particular, applications regarding the treatment of the end-diastolic volume (EDV) reduction, the investigation of vascular phenomena as hyperemia, and the assessment of venous pulse wave velocity (vPWV) are discussed. The outcomes of the research demonstrate that IPC technology can lead to the creation of widely used diagnostic, therapeutic and rehabilitative devices.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Johansson, K., Lie, E., Ekdahl, C., Lindfeldt, J.: A randomized study comparing manual lymph drainage with sequential pneumatic compression for treatment of postoperative arm lymphedema. Lymphology 31, 56ā64 (1998)
Zaleska, M., Olszewski, W.L., Durlik, M.: The effectiveness of intermittent pneumatic compression in long-term therapy of lymphedema of lower limbs. Lymphat Res. Biol. 12(2), 103ā109 (2014)
Comerota, A.J.: Intermittent pneumatic compression: physiologic and clinical basis to improve management of venous leg ulcers. J. Vasc. Surg. 53, 1121ā1129 (2011)
Nelson, E.A., Mani, R., Thomas, K., Vowden, K.: Intermittent pneumatic compression for treating venous leg ulcers. Cochrane Database Syst. Rev. 16(2), CD001899 (2011)
Sparks-DeFriese, B.J.: Vascular Ulcers. In: Physical Rehabilitation, pp. 777ā802, W.B. Saunders (2007)
Flam, E., Berry, S., Coyle, A., Dardik, H., Raab, L.: Blood-flow augmentation of intermittent pneumatic compression systems used for the prevention of deep vein thrombosis prior to surgery. Am. J. Surg. 171, 312ā315 (1996)
Zhang, D., Li, F., Li, X., Du, G.: Effect of Intermittent pneumatic compression on preventing deep vein thrombosis among stroke patients: a systematic review and meta-analysis. Worldviews Evid. Based Nurs. 15(3), 189ā196 (2018)
Ferraresi, C., Maffiodo, D., Hajimirzaalian, H.: A model-based method for the design of intermittent pneumatic compression systems acting on humans. Proc. Inst. Mech. Eng. PART H 228(2), 118ā126 (2014)
Manuello Bertetto, A., Meili, S., Ferraresi, C., Maffiodo, D., Crisafulli, A., Concu, A.: A mechatronic pneumatic device to improve diastolic function by intermittent action on lower Limbs. Int. J. Autom. Technol. 11(3), 501ā508 (2017)
Maffiodo, D., De Nisco, G., Gallo, D., Audenino, A., Morbiducci, U., Ferraresi, C.: A reduced-order model-based study on the effect of intermittent pneumatic compression of Limbs on the cardiovascular system. Proc. Inst. Mech. Eng. Part H 230(4), 279ā287 (2016)
Ferraresi, C., et al.: Design and simulation of a novel pneumotronic system aimed to the investigation of vascular phenomena induced by Limb compression. J. Bionic. Eng. 16, 550ā562 (2019)
Messere, A., et al.: Delivery of customizable compressive patterns to human limbs to investigate vascular reactivity. Biomed. Phys. Eng. Express 4(6), 067003 (2018)
Messere, A., et al.: Hyper-oxygenation attenuates the rapid vasodilatory response to muscle contraction and compression. Front. Physiol. 9, 1078 (2018)
Ermini, L., Ferraresi, C., De Benedictis, C., Roatta, S.: Objective assessment of venous pulse wave velocity in healthy humans. Ultrasound Med. Biol. 46(3), 849ā854 (2019)
Ermini, L., Chiarello, N., De Benedictis, C., Ferraresi, C., Roatta, S.: Venous Pulse Wave Velocity variation in response to a simulated fluid challenge in healthy subjects. Biomed. Signal Process. Control 63, 102177 (2021). https://doi.org/10.1016/j.bspc.2020.102177
Boutouyrie, P., Briet, M., Vermeersch, S., Pannier, B.: Assessment of pulse wave velocity. Artery Res. 3, 3ā8 (2009)
Safar, M.E.: Arterial stiffness as a risk factor for clinical hypertension. Nat. Rev. Cardiol. 15, 97ā105 (2018)
Lin Wang, Y.Y.: Did you know developing quantitative pulse diagnosis with realistic haemodynamic theory can pave a way for future personalized health care. Acta Physiol. 227(3), e13260 (2019). https://doi.org/10.1111/apha.13260
Mohrman, D.E., Sparks, H.V.: Myogenic hyperemia following brief tetanus of canine skeletal muscle. Am. J. Physiol. 227, 531ā535 (1974)
Tschakovsky, M.E., Sheriff, D.D.: Immediate exercise hyperemia: contributions of the muscle pump versus rapid vasodilation. J. Appl. Physiol. 97, 739ā747 (2004)
Clifford, P.S., Tschakovsky, M.E.: Rapid vascular responses to muscle contraction. Exerc. Sport Sci. Rev. 36, 25ā29 (2008)
Turturici, M., Mohammed, M., Roatta, S.: Evidence that the contraction-induced rapid hyperemia in rabbit masseter muscle is based on a mechanosensitive mechanism, not shared by cutaneous vascular beds. J. Appl. Physiol. 113, 524ā531 (2012)
Turturici, M., Roatta, S.: Inactivation of mechano-sensitive dilatation upon repetitive mechanical stimulation of the musculo-vascular network in the rabbit. J. Physiol. Pharmacol. 64, 299ā308 (2013)
Jasperse, J.L., Shoemaker, J.K., Gray, E.J., Clifford, P.S.: Positional differences in reactive hyperemia provide insight into initial phase of exercise hyperemia. J. Appl. Physiol. 1985(119), 569ā575 (2015)
Mackay, I., Van Loon, P., Campos, J., de Jesus, N.: A tecnique for the indirect measurement of the velocity of induced venous pulsation. Am. Heart J. 73, 17ā23 (1967)
Anliker, M., Wells, M.K., Ogden, E.: The transmission characteristics of large and small pressure waves in the abdominal vena cava. IEEE Trans. Biomed. Eng. 16, 262ā273 (1969)
Minten, J., Van De Werf, F., Auber, A., Kasteloot, H., De Geest, H.: Apparent pulse wave velocity in canine superior vena cava. Cardiovasc Res. 17, 627ā632 (1983)
Nippa, J., Alexander, R., Folse, R.: Pulse wave velocity in human veins. J. Appl. Physiol. 30, 558ā563 (1971)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
Ā© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Ferraresi, C. et al. (2022). Applications of Intermittent Pneumatic Compression for Diagnostic and Therapeutic Purposes. In: Quaglia, G., Gasparetto, A., Petuya, V., Carbone, G. (eds) Proceedings of I4SDG Workshop 2021. I4SDG 2021. Mechanisms and Machine Science, vol 108. Springer, Cham. https://doi.org/10.1007/978-3-030-87383-7_23
Download citation
DOI: https://doi.org/10.1007/978-3-030-87383-7_23
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-87382-0
Online ISBN: 978-3-030-87383-7
eBook Packages: Intelligent Technologies and RoboticsIntelligent Technologies and Robotics (R0)