To browse Academia. The group of experts who developed this consensus document has to be congratulated for delivering clear and updated guidelines on the management of leg ulcers by compression. A classification of compression devices is proposed that is based more on the performance in vivo than on laboratory data from the producers alone. This has become possible by the introduction of devices measuring the sub-bandage pressure on the individual leg, which is the dosage of compression therapy.
Pressure measurement has improved our understanding of compression management and is also very useful for training purposes.
Since most of the bandages performed in daily practice consist of mixture of several types of materials, all with different elastic properties, the physical data alone given for the individual components are insufficient to describe the performance of the final bandage.
The complex effects of compression are explained as a logic basis for the clinical indications that do not only concentr Numerous studies have investigated the effect of a large variety of compression bandaging techniques and materials on venous leg ulcer healing. However, the majority of these studies failed to monitor both actual bandage application pressures and the bandaging competency of participating clinicians.
A series of literature searches to explore the methods, practices, recommendations and results of monitoring compression bandaging pressures in leg ulcer research trials were undertaken.
