Do custom-fitted pressure garments provide adequate pressure?

The Journal of Burn Care & Rehabilitation
R MannL H Engrav

Abstract

Pressure garment therapy has become the worldwide standard of care for the prevention and treatment of hypertrophic scars. There are many reports in the literature on pressure garment therapy but few studies state the amount of pressure actually provided. The purpose of our study was to determine the amount of pressure applied to the scar/garment interface by custom-fitted pressure garments. The Iscan (Tekscan, Inc.) system was used to document scar/garment interface pressures of 144 new custom-fitted pressure garments. Average pressure readings for garments for the anterior thigh, anterior trunk, abdomen, buttocks, posterior trunk, posterior thigh, and arm were less than 22 mm Hg. Average pressure readings for the dorsal hand, leg, forearm, and dorsal foot were more than 28 mm Hg, with smaller relative standard deviations. The pressure readings varied greatly between garments in this group, frequently resulting in standard deviations that were higher than the pressure readings. The data show that despite precise fitting techniques, pressure garments do not provide a consistent amount of pressure at the scar/garment interface. This means that studies that report results of pressure therapy, but do not verify the amount of press...Continue Reading

Citations

Apr 20, 2001·Burns : Journal of the International Society for Burn Injuries·E Van den KerckhoveJ De Cubber
Jan 15, 2013·Burns : Journal of the International Society for Burn Injuries·Miranda YelvingtonTodd G Nick
Jun 12, 2010·Burns : Journal of the International Society for Burn Injuries·L H EngravN S Gibran
Oct 6, 2009·Hand Clinics·Merilyn L MooreReginald L Richard
Dec 22, 2006·Burns : Journal of the International Society for Burn Injuries·Eric Van den KerckhoveMieke Anthonissen
Jan 18, 2006·Burns : Journal of the International Society for Burn Injuries·Lisa Macintyre, Margot Baird
Jul 15, 2015·Journal of Burn Care & Research : Official Publication of the American Burn Association·Lisa MacintyreMichelle Rae
Aug 21, 2009·Journal of Burn Care & Research : Official Publication of the American Burn Association·Lisa Forbes-DuchartArthur Quanbury
May 1, 2021·Medicina·Arij El Khatib, Marc G Jeschke
Jun 4, 2021·Advances in Wound Care·Heather M Powell, Bernadette Nedelec

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