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Compression is a physical agent that applies a mechanical force to increase pressure on the treated body part.
Compression works to keep venous and lymphatic flow from pooling into the interstitial space.
Static compression utilizes bandaging and compression garments to shape residual limbs, control edema, prevent abnormal scar formation, and reduce the risk of deep vein thrombosis.
Intermittent compression with a pneumatic device is primarily used to reduce chronic or post-traumatic edema and requires adjusting the parameters of inflation pressure, on/off ratio, and total treatment time.
Compression has been coupled with therapeutic cold and electrical stimulation.
Compression Therapeutic Effects Control of peripheral edema
Compression Therapeutic Effects Shaping of residual limb
Compression Therapeutic Effects Management of scar formation
Compression Therapeutic Effects Improve lymphatic and venous return
Compression Therapeutic Effects Prevention of deep vein thrombosis
Compression Indications Lymphedema
Compression Indications New residual limb
Compression Indications Risk for deep vein thrombosis
Compression Indications Edema
Compression Indications Stasis ulcer
Compression Indications Hypertrophic scarring
Compression Contraindications Malignancy of treated area
Compression Contraindications Deep vein thrombosis
Compression Contraindications Unstable or acute fracture
Compression Contraindications Heart failure
Compression Contraindications Infection of treated area
Compression Contraindications Pulmonary edema
Compression Contraindications Circulatory obstruction
The therapist must ask the patient to remove all jewelry and ensure appropriate fit of the compression sleeve prior to treatment.
The patient should be placed in a comfortable position with the extremity elevated.
Blood pressure and girth measurements should be recorded.
The therapist should apply the stockinette over the extremity and adjust the compression sleeve.
The therapist should set parameters based on desired effect
A 3:1 ratio is generally used for on/off time with inflation between 40 to 100 seconds and deflation between 10 to 35 seconds.
Inflation pressure generally ranges from 30 to 80 mm Hg and should not exceed the patientʼs diastolic blood pressure.
Treatment of the upper extremities generally requires between 30 and 60 mm Hg of inflation pressure
treatment of the lower extremities generally requires between 40 and 80 mm Hg of inflation pressure.
Treatment time varies based on diagnosis from two to four hours and is utilized from three times per week to three times per day.
The patient should have a call bell and should be monitored for comfort and blood pressure readings throughout treatment.
When treatment time is complete the therapist should reassess the extremity, girth measurements, and blood pressure readings.
Created by: micah10