Lymphoedema is a chronic disease affecting the patients’ quality of life (QoL)
especially with regard to mobility and daily activities. Lymphoedema cannot
be cured but symptoms can effectively be improved by a comprehensive
approach and the continuous use of compression therapy. An appropriate
fitted compression garment is essential for compliance and thus a prerequisite
for successful lymphoedema management. Compression garments with bulky
seams are not only uncomfortable they also can lead to severe pressure
marks or even reduce the mobility and function of the affected limb, which may
negatively impact the already reduced QoL of lymphoedema patients.
A prospective multicentre observational study was conducted to compare
compression garments without and with a seam for hands and toes in 143
patients with lymphoedema.
Product performance, lymphoedema symptoms, functionality of hands/
toes, QoL and patient satisfaction were documented for the previously worn
compression garment as well as for the 3D flat knitted JOBST® Elvarex
Plus compression garment without a seam.
The JOBST Elvarex Plus glove was perceived very positively by patients,
who rated the mobility of the fingers, the adaptability to the shape of the
hand/fingers, the fit of cuffs/welts, and the tactile sense of the fingers
to be significantly better compared to the previous glove. Also pressure
marks between fingers/toes and pressure marks due to cuffs/welts
were significantly less frequent when wearing JOBST Elvarex Plus. Also
pain, sensation of heaviness, swelling, tightness and dryness of skin
were significantly improved when wearing JOBST Elvarex Plus gloves.
Furthermore, 80% of the patients rated the wearing comfort of JOBST
Elvarex Plus to be better than their previous garments with a seam.
Regarding functionality, patients were significantly less limited in their
daily activities when wearing JOBST Elvarex Plus garments. Finally, when
wearing JOBST Elvarex Plus gloves and toe caps, patients rated the
negative effect of their lymphoedema on their QoL to be significantly lower.
In conclusion, the application of anatomically adapted compression
garments without a seam led to improving patient’s reported lymphoedema
symptoms, increased patient’s satisfaction with the compression garment
and supported a better QoL.
Κατεβάστε ολόκληρο το άρθρο: Bella Lite product evaluation BJCN Oct 2017