Moffatt, C.J., Franks, P.J., Hardy, D., Lewis, M., Parker, V. and Feldman, J.L. (2012) A preliminary randomized controlled study to determine the application frequency of a new lymphoedema bandaging system. British Journal of Dermatology, 166(3), pp. 624-632. (doi: 10.1111/j.1365-2133.2011.10731.x) (PMID:22059933)
Full text not currently available from Enlighten.
Abstract
<b>Background</b> Bandaging plays an important role in the treatment of lymphoedema.<p></p> <b>Objective</b> To investigate efficacy and safety of the 3M™ Coban™ 2 compression system (Coban 2 system) with different application frequencies in comparison to short-stretch bandaging.<p></p> <b>Methods</b> A multicentre, randomized, prospective study was performed with 82 patients suffering from arm or leg lymphoedema stage II or late stage II. Patients were allocated to traditional short-stretch bandaging five times per week or to the Coban 2 system applied two, three or five times per week for 19 days. Limb volume and adverse events were recorded at each study visit. The primary endpoint was percentage volume reduction.<p></p> <b>Results</b> The highest lymphoedema volume reduction was achieved with the Coban 2 system applied two times per week. A mean reduction of 18·7% (SD 14·5) in legs and 10·5% (SD 8·3) in arms was achieved. More frequent bandage changes of three and five times per week did not demonstrate additional benefits. Short-stretch bandaging five times per week showed a mean volume reduction of 10·9% (SD 5·2) and 8·2% (SD 3·1) for legs and arms, respectively. Bandage slippage was low for all treatment groups. A relevant change in overall mobility was achieved during the use of the Coban 2 system. The adverse reactions were in agreement with already known side-effects and did not differ remarkably between the treatment groups.<p></p> <b>Conclusion</b> The 3M™ Coban™ 2 compression system applied twice weekly demonstrated a high rate of volume reduction and a good safety profile. Oedema reduction was still effective with 4 days between bandage change, which allows a constant therapeutic effect in routine practice. This should give the patient a high degree of independence and mobility.
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Franks, Professor Peter |
| Authors: | Moffatt, C.J., Franks, P.J., Hardy, D., Lewis, M., Parker, V., and Feldman, J.L. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care |
| Journal Name: | British Journal of Dermatology |
| ISSN: | 0007-0963 |
| ISSN (Online): | 1365-2133 |
| Published Online: | 17 January 2012 |
University Staff: Request a correction | Enlighten Editors: Update this record
Altmetric
Altmetric