Multilayered
bandaging is a part of the treatment including manual lymph drainage and
intermittent pressotherapy.
Bandages used
in the treatment of oedema are short stretch bandages.
Studies on healthy
subjects have highlighted their characteristics :
-
Initial pressure
is low
-
Pressure recorded
under the bandage, during muscular contraction, is more intense than with
an elastic bandage.
-
Short-stretch bandages
are well supported at night.
A multilayered bandaging
is composed of :
Stockinette
: a cotton made butular bandage.
This stockinette
is placed around the limb to absorb sweat and avoid the direct contact
of the foam with the skin. Stockinette must be applied without folds. Occasionally,
a bandage type cellona may be applied below the foam bandage in order to
protect body prominences or tendous. |
(32
Ko)
|
Foam bandage
:
These bandages
are covering the stockinette. They are applied on a circular mode with
50 % overlaping . The foam must cover the limb and end more proximally
than the edema.
The "spongy"
aspect of the foam bandage allows the adhesion of the short stretch bandages
on the limb during movement. |
(25
Ko)
(52Ko)
|
Short stretch
bandage :
The short stretch
bandage is applied on the foam on a circular mode with 50 % overlaping
or spica according to the localization. Smooth the bandage with your hand.
Apply using an even tension. Several layers are placed around the limb
in order to get a rigid bandaging generating low pressure.
The choice of
bandaging is guided by the availability of the products on the market. |
(37Ko)
(50Ko)
(27Ko)
|
These bandages
may be worn while performing the usual activity (
).
There is no need
to interrupt work. It is not recommended to rest while wearing this bandaging;
patient must stay active without excess.
The multilayered
band is worn day and night. It will be removed and re-applied every day
(5x/week) for 1 to 2 weeks (sometimes more for the lower extremity).
Multilayered bandaging
is applied by the Physical Therapist / Occupational Therapist, only.
|