Louise Gustafsson, Jessica Lunnon, Melanie Hoyle, Kathryn Marshall, Kylie Bower; Single-Case-Design Study of Finger-to-Axilla Compression Bandaging for Edema of the Hemiplegic Upper Limb. Am J Occup Ther 2016;70(2):7002210010. https://doi.org/10.5014/ajot.2016.019125
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© 2021 American Occupational Therapy Association
OBJECTIVE. This single-case study investigated the effectiveness of compression bandaging from the finger to the axilla in reducing poststroke edema in the upper limb.
METHOD. Repeated circumferential measurements were recorded at five points along the participants’ hand and forearm. Analysis of the data included the generation of graphs, celeration lines, and visual analysis.
RESULTS. Five participants with edema (mean 38 days poststroke) were recruited to the study. Fluctuations in edema were observed in all three study phases, with an increasing to decreasing trend in edema between the baseline and intervention phases. There was no clear trend from the intervention to second baseline phase.
CONCLUSION. Bandaging from the fingers to the axilla appears to be effective in reducing edema in the hand and forearm. However, return of edema after removal of the bandaging suggest that a greater understanding of underlying mechanisms and the appropriate intervention protocols is warranted.
Compression bandaging of the entire upper limb may be an effective intervention option for reducing poststroke edema.
Individual client differences support the need for careful monitoring of edema during and after compression bandaging.
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