Van den Kerckhove Eric, Fieuws Steffen, Massagé Patrick, Hierner Robert, Boeckx Willy, Deleuze Jean-Paul, Laperre Jan, Anthonissen Mieke
Burn Center of the Universitaire Ziekenhuizen Leuven, Department of Physical Medicine and Rehabilitation and Burns Center, Herestraat 49, 3000 Leuven, Belgium.
Burns. 2007 Aug;33(5):572-8. doi: 10.1016/j.burns.2006.08.032. Epub 2006 Dec 19.
This study investigated the reproducibility of repeated measurements with the Kikuhime pressure sensor under two different types of pressure garments used in the treatment and prevention of scars after burns. Also efficiency of garments was assessed in clinical circumstances by assessing pressure loss and residual pressure after 1 month. Intra- and inter-observer reproducibility and repeated measurements with 1-month time lapse were examined on 55 sites in 26 subjects by means of intra-class correlation coefficients and standard error of measurements. Results showed good to excellent ICC and low SEMs in the two conditions. There was a significant difference in pressure after 1 month between elastic tricot and weft knit garments, although evolution of pressure loss after 1 month was similar. Concerning different locations, there was a significant difference in pressure loss after 1 month between gloves and sleeves with the largest pressure loss for sleeves. Considering these results we concluded that the Kikuhime pressure sensor provides valid and reliable information and can be used in comparative clinical trials to evaluate pressure garments used in burn scar treatment. Secondly, elastic tricot garments in our study tended to have higher clinical pressures but both types of garments had similar pressure loss over time.
本研究调查了在用于烧伤后瘢痕治疗和预防的两种不同类型压力衣下，使用菊姬压力传感器进行重复测量的可重复性。此外，通过评估1个月后的压力损失和残余压力，在临床环境中评估了压力衣的效果。通过组内相关系数和测量标准误差，对26名受试者的55个部位进行了观察者内和观察者间的可重复性以及间隔1个月的重复测量检查。结果显示，在两种情况下，组内相关系数良好至优秀，测量标准误差较低。尽管1个月后压力损失的变化相似，但弹性经编针织品和纬编针织品在1个月后的压力存在显著差异。关于不同部位，手套和袖子在1个月后的压力损失存在显著差异，袖子的压力损失最大。考虑到这些结果，我们得出结论，菊姬压力传感器可提供有效且可靠的信息，可用于比较临床试验，以评估用于烧伤瘢痕治疗的压力衣。其次，我们研究中的弹性经编针织品压力衣往往具有较高的临床压力，但两种类型的压力衣随着时间的推移压力损失相似。
