Sains Malaysiana 47(4)(2018): 763-771

http://dx.doi.org/10.17576/jsm-2018-4704-15

Interface Pressure of Lycra Orthosis at Different Postures in Children with Cerebral Palsy (CP)

(Tekanan Antara Muka Likra Ortosis untuk Postur Berbeza pada Kanak-kanak Palsi Serebrum (CP))

IDA HASNI SHAARI, NOOR AZUAN ABU OSMAN* & HANIE NADIA SHASMIN

Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, 50603 Kuala Lumpur, Federal Territory, Malaysia

Diserahkan: 12 Januari 2016/Diterima: 11 Ogos 2017

ABSTRACT

Medical compression garment functions by exerted interface pressure between the fabric and skin. Yet, none of the previous studies have determine the pressure level of Lycra based orthosis. The current work aimed to determine the pressure level of Lycra orthosis at different postures in children with CP. Five (5) children with CP were recruited. Each were given a custom made Lycra orthosis. Two Tekscan medical sensor were placed over lateral side of upper garment and pants. The pressure was recorded when the child was in sitting, sit-to-stand (STS) and standing postures. There are significant differences of the interface pressure between each children, at different postures. The highest pressure recorded over upper garment is 122 mmHg and 120 mmHg over pants, both during sitting position. Overall, the Lycra orthosis exerted highest pressure over top garments than pants during sitting position.

Keywords: Interface pressure; lycra; orthosis; posture; rehabilitation

ABSTRAK

Pakaian mampatan perubatan berfungsi dengan memberikan tekanan antara muka antara fabrik dan kulit. Namun, tiada kajian terdahulu yang mengenal pasti tahap tekanan Likra berasaskan ortosis ini. Kertas ini bertujuan untuk mengenal pasti tahap tekanan Likra ortosis untuk postur berbeza pada kanak-kanak dengan CP. Lima (5) orang kanak-kanak dengan CP telah dipilih. Setiap seorang telah diberikan Likra ortosis yang dijahit tempah. Dua penderia perubatan Tekscan telah diletakkan pada sisian bahagian atas pakaian dan seluar. Tekanan direkodkan semasa kanak-kanak itu berada pada postur duduk, duduk untuk berdiri (STS) dan berdiri. Terdapat perbezaan yang signifikan pada tekanan antara muka antara kanak-kanak, pada postur yang berbeza. Tekanan paling tinggi yang direkodkan pada pakaian adalah 122 mmHg dan 120 mmHg pada seluar, kedua-duanya pada posisi duduk. Secara keseluruhannya, Likra orthosis memberikan tekanan tinggi pada pakaian daripada seluar dalam posisi duduk.

Kata kunci: Likra; ortosis; pemulihan; postur; tekanan antara muka

RUJUKAN

Kumar, B., Das, A., Alagirusamy, R., Omeroglu, S., Ulku, S., Wu, J., et al. 2013. Garment considerations, physiology and performance. The Engineering of Sport 36: 789-796.

Abd El-Kafy E.M. 2014. The clinical impact of orthotic correction of lower limb rotational deformities in children with cerebral palsy: A randomized controlled trial. Clinical Rehabilitation 28: 1004–1014.

Aghajani, M., Tehran, M.A., Asghar, A. & Jeddi, A. 2013. Precise measurement of tension on curvature elastic shells. Journal of Engineered Fibers and Fabrics 8(1): 82-87.

Aiman, A.F., Salleh, M.N. & Ismail, K.A. 2015. Pressure distribution from two different types of fabrics head garments with silon-LTS® face mask for hypertrophic burn scar treatment. 2nd International Conference on Biomedical Engineering (ICoBE). Penang, Malaysia. pp. 30-31.

Al Khaburi, J., Dehghani-Sanij, A.A., Nelson, E.A. & Hutchinson, J. 2012. Effect of bandage thickness on interface pressure applied by compression bandage. Medical Engineering and Physics 34: 378-385.

Ali, S., Osman, N.A.A., Eshraghi, A., Gholizadeh, H. & Abas, W.A.B.B.W. 2013. Interface pressure in transtibial socket during ascent and descent on stairs and its effect on patient satisfaction. Clinical Biomechanics 28(9): 994-999.

Ali, S., Osman, N.A.A., Mortaza, N., Eshraghi, A., Gholizadeh, H. & Abas, W.A.B.B.W. 2012. Clinical investigation of the interface pressure in the trans-tibial socket with Dermo and Seal-In X5 liner during walking and their effect on patient satisfaction. Clinical Biomechanics 27(9): 943-948.

Anand, S.C., Govarthanam, K.K. & Gazioglu, D. 2013. A study of the modelling and characterisation of compression garments for hypertrophic scarring after burns. Part 1: Modelling of compression garments. Journal of the Textile Institute 104: 661-667.

Atiyeh, B.S., El-Khatib, M.A. & Dibo, S.A. 2013. Pressure garment therapy (PGT) of burn scars: Evidence-based efficacy. Ann. Burns Fire Disasters 26: 205-212.

Bahramizadeh, M., Rassafiani, M., Aminian, G., Rashedi, V., Farmani, F. & Mirbagheri, S.S. 2015. Effect of dynamic elastomeric fabric orthoses on postural control in children with cerebral palsy. Pediatric Physical Therapy 27: 349-354.

Brophy-Williams, N., Driller, M.W., Shing, C.M., Fell, J.W. & Halson, S.L. 2015. Confounding compression: The effects of posture, sizing and garment type on measured interface pressure in sports compression clothing. Journal of Sports Science 33: 1403-1410.

Charlton, P.T. 2015. The use of orthoses in stroke rehabilitation. BJNN/Stroke Association Supplement. pp. 20-26.

Chi, C-F., Lin, C-H. & Yang, H-S. 2008. The causal analysis of requested alterations for pressure garments. Journal of Burn Care & Research 29: 965-974.

Duffield, R., Cannon, J. & King, M. 2010. The effects of compression garments on recovery of muscle performance following high-intensity sprint and plyometric exercise. Journal of Science and Medicine in Sport 13: 136-140.

Elliott, C., Reid, S., Hamer, P., Alderson, J. & Elliott, B. 2011 Lycra ® arm splints improve movement fluency in children with cerebral palsy. Gait and Posture 33: 214-219.

Eshraghi, A., Osman, N.A.A., Karimi, M.T., Gholizadeh, H., Ali, S. & Abas, W.A.B.W. 2012. Quantitative and qualitative comparison of a new prosthetic suspension system with two existing suspension systems for lower limb amputees. American Journal of Physical Medicine & Rehabilitation 91(12): 1028-1038.

Gholizadeh, H., Osman, N.A.A., Eshraghi, A. & Razak, N.A.A. 2014. Clinical implication of interface pressure for a new prosthetic suspension system. Biomedical Engineering Online 13(1): 89.

Giele, H., Liddiard, K., Booth, K. & Wood, F. 1998. Anatomical variations in pressure generated by pressure garments. Plastic and Reconstructive Surgery 101: 399-406.

Giele, H.P., Liddiard, K., Currie, K. & Wood, F.M. 1997. Direct measurement of cutaneous pressures generated by pressure garments. Burns 23: 137-141.

Grenier, E., Gehin, C., Lun, B. & McAdams, E. 2013. Local effect of compression stockings on skin microcirculatory activity through the measurement of skin effective thermal conductivity. IEEE Engineering in Medicine and Biology Society Conference 2013: 1768-1771.

Higgins, T., Naughton, G.A. & Burgess, D. 2009. Effects of wearing compression garments on physiological and performance measures in a simulated game-specific circuit for netball. Journal of Science and Medicine in Sport 12: 223-226.

Hirai, M., Koyama, A., Miyazaki, K., Iwata, H. & Kominami, Y. 2012. Interface pressure and stiffness in different combinations of compression material. Phlebology 27: 82-89.

Hui, C.L. & Ng, S.F. 2001. Pressure model of elastic fabric for producing pressure garments. Textile Research Journal 71: 275-279.

Ito, N., Inoue, M., Nakanishi, M. & Niwa, M. 1995. The relation among the biaxial extension properties of girdle cloths and wearing comfort and clothing pressure of girdles. Japan Res. Assoc. Textile End Uses 36: 102-108.

Jin, Z.M., Ou, Y., Xu, N. & Yan, Y.X. 2013. Pressure analysis on medical compression hosiery and property research of lycra/ nylon double wrapped yarn. Advanced Materials Research 821-822: 215-218.

King, M., Deveaux, A., White, H. & Rayson, D. 2012. Compression garments versus compression bandaging in decongestive lymphatic therapy for breast cancer-related lymphedema: A randomized controlled trial. Supportive Care in Cancer 20: 1031-1036.

Lee, A.J., Dale, J.J., Ruckley, C.V., Gibson, B., Prescott, R.J. & Brown, D. 2006. Compression therapy: Effects of posture and application techniques on initial pressures delivered by bandages of different physical properties. European Journal of Vascular and Endovascular Surgery 31: 542-552.

Lee, N. & Wigg, J. 2013. Getting the right fit: Made-to-measure garments for lymphedema management. British Journal of Community Nursing 18: S28-S33.

Leung, W.Y., Yuen, D.W., Ng, S.P. & Shi, S.Q. 2010. Pressure prediction model for compression garment design. Journal of Burn Care & Research 31: 716-727.

Lin, S-H., Lin, J-M., Chu, C-L., Wu, Y-S., Chao, Y-J., Chan, W-P., Choy, C-S. & Leung, T-K. 2013. Design, manufacture, mechanical testing and clinical/MRI assessment of the medical elastic compression stockings, base on Taiwanese’s leg size. Journal of Textile Science & Engineering 4: 1-9.

Liu, R., Lao, T.T., Kwok, Y.L., Li, Y. & Ying, M.T.C 2008. Effects of graduated compression stockings with different pressure profiles on lower-limb venous structures and haemodynamics. Advances in Therapy 25: 465-478.

Liu, W.Y., Zaino, C.A. & McCoy, S.W. 2007. Anticipatory postural adjustments in children with cerebral palsy and children with typical development. Pediatric Physical Therapy 19(3): 188-195.

Luo, Z.P., Berglund, L.J. & An, K.N. 1998. Validation of F-Scan pressure sensor system: A technical note. Journal of Rehabilitation Research and Development 35(2): 186-191. Macintyre, L. 2011. New calibration method for I-scan sensors to enable the precise measurement of pressures delivered by ‘pressure garments’. Burns 37(7): 1174-1181.

Macintyre, L. & Baird, M. 2006. Pressure garments for use in the treatment of hypertrophic scars - A review of the problems associated with their use. Burns 32: 10-15.

Maklewska, E., Nawrocki, A., Ledwoń, J. & Kowalski, K. 2006. Modelling and designing of knitted products used in compressive therapy. Fibres and Textiles in Eastern Europe 14: 111-113.

Mani, S. & Anbumani, N. 2014. Dynamic elastic behaviour   of cotton and cotton/spandex knitted fabric. Journal of Engineered Fibers & Fabrics 9: 93-100.

Matthews, M., Blandford, S., Marsden, J. & Freeman, J. 2016. The use of dynamic elastomeric fabric orthosis suits as an orthotic intervention in the management of children with neuropathic onset scoliosis: A retrospective audit of routine clinical case notes. Scoliosis and Spinal Disorders 11: 14.

Mohapatra, J., Verma, S. & Valvalruati, M. 2015. Effect of soft hand splint (lycra) for stereotypic hand behaviour in children with dystonia: Case report. Journal of Pediatrics & Neonatal Care 2: 3-6.

Morris, C., Bowers, R., Ross, K., Stevens, P. & Phillips, D. 2011. Orthotic management of cerebral palsy: Recommendations from a consensus conference. NeuroRehabilitation 28: 37-46.

Partsch, H. 2005. The static stiffness index: A simple method to assess the elastic property of compression material in vivo. Dermatologic Surgery 31: 625-630.

Rennie, D.J., Attfield, S.F., Morton, R.E., Polak, F.J. & Nicholson,J. 2000. An evaluation of lycra arments in the lower limb using 3-D gait analysis and functional assessment (PEDI). Gait and Posture 12: 1-6.

Sau-Fun, N., Chi-Leung, H. & Lai-Fan, W. 2011. Development of medical garments and apparel for the elderly and the disabled. Textile Progress 43: 235-285.

Taylor, P., Kumar, B., Das, A. & Alagirusamy, R. 2013. An approach to examine dynamic behavior of medical compression bandage. Journal of the Textile Institute 104: 37-41.

Teng, T.L. & Chou, K.T. 2006. The measurement and analysis of the pressure generated by burn garments. Journal of Medical and Biological Engineering 26: 155-159.

Troynikov, O., Wardiningsih, W., Koptug, A., Watson, C. & Oggiano, L. 2013. Influence of material properties and garment composition on pressure generated by sport compression garments. Procedia Engineering 60: 157-162.

Van Den Kerckhove, E., Stappaerts, K., Fieuws, S., Laperre, J., Massage, P., Flour, M. & Boeckx, W. 2005. The assessment of erythema and thickness on burn related scars during pressure garment therapy as a preventive measure for hypertrophic scarring. Burns 31: 696-702.

Varan, N.Y., Gürsoy, N.C., King, M.W. & Hauser, P.J. 2013. Novel elastomeric fabrics for burn pressure garments using silver antimicrobial agents. Journal of Textile & Apparel 23: 38-42.

Wang, L., Felder, M. & Cai, J.Y. 2011. Study of properties of medical compression garment fabrics. Journal of Fiber Bioengineering and Informatics 4: 15-22.

Wang, P., McLaren, J., Leong, K.F. & Des Ouches, P.J.  2013. A pilot study: Evaluations of compression garment performance via muscle activation tests. Procedia Engineering 60: 361-366.

Wang, Y. & Zhang, P. 2013. The effect of physical-mechanical properties on dynamic pressure of compression garment. International Journal of Clothing Science and Technology 25: 131-144.

Wang, Y., Zhang, P. & Zhang, Y. 2014. Experimental investigation the dynamic pressure attenuation of elastic fabric for compression garment. Textile Research Journal 84: 572-582.

Wang, Y., Zhang, P., Feng, X. & Yao, Y. 2010. New method for investigating the dynamic pressure behavior of compression garment. International Journal of Clothing Science and Technology 22: 374-383.

Yildiz, N. 2007. A novel technique to determine pressure in pressure garments for hypertrophic burn scars and comfort properties. Burns 33: 59-64.

Yu, A., Yick, K.L., Ng, S.P. & Yip, J. 2012. Prediction of fabric tension and pressure decay for the development of pressure therapy gloves. Textile Research Journal 83: 269-287.

*Corresponding author; email: azuan@um.edu.my