{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T22:28:25Z","timestamp":1790116105674,"version":"4.0.1"},"reference-count":34,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T00:00:00Z","timestamp":1627603200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lymphatic Research and Biology"],"published-print":{"date-parts":[[2021,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Multilayer bandaging (MLB) is often used for lymphedema treatment. Even experienced lymphedema therapists have difficulty applying bandages correctly. The aim of this study was to demonstrate upper limb MLB pressure variability applied by lymphedema therapists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>\n                      Twenty-four lymphedema therapists were asked to apply MLB to the healthy volunteer's upper limb. The participants consisted of 20 females and 4 males with a mean age of 43.4 (range: 24\u201362) years. They included licensed massage therapists, nurses, a judo therapist, an occupational therapist, and a medical doctor. Twenty therapists (83.3%) had clinical experience applying MLB. Compression pressure was measured with PicoPress at 5\u2009cm proximal to the wrist, immediately after the application (phase 1) and after exercise (phase 2). The mean MLB pressure was 67.7\u2009\u00b1\u20095.0\u2009mmHg in phase 1 and 55.3\u2009\u00b1\u20094.1\u2009mmHg in phase 2, which were significantly different (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20091.2\u2009\u00d7\u200910\n                      <jats:sup>\u221210<\/jats:sup>\n                      ). There was a weak negative correlation between how long the therapist had been practicing MLB and MLB pressure (\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      \u2009=\u20090.29). Seventeen participants (70.8%) expressed that they had a target pressure in mind when performing MLB. Among the 17 participants, there was no correlation between the target and actual pressures (\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      \u2009=\u2009\u22120.055). Only three participants (17.6%) had an actual MLB pressure within 5\u2009mmHg of their target.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The mean MLB pressure was 55.3\u2009\u00b1\u20094.1\u2009mmHg, which was thought to be too high for the upper limb. Education about applying appropriate MLB pressures to the limbs is necessary.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2020.0083","type":"journal-article","created":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T11:54:38Z","timestamp":1609761278000},"page":"378-382","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Compression Pressure Variability in Upper Limb Multilayer Bandaging Applied by Lymphedema Therapists"],"prefix":"10.1177","volume":"19","author":[{"given":"Hisako","family":"Hara","sequence":"first","affiliation":[{"name":"Department of Lymphatic and Reconstructive Surgery, JR Tokyo General Hospital, Tokyo, Japan."},{"name":"Bethel South Shinjuku Clinic, Tokyo, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maki","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Bethel South Shinjuku Clinic, Tokyo, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriko","family":"Ikehata","sequence":"additional","affiliation":[{"name":"Bethel South Shinjuku Clinic, Tokyo, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeko","family":"Tachibana","sequence":"additional","affiliation":[{"name":"Bethel South Shinjuku Clinic, Tokyo, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobumitsu","family":"Hamanaka","sequence":"additional","affiliation":[{"name":"Bethel South Shinjuku Clinic, Tokyo, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsura","family":"Nakakawaji","sequence":"additional","affiliation":[{"name":"Bethel South Shinjuku Clinic, Tokyo, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Mihara","sequence":"additional","affiliation":[{"name":"Department of Lymphatic and Reconstructive Surgery, JR Tokyo General Hospital, Tokyo, Japan."},{"name":"Bethel South Shinjuku Clinic, Tokyo, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,7,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1803290"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2019-001032"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2016.1247935"},{"key":"e_1_3_3_5_2","first-page":"1","article-title":"The diagnosis and treatment of peripheral lymphedema: 2013 Consensus Document of the International Society of Lymphology","volume":"46","author":"International Society of Lymphology","year":"2013","unstructured":"International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2013 Consensus Document of the International Society of Lymphology. Lymphology, 2013; 46:1\u201311.","journal-title":"Lymphology"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001631"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002254"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2012.08.002"},{"key":"e_1_3_3_9_2","first-page":"56","article-title":"Liposuction in lymphedema treatment","volume":"32","author":"Brorson H","year":"2016","unstructured":"Brorson H. Liposuction in lymphedema treatment. J Reconstr Microsurg, 2016; 32:56\u201365.","journal-title":"J Reconstr Microsurg"},{"key":"e_1_3_3_10_2","volume-title":"International Consensus. Best Practice for management of lymphedema","author":"Moffatt C","year":"2006","unstructured":"Moffatt C, ed. International Consensus. Best Practice for management of lymphedema. London: MEP Ltd; 2006."},{"key":"e_1_3_3_11_2","first-page":"CD003141","article-title":"Physical therapies for reducing and controlling lymphoedema of the limbs","volume":"4","author":"Badger C","year":"2004","unstructured":"Badger C, , Preston N, , Seers K, , Mortimer P. Physical therapies for reducing and controlling lymphoedema of the limbs. Cochrane Database Syst Rev, 2004; 4:CD003141.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1023\/B:BREA.0000032978.67677.9f"},{"key":"e_1_3_3_13_2","first-page":"426","article-title":"Comparison of three portable instruments to measure compression pressure","volume":"29","author":"Partsch H","year":"2010","unstructured":"Partsch H, , Mosti G. Comparison of three portable instruments to measure compression pressure. Int Angiol, 2010; 29:426\u2013430.","journal-title":"Int Angiol"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2010.01768.x"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.12405"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2008.00470.x"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e3182643c36"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-016-3919-4"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4385-9"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13023"},{"key":"e_1_3_3_21_2","first-page":"3","article-title":"The diagnosis and treatment of peripheral lymphedema: 2020 Consensus Document of the International Society of Lymphology","volume":"53","author":"Executive Committee of the International Society of Lymphology","year":"2020","unstructured":"Executive Committee of the International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2020 Consensus Document of the International Society of Lymphology. Lymphology, 2020; 53:3\u201319.","journal-title":"Lymphology"},{"key":"e_1_3_3_22_2","first-page":"527","article-title":"Dose finding for an optimal compression pressure to reduce chronic edema of the extremities","volume":"30","author":"Partsch H","year":"2011","unstructured":"Partsch H, , Damstra RJ, , Mosti G. Dose finding for an optimal compression pressure to reduce chronic edema of the extremities. Int Angiol, 2011; 30:527\u2013533.","journal-title":"Int Angiol"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.12.018"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2018.12.021"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2017.0066"},{"key":"e_1_3_3_26_2","first-page":"28","article-title":"The effect of different compression pressure in therapy of secondary upper extremity lymphedema in women after breast cancer surgery","volume":"51","author":"Karafa M","year":"2018","unstructured":"Karafa M, , Karafova A, , Szuba A, et al. The effect of different compression pressure in therapy of secondary upper extremity lymphedema in women after breast cancer surgery. Lymphology, 2018; 51:28\u201337.","journal-title":"Lymphology"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20772"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2020.01.021"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2012.07.011"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182a97edc"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.25728"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/2050313X17745207"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2018.05.012"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2019190241"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020191710"}],"container-title":["Lymphatic Research and Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lrb.2020.0083","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2020.0083","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2020.0083","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:13:28Z","timestamp":1777666408000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lrb.2020.0083"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,30]]},"references-count":34,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,8,1]]}},"alternative-id":["10.1089\/lrb.2020.0083"],"URL":"https:\/\/doi.org\/10.1089\/lrb.2020.0083","relation":{},"ISSN":["1539-6851","1557-8585"],"issn-type":[{"value":"1539-6851","type":"print"},{"value":"1557-8585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,30]]}}}