Compression Suits Research Articles

Effects of lower limb light-weight wearable resistance on running biomechanics

Wearable resistance allows individualized loading for sport specific movements and can lead to specific strength adaptations benefiting the athlete. The objective was to determine biomechanical changes during running with lower limb light-weight wearable resistance. Fourteen participants (age: 28 ± 4 years; height: 180 ± 8 cm; body mass: 77 ± 6 kg) wore shorts and calf sleeves of a compression suit allowing attachment of light loads. Participants completed four times two mins 20-m over-ground shuttle running bouts at 3.3 m*s−1 alternated by three mins rest. The first running bout was unloaded and the other three bouts were under randomised loaded conditions (1%, 3% and 5% additional loading of the individual body mass). 3D motion cameras and force plates recorded kinematic and kinetic data at the midpoint of each 20-m shuttle. Friedman-test for repeated measures and linear mixed effect model analysis were used to determine differences between the loading conditions (α = 0.05). Increased peak vertical ground reaction force (2.7 N/kg to 2.74 N/kg), ground contact time (0.20 s to 0.21 s) and decreased step length (1.49 m to 1.45 m) were found with additional 5 % body mass loading compared to unloaded running (0.001 > p < 0.007). Marginally more knee flexion and hip extension and less plantarflexion was seen with higher loading. Differences in the assessed parameters were present between each loading condition but accompanied by subject variability. Further studies, also examining long term effects, should be conducted to further inform use of this training tool.

Compression suits with and without films and their effects on EMG during isokinetic exercise

This study aimed to determine the differences in the EMG of thigh among film-welded compression suits (WCS), film-free compression suit (CS) and a loose sportswear during knee joint exercise. To differentiate the effect of clothing variable accurately, two types of compression suits were made elaborately using the same material and 3D pattern. Difference in two compression suits is only whether film was welded or not. EMG was observed during isokinetic exercise of flexion and extension, comprising four sets of maximum contraction of thigh at the angular velocity of 60, 180 and 240°/s using Cybex 660. When the WCS was worn, the mean muscle activities of the anterior thigh was generally higher during extension, especially in the left rectus femoris (RF) and right vastus oblique medialis (VMO) throughout the exercise. Wearing WCS enhanced mean muscle activities and decreased muscle fatigue of VL and VMO at each angular velocity, however, it did not support the mean muscle activity nor the fatigue of the hamstrings in almost all conditions of exercise. Muscle-specific EMG implies that film-welded compression suit designed in this study is beneficial to VMO, inducing high muscle activity with less fatigue during knee extension.

The Efficacy of Wrestling-Style Compression Suits to Improve Maximum Isometric Force and Movement Velocity in Well-Trained Male Rugby Athletes.

Purpose: The prevalence of compression garment (CG) use is increasing with athletes striving to take advantage of the purported benefits to recovery and performance. Here, we investigated the effect of CG on muscle force and movement velocity performance in athletes.Methods: Ten well-trained male rugby athletes wore a wrestling-style CG suit applying 13–31 mmHg of compressive pressure during a training circuit in a repeated-measures crossover design. Force and velocity data were collected during a 5-s isometric mid-thigh pull (IMTP) and repeated countermovement jump (CMJ), respectively; and time to complete a 5-m horizontal loaded sled push was also measured.Results: IMTP peak force was enhanced in the CG condition by 139 ± 142 N (effect size [ES] = 0.36). Differences in CMJ peak velocity (ES = 0.08) and loaded sled-push sprint time between the conditions were trivial (ES = −0.01). A qualitative assessment of the effects of CG wear suggested that the likelihood of harm was unlikely in the CMJ and sled push, while a beneficial effect in the CMJ was possible, but not likely. Half of the athletes perceived a functional benefit in the IMTP and CMJ exercises.Conclusion: Consistent with other literature, there was no substantial effect of wearing a CG suit on CMJ and sprint performance. The improvement in peak force generation capability in an IMTP may be of benefit to rugby athletes involved in scrummaging or lineout lifting. The mechanism behind the improved force transmission is unclear, but may involve alterations in neuromuscular recruitment and proprioceptive feedback.

Impact of the Mk VI SkinSuit on skin microbiota of terrestrial volunteers and an International Space Station-bound astronaut

Microgravity induces physiological deconditioning due to the absence of gravity loading, resulting in bone mineral density loss, atrophy of lower limb skeletal and postural muscles, and lengthening of the spine. SkinSuit is a lightweight compression suit designed to provide head-to-foot (axial) loading to counteract spinal elongation during spaceflight. As synthetic garments may impact negatively on the skin microbiome, we used 16S ribosomal RNA (rRNA) gene amplicon procedures to define bacterial skin communities at sebaceous and moist body sites of five healthy male volunteers undergoing SkinSuit evaluation. Each volunteer displayed a diverse, distinct bacterial population at each skin site. Short (8 h) periods of dry hyper-buoyancy flotation wearing either gym kit or SkinSuit elicited changes in the composition of the skin microbiota at the genus level but had little or no impact on community structure at the phylum level or the richness and diversity of the bacterial population. We also determined the composition of the skin microbiota of an astronaut during pre-flight training, during an 8-day visit to the International Space Station involving two 6–7 h periods of SkinSuit wear, and for 1 month after return. Changes in composition of bacterial skin communities at five body sites were strongly linked to changes in geographical location. A distinct ISS bacterial microbiota signature was found which reversed to a pre-flight profile on return. No changes in microbiome complexity or diversity were noted, with little evidence for colonisation by potentially pathogenic bacteria; we conclude that short periods of SkinSuit wear induce changes to the composition of the skin microbiota but these are unlikely to compromise the healthy skin microbiome.

Influence of a Full-Body Compression Suit on Trunk Positioning and Knee Joint Mechanics During Lateral Movements.

Trunk positioning has been shown to be associated with knee joint loading during athletic tasks, especially changes of direction. The purpose of the present study was to test whether a full-body compression suit (FBCS) would improve trunk positioning and knee joint control during lateral movements. Twelve female athletes performed lateral reactive jumps (LRJ) and unanticipated cuttings with and without the customized FBCS, while 3D kinematics and kinetics were measured. FBCS did not influence trunk positioning during LRJ and led to increased trunk lateral lean during cuttings (P < .001). However, while wearing FBCS, knee joint abduction and internal rotation angles were reduced during LRJ (P < .001 and P = .013, respectively), whereas knee joint moments were comparable during cuttings. FBCS cannot support the trunk segment during unanticipated dynamic movements. But, increased trunk lateral lean during cutting maneuvers was not high enough to elicit increased knee joint moments. On the contrary, knee joint abduction and internal rotation were reduced during LRJ, speaking for a better knee joint alignment with FBCS. Athletes seeking to improve trunk positioning may not benefit from a FBCS.

운동 중과 휴식 시 3D 컴프레션 수트 착용에 따른 정량적 뇌파 분석

【This study examined the wearing effect of 3D compression suits on quantitative electroencephalogram (EEG) during walking and rest. Ten males in their 20s wore three types of experimental clothing, a loose-fit wear (BS), a 3D compression suit (3D CS), and a power film welded on CS (3D WCS); in addition, EEG signals were measured during resting, walking, after walking, and after sit-ups. The results showed that a higher pressure (due to 3D CS and 3D WCS) increased the 'Concentration' level and the 'Cognitive load' of brain waves during treadmill walking due to a higher cortex activity level when walking. Differentiation was shown between two compression suits and BS was enhanced during walking on a treadmill; however, the brain waves of 'Relaxation' between two compression suits were significantly different after walking, i.e., 'Relaxation' level of 3D WCS was the highest. Rigorous exercise such as sit-ups was inefficient to distinguish the effect of compression suits on EEG. Participants perceived a higher pressure due to compression suits; however, the wear comfort of two compression suits was maintained. Two compression suits were rated as supportive and helpful during walking. Various EEG parameters such as the indices of 'Relaxation', 'Concentration' and 'Cognitive load' were effective to observe the effect of 3D compression suits on wearers' brain waves during and after walking.】

Different types of compression clothing do not increase sub-maximal and maximal endurance performance in well-trained athletes

Three textiles with increasing compressive surface were compared with non-compressive conventional clothing on physiological and perceptual variables during sub-maximal and maximal running. Fifteen well-trained endurance athletes (mean ± s: age 27.1 ± 4.8 years, [Vdot]O2max 63.7 ± 4.9 ml · min−1 · kg−1) performed four sub-maximal (∼70%[Vdot]O2max) and maximal tests with and without different compression stockings, tights, and whole-body compression suits. Arterial lactate concentration, oxygen saturation and partial pressure, pH, oxygen uptake, and ratings of muscle soreness were recorded before, during, and after all tests. In addition, we assessed time to exhaustion. Sub-maximal (P = 0.22) and maximal oxygen uptake (P = 0.26), arterial lactate concentration (P = 0.16; 0.20), pH (P = 0.23; 0.46), oxygen saturation (P = 0.13; 0.26), and oxygen partial pressure (P = 0.09; 0.20) did not differ between the types of clothing (effect sizes = 0.00–0.45). Ratings of perceived exertion (P = 0.10; 0.15), muscle soreness (P = 0.09; 0.10) and time to exhaustion (P = 0.16) were also unaffected by the different clothing (effect sizes = 0.28–0.85). This was the first study to evaluate the effect on endurance performance of different types of compression clothing with increasing amounts of compressive surface. Overall, there were no performance benefits when using the compression garments.

Editor's Choice

Editor's Choice

Medical Anti-Shock Trousers: Blind Faith, Poor Judgment and Patient Jeopardy

The oft-repeated historic development of the pneumatic lower body compression suit (MAST, PASG) for the presumed treatment of hypotension has been well-documented by McSwain(l). While the experimental and anecdotal clinical observations of Crile, Gardner, Wangenstein and Kaplan are interesting, they are not prospective, controlled, randomized clinical trials in humans(2,3,4,5). In the early 1970s, the EMS community was ripe for the bandwagon reflex to grasp at any and all gimmicks and gadgets which became available, regardless of a lack of evidence regarding their safety or danger to patients. Inventions such as the esophageal obturator airway, various darts, MAST, external cardiac bumpers, percutaneous trachea obturators, and many others simultaneously were thrust upon the unsuspecting and unprotected patient community. Some of these innovations may have been beneficial but others were dangerous. Contending that some intervention in a “life threatening, good Samaritan situation” was better than no interventional treatment or “stabilization” at all, the paramedics' blind faith in these modalities persisted. The Medical Device Amendment of 1976 (6), which requires safety and efficacy for devices, similar to that long in effect for new drugs, had not yet been enacted into law to require premarketing clearance of new medical devices. Building on blind faith and premature recommendations regarding in the unproven concept of MAST, the EMS community exercised poor judgment in recommending to state legislators that this unproven device be “required equipment” on board ambulances. Furthermore, this small cadre of “special interest groups” lobbied to have the MAST mandated as essential equipment in trauma centers(7,8). Although the minutes of the trauma planning meetings do not reflect the debate at the American College of Surgeons Committee on Trauma, numerous voices of advised constraint, said “go slow” on including the MAST as part of the ATLS course and the ACS optimal resources document.

The use of plastic face mask and silicone gloves and boots as alternative to compression suits for treating hypertrophic scars.

Prevention and treatment of hypertrophic scars and contractures is usually obtained by the use of compression suits. The compression hood for the burned face is unaesthetical and often refused by the child. A better compression can be obtained by the use of a clear transparent plastic mask. It offers a better view and looks better, thus increasing the cooperation of the patient. Compression gloves and stockings are difficult to adapt to. It is easier to make mittens and boots out of silicone. These two techniques meet the criteria of efficiency: early application of compression, good tolerance, splint support, individually moulded splints for optimum pressure and cooperation.

Effect of circumferential pneumatic compression devices on digital flow

We reviewed the effects of circumferential pneumatic compression suits (CPCS) when applied to normal and ischemic limbs without prior application of prehospital orthopedic traction devices beneath the garment. The digital arterial toe pressures of 11 normal and six claudicating limbs were measured with the trouser applied and the limbs pressurized to 40, 60, 80, and 100 mm Hg. In addition, normal limbs had the Hare traction device and the Sager splint applied prior to application of the trouser and retesting of the digital arterial flow. We conclude that CPCS prevents flow into the limbs, and this may potentiate the development of compartment syndromes in the previously traumatized or ischemic limbs. Normal limbs with traction devices already applied may be at a higher risk for compartment syndromes, and we suggest that patients with fractured limbs who are in need of CPCS not have the traction device applied.

Isolierte Verbrühungen und Verbrennungen an Händen im Kleinkindesalter*

Every year about a hundred children with burns and scalds are hospitalised in the Burns Unit of the University Children's Hospital in Zürich. 15% of these patients are children between 1/2 to 4 years old with isolated burns and scalds of their hands. The experience gained in the treatment of 53 such children during 4 years is described. The burn healed spontaneously in 31 patients; in 22 cases Thiersch grafts had to be used. In the follow-up treatment compression suits and special splints to prevent secondary contractures were employed. The results of this treatment using splints and compression suits are discussed.

Conservative treatment using compression suits for second and third degree burns in children

The use of compression suits since December 1976 has shown, that even in cases with hypertrophic scarring after deep second-and third-degree burns good late results can be obtained. Thirty-five patients were re-examined 18 to 20 months after the compression suits were introduced and the results were analysed.

Long-Term Therapy of Second and Third Degree Burns in Children Using Jobst-Compression Suits

Thirteen children, aged between 2 1/2 and 14 years, with full-thickness burns are presented. These children were treated with compression suits according to the method developed by the Jobst Institute in Toledo, Ohio. The material manufactured in Switzerland is described and the advantages and disadvantages of this material are discussed. Group I comprised 8 children who were fitted out with the suit directly after the burns had healed. These were all scalds covering 11 to 30% of the body surface and necessitating Thiersch grafts. Group 2 comprised 5 children who were only fitted with this suit 3 months to 2 years after the original accident. By that time they had all developed massive, hypertrophied scars, limiting flexion and extension of the joints. In the first group the skin colour rapidly returned to normal, the development of hypertrophic scars was not marked and these scars had a definite tendency to regress. Nine of ten affected joints either became normal or showed a considerable improvement in function. In the second group, 19 of 25 affected joints had become normal one year after the suits had been fitted and four showed definite improvement. Here the scars regressed, although admittedly slower than in the first group. The children appeared to wear the suits without discomfort or trouble.