Action Statement 9: RECOMMEND MECHANICAL COMPRESSION FOR PATIENTS WITH LE DVT.
Physical therapists should recommend mechanical compression (e.g. intermittent pneumatic compression &/or graduated compression stockings) when a patient has a LE DVT. (Evidence Quality: II; Recommendation Strength: Moderate)
Aggregate Evidence Quality: Level II
Benefit: Secondary prevention of recurrent DVT/PE or PTS and faster resolution of LE DVT signs and symptoms.
Risk, Harm, Cost: Improper fit can lead to skin irritation, ulceration, or interruption of blood flow.
Benefit-Harm Assessment: Preponderance of benefit over harm
Value Judgments: None
Intentional Vagueness: Type(s) of mechanical compression were not recommended. Physical therapists should work within their healthcare system to develop institution-specific protocols.
Role of Patient Preference: Ease of use, comfort-level, and/or ability to operate mechanical compression equipment properly should be discussed with patients and their families or caregivers.
Exclusions: Patients who have severe peripheral neuropathy, arterial insufficiency, dermatologic diseases, or lesions may have contraindications to selective mechanical compression modes.
