Action Statement 13: RECOMMEND MECHANICAL COMPRESSIONWHEN SIGNS AND SYMPTOMS OF POST THROMBOTIC SYNDROME (PTS) ARE PRESENT.
Physical therapists should recommend mechanical compression (e.g. IPC and/or GCS ) when a patient has signs &/or symptoms suggestive of PTS. (Evidence Quality: I; Recommendation Strength: Strong)
Action Statement Profile
Aggregate Evidence Quality-Level I Benefit-Faster resolution of LE DVT signs and symptoms and decreasing PTS severity. Risk, Harm, Cost: Improper fit can lead to skin irritation, ulceration, and interruption of blood flow.
Benefit-Harm Assessment: Preponderance of benefit over harm Value Judgments: None Intentional Vagueness: The specific type(s) of mechanical compression was/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 the patient and/or care-giver.
Exclusions: Patients who have severe peripheral neuropathy, arterial insufficiency, dermatologic diseases, or lesions may have contraindications to selective mechanical compression modes.