The 3m coban 2 compression system is a twolayer compression bandage. A contextual view of compression bandaging for lymphoedema. Coban 2 layer lite compression system 3m 2794n vitality. Lymphedema bandaging book is step by step instructions for the application of upper and lower extremity bandages. Hypoallergenic and extremely gentle on tender skin, this breathable, yet durable adhesive tape is the goto choice for professionals who use it for everything from taping lymphedema bandaging in place, to other applications where delicate skin requires the use of the lightest, most forgiving product available. Coban 2 compression system was then applied to the limb, providing a rigid sleeve, or closed container. On november 11, 2014 the ama cpt editorial board announced in their errata and technical corrections. Used underneath the bandages to protect the skin from. Coban is a selfadherent wrap made of a porous, nonwoven polyester material.
Bandaging, which is also known as wrapping, is an effective form of achieving compression for some lymphedema patients because bandaging can be safely worn both day and night. For example, the arm lymphedema bandaging kit, available directly from lymphedema products, supplies all the bandages a patient will need to treat arm lymphedema during the clinical treatment phase. Apr 17, 2017 this video demonstrates self bandaging technique for arm lymphedema. Coban 2 layer compression system, includes roll 1 comfort layer, 4 inch x 2. Compression bandages may be machine or hand washed. Lymphoedema education solutions les is committed to deliver courses that meet workforce demands and has developed a variety of advanced courses. Coban 2 layer compression system versus profore to evaluate the product performance in patients with venous leg ulcers. In treating lymphedema, the use of compression bandaging is the main component of the initial intensive phase of complete decongestive therapy, or cdt, and is performed to reduce limb volume as part of a lymphedema treatment program. Please note that this is for illustrative purposes only and should not be attempted before obtaining a. The comfort layer is applied with minimal overlap and.
Using 3m coban 2 compression system to treat lymphoedema. When used in combination with 3m coban 2 layer comfort foam layer, provides. Compression bandages for lymphedema an essential part of the treatment and management of lymphedema are compression bandages. Effect of physical therapy on breast cancer related. Coban 2 compression system materials were engineered with intelligent compression dynamics to provide a conforming, inelastic sleeve with the required stiffness to support muscle pump to support lymph flow and reduce lymphoedema. This 2 layer compression bandage offers a low profile compression system that wraps the limb joint or affected area and holds that compression for up to a week. Lymphedema community is a place where lymphedema patients, therapists, physicians, industry professionals, and familyfriends can connect and share experiences, knowledge, and support. The first 2 weeks part i, only compression bandaging cb was used. Coban layer compression systems are indicated for the treatment of venous leg ulcers, lymphedema and other conditions where. Bandages can be made by combining kling and a tensor spiral or figure 8 and a flexible cohesive bandage on top. A blood pressure cuff applied over the proximal sensor was in.
Coban 2 layer compression system may be used for patients with an abpi greater than or equal to 0. Coban is a light weight cohesive elastic which provides controlled, consistent compression and conforms to all body contours. Multilayer lymphedema bandaging mllb traditional bandaging for lymphedema is multilayer lymphedema bandaging, or mllb. Coban is a light weight cohesive elastic that adheres to itself without the use of pins, clips or tape for securing, compression or support.
For clarity and simplicity, this document pertains to compression bandaging only. Lymphactivist s site for the lymphedema patient and the lymphedema therapist, where you will learn about lymphedema diagnosis, treatment, knowledge gaps, cost studies, coverage and controversies from a seasoned lymphedema patient advocate. The comfort foam layer protects the skin and the inelastic sleeve conforms to the limb to reduce volume and normalise limb shape as oedema is reduced, without the need to. They can be worn for up to 24 hours a day whether the patient is active, or resting. This video demonstrates self bandaging technique for arm lymphedema. Moffatt, in 2003, found that for every pound gbp spent on lymphedema treatments in the uk, one hundred pounds was saved in reduced hospital admissions. My experience, as a clinical lymphedema therapist using the coban 2 compression bandage was that it provided me the ability to treat more patients and achieve effective volume reduction as well. Empowerment with self bandaging lymphoedema education. A randomized controlled trial article in supportive care in cancer 205.
Comparative trial in compression therapy in leg lymphedema. Coban 2 compression system for lymphoedema brochure. The level 2 advanced lymphoedema courses provide the practitioner with the opportunity to develop their knowledge, skills and clinical reasoning in the management of complex lymphoedema. This 2 layer compression bandage offers a low profile compression system that wraps the limb joint or affected area and holds that compression for up to a.
Available in sterile and nonsterile styles, and in a variety of widths and colors to meet your application needs. The comfort layer has been assigned hcpcs code a6441 padding bandage and the compression layer has been assigned a6452 high compression bandage. The wound clinician has requested that coban 2 be used as the compression wrap. A clinical source book for health care professionals, 4th ed. This system of compression bandaging consists of only two layers. The purpose of this trial is to study the effect of the 3m coban 2 layer compression system hereafter c2l in the treatment of leg lymphedema compared to the traditional treatment with trico bandages.
Coban2 lite is a twocomponent compression system with a comfort layer close to the skin and a selfadherent external compression layer. Nonadhesive, oven weave bandages are often used on the fingers and toes. Coban 2 compression system bandaging sessions are less demanding for patients and clinicians. During this same study, a wide array of skin products were used in conjunction with the coban 2 bandage and were found to be well tolerated and did not promote bandage slippage. Coban 2 lite achieves a lower resting pressure than coban 2. Compression garments versus compression bandaging in decongestive lymphatic therapy for breast cancerrelated lymphedema. Apr 03, 2014 the hypothesis of this study is that skin care and guidance of physical activity combined with coban2 lite bandage alone is equally effective as complete decongestive therapy including skincare and guidance of physical activity, manual lymphatic drainage and coban2 lite bandage. Coban 2 lite reduces the risk of tissue damage and necrosis when compression therapy is considered necessary in patients with an abpi between 0. Coban is used for a variety of treatments that include compression and doesnt need pins or tape to keep it in place, and it does not loosen easily after application, practically making coban ideal for reliable, consistent compression. Moffatt c, franks p, hardy d, lewis m, parker v, feldman j. Coban 2 lite, manufactured by 3m, is designed to achieve sustained, therapeutic compression with reduced subbandage resting pressures.
By applying several layers over each other, the multilayer bandage system as a whole attains the characteristics of an inelastic system, even when the single components are elastic. By gently, but firmly, squeezing the soft tissues of the arms it is possible to coax lymph fluid back into the circulation, and out of tender. Bandaging, which is also known as wrapping, is an effective form of achieving compression for some lymphedema patients because. This guide is to be used under supervision by your healthcare practitioner following full instruction and practice. The 3 rd week part ii manual lymph drainage mld was added to one group. Clinical experience using coban 2 compression system for patients with lymphoedema has demonstrated effective compression for up to 4 days with high skin tolerance. Self bandaging technique for arm lymphedema youtube. Bandaging is also known as wrapping, or selfwrapping, is the most effective and flexible form of compression in the early stage of treatment of lymphedema bandages have the advantages in that.
C only perform the bandaging as demonstrated in this video after you have been instructed to do so by a certified lymphedema therapist. I was so upset that i had to wear a 4cm thick bandage that went from the end. For me, it is an automatic part of my daily ritual that after my shower, applying skin lotion comes compression wrapping of my legs. Instructions for selfcompression wrap for lymphedema compression wrapping improves the muscle pump, helps to decrease fibrotic tissue and promotes lymph drainage. Coban 2 compression systems and pascals law this principle has been demonstrated in a controlled laboratory study with 12 healthy subjects. Bandaging is a mainstay of treatment for stage 2 and stage 3 lymphedema moderate to severe lymphedema. Bandaging or wrapping is a selfcare tool that you will use time and time again to help control flareups and reduce the volume of your limb. Identify and treat the cause implement appropriate. Compression therapy in breast cancer related lymphedema. Are strapping multilayer compression system codes usable to bill lymphedema bandaging services. This is due to the low resting pressure exerted when the muscles are inactive and relaxed.
Mar 01, 2014 the innovative coban 2 layer compression system is a compression bandaging system containing two rolls a comfort layer and compression layer. A preliminary randomized controlled study to determine the application frequency of a new lymphoedema bandaging system. Effect of physical therapy on breast cancer related lymphedema. Coban by 3m sticks to itself, but not other materials, like skin or hair. Compression bandages in the treatment of leg lymphedema. This is a main component of the larger treatment regimen called complete decongestive therapy, or cdt, and many research studies have. Sep 28, 2012 3m coban 2 compression system, a twolayer compression therapy now designed to reduce oedema and improve comfort, mobility and quality of life for patients with lymphoedema. As a result, it is more comfortable for patients less tolerant of compression therapy. A selfadherent elastic wrap that functions like a tape, but sticks only to itself.
Lymphedema compression bandaging techniques, demonstrated by heidi roe m. These intelligent compression dynamics enhance the effectiveness of muscle and joint movements to encourage lymph. At haley rehab, our team uses a new type of bandaging. Although lymphedema treatment plans vary, bandaging is usually done every day for a few to several weeks as part of cdt. Bandaging kits are convenient resources for people who need to address ongoing lymphedema issues. Traditional bandaging for lymphedema is multilayer lymphedema bandaging, or mllb.
The bandaging process starts with an inner stockinglike fabric, known as a tubular stockinette the next layer consists of a padding made of polyester, cotton, or foam that is placed over the stockinette an outer layer of multiple overlapping shortstretch compression bandages is the final component of a multilayer compression bandage although your lymphedema treatment plan may vary. Benefits sticks to itself without need for adhesive, pins or clips wrap stays in place no need for frequent readjustment lightweight, porous and comfortable for patients protect primary dressings. Application video to demonstration how to apply 3m coban 2 lite compression systems for the treatment of lymphoedema in the fingers, hand and arm. Moisturize the skin with a low acidity moisturizer such as aquaphor, eucerin or johnsons baby lotion 2. Compression therapy in breast cancerrelated lymphedema. Lymphoedema maintain maata mobility lymphatic therapy. Coban 2 compression systems incorporate innovative methods and patented materials to provide comfortable, sustained compression that improves lymphatic flow to reduce lymphoedema. Compression bandages and compression garments see below used in the management of lymphedema should be properly washed on a regular basis, so skin cells and oils wont become trapped in the fibers of the bandages and damage the integrity of the textile.
This oldstyle bandage is bulky over the limbs being treated, yet does not aid circulation or lymph flow. With cdt, the bandages are worn day and night for a few weeks to a month, and removed only for bathing or treatment sessions with your lymphedema therapist. Coban 2 lite reduces the risk of tissue damage and necrosis when compression therapy is considered necessary in. Bandaging is also known as wrapping, or selfwrapping, is the most effective and flexible form of compression in the early stage of treatment of lymphedema. The innovative coban 2 layer compression system is a compression bandaging system containing two rolls a comfort layer and compression layer. Uk and canada using the 3m coban 2 compression system. In the early days, i was horrified by the process of bandaging.
Compression garments versus compression bandaging in. Education module application of compression therapy for. Engineered with intelligent compression dynamics to stay in place and deliver comfortable, effective, therapeutic compression for venous leg ulcers and other conditions requiring compression. A solution was to wear a compression sock and toe caps and then coban 2 bandage above to the groin. Bandaging involves creating a soft cast on the arm or upper body by wrapping with multiple layers. Up until now, traditional lymphoedema bandaging has incorporated short stretch, inelastic bandages with a variety of padding materials to normalise the limb. Toe boot if the toes are very swollen, it may be more comfortable to. These carefully assembled kits provide the specific tools and materials patients need to provide appropriate levels of compression to combat lymphedema. The coban 2 system typically includes a black stocking to go over the coban. Slippage was significantly less with the coban 2 layer compression system 2. This allows the client to have more flexibility and mobility in their daily duties.
Initial management of upper limb lymphedema with inelastic multilayer. It is cost effective as the bandaging is able to stay on the limb up to 4 days. Highquality lymphedema products serving you since 1994. Price match guarantee fast shipping quick order processing 100% safe and secure. These products are generally soft and stretchable for comfortable wear. Select the 10cm 4 inch 3m coban 2 comfort foam layer and 3m coban 2 compression layer for most lower legs. Page last modified 09292015 all medical information presented on this page is the opinion of our editorial board and experts. Lymphoedema specialists have recognised that the short stretch bandages with low extensibility produce high working pressures and lower resting pressures, these create peak pressures that produce a massaging effect to stimulate lymph flow.
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