Reliability and clinical utility of the Pliance X for measuring pressure at the interface of pressure garments and burn scars in children

Jodie Wiseman; Megan Simons; Roy Kimble; Zephanie Tyack

doi:10.1016/j.burns.2018.05.002

Reliability and clinical utility of the Pliance X for measuring pressure at the interface of pressure garments and burn scars in children

Jodie Wiseman^*
, Megan Simons
, Roy Kimble
, Zephanie Tyack

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

14 Citations (Scopus)

Abstract

Background: Reliable, clinically acceptable pressure measuring devices are important to accurately record interface pressure. The Pliance X is a device that may overcome previous device limitations (i.e. pressure garment distortion, temperature dependent sensors). This research aimed to identify the test–retest reliability and clinical utility of the Pliance X in children receiving pressure garment therapy post-burn.

Methods: Data was collected as part of a pilot longitudinal cohort study. Immediate test–retest reliability was investigated at baseline and analysed using Intra-Class Correlation Coefficients (ICCs). Clinical utility was evaluated at baseline using the criteria of appropriate, accessible, practicable and acceptable.

Results: Thirty-one children completed baseline measurements. Participants had a median age of three years (IQR: 1.5, 7.5), and 61% were male. Test–retest reliability of the Pliance X was close to acceptable for clinical use for stationary interface pressure (ICC = 0.87, n = 27). The Pliance X was appropriate and acceptable for children of all ages who were not distressed.

Discussion: Further reliability testing is required, including inter-rater reliability testing. The device's clinical utility could be improved with alternate sensor styles and an instant mean pressure reading to enable immediately clinically useful information on the interface pressure.

Original language	English
Pages (from-to)	1820-1828
Number of pages	9
Journal	Burns
Volume	44
Issue number	7
DOIs	https://doi.org/10.1016/j.burns.2018.05.002
Publication status	Published - Nov 2018
Externally published	Yes

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10.1016/j.burns.2018.05.002

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@article{b730bfbec9734414bce23840b295d90e,

title = "Reliability and clinical utility of the Pliance X for measuring pressure at the interface of pressure garments and burn scars in children",

abstract = "Background: Reliable, clinically acceptable pressure measuring devices are important to accurately record interface pressure. The Pliance X is a device that may overcome previous device limitations (i.e. pressure garment distortion, temperature dependent sensors). This research aimed to identify the test–retest reliability and clinical utility of the Pliance X in children receiving pressure garment therapy post-burn. Methods: Data was collected as part of a pilot longitudinal cohort study. Immediate test–retest reliability was investigated at baseline and analysed using Intra-Class Correlation Coefficients (ICCs). Clinical utility was evaluated at baseline using the criteria of appropriate, accessible, practicable and acceptable. Results: Thirty-one children completed baseline measurements. Participants had a median age of three years (IQR: 1.5, 7.5), and 61\% were male. Test–retest reliability of the Pliance X was close to acceptable for clinical use for stationary interface pressure (ICC = 0.87, n = 27). The Pliance X was appropriate and acceptable for children of all ages who were not distressed. Discussion: Further reliability testing is required, including inter-rater reliability testing. The device's clinical utility could be improved with alternate sensor styles and an instant mean pressure reading to enable immediately clinically useful information on the interface pressure.",

author = "Jodie Wiseman and Megan Simons and Roy Kimble and Zephanie Tyack",

note = "Funding Information: This work was supported by an Australian Government Research Training Scholarship and Children{\textquoteright}s Health Foundation Top-Up Scholarship to the PhD student (JW) as well as a research grant provided to The University of Queensland by Stratpharma. The funding bodies did not have input into any component of the study including the design. The study authors report no conflicts of interest based on funding. Funding Information: The author{\textquoteright}s would like to acknowledge all the children, families and health professionals who participated in this study and acknowledge all the staff at the Pegg Leditschke Children{\textquoteright}s Burns Centre at the Lady Cilento Children{\textquoteright}s Hospital, Brisbane, Australia for their support and assistance throughout data collection. This study is funded by an Australian Government Research Training Scholarship , Children{\textquoteright}s Health Foundation Top-Up Scholarship and a grant given to The University of Queensland by Stratpharma . Publisher Copyright: {\textcopyright} 2018 Elsevier Ltd and ISBI Copyright: Copyright 2018 Elsevier B.V., All rights reserved.",

year = "2018",

month = nov,

doi = "10.1016/j.burns.2018.05.002",

language = "English",

volume = "44",

pages = "1820--1828",

journal = "Burns",

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T1 - Reliability and clinical utility of the Pliance X for measuring pressure at the interface of pressure garments and burn scars in children

AU - Wiseman, Jodie

AU - Simons, Megan

AU - Kimble, Roy

AU - Tyack, Zephanie

N1 - Funding Information: This work was supported by an Australian Government Research Training Scholarship and Children’s Health Foundation Top-Up Scholarship to the PhD student (JW) as well as a research grant provided to The University of Queensland by Stratpharma. The funding bodies did not have input into any component of the study including the design. The study authors report no conflicts of interest based on funding. Funding Information: The author’s would like to acknowledge all the children, families and health professionals who participated in this study and acknowledge all the staff at the Pegg Leditschke Children’s Burns Centre at the Lady Cilento Children’s Hospital, Brisbane, Australia for their support and assistance throughout data collection. This study is funded by an Australian Government Research Training Scholarship , Children’s Health Foundation Top-Up Scholarship and a grant given to The University of Queensland by Stratpharma . Publisher Copyright: © 2018 Elsevier Ltd and ISBI Copyright: Copyright 2018 Elsevier B.V., All rights reserved.

PY - 2018/11

Y1 - 2018/11

N2 - Background: Reliable, clinically acceptable pressure measuring devices are important to accurately record interface pressure. The Pliance X is a device that may overcome previous device limitations (i.e. pressure garment distortion, temperature dependent sensors). This research aimed to identify the test–retest reliability and clinical utility of the Pliance X in children receiving pressure garment therapy post-burn. Methods: Data was collected as part of a pilot longitudinal cohort study. Immediate test–retest reliability was investigated at baseline and analysed using Intra-Class Correlation Coefficients (ICCs). Clinical utility was evaluated at baseline using the criteria of appropriate, accessible, practicable and acceptable. Results: Thirty-one children completed baseline measurements. Participants had a median age of three years (IQR: 1.5, 7.5), and 61% were male. Test–retest reliability of the Pliance X was close to acceptable for clinical use for stationary interface pressure (ICC = 0.87, n = 27). The Pliance X was appropriate and acceptable for children of all ages who were not distressed. Discussion: Further reliability testing is required, including inter-rater reliability testing. The device's clinical utility could be improved with alternate sensor styles and an instant mean pressure reading to enable immediately clinically useful information on the interface pressure.

AB - Background: Reliable, clinically acceptable pressure measuring devices are important to accurately record interface pressure. The Pliance X is a device that may overcome previous device limitations (i.e. pressure garment distortion, temperature dependent sensors). This research aimed to identify the test–retest reliability and clinical utility of the Pliance X in children receiving pressure garment therapy post-burn. Methods: Data was collected as part of a pilot longitudinal cohort study. Immediate test–retest reliability was investigated at baseline and analysed using Intra-Class Correlation Coefficients (ICCs). Clinical utility was evaluated at baseline using the criteria of appropriate, accessible, practicable and acceptable. Results: Thirty-one children completed baseline measurements. Participants had a median age of three years (IQR: 1.5, 7.5), and 61% were male. Test–retest reliability of the Pliance X was close to acceptable for clinical use for stationary interface pressure (ICC = 0.87, n = 27). The Pliance X was appropriate and acceptable for children of all ages who were not distressed. Discussion: Further reliability testing is required, including inter-rater reliability testing. The device's clinical utility could be improved with alternate sensor styles and an instant mean pressure reading to enable immediately clinically useful information on the interface pressure.

UR - https://www.scopus.com/pages/publications/85050794794

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DO - 10.1016/j.burns.2018.05.002

M3 - Article

C2 - 30077488

AN - SCOPUS:85050794794

SN - 0305-4179

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SP - 1820

EP - 1828

JO - Burns

JF - Burns

IS - 7

ER -

Reliability and clinical utility of the Pliance X for measuring pressure at the interface of pressure garments and burn scars in children

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