title: An investigation to assess ankle mobility in healthy individuals from the application of multi-component compression bandages and compression hosiery.
abstract: BACKGROUND
  An investigation was undertaken to compare the effect of multi-component compression bandages and compression hosiery kits on individuals' range of ankle motion whilst wearing typical and medical footwear, and barefoot.
  
  
  METHODS
  A convenience sample of 30 healthy individuals recruited from the staff and student population at the University of Huddersfield, UK. Plantarflexion/dorsiflexion range of ankle motion (ROAM) was measured in participants over 6 steps in every combination of typical, medical and no footwear; and multi-component bandages, compression hosiery and no garments.
  
  
  RESULTS
  Controlling for age, gender and garments, the use of typical footwear was associated with a mean increase in ROAM of 2.54° at best estimate compared with barefoot; the use of medical footwear was associated with a mean decrease in ROAM of 1.12° at best estimate compared with barefoot. Controlling for age, gender and footwear, the use of bandaging was associated with a mean decrease in ROAM of 2.51° at best estimate compared with no garments. Controlling for age, gender and footwear, the use of hosiery was not associated with a significant change in ROAM compared with no garments.
  
  
  CONCLUSIONS
  Bandages appear to restrict ROAM more than hosiery when used in conjunction with a variety of footwear types.
authors.affiliation: School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK ; Vascular Nurse Specialist, Mid Yorkshire NHS Trust, Huddersfield, UK.
authors.forename: Leanne
authors.initials: L
authors.lastname: Atkin
authors.affiliation: Biomedical Statistics, School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.
authors.forename: John
authors.initials: J
authors.lastname: Stephenson
authors.affiliation: School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.
authors.forename: Grace
authors.initials: G
authors.lastname: Parfitt
authors.affiliation: Podiatry, School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Reel
authors.affiliation: Advancing Clinical Practice, School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.
authors.forename: Karen
authors.initials: K
authors.lastname: Ousey
authors.affiliation: School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.
authors.forename: Brandon
authors.initials: B
authors.lastname: Fallon
mesh_terms: D000328:Adult; D000843:Ankle Joint / Q000502:physiology*; D053587:Arthrometry, Articular / Q000379:methods; D058128:Compression Bandages; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular / Q000502:physiology*; D012775:Shoes; D053828:Stockings, Compression; D055815:Young Adult
keywords: Compression therapy; Dorsiflexion; Plantarflexion; Range of ankle motion; Venous ulceration