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Graduated compression stockings for runners: friend, foe, or fake?
Bovenschen HJ, te Booij M, van der Vleuten CJM
Journal of Athletic Training 2013 Mar-Apr;48(2):226-232
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To assess the effect of graduated compression stockings (GCS) on lower leg volume and leg complaints in runners during and after exercise. DESIGN: Cross-sectional study. SETTING: Radboud University Nijmegen Medical Centre and an outdoor running track in Nijmegen, The Netherlands. PATIENTS OR OTHER PARTICIPANTS: Thirteen Dutch trained recreational runners. INTERVENTION(S): Participants used a GCS on 1 leg during running. MAIN OUTCOME MEASURES: (1) Lower leg volume of both legs was measured at baseline, directly after running, and at 5 minutes and 30 minutes after running using a validated perometer. (2) Leg complaints were reported on questionnaires at set intervals. RESULTS: (1) In both experiments, the legs with GCS showed a reduction in mean (+/- SEM) leg volume directly after running, as compared with the leg without GCS: -14.1 +/- 7.6 mL (p = 0.04) for the 10-km running track and -53.5 +/- 17.8 mL (p = 0.03) for the maximum exercise test. This effect was not observed at 5 and 30 minutes after running. (2) No differences in leg complaints were reported in either experiment. CONCLUSIONS: The GCS prevented an increase in leg volume just after the running exercise. However, this result was not accompanied by a reduction in subjective questionnaire-reported leg complaints. The practical consequences of the present findings need further study.

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