{"id":1030,"date":"2024-12-20T13:53:33","date_gmt":"2024-12-20T13:53:33","guid":{"rendered":"http:\/\/www.perimed-instruments.com\/us\/?post_type=application&#038;p=1030"},"modified":"2025-08-28T09:12:23","modified_gmt":"2025-08-28T09:12:23","slug":"skin-perfusion-pressure-spp","status":"publish","type":"application","link":"https:\/\/www.perimed-instruments.com\/us\/applications\/clinical-exams\/skin-perfusion-pressure-spp\/","title":{"rendered":"Skin perfusion pressure \u2014 SPP"},"content":{"rendered":"<section class=\"relative w-full mx-auto pt-24 2xl:pt-24 pb-24 2xl:pb-24 none\">\n                                                \n                                        <div class=\"sec-bg sec-bg-laptop absolute top-0 inset-0 flex justify-center overflow-hidden bg-no-repeat w-full h-full pointer-events-none z-[-1]\" style=\"background-image: url(https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/bg-hero-white-blur-right.webp);background-size:cover;background-position:center;\"><\/div>\n                                        <div class=\"sec-bg sec-bg-mobile absolute top-0 inset-0 flex justify-center overflow-hidden bg-no-repeat w-full h-full pointer-events-none z-[-1]\" style=\"background-image: url(https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/bg-hero-white-blur-right.webp);background-size:cover;background-position:center;\"><\/div>\n                                        <div class=\"sec-bg sec-bg-wide absolute top-0 inset-0 flex justify-center overflow-hidden bg-no-repeat w-full h-full pointer-events-none z-[-1]\" style=\"background-image: url(https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/bg-hero-white-blur-right.webp);background-size:cover;background-position:center;\"><\/div>\n                                        \n\n        <div class=\"section__content  max-w-screen-xl px-4 mx-auto sec_no_tabs\" >\n            \n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group is-content-justification-left is-layout-constrained wp-container-core-group-is-layout-4d085cea wp-block-group-is-layout-constrained\"><div class=\"yoast-breadcrumbs\"><span><span><a href=\"https:\/\/www.perimed-instruments.com\/us\/\">Home<\/a><\/span> \/ <span><a href=\"https:\/\/www.perimed-instruments.com\/us\/applications\/\">Applications<\/a><\/span> \/ <span><a href=\"https:\/\/www.perimed-instruments.com\/us\/applications\/clinical-exams\/\">Clinical exams<\/a><\/span> \/ <span class=\"breadcrumb_last\" aria-current=\"page\">Skin perfusion pressure \u2014 SPP<\/span><\/span><\/div>\n\n\n<h1 class=\"wp-block-heading pb-8 has-h-1-font-size\" id=\"h-skin-perfusion-pressure-spp\">Skin perfusion pressure \u2014 SPP<\/h1>\n\n\n\n<p class=\"has-text-hero-font-size\">SPP is a noninvasive method that leverages laser Doppler to measure blood perfusion in the microcirculation. It is primarily used in clinical (and clinical research) settings to assess wound healing potential \u2014 especially in patients with chronic conditions such as diabetic foot <a href=\"#references\"><sup>[1]<\/sup><\/a>.<\/p>\n\n\n\n<p class=\"has-text-hero-font-size\">One of the main advantages of SPP is that it is not affected by vascular calcification or anatomical structure. When clinical conditions \u2014 such as wounds on the sole or amputated toes \u2014 preclude the application of toe pressure or TcpO2, SPP is a viable alternative.<\/p>\n\n\n<div class=\"gn-spacer-block pb-10\">\n    <\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"#learn-more\">Learn more<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image alignright size-full is-style-rounded\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"550\" src=\"https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/periflux-6000-SPP-probe-foot-plantar-1-1.webp\" alt=\"periflux 6000 SPP-probe foot plantar\" class=\"wp-image-2288\" srcset=\"https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/periflux-6000-SPP-probe-foot-plantar-1-1.webp 800w, https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/periflux-6000-SPP-probe-foot-plantar-1-1-300x206.webp 300w, https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/periflux-6000-SPP-probe-foot-plantar-1-1-768x528.webp 768w, https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/periflux-6000-SPP-probe-foot-plantar-1-1-769x530.webp 769w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n        <\/div>\n    <\/section>\n\n\n<section class=\"relative w-full mx-auto pt-24 2xl:pt-24 pb-12 2xl:pb-12 none\" id=\"learn-more\">\n                        \n\n        <div class=\"section__content  max-w-4xl px-4 mx-auto sec_no_tabs\" >\n            \n\n<h2 class=\"wp-block-heading has-h-2-font-size\" id=\"h-spp-with-periflux-6000\">SPP with PeriFlux 6000<\/h2>\n\n\n\n<p class=\"has-text-20-font-size\">It\u2019s possible to carry out toe pressure and SPP in a single patient visit.<\/p>\n\n\n<div class=\"gn-spacer-block pb-8\">\n    <\/div>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"417\" src=\"https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/periflux_6000_combined_system_skin_perfusion_pressure_setup.webp\" alt=\"periflux 6000 combined system skin perfusion pressure setup\" class=\"wp-image-1031\" style=\"width:864px;height:auto\" srcset=\"https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/periflux_6000_combined_system_skin_perfusion_pressure_setup.webp 800w, https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/periflux_6000_combined_system_skin_perfusion_pressure_setup-300x156.webp 300w, https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/periflux_6000_combined_system_skin_perfusion_pressure_setup-768x400.webp 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n<div class=\"gn-spacer-block pb-8\">\n    <\/div>\n\n\n\n<p class=\"has-p-regular-font-size\">SPP can be measured at multiple sites: on the foot (plantar, dorsal, and toes), on the ankle, and above and below the knee. Blood flow is occluded by placing a pressure cuff over the probe and inflating it above the patient\u2019s resting systolic pressure. The cuff is then gradually deflated until microcirculatory flow returns \u2014 this is the SPP value and is measured in millimeters of mercury (mmHg).<\/p>\n\n\n\n<p class=\"has-p-regular-font-size\">SPP can help identify ischemic areas (by, for example, using the angiosome concept). Comparing SPP measurements in areas adjacent to a non-healing ulcer can reveal microcirculatory vascular deficiencies.<\/p>\n\n\n        <\/div>\n    <\/section>\n\n\n<section class=\"relative w-full mx-auto pt-24 2xl:pt-24 pb-12 2xl:pb-12 none\" id=\"how-to\">\n                                                \n                                        <div class=\"sec-bg sec-bg-laptop absolute top-0 inset-0 flex justify-center overflow-hidden bg-no-repeat w-full h-full pointer-events-none z-[-1]\" style=\"background-image: url(https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/gradient-pattern-1.webp);background-size:cover;background-position:center;\"><\/div>\n                                        <div class=\"sec-bg sec-bg-mobile absolute top-0 inset-0 flex justify-center overflow-hidden bg-no-repeat w-full h-full pointer-events-none z-[-1]\" style=\"background-image: url(https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/gradient-pattern-1.webp);background-size:cover;background-position:center;\"><\/div>\n                                        <div class=\"sec-bg sec-bg-wide absolute top-0 inset-0 flex justify-center overflow-hidden bg-no-repeat w-full h-full pointer-events-none z-[-1]\" style=\"background-image: url(https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/gradient-pattern-1.webp);background-size:cover;background-position:center;\"><\/div>\n                                        \n\n        <div class=\"section__content  max-w-4xl px-4 mx-auto sec_no_tabs\" >\n            \n\n<h5 class=\"wp-block-heading has-h-2-font-size\" id=\"h-how-to-carry-out-spp-with-periflux-6000\">How to carry out SPP with PeriFlux 6000<\/h5>\n\n\n\n<iframe loading=\"lazy\" frameBorder=\"0\" width=\"800\" height=\"450\" allowfullscreen webkitallowfullscreen mozallowfullscreen src=\"https:\/\/dreambroker.com\/channel\/dksa1js6\/iframe\/n1858an7?lang=en\" title=\"How to SPP with PeriFlux 6000\"><\/iframe>\n\n\n        <\/div>\n    <\/section>\n\n\n<section class=\"relative w-full mx-auto  pb-12 2xl:pb-12 none\">\n                        \n\n        <div class=\"section__content  max-w-4xl px-4 mx-auto sec_no_tabs\" >\n            \n\n<h3 class=\"wp-block-heading has-h-2-font-size\" id=\"h-when-to-use-spp\">When to use SPP<\/h3>\n\n\n\n<p>Not all patients are the same, toe pressure, for example, isn\u2019t feasible for a person whose toes have been amputated. For patients with edema, callouses, or wounds on the sole or plantar region, SPP is the most applicable means for measuring the microcirculation.<\/p>\n\n\n<div class=\"gn-spacer-block pb-8\">\n    <\/div>\n\n\n\n<h3 class=\"wp-block-heading has-h-3-font-size\" id=\"h-interpreting-spp-results\">Interpreting SPP results<\/h3>\n\n\n\n<p>The 2023 update of the IWGDF guidelines<a href=\"#references\"> <sup>[2]<\/sup><\/a>, includes SPP values for wound-healing prognosis, stating that values \u2265 40 mmHg can increase the probability of healing by up to 30%.<\/p>\n\n\n        <\/div>\n    <\/section>\n\n\n\n\n\n<p id=\"spp-tcpo2-guide\"><\/p>\n\n\n<section class=\"relative w-full mx-auto pt-24 2xl:pt-24 pb-12 2xl:pb-12 none\" id=\"how-to\">\n                                                \n                                        <div class=\"sec-bg sec-bg-laptop absolute top-0 inset-0 flex justify-center overflow-hidden bg-no-repeat w-full h-full pointer-events-none z-[-1]\" style=\"background-image: url(https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/gradient-pattern-1.webp);background-size:cover;background-position:center;\"><\/div>\n                                        <div class=\"sec-bg sec-bg-mobile absolute top-0 inset-0 flex justify-center overflow-hidden bg-no-repeat w-full h-full pointer-events-none z-[-1]\" style=\"background-image: url(https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/gradient-pattern-1.webp);background-size:cover;background-position:center;\"><\/div>\n                                        <div class=\"sec-bg sec-bg-wide absolute top-0 inset-0 flex justify-center overflow-hidden bg-no-repeat w-full h-full pointer-events-none z-[-1]\" style=\"background-image: url(https:\/\/www.perimed-instruments.com\/us\/wp-content\/uploads\/sites\/3\/gradient-pattern-1.webp);background-size:cover;background-position:center;\"><\/div>\n                                        \n\n        <div class=\"section__content  max-w-4xl px-4 mx-auto sec_no_tabs\" >\n            \n\n<h6 class=\"wp-block-heading has-h-3-font-size\" id=\"h-download-our-ebook\">Download our eBook<\/h6>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.perimed-instruments.com\/wp-content\/uploads\/Perimed-SPP-TcpO2-practical-guide-1024x724.webp\" alt=\"\" class=\"wp-image-3990\"\/><\/figure>\n\n\n<div class=\"gn-spacer-block pb-8\">\n    <\/div>\n\n\n\n<div class=\"hs-cta-embed hs-cta-simple-placeholder hs-cta-embed-187324364950\"\n  style=\"max-width:100%; max-height:100%; width:182px;height:50.390625px\" data-hubspot-wrapper-cta-id=\"187324364950\">\n  <a href=\"https:\/\/cta-service-cms2.hubspot.com\/web-interactives\/public\/v1\/track\/redirect?encryptedPayload=AVxigLINu94f9NgOnF4DNHj0d0m2OmpLbhsf%2BdhPvBmZvKLYh6%2BQE4go9xYYiaLpjm%2FLcucMFCYuZPxkQP0tC73nn%2BfSwnss%2FFbnNK9rZTvpWe02%2Fw%2Fui0BSj2xrw6Iat6qYghQYblrxIwS7QWH9egAAK7SUcNli6KxeLbGolJprSYMuS2GaNiMz5GdqHcivrFbkjxDN6ZfdvyMdMkhkDBYV0iraG0EKw6%2F17EvCMJgiDE5K9ieNB8UYU%2FAja4BUNLw3&#038;webInteractiveContentId=187324364950&#038;portalId=19961763\" target=\"_blank\" rel=\"noopener\" crossorigin=\"anonymous\">\n    <img decoding=\"async\" alt=\"Download eBook\" loading=\"lazy\" src=\"https:\/\/no-cache.hubspot.com\/cta\/default\/19961763\/interactive-187324364950.png\" style=\"height: 100%; width: 100%; object-fit: fill\"\n      onerror=\"this.style.display='none'\" \/>\n  <\/a>\n<\/div>\n\n\n        <\/div>\n    <\/section>\n","protected":false},"excerpt":{"rendered":"<p>SPP is a noninvasive method that leverages laser Doppler to measure blood perfusion in the microcirculation. It is primarily used in clinical (and clinical research) settings to assess wound healing potential \u2014 especially in patients with chronic conditions such as diabetic foot.<\/p>\n","protected":false},"featured_media":1706,"parent":1033,"menu_order":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":""},"application_cat":[31],"class_list":["post-1030","application","type-application","status-publish","has-post-thumbnail","hentry","application_cat-applications-clinical-exams"],"acf":{"page_layout":"fullwidth","page_header_style":"dark","page_hero_overlap_header":"no","page_custom_css":""},"_links":{"self":[{"href":"https:\/\/www.perimed-instruments.com\/us\/wp-json\/wp\/v2\/application\/1030","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.perimed-instruments.com\/us\/wp-json\/wp\/v2\/application"}],"about":[{"href":"https:\/\/www.perimed-instruments.com\/us\/wp-json\/wp\/v2\/types\/application"}],"up":[{"embeddable":true,"href":"https:\/\/www.perimed-instruments.com\/us\/wp-json\/wp\/v2\/application\/1033"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.perimed-instruments.com\/us\/wp-json\/wp\/v2\/media\/1706"}],"wp:attachment":[{"href":"https:\/\/www.perimed-instruments.com\/us\/wp-json\/wp\/v2\/media?parent=1030"}],"wp:term":[{"taxonomy":"application_cat","embeddable":true,"href":"https:\/\/www.perimed-instruments.com\/us\/wp-json\/wp\/v2\/application_cat?post=1030"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}