scholarly journals Reliability and Validity of Arm Volume Measurements for Assessment of Lymphedema

2006 ◽  
Vol 86 (2) ◽  
pp. 205-214 ◽  
Author(s):  
Richard Taylor ◽  
Upali W Jayasinghe ◽  
Louise Koelmeyer ◽  
Owen Ung ◽  
John Boyages

Background and Purpose. Arm lymphedema following breast cancer surgery is a continuing problem. In this study, we assessed the reliability and validity of circumferential measurements and water displacement for measuring upper-limb volume. Subjects. Participants included subjects who had had breast cancer surgery, including axillary dissection—19 with and 22 without a diagnosis of arm lymphedema—and 25 control subjects. Methods. Two raters measured each subject by using circumferential tape measurements at specified distances from the fingertips and in relation to anatomic landmarks and by using water displacement. Interrater reliability was calculated by analysis of variance and multilevel modeling. Volumes from circumferential measurements were compared with those from water displacement by use of means and correlation coefficients, respectively. The standard error of measurement, minimum detectable change (MDC), and limits of agreement (LOA) for volumes also were calculated. Results. Arm volumes obtained with these methods had high reliability. Compared with volumes from water displacement, volumes from circumferential measurements had high validity, although these volumes were slightly larger. Expected differences between subjects with and without clinical lymphedema following breast cancer were found. The MDC of volumes or the error associated with a single measure for data based on anatomic landmarks was lower than that based on distance from fingertips. The mean LOA with water displacement were lower for data based on anatomic landmarks than for data based on distance from fingertips. Discussion and Conclusion. Volumes calculated from anatomic landmarks are reliable, valid, and more accurate than those obtained from circumferential measurements based on distance from fingertips. [Taylor R, Jayasinghe UW, Koelmeyer L, et al. Reliability and validity of arm volume measurements for assessment of lymphedema. Phys Ther. 2006;86:205–214.]

Cancer ◽  
2019 ◽  
Vol 125 (10) ◽  
pp. 1683-1692 ◽  
Author(s):  
Gunn Ammitzbøll ◽  
Christoffer Johansen ◽  
Charlotte Lanng ◽  
Elisabeth Wreford Andersen ◽  
Niels Kroman ◽  
...  

Author(s):  
Clarissa Medeiros da Luz ◽  
Amably Cristiny Prim ◽  
Julia Deitos ◽  
Ailime Perito Feiber Heck ◽  
Thaís Lunardi Recchia ◽  
...  

2018 ◽  
Vol 18 (6) ◽  
pp. e1261-e1267 ◽  
Author(s):  
Jill M. Binkley ◽  
Paul Stratford ◽  
Stephanie Kirkpatrick ◽  
Clara R. Farley ◽  
Joel Okoli ◽  
...  

2016 ◽  
Vol 12 (3) ◽  
pp. 111-117
Author(s):  
Radha Acharya Pandey ◽  
Shilpa Shrestha

Background & Objectives: Lymphedema is a common complication of cancer therapeutics; its prevalence, treatment outcomes, and costs have been poorly defined. It is potentially debilitating condition in breast cancer survivors which negatively affects the quality of life. This study aims to assess the prevalence of arm lymphedema among patients with breast cancer surgery.Materials & Methods: A cross-sectional study was conducted to assess the prevalence of arm lymphedema among the women with breast cancer surgery. Purposive sampling technique was used to collect the data from a sample of 66 women of selected hospitals.  Data were collected through self constructed structured and semi structured interview based questionnaire which consisted socio demographic information and clinical related factors. Results: Among The overall prevalence of arm lymphedema was found to be seven (10.6%) respondents among the study population. In this study, 41 (62.1%) respondents were < 50 years of age, 13 (19.7%) had education of secondary level, 27 (40.9%) had received radiation therapy, 63 (95.5%) had no history of infection, 54 (81.8%) had undergone modified radical mastectomy, and 56 (84.8%) had involved lymph node resection. Statistically no any significant association was found between these variables.Conclusion: On the basis of the findings, this conclusion has been drawn that prevalence of arm lymphedema among patients with breast cancer surgery was low (10.6%). Moreover no association was found between the prevalence of arm lymphedema, sociodemographic variables and clinical related factors.


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