Measurement Issues in Anthropometric Measures of Limb Volume Change in Persons at Risk for and Living with Lymphedema: A Reliability Study

Tidhar, Dorit; Armer, Jane M.; Deutscher, Daniel; Shyu, Chi‐Ren; Azuri, Josef; Madsen, Richard

doi:10.3390/jpm5040341

Cited by 37 publications

(29 citation statements)

References 22 publications

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“…However, a minor error can result from perimeter determination being generally applied by considering the distance on the skin, between the measurement points, to be the height of the cone when it is, in fact, the generator (with the value for the height of a cone being less than that of its generator) [ 22 ]. This error is reduced as the arm segment becomes more cylindrical and, conversely, is increased when the distance between the measurements or the segments becomes more cone-like in shape, with a greater difference between the generator and height values ( Figure 2 ).…”

Section: Discussionmentioning

confidence: 99%

Determination of the Minimum Detectable Change in the Total and Segmental Volumes of the Upper Limb, Evaluated by Perimeter Measurements

et al. 2020

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Among female breast cancer survivors, there is a high prevalence of lymphedema subsequent to axillary lymph node dissection and axillary radiation therapy. There are many methodologies available for the screening, diagnosis and follow-up of breast cancer survivors with or without lymphedema, the most common of which is the measurement of patients’ arm circumference. The purpose of this study was to determine the intra-rater minimal detectable change (MDC) in the volume of the upper limb, both segmentally and globally, using circumference measurements for the evaluation of upper limb volume. In this study, 25 women who had received a unilateral mastectomy for breast cancer stage II or III participated. On two occasions separated by 15 min, the same researcher determined 11 perimeters for each arm at 4 cm intervals from the distal crease of the wrist in the direction of the armpit. The MDC at the segmental level ranged from 3.37% to 7.57% (2.7 to 14.6 mL, respectively) and was 2.39% (42.9 mL) at the global level of the arm; thus, minor changes in this value result in a high level of uncertainty in the interpretation of the results associated with the diagnosis of lymphedema and follow-up for presenting patients.

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Section: Discussionmentioning

confidence: 99%

Determination of the Minimum Detectable Change in the Total and Segmental Volumes of the Upper Limb, Evaluated by Perimeter Measurements

et al. 2020

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“…These data allow the calculation of thigh volume, which is an indicator of inflammation and muscle damage [10] . The formula updated by [33][34][35][36] was used to calculate muscle volume as Follows:…”

Section: Study Design Body Composition and Anthropometric Measurementsmentioning

confidence: 99%

The effects of tow protocol cold water immersion on the post match recovery and physical performance in well-trained handball players

Mokhtar

Adel

Beboucha

et al. 2019

PPS

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Purpose: The purpose of this study is to compare two cold water immersion (CWI) protocols, continuous and fractionated, to optimize the recovery of Handball players after on recovery from exercise resulting in exercise-induced muscle damage. Material: Ten male Handball players (age: 15 ± 1.4 years, mass index: 67.2 ± 5.1 kg, height: 176.6 ± 7.30) voluntarily participated in the study. After three 90-minute training sessions (average heart rate 160 ± 15.81, 156 ± 5.53 and 156 ± 12.24 bpm) per week, participants were divided into 03 groups. The first experimental group (GE1) in continuous immersion (CWIC) of (12 minutes, 12± 0.4° C), a second experimental group (GE2) in fractional immersion (CWIF) of (4 x 2 min at 12 ± 0.4° C + 1 min out of water) and a control group (GC) in passive recovery. Body mass indices (BMI), countermovement (Countermovement jump) and muscle pain (Intensity of pain in the thighs) were measured. Results : The results concerning the percentage differences in the variation of the CMJ occurred respectively at 24h (Z = 12.62, p = 0.004) and 48h (Z = 16.22, p <0.001) compared to the control group. In addition, the results for muscle volume did not report any significant interaction (F (5.64) = 3.42, p = 0.078). The results of both protocols showed their effectiveness in reducing pain intensity by 24 and 48 hours after intense training (F (3.54) = 2.91, p = 0.016, p2 = 0.24). Conclusion: In conclusion, continuous and fractionated cold water immersion is beneficial for neuromuscular recovery 24 hours after intense exercise. The results also demonstrate a rapid recovery of handball players from their physical potential required in high level competitions.

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“…Furthermore, it is common for multiple providers to measure the arm for lymphedema screening purposes [7••]. As such, inter-rater variability can generate error with the tape measurement without significant training and provider experience, reducing the consistency and accuracy of values obtained [35]. …”

Section: Methodsmentioning

confidence: 99%

Diagnostic Methods, Risk Factors, Prevention, and Management of Breast Cancer-Related Lymphedema: Past, Present, and Future Directions

Sayegh

Asdourian

Swaroop

et al. 2017

Curr Breast Cancer Rep

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Purpose of Review Breast cancer-related lymphedema (BCRL) is a chronic, adverse, and much feared complication of breast cancer treatment, which affects approximately 20% of patients following breast cancer treatment. BCRL has a tremendous impact on breast cancer survivors, including physical impairments and significant psychological consequences. The intent of this review is to discuss recent studies and analyses regarding the risk factors, diagnosis, prevention through early screening and intervention, and management of BCRL. Recent Findings Highly-evidenced risk factors for BCRL include axillary lymph node dissection, lack of reconstruction, radiation to the lymph nodes, high BMI at diagnosis, weight fluctuations during and after treatment, subclinical edema within and beyond 3 months after surgery, and cellulitis in the at-risk arm. Avoidance of potential risk factors can serve as a method of prevention. Through establishing a screening program by which breast cancer patients are measured pre-operatively and at follow-ups, are objectively assessed through a weight-adjusted analysis, and are clinically assessed for signs and symptoms, BCRL can be tracked accurately and treated effectively. Management of BCRL is done by a trained professional, with research mounting towards the use of compression bandaging as a first line intervention against BCRL. Finally, exercise is safe for breast cancer patients with and without BCRL and does not incite or exacerbate symptoms of BCRL. Summary Recent research has shed light on BCRL risk factors, diagnosis, prevention, and management. We hope that education on these aspects of BCRL will promote an informed, consistent approach and encourage additional research in this field to improve patient outcomes and quality of life in breast cancer survivors.

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Measurement Issues in Anthropometric Measures of Limb Volume Change in Persons at Risk for and Living with Lymphedema: A Reliability Study

Cited by 37 publications

References 22 publications

Determination of the Minimum Detectable Change in the Total and Segmental Volumes of the Upper Limb, Evaluated by Perimeter Measurements

Determination of the Minimum Detectable Change in the Total and Segmental Volumes of the Upper Limb, Evaluated by Perimeter Measurements

The effects of tow protocol cold water immersion on the post match recovery and physical performance in well-trained handball players

Diagnostic Methods, Risk Factors, Prevention, and Management of Breast Cancer-Related Lymphedema: Past, Present, and Future Directions

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