Circumferential Measurements to Calculate Lower Limb Volume in Persons with Lymphedema : What Segment Length Is to Be Recommended?

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Jönsson, CharlottaLund University,Lunds universitet,Rehabilitering och hållbar hälsa,Forskargrupper vid Lunds universitet,Rehabilitation and Sustainable Health,Lund University Research Groups,Skåne University Hospital (author)

Circumferential Measurements to Calculate Lower Limb Volume in Persons with Lymphedema : What Segment Length Is to Be Recommended?

Article/chapterEnglish2023

Publisher, publication year, extent ...

2022-11-24
Mary Ann Liebert Inc,2023

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LIBRIS-ID:oai:lup.lub.lu.se:7ee6baee-6737-4570-8c72-96eb3e3b94b7
https://lup.lub.lu.se/record/7ee6baee-6737-4570-8c72-96eb3e3b94b7URI
https://doi.org/10.1089/lrb.2022.0032DOI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

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Background: Circumferential measurements (CMs) every 4th cm are commonly used to assess lower limb volume (LLV), but fewer measurements would be less time-consuming. The aim of this study was therefore to establish the agreement between LLV measurements derived from CM every 4th cm (V4), 8th cm (V8), and 12th cm (V12), and to evaluate the intrarater test-retest reliability for each of the three measurement methods in persons with lower limb lymphedema (LLL). Methods and Results: Forty-two persons with unilateral or bilateral LLL were measured twice, 2 weeks apart. Volume measurements for the V4, V8, and V12 methods were derived using CM. The agreement was evaluated using intraclass correlation coefficient (ICC3.1) and Bland-Altman graphs including 95% limits of agreement (LOA). The reliability was evaluated using ICC2.1 and standard error of measurement (SEM%) and smallest real difference (SRD%). The agreement was high for the V4 and V8 methods (ICC 0.999), and for the V4 and V12 methods (ICC 0.998). The graphs revealed slightly higher agreement between the V4 and V8 than between the V4 and V12 methods visualized by the 95% LOA (-117 to 62 and -236 to 132 mL, respectively). For all three measurement methods, the test-retest reliability was high (ICC 0.993-0.995) and the measurement error low (SEM%: 1.2%-1.4% and SRD%: 3.4%-3.8%). Conclusions: The higher agreement between the V4 and V8 methods than between V4 and V12, and the high test-retest reliability in LLV measurements support the V8 method to replace the V4 method in persons with LLL.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Medicinska och farmaceutiska grundvetenskaper Fysiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Basic Medicine Physiology hsv//eng
Humans
Reproducibility of Results
Lower Extremity
Lymphedema/diagnosis

Added entries (persons, corporate bodies, meetings, titles ...)

Johansson, KarinLund University,Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Rehabilitering och hållbar hälsa,Forskargrupper vid Lunds universitet,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Rehabilitation and Sustainable Health,Lund University Research Groups(Swepub:lu)sjuk-kjo (author)
Bjurberg, MariaLund University,Lunds universitet,Huvud- och halscancergruppen,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Bröst/ovarialcancer,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Head and Neck Cancer Research Group,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Breast/ovarian cancer,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)onk-mbj (author)
Brogårdh, ChristinaLund University,Lunds universitet,Rehabilitering och hållbar hälsa,Forskargrupper vid Lunds universitet,Rehabilitation and Sustainable Health,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-cbg (author)
Rehabilitering och hållbar hälsaForskargrupper vid Lunds universitet (creator_code:org_t)

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In:Lymphatic Research and Biology: Mary Ann Liebert Inc21:3, s. 275-2821539-68511557-8585

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