Amanda Purcell1, Jodie Nixon1, Jennifer Fleming2, Andrew McCann3, Sandro Porceddu4. 1. Department of Occupational Therapy, Princess Alexandra Hospital, Queensland, Australia. 2. The University of Queensland, School of Health and Rehabilitation Science and Occupational Therapy, Princess Alexandra Hospital, Queensland, Australia. 3. Department of Vascular Medicine, Princess Alexandra Hospital, Queensland, Australia. 4. Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Australia.
Abstract
BACKGROUND: There is no clinical assessment available to measure head and neck lymphedema. This study proposes the use of a tape measurement system and the MoistureMeterD (MMD) to evaluate head and neck lymphedema. METHODS: The reliability and validity of these assessments was examined in 20 patients with head and neck lymphedema and 20 matched healthy controls. RESULTS: Interrater reliability for the MMD and 3 of the 4 tape measurements was excellent (intraclass correlation coefficients [ICCs] >0.90). Intrarater reliability of the MMD was 0.97. The MMD discriminated between patients with head and neck lymphedema and healthy controls, t(19) = 8.97, p < .001, whereas the tape measurements did not. Correlation between MMD score and head and neck lymphedema level ratings was significant (rho = 0.59) indicating convergent validity. Three of the tape measurements were significantly correlated with MMD scores (rho = 0.37-0.38) but not with ratings of head and neck lymphedema. CONCLUSION: The tape measurement system and MMD show potential as objective measurements of head and neck lymphedema with the exception of 1 tape measurement point.
BACKGROUND: There is no clinical assessment available to measure head and neck lymphedema. This study proposes the use of a tape measurement system and the MoistureMeterD (MMD) to evaluate head and neck lymphedema. METHODS: The reliability and validity of these assessments was examined in 20 patients with head and neck lymphedema and 20 matched healthy controls. RESULTS: Interrater reliability for the MMD and 3 of the 4 tape measurements was excellent (intraclass correlation coefficients [ICCs] >0.90). Intrarater reliability of the MMD was 0.97. The MMD discriminated between patients with head and neck lymphedema and healthy controls, t(19) = 8.97, p < .001, whereas the tape measurements did not. Correlation between MMD score and head and neck lymphedema level ratings was significant (rho = 0.59) indicating convergent validity. Three of the tape measurements were significantly correlated with MMD scores (rho = 0.37-0.38) but not with ratings of head and neck lymphedema. CONCLUSION: The tape measurement system and MMD show potential as objective measurements of head and neck lymphedema with the exception of 1 tape measurement point.
Authors: Jie Deng; Mary S Dietrich; Kenneth J Niermann; Robert J Sinard; Anthony J Cmelak; Sheila H Ridner; Jill Gilbert; Barbara A Murphy Journal: Int J Radiat Oncol Biol Phys Date: 2020-10-14 Impact factor: 8.013
Authors: Kaleigh N Doke; Laine Bowman; Yelizaveta Shnayder; Xinglei Shen; Mindi TenNapel; Sufi Mary Thomas; Prakash Neupane; Hung-Wen Yeh; Chris E Lominska Journal: Adv Radiat Oncol Date: 2018-04-27