Use of impedance ratios to assess hand swelling in lymphoedema

Dylke, E. S., Alsobayel, H. and Ward, L. C. (2012) Use of impedance ratios to assess hand swelling in lymphoedema. Phlebology, Article in press . doi:10.1258/phleb.2012.012073


Author Dylke, E. S.
Alsobayel, H.
Ward, L. C.
Title Use of impedance ratios to assess hand swelling in lymphoedema
Journal name Phlebology   Check publisher's open access policy
ISSN 0268-3555
1758-1125
Publication date 2012-11
Sub-type Article (original research)
DOI 10.1258/phleb.2012.012073
Volume Article in press
Total pages 7
Place of publication London, United Kingdom
Publisher Royal Society of Medicine Press
Collection year 2013
Language eng
Formatted abstract
Objectives: To determine whether bioimpedance spectroscopy was suitable for detection of hand lymphoedema.

Methods: The hands of 50 participants without a history of lymphoedema were measured with perometry and bioimpedance spectroscopy after positioning two ways for three minutes: (a) both hands rested at heart height and (b) the dominant hand at heart height and the non-dominant hand at head height. In addition, 10 women with secondary hand lymphoedema were also measured.

Results: Impedance and volume measurements were found to be strongly related (dominant hand r = −0.794). Both measurements were reliable (ICC2,1 = 0.900–0.967 and 0.988–0.996, respectively). Impedance was more sensitive to small changes in hand volume due to the postural change (position × device interaction: F = 23.9, P < 0.001). Finally, impedance measurements had better discrimination of women with lymphoedema than volume measurements.

Conclusions: Bioimpedance spectroscopy is a promising tool for the detection of secondary hand lymphoedema.
Keyword Lymphoedema
Hand
Bioimpedance spectroscopy
Volume
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online on: 27 November 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Chemistry and Molecular Biosciences
 
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Created: Fri, 07 Dec 2012, 09:22:07 EST by Mrs Louise Nimwegen on behalf of School of Chemistry & Molecular Biosciences