Measuring head and neck lymphedema: the "ALOHA" trial

Purcell, Amanda, Nixon, Jodie, Fleming, Jennifer, McCann, Andrew and Porceddu, Sandro (2015) Measuring head and neck lymphedema: the "ALOHA" trial. Head and Neck, 38 1: 79-84. doi:10.1002/hed.23853

Author Purcell, Amanda
Nixon, Jodie
Fleming, Jennifer
McCann, Andrew
Porceddu, Sandro
Title Measuring head and neck lymphedema: the "ALOHA" trial
Journal name Head and Neck   Check publisher's open access policy
ISSN 1097-0347
Publication date 2015-06-25
Sub-type Article (original research)
DOI 10.1002/hed.23853
Volume 38
Issue 1
Start page 79
End page 84
Total pages 6
Place of publication Hoboken, NJ United States
Publisher John Wiley & Sons
Collection year 2016
Language eng
Formatted 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. 
Keyword Lymphedema
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Early view of article. Published online 25 June 2015.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
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