https://scholars.lib.ntu.edu.tw/handle/123456789/505087
標題: | Reliability study of measurements for lymphedema in breast cancer patients | 作者: | Chen Y.-W. Tsai H.-J. Hung H.-C. JAU-YIH TSAUO |
公開日期: | 2008 | 卷: | 87 | 期: | 1 | 起(迄)頁: | 33-38 | 來源出版物: | American Journal of Physical Medicine and Rehabilitation | 摘要: | OBJECTIVE: Water displacement, circumference measurement, and tissue tonometry are important methods to evaluate the status of lymphedemous limbs in breast cancer patients. The purpose of this study was to investigate the reliabilities, and define the limits for clinical change indicative of clinical improvement with respect to these three measures. DESIGN: Fourteen patients were recruited for water displacement and circumference measurement, and 17 for tissue resistance by tonometry. All had been treated for breast cancer and subsequently developed lymphedema. Two physical therapists conducted the measurements to determine intra- and interrater reliability. RESULTS: All measures had fair to excellent reliability (water displacement and circumference measurement, intraclass correlation coefficient [ICC] >0.99, P < 0.05; tissue tonometry, 0.66 < ICC < 0.88, P < 0.05). There was no systematic change in the mean for any of the measures. The variation, as determined by standard error of measurement (SEM), SEM%, smallest real difference (SRD), and SRD% was greatest for tissue tonometry. CONCLUSIONS: Water displacement and circumference measurement (but not tonometry) are reliable techniques for assessing lymphedema in clinical practice. The effect of modifying the tonometry protocol and increasing the amount of rater training should be studied to determine whether the reliability of this method can be improved. ? 2008 Lippincott Williams & Wilkins, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-37549003213&doi=10.1097%2fPHM.0b013e31815b6199&partnerID=40&md5=13d19b58f417411300ad3d5293f23201 https://scholars.lib.ntu.edu.tw/handle/123456789/505087 |
ISSN: | 0894-9115 | DOI: | 10.1097/PHM.0b013e31815b6199 | SDG/關鍵字: | adult; anthropometry; article; breast cancer; cancer patient; cancer surgery; clinical article; controlled study; correlation coefficient; human; intermethod comparison; interrater reliability; intrarater reliability; limb water displacement; lymphedema; physiotherapist; statistical analysis; tonometry; volumetry; Aged; Arm; Body Weights and Measures; Breast Neoplasms; Female; Humans; Lymphedema; Manometry; Middle Aged; Observer Variation; Reproducibility of Results; Sensitivity and Specificity |
顯示於: | 物理治療學系所 |
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