Mori Tal, Lustman Alexander, Katz-Leurer Michal
Clalit , Tel Aviv , Israel and.
Physiother Theory Pract. 2015 May;31(4):283-7. doi: 10.3109/09593985.2014.994249. Epub 2014 Dec 24.
Secondary lymphedema is a chronic swelling of the upper limb that may occur after treatment for breast cancer. During the acute phase, intensive treatment with a therapist is provided, while during the maintenance phase the patient needs to detect any re-swelling by self-examination.
To assess the test-retest reliability and the concurrent validity of self-measurement upper limb volume among women post-breast cancer.
A cross-sectional study of 17 women post-breast cancer that experience a period of intensive unilateral upper limb lymphedema treatment in the past.
On day 1 and day 10 at the clinic, the physiotherapist measured the volume of the upper limbs with the water displacement method (i.e. the "gold standard" for volume measure) as well as with the more common method of plastic tape. The participants performed self-measurement twice with the paper tape under the supervision of a physiotherapist in the clinic. After a week the participants performed self-measurement at home with the paper tape.
The intra-class correlations measures indicated excellent values for the self-measure tape measurements on the operated side (0.97-0.99) as well as on the opposite arm (0.96-0.99). The self-measurement revealed a moderate association with the criterion measure, the water displacement (rp 0.59-0.68, (p < 0.05)), and strong concurrent validity with therapist tape measurements (rp 0.88-0.95, (p < 0.05)).
Women post-breast cancer can self-measure upper limb volume using a paper tape which is both, reliable and valid.
继发性淋巴水肿是上肢的慢性肿胀，可能在乳腺癌治疗后出现。在急性期，由治疗师进行强化治疗，而在维持期，患者需要通过自我检查来检测是否有再次肿胀。
评估乳腺癌术后女性上肢体积自我测量的重测信度和同时效度。
对17名曾经历过一段单侧上肢淋巴水肿强化治疗时期的乳腺癌术后女性进行的横断面研究。
在诊所的第1天和第10天，物理治疗师用水置换法（即体积测量的“金标准”）以及更常用的塑料卷尺法测量上肢体积。参与者在诊所物理治疗师的监督下用卷尺进行两次自我测量。一周后，参与者在家中用卷尺进行自我测量。
组内相关系数测量表明，患侧（0.97 - 0.99）以及对侧手臂（0.96 - 0.99）的自我测量卷尺测量值具有优异的值。自我测量与标准测量方法水置换法显示出中度相关性（rp 0.59 - 0.68，(p < 0.05)），与治疗师卷尺测量具有较强的同时效度（rp 0.88 - 0.95，(p < 0.05)）。
乳腺癌术后女性可以使用卷尺对上肢体积进行自我测量，该方法既可靠又有效。
