Bioelectrical impedance for monitoring the efficacy of lymphoedema treatment programmes
Identifieur interne : 005997 ( Istex/Corpus ); précédent : 005996; suivant : 005998Bioelectrical impedance for monitoring the efficacy of lymphoedema treatment programmes
Auteurs : B. H. Cornish ; I. H. Bunce ; L. C. Ward ; L. C. Jones ; B. J. ThomasSource :
- Breast Cancer Research and Treatment [ 0167-6806 ] ; 1996-06-01.
Abstract
Abstract: The treatment of lymphoedema includes a combination of massage, compression bandaging, and exercise. To date the most common technique of assessing the efficacy of treatment has involved estimating the total limb volume from circumferential measurements at fixed intervals along the limb. This study investigated the application of multiple frequency bioelectrical impedance analysis, MFBIA, to monitor the volume of lymphoedema in the upper limb of patients who developed this disorder following surgery for cancer of the breast. Daily measurements of both circumference and impedance of both the affected and unaffected limbs were recorded for 20 patients throughout their 4 week treatment programmes. Twenty control subjects were also monitored daily over a similar 4 week period. Prior to the commencement of treatment the bioimpedance technique detected a significant (P < 0.01) asymmetry between the two limbs of the control subjects, associated with handedness (P < 0.001). Circumferential estimates of limb volumes in the control group detected no asymmetry. Impedance measures of extracellular fluid showed all of the patients to lie outside the 95% confidence interval determined from the data of the control group. The trends of the impedance measures and the circumferential estimates of volume throughout the 4 week program were found to be significantly different (P < 0.05); MFBIA exhibiting a greater sensitivity in the detection of lymphoedema. The results demonstrate that MFBIA is significantly more sensitive than circumferential measurement both in the early diagnosis of lymphoedema and in monitoring change.
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DOI: 10.1007/BF01806671
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ISTEX:BF63B2A55BBC3E44C4D5789B55536744640B9B54Le document en format XML
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Ward</name><affiliation><mods:affiliation>Department of Biochemistry, University of Queensland, Q4072, St Lucia, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Jones, L C" sort="Jones, L C" uniqKey="Jones L" first="L. C." last="Jones">L. C. Jones</name><affiliation><mods:affiliation>The Wesley Clinic for Haematology and Oncology, The Wesley Hospital, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Thomas, B J" sort="Thomas, B J" uniqKey="Thomas B" first="B. J." last="Thomas">B. J. 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Cornish</name><affiliation><mods:affiliation>Centre for Medical and Health Physics, Queensland University of Technology, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Bunce, I H" sort="Bunce, I H" uniqKey="Bunce I" first="I. H." last="Bunce">I. H. Bunce</name><affiliation><mods:affiliation>The Wesley Clinic for Haematology and Oncology, The Wesley Hospital, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Ward, L C" sort="Ward, L C" uniqKey="Ward L" first="L. C." last="Ward">L. C. Ward</name><affiliation><mods:affiliation>Department of Biochemistry, University of Queensland, Q4072, St Lucia, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Jones, L C" sort="Jones, L C" uniqKey="Jones L" first="L. C." last="Jones">L. C. Jones</name><affiliation><mods:affiliation>The Wesley Clinic for Haematology and Oncology, The Wesley Hospital, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Thomas, B J" sort="Thomas, B J" uniqKey="Thomas B" first="B. J." last="Thomas">B. J. Thomas</name><affiliation><mods:affiliation>Centre for Medical and Health Physics, Queensland University of Technology, Brisbane, Australia</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Breast Cancer Research and Treatment</title><title level="j" type="abbrev">Breast Cancer Res Tr</title><idno type="ISSN">0167-6806</idno><idno type="eISSN">1573-7217</idno><imprint><publisher>Kluwer Academic Publishers</publisher><pubPlace>Dordrecht</pubPlace><date type="published" when="1996-06-01">1996-06-01</date><biblScope unit="volume">38</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="169">169</biblScope><biblScope unit="page" to="176">176</biblScope></imprint><idno type="ISSN">0167-6806</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0167-6806</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: The treatment of lymphoedema includes a combination of massage, compression bandaging, and exercise. To date the most common technique of assessing the efficacy of treatment has involved estimating the total limb volume from circumferential measurements at fixed intervals along the limb. This study investigated the application of multiple frequency bioelectrical impedance analysis, MFBIA, to monitor the volume of lymphoedema in the upper limb of patients who developed this disorder following surgery for cancer of the breast. Daily measurements of both circumference and impedance of both the affected and unaffected limbs were recorded for 20 patients throughout their 4 week treatment programmes. Twenty control subjects were also monitored daily over a similar 4 week period. Prior to the commencement of treatment the bioimpedance technique detected a significant (P < 0.01) asymmetry between the two limbs of the control subjects, associated with handedness (P < 0.001). Circumferential estimates of limb volumes in the control group detected no asymmetry. Impedance measures of extracellular fluid showed all of the patients to lie outside the 95% confidence interval determined from the data of the control group. The trends of the impedance measures and the circumferential estimates of volume throughout the 4 week program were found to be significantly different (P < 0.05); MFBIA exhibiting a greater sensitivity in the detection of lymphoedema. The results demonstrate that MFBIA is significantly more sensitive than circumferential measurement both in the early diagnosis of lymphoedema and in monitoring change.</div></front></TEI><istex><corpusName>springer</corpusName><keywords><teeft><json:string>lymphoedema</json:string><json:string>impedance</json:string><json:string>circumferential</json:string><json:string>mfbia</json:string><json:string>cornish</json:string><json:string>bioelectrical</json:string><json:string>circumferential measurements</json:string><json:string>control group</json:string><json:string>limb</json:string><json:string>patient group</json:string><json:string>unaffected limb</json:string><json:string>volume ratio</json:string><json:string>circumferential estimates</json:string><json:string>multiple frequency bioelectrical impedance analysis</json:string><json:string>confidence interval</json:string><json:string>impedance measures</json:string><json:string>total limb volume</json:string><json:string>greater sensitivity</json:string><json:string>week period</json:string><json:string>control subjects</json:string><json:string>total body water</json:string><json:string>impedance measurements</json:string><json:string>significant asymmetry</json:string><json:string>compression bandaging</json:string><json:string>standard error</json:string><json:string>bioelectrical impedance analysis</json:string><json:string>short period</json:string><json:string>anthropometric data</json:string><json:string>circumferential measures</json:string><json:string>week program</json:string><json:string>circumference measurements</json:string><json:string>segmental water volumes</json:string><json:string>queensland university</json:string><json:string>wesley clinic</json:string><json:string>wesley hospital</json:string><json:string>muscle mass</json:string><json:string>typical control subject</json:string><json:string>body segment</json:string><json:string>various stages</json:string><json:string>better index</json:string><json:string>total volume</json:string><json:string>severe lymphoedema</json:string><json:string>intensive therapy</json:string><json:string>nutrition research</json:string><json:string>limb volume</json:string></teeft></keywords><author><json:item><name>B. 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Daily measurements of both circumference and impedance of both the affected and unaffected limbs were recorded for 20 patients throughout their 4 week treatment programmes. Twenty control subjects were also monitored daily over a similar 4 week period. Prior to the commencement of treatment the bioimpedance technique detected a significant (P > 0.01) asymmetry between the two limbs of the control subjects, associated with handedness (P > 0.001). Circumferential estimates of limb volumes in the control group detected no asymmetry. Impedance measures of extracellular fluid showed all of the patients to lie outside the 95% confidence interval determined from the data of the control group. The trends of the impedance measures and the circumferential estimates of volume throughout the 4 week program were found to be significantly different (P > 0.05); MFBIA exhibiting a greater sensitivity in the detection of lymphoedema. 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Cancer Res Tr</title><idno type="pISSN">0167-6806</idno><idno type="eISSN">1573-7217</idno><idno type="journal-ID">true</idno><idno type="issue-article-count">10</idno><idno type="volume-issue-count">3</idno><imprint><publisher>Kluwer Academic Publishers</publisher><pubPlace>Dordrecht</pubPlace><date type="published" when="1996-06-01"></date><biblScope unit="volume">38</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="169">169</biblScope><biblScope unit="page" to="176">176</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1996</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Abstract: The treatment of lymphoedema includes a combination of massage, compression bandaging, and exercise. To date the most common technique of assessing the efficacy of treatment has involved estimating the total limb volume from circumferential measurements at fixed intervals along the limb. This study investigated the application of multiple frequency bioelectrical impedance analysis, MFBIA, to monitor the volume of lymphoedema in the upper limb of patients who developed this disorder following surgery for cancer of the breast. Daily measurements of both circumference and impedance of both the affected and unaffected limbs were recorded for 20 patients throughout their 4 week treatment programmes. Twenty control subjects were also monitored daily over a similar 4 week period. Prior to the commencement of treatment the bioimpedance technique detected a significant (P < 0.01) asymmetry between the two limbs of the control subjects, associated with handedness (P < 0.001). Circumferential estimates of limb volumes in the control group detected no asymmetry. Impedance measures of extracellular fluid showed all of the patients to lie outside the 95% confidence interval determined from the data of the control group. The trends of the impedance measures and the circumferential estimates of volume throughout the 4 week program were found to be significantly different (P < 0.05); MFBIA exhibiting a greater sensitivity in the detection of lymphoedema. The results demonstrate that MFBIA is significantly more sensitive than circumferential measurement both in the early diagnosis of lymphoedema and in monitoring change.</p></abstract><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Oncology</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1996-06-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/BF63B2A55BBC3E44C4D5789B55536744640B9B54/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Springer, Publisher found" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//Springer-Verlag//DTD A++ V2.4//EN" URI="http://devel.springer.de/A++/V2.4/DTD/A++V2.4.dtd" 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programmes</ArticleTitle><ArticleCategory>Report</ArticleCategory><ArticleFirstPage>169</ArticleFirstPage><ArticleLastPage>176</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2005</Year><Month>5</Month><Day>16</Day></RegistrationDate></ArticleHistory><ArticleCopyright><CopyrightHolderName>Kluwer Academic Publishers</CopyrightHolderName><CopyrightYear>1996</CopyrightYear></ArticleCopyright><ArticleGrants Type="Regular"><MetadataGrant Grant="OpenAccess"></MetadataGrant><AbstractGrant Grant="OpenAccess"></AbstractGrant><BodyPDFGrant Grant="Restricted"></BodyPDFGrant><BodyHTMLGrant Grant="Restricted"></BodyHTMLGrant><BibliographyGrant Grant="Restricted"></BibliographyGrant><ESMGrant Grant="Restricted"></ESMGrant></ArticleGrants><ArticleContext><JournalID>10549</JournalID><VolumeIDStart>38</VolumeIDStart><VolumeIDEnd>38</VolumeIDEnd><IssueIDStart>2</IssueIDStart><IssueIDEnd>2</IssueIDEnd></ArticleContext></ArticleInfo><ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>B.</GivenName><GivenName>H.</GivenName><FamilyName>Cornish</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff2"><AuthorName DisplayOrder="Western"><GivenName>I.</GivenName><GivenName>H.</GivenName><FamilyName>Bunce</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff3" CorrespondingAffiliationID="Aff3"><AuthorName DisplayOrder="Western"><GivenName>L.</GivenName><GivenName>C.</GivenName><FamilyName>Ward</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff2"><AuthorName DisplayOrder="Western"><GivenName>L.</GivenName><GivenName>C.</GivenName><FamilyName>Jones</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>B.</GivenName><GivenName>J.</GivenName><FamilyName>Thomas</FamilyName></AuthorName></Author><Affiliation ID="Aff1"><OrgDivision>Centre for Medical and Health Physics</OrgDivision><OrgName>Queensland University of Technology</OrgName><OrgAddress><State>Brisbane</State><Country>Australia</Country></OrgAddress></Affiliation><Affiliation ID="Aff2"><OrgDivision>The Wesley Clinic for Haematology and Oncology</OrgDivision><OrgName>The Wesley Hospital</OrgName><OrgAddress><State>Brisbane</State><Country>Australia</Country></OrgAddress></Affiliation><Affiliation ID="Aff3"><OrgDivision>Department of Biochemistry</OrgDivision><OrgName>University of Queensland</OrgName><OrgAddress><Postcode>Q4072</Postcode><City>St Lucia</City><State>Brisbane</State><Country>Australia</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En"><Heading>Abstract</Heading><Para>The treatment of lymphoedema includes a combination of massage, compression bandaging, and exercise. To date the most common technique of assessing the efficacy of treatment has involved estimating the total limb volume from circumferential measurements at fixed intervals along the limb. This study investigated the application of multiple frequency bioelectrical impedance analysis, MFBIA, to monitor the volume of lymphoedema in the upper limb of patients who developed this disorder following surgery for cancer of the breast. Daily measurements of both circumference and impedance of both the affected and unaffected limbs were recorded for 20 patients throughout their 4 week treatment programmes. Twenty control subjects were also monitored daily over a similar 4 week period. Prior to the commencement of treatment the bioimpedance technique detected a significant (P < 0.01) asymmetry between the two limbs of the control subjects, associated with handedness (P < 0.001). Circumferential estimates of limb volumes in the control group detected no asymmetry. Impedance measures of extracellular fluid showed all of the patients to lie outside the 95% confidence interval determined from the data of the control group. The trends of the impedance measures and the circumferential estimates of volume throughout the 4 week program were found to be significantly different (P < 0.05); MFBIA exhibiting a greater sensitivity in the detection of lymphoedema. The results demonstrate that MFBIA is significantly more sensitive than circumferential measurement both in the early diagnosis of lymphoedema and in monitoring change.</Para></Abstract><KeywordGroup Language="En"><Heading>Key words</Heading><Keyword>lymphoedema</Keyword><Keyword>bioimpedance monitoring</Keyword><Keyword>treatment</Keyword><Keyword>post-mastectomy</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Bioelectrical impedance for monitoring the efficacy of lymphoedema treatment programmes</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Bioelectrical impedance for monitoring the efficacy of lymphoedema treatment programmes</title></titleInfo><name type="personal"><namePart type="given">B.</namePart><namePart type="given">H.</namePart><namePart type="family">Cornish</namePart><affiliation>Centre for Medical and Health Physics, Queensland University of Technology, Brisbane, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I.</namePart><namePart type="given">H.</namePart><namePart type="family">Bunce</namePart><affiliation>The Wesley Clinic for Haematology and Oncology, The Wesley Hospital, Brisbane, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal" displayLabel="corresp"><namePart type="given">L.</namePart><namePart type="given">C.</namePart><namePart type="family">Ward</namePart><affiliation>Department of Biochemistry, University of Queensland, Q4072, St Lucia, Brisbane, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L.</namePart><namePart type="given">C.</namePart><namePart type="family">Jones</namePart><affiliation>The Wesley Clinic for Haematology and Oncology, The Wesley Hospital, Brisbane, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">B.</namePart><namePart type="given">J.</namePart><namePart type="family">Thomas</namePart><affiliation>Centre for Medical and Health Physics, Queensland University of Technology, Brisbane, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Report"></genre><originInfo><publisher>Kluwer Academic Publishers</publisher><place><placeTerm type="text">Dordrecht</placeTerm></place><dateIssued encoding="w3cdtf">1996-06-01</dateIssued><copyrightDate encoding="w3cdtf">1996</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Abstract: The treatment of lymphoedema includes a combination of massage, compression bandaging, and exercise. To date the most common technique of assessing the efficacy of treatment has involved estimating the total limb volume from circumferential measurements at fixed intervals along the limb. This study investigated the application of multiple frequency bioelectrical impedance analysis, MFBIA, to monitor the volume of lymphoedema in the upper limb of patients who developed this disorder following surgery for cancer of the breast. Daily measurements of both circumference and impedance of both the affected and unaffected limbs were recorded for 20 patients throughout their 4 week treatment programmes. Twenty control subjects were also monitored daily over a similar 4 week period. Prior to the commencement of treatment the bioimpedance technique detected a significant (P < 0.01) asymmetry between the two limbs of the control subjects, associated with handedness (P < 0.001). Circumferential estimates of limb volumes in the control group detected no asymmetry. Impedance measures of extracellular fluid showed all of the patients to lie outside the 95% confidence interval determined from the data of the control group. The trends of the impedance measures and the circumferential estimates of volume throughout the 4 week program were found to be significantly different (P < 0.05); MFBIA exhibiting a greater sensitivity in the detection of lymphoedema. The results demonstrate that MFBIA is significantly more sensitive than circumferential measurement both in the early diagnosis of lymphoedema and in monitoring change.</abstract><note>Report</note><relatedItem type="host"><titleInfo><title>Breast Cancer Research and Treatment</title></titleInfo><titleInfo type="abbreviated"><title>Breast Cancer Res Tr</title></titleInfo><genre type="journal" displayLabel="Archive Journal"></genre><originInfo><dateIssued encoding="w3cdtf">1996-06-01</dateIssued><copyrightDate encoding="w3cdtf">1996</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Oncology</topic></subject><identifier type="ISSN">0167-6806</identifier><identifier type="eISSN">1573-7217</identifier><identifier type="JournalID">10549</identifier><identifier type="IssueArticleCount">10</identifier><identifier type="VolumeIssueCount">3</identifier><part><date>1996</date><detail type="volume"><number>38</number><caption>vol.</caption></detail><detail type="issue"><number>2</number><caption>no.</caption></detail><extent unit="pages"><start>169</start><end>176</end></extent></part><recordInfo><recordOrigin>Kluwer Academic Publishers, 1996</recordOrigin></recordInfo></relatedItem><identifier type="istex">BF63B2A55BBC3E44C4D5789B55536744640B9B54</identifier><identifier type="DOI">10.1007/BF01806671</identifier><identifier type="ArticleID">BF01806671</identifier><identifier type="ArticleID">Art4</identifier><accessCondition type="use and reproduction" contentType="copyright">Kluwer Academic Publishers, 1996</accessCondition><recordInfo><recordContentSource>SPRINGER</recordContentSource><recordOrigin>Kluwer Academic Publishers, 1996</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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