Intrarater Reliability of Tonometry and Bioimpedance Spectroscopy to Measure Tissue Compressibility and Extracellular Fluid in the Legs of Healthy Young People in Australia and Myanmar.
Identifieur interne : 000604 ( PubMed/Corpus ); précédent : 000603; suivant : 000605Intrarater Reliability of Tonometry and Bioimpedance Spectroscopy to Measure Tissue Compressibility and Extracellular Fluid in the Legs of Healthy Young People in Australia and Myanmar.
Auteurs : Janet Douglass ; Patricia Graves ; Susan GordonSource :
- Lymphatic research and biology [ 1557-8585 ] ; 2017.
Abstract
Measurements of tissue compressibility and extracellular fluid (ECF) are used to monitor progression of lymphedema, a chronic swelling of the subcutaneous tissue. Later stages of lymphedema are characterized by fibrotic induration in the subcutis and hyperkeratosis of the skin. Several devices are available to measure these changes, but previous reliability and validity studies have been conducted primarily on adult women with unilateral arm lymphedema using contralateral limbs as controls. To date, no studies have included either adolescents or measurement of leg tissue.
DOI: 10.1089/lrb.2016.0021
PubMed: 27673568
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pubmed:27673568Le document en format XML
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<author><name sortKey="Douglass, Janet" sort="Douglass, Janet" uniqKey="Douglass J" first="Janet" last="Douglass">Janet Douglass</name>
<affiliation><nlm:affiliation>1 Division of Tropical Medicine, James Cook University , Queensland, Australia .</nlm:affiliation>
</affiliation>
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<author><name sortKey="Graves, Patricia" sort="Graves, Patricia" uniqKey="Graves P" first="Patricia" last="Graves">Patricia Graves</name>
<affiliation><nlm:affiliation>1 Division of Tropical Medicine, James Cook University , Queensland, Australia .</nlm:affiliation>
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<author><name sortKey="Gordon, Susan" sort="Gordon, Susan" uniqKey="Gordon S" first="Susan" last="Gordon">Susan Gordon</name>
<affiliation><nlm:affiliation>2 Flinders University , School of Health Sciences, Bedford Park, South Australia .</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Intrarater Reliability of Tonometry and Bioimpedance Spectroscopy to Measure Tissue Compressibility and Extracellular Fluid in the Legs of Healthy Young People in Australia and Myanmar.</title>
<author><name sortKey="Douglass, Janet" sort="Douglass, Janet" uniqKey="Douglass J" first="Janet" last="Douglass">Janet Douglass</name>
<affiliation><nlm:affiliation>1 Division of Tropical Medicine, James Cook University , Queensland, Australia .</nlm:affiliation>
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<author><name sortKey="Graves, Patricia" sort="Graves, Patricia" uniqKey="Graves P" first="Patricia" last="Graves">Patricia Graves</name>
<affiliation><nlm:affiliation>1 Division of Tropical Medicine, James Cook University , Queensland, Australia .</nlm:affiliation>
</affiliation>
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<author><name sortKey="Gordon, Susan" sort="Gordon, Susan" uniqKey="Gordon S" first="Susan" last="Gordon">Susan Gordon</name>
<affiliation><nlm:affiliation>2 Flinders University , School of Health Sciences, Bedford Park, South Australia .</nlm:affiliation>
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<series><title level="j">Lymphatic research and biology</title>
<idno type="eISSN">1557-8585</idno>
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<front><div type="abstract" xml:lang="en">Measurements of tissue compressibility and extracellular fluid (ECF) are used to monitor progression of lymphedema, a chronic swelling of the subcutaneous tissue. Later stages of lymphedema are characterized by fibrotic induration in the subcutis and hyperkeratosis of the skin. Several devices are available to measure these changes, but previous reliability and validity studies have been conducted primarily on adult women with unilateral arm lymphedema using contralateral limbs as controls. To date, no studies have included either adolescents or measurement of leg tissue.</div>
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<pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27673568</PMID>
<DateCreated><Year>2016</Year>
<Month>09</Month>
<Day>27</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>03</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>15</Volume>
<Issue>1</Issue>
<PubDate><Year>2017</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
</Journal>
<ArticleTitle>Intrarater Reliability of Tonometry and Bioimpedance Spectroscopy to Measure Tissue Compressibility and Extracellular Fluid in the Legs of Healthy Young People in Australia and Myanmar.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Measurements of tissue compressibility and extracellular fluid (ECF) are used to monitor progression of lymphedema, a chronic swelling of the subcutaneous tissue. Later stages of lymphedema are characterized by fibrotic induration in the subcutis and hyperkeratosis of the skin. Several devices are available to measure these changes, but previous reliability and validity studies have been conducted primarily on adult women with unilateral arm lymphedema using contralateral limbs as controls. To date, no studies have included either adolescents or measurement of leg tissue.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">An intrarater reliability study was conducted to compare three devices measuring skin and subcutaneous tissue compressibility; a mechanical Tonometer, a digital Indurometer, and a SkinFibroMeter. ECF loads were measured using bioimpedance spectroscopy (BIS). Two populations of tropical-dwelling young people were included; Australian residents in North Queensland aged 8-21 years (n = 34) and people aged 10-21 years residing in Central Myanmar (n = 38). Neither cohort had any clinical sign of lymphedema or other leg abnormality. The mechanical Tonometer and the digital Indurometer had excellent intraclass correlation coefficient (ICC) scores between 0.792 (95% CI 0.055-0.901) and 0.964 (95% CI 0.945-0.984) and the SkinFibroMeter had good to excellent reliability with ICC scores of between 0.565 (95% CI 0.384-0.747) and 0.877 (95% CI 0.815-0.840). BIS exhibited the highest reliability with ICC scores approaching 1.0.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These results support the reliable use of tonometry and BIS to assess tissue compressibility and ECF loads in the legs of adolescent populations in developed and developing tropical countries.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Douglass</LastName>
<ForeName>Janet</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>1 Division of Tropical Medicine, James Cook University , Queensland, Australia .</Affiliation>
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<Author ValidYN="Y"><LastName>Graves</LastName>
<ForeName>Patricia</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>1 Division of Tropical Medicine, James Cook University , Queensland, Australia .</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Gordon</LastName>
<ForeName>Susan</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>2 Flinders University , School of Health Sciences, Bedford Park, South Australia .</Affiliation>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2016</Year>
<Month>09</Month>
<Day>27</Day>
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<MedlineJournalInfo><Country>United States</Country>
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