• Register
  • Login

European Journal of Molecular & Clinical Medicine

  1. Home
  2. Assessment Of Upper-Extremity Inter-Limb Girth And Volume Variance To Standardize Diagnostic Cut-Offs For Detection Of Upper Limb Lymphoedema In Indian Women Population

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Board

Publication Ethics

Indexing and Abstracting

Related Links

FAQ

Peer Review Process

Journal Metrics

News

Assessment Of Upper-Extremity Inter-Limb Girth And Volume Variance To Standardize Diagnostic Cut-Offs For Detection Of Upper Limb Lymphoedema In Indian Women Population

    Authors

    • Dr. KM Annamalai 1
    • Dr. MS Satish 2
    • Dr. Jafar Khan 3
    • Dr. M Janarthinakani 4

    1 (PI) Ph.D. Scholar Pacific Medical University, Udaipur, Rajasthan, India

    2 Chief Physiotherapist, Cancer Institute (WIA), Chennai, Tamil Nadu, India

    3 Dean and HOD Pacific College of Physiotherapy, Udaipur, Rajasthan, India

    4 Radiation Oncologist, Apollo Hospital, Chennai, Tamil Nadu, India

,

Document Type : Research Article

  • Article Information
  • Download
  • Export Citation
  • Statistics
  • Share

Abstract

Background: Due to its diverse appearances and challenges in clinical evaluation, secondary lymphedema is frequently underreported and undertreated. Normative-determined criteria from western population have high sensitivity and specificity for detection of mild lymphedema in western women. It is uncertain if these requirements apply to Indian women, whose body types differ from those of Western women. The purpose of this study was to define the typical upper extremity inter-limb variation in a sample of healthy Indian women and to establish statistically based diagnostic cut-offs for both circumference and volume measures.
Methods:Descriptive research design was adopted. Six hundred and thirty one healthy Indian women, between the age the age of twenty to seventy years, participated in this study. At 5 cm intervals, the upper limb circumference was measured from wrist to above. Each segment of the limb depicted a frustum or truncated cone as a result of the measurement levels dividing the limb into parts. By combining the volumes of the segments individually, the ultimate volume was calculated. Diagnostics cut-offs for lymphoedema were derived by calculating three standard deviations plus the mean difference between the limbs.
Results: Significant differences were revealed by the paired t-tests between the dominant and non-dominant circumference and volumetric measurements. Regression analysis found a strong correlation between Age and BMI with the inter-limb circumference and volume difference. The diagnostic cut-offs ranged between 5% for the age 20-25yrs to ≤10% for the age upto 70yrs.
Conclusions: The threshold values provided by this study, taking arm dominance and population specificity into consideration, are likely to be appropriate for accurate diagnosis of changes in limb volume, helping in early detection of lymphoedema and increasing the probability of early intervention. This study delineates the percentage of ≤10% inter upper limb difference to be considered normal and acceptable as non-pathological.

Keywords

  • Limb volume
  • lymphoedema
  • limb dominance
  • upper limb
  • Indian women
  • XML
  • PDF 275.24 K
  • RIS
  • EndNote
  • Mendeley
  • BibTeX
  • APA
  • MLA
  • HARVARD
  • VANCOUVER
    • Article View: 48
    • PDF Download: 131
European Journal of Molecular & Clinical Medicine
Volume 9, Issue 8 - Issue Serial Number 8
December 2022
Page 194-201
Files
  • XML
  • PDF 275.24 K
Share
Export Citation
  • RIS
  • EndNote
  • Mendeley
  • BibTeX
  • APA
  • MLA
  • HARVARD
  • VANCOUVER
Statistics
  • Article View: 48
  • PDF Download: 131

APA

Annamalai, D. K., Satish, D. M., Khan, D. J., & Janarthinakani, D. M. (2022). Assessment Of Upper-Extremity Inter-Limb Girth And Volume Variance To Standardize Diagnostic Cut-Offs For Detection Of Upper Limb Lymphoedema In Indian Women Population. European Journal of Molecular & Clinical Medicine, 9(8), 194-201.

MLA

Dr. KM Annamalai; Dr. MS Satish; Dr. Jafar Khan; Dr. M Janarthinakani. "Assessment Of Upper-Extremity Inter-Limb Girth And Volume Variance To Standardize Diagnostic Cut-Offs For Detection Of Upper Limb Lymphoedema In Indian Women Population". European Journal of Molecular & Clinical Medicine, 9, 8, 2022, 194-201.

HARVARD

Annamalai, D. K., Satish, D. M., Khan, D. J., Janarthinakani, D. M. (2022). 'Assessment Of Upper-Extremity Inter-Limb Girth And Volume Variance To Standardize Diagnostic Cut-Offs For Detection Of Upper Limb Lymphoedema In Indian Women Population', European Journal of Molecular & Clinical Medicine, 9(8), pp. 194-201.

VANCOUVER

Annamalai, D. K., Satish, D. M., Khan, D. J., Janarthinakani, D. M. Assessment Of Upper-Extremity Inter-Limb Girth And Volume Variance To Standardize Diagnostic Cut-Offs For Detection Of Upper Limb Lymphoedema In Indian Women Population. European Journal of Molecular & Clinical Medicine, 2022; 9(8): 194-201.

  • Home
  • About Journal
  • Editorial Board
  • Submit Manuscript
  • Contact Us
  • Glossary
  • Sitemap

News

 

For Special Issue Proposal : editor.ejmcm21@gmail.com

Newsletter Subscription

Subscribe to the journal newsletter and receive the latest news and updates

© Journal Management System. Powered by ejournalplus