Correlation between bioelectrical spectroscopy and perometry in assessment of upper extremity swelling

Minal S. Jain, J. V. Danoff, S. M. Paul

Research output: Contribution to journalArticle

Abstract

Lymphedema is a common side effect of breast cancer treatment and is associated with increased upper extremity volume, functional impairment, and pain. While there is no cure for lymphedema, physical therapy treatment can often alleviate symptoms. To measure the efficacy of treatment, accurate assessment of the limbs is important. Current methods of assessment are complex (water displacement), marginally accurate (circumferential measurements), or expensive (opto-electrical systems). A new method for estimating tissue fluid is bioelectrical spectroscopy (BIS). This method measures impedance to small currents applied to the body and is easily performed. Acceptance of BIS devices for assessment of limb fluid will be dependent on the establishment of sufficient reliability and validity, and the objective of this study was to evaluate reliability and validity of this device compared to perometry. Both upper limbs of ten subjects previously treated for breast cancer were measured using BIS and perometry. We found that inter-rater reliability (r=0.987) and intra-rater reliability (r=0.993) were acceptably high for the BIS unit and concurrent validity was r=-0.904, when compared to perometry. These results confirm that BIS can produce valid and reliable data related to the assessment of upper limbs affected by lymphedema.

Original languageEnglish (US)
Pages (from-to)85-94
Number of pages10
JournalLymphology
Volume43
Issue number2
StatePublished - Jun 2010
Externally publishedYes

Fingerprint

Upper Extremity
Spectrum Analysis
Lymphedema
Reproducibility of Results
Extremities
Breast Neoplasms
Equipment and Supplies
Electric Impedance
Therapeutics
Pain
Water

Keywords

  • Bioelectrical spectroscopy
  • Bioimpedance
  • Breast cancer
  • Lymphedema
  • Volumetry

ASJC Scopus subject areas

  • Immunology and Allergy
  • Hematology
  • Medicine(all)

Cite this

Correlation between bioelectrical spectroscopy and perometry in assessment of upper extremity swelling. / Jain, Minal S.; Danoff, J. V.; Paul, S. M.

In: Lymphology, Vol. 43, No. 2, 06.2010, p. 85-94.

Research output: Contribution to journalArticle

Jain, Minal S. ; Danoff, J. V. ; Paul, S. M. / Correlation between bioelectrical spectroscopy and perometry in assessment of upper extremity swelling. In: Lymphology. 2010 ; Vol. 43, No. 2. pp. 85-94.
@article{3a3b12ba9a6c44a1bd3c8420fe74236f,
title = "Correlation between bioelectrical spectroscopy and perometry in assessment of upper extremity swelling",
abstract = "Lymphedema is a common side effect of breast cancer treatment and is associated with increased upper extremity volume, functional impairment, and pain. While there is no cure for lymphedema, physical therapy treatment can often alleviate symptoms. To measure the efficacy of treatment, accurate assessment of the limbs is important. Current methods of assessment are complex (water displacement), marginally accurate (circumferential measurements), or expensive (opto-electrical systems). A new method for estimating tissue fluid is bioelectrical spectroscopy (BIS). This method measures impedance to small currents applied to the body and is easily performed. Acceptance of BIS devices for assessment of limb fluid will be dependent on the establishment of sufficient reliability and validity, and the objective of this study was to evaluate reliability and validity of this device compared to perometry. Both upper limbs of ten subjects previously treated for breast cancer were measured using BIS and perometry. We found that inter-rater reliability (r=0.987) and intra-rater reliability (r=0.993) were acceptably high for the BIS unit and concurrent validity was r=-0.904, when compared to perometry. These results confirm that BIS can produce valid and reliable data related to the assessment of upper limbs affected by lymphedema.",
keywords = "Bioelectrical spectroscopy, Bioimpedance, Breast cancer, Lymphedema, Volumetry",
author = "Jain, {Minal S.} and Danoff, {J. V.} and Paul, {S. M.}",
year = "2010",
month = "6",
language = "English (US)",
volume = "43",
pages = "85--94",
journal = "Lymphology",
issn = "0024-7766",
publisher = "International Society of Lymphology",
number = "2",

}

TY - JOUR

T1 - Correlation between bioelectrical spectroscopy and perometry in assessment of upper extremity swelling

AU - Jain, Minal S.

AU - Danoff, J. V.

AU - Paul, S. M.

PY - 2010/6

Y1 - 2010/6

N2 - Lymphedema is a common side effect of breast cancer treatment and is associated with increased upper extremity volume, functional impairment, and pain. While there is no cure for lymphedema, physical therapy treatment can often alleviate symptoms. To measure the efficacy of treatment, accurate assessment of the limbs is important. Current methods of assessment are complex (water displacement), marginally accurate (circumferential measurements), or expensive (opto-electrical systems). A new method for estimating tissue fluid is bioelectrical spectroscopy (BIS). This method measures impedance to small currents applied to the body and is easily performed. Acceptance of BIS devices for assessment of limb fluid will be dependent on the establishment of sufficient reliability and validity, and the objective of this study was to evaluate reliability and validity of this device compared to perometry. Both upper limbs of ten subjects previously treated for breast cancer were measured using BIS and perometry. We found that inter-rater reliability (r=0.987) and intra-rater reliability (r=0.993) were acceptably high for the BIS unit and concurrent validity was r=-0.904, when compared to perometry. These results confirm that BIS can produce valid and reliable data related to the assessment of upper limbs affected by lymphedema.

AB - Lymphedema is a common side effect of breast cancer treatment and is associated with increased upper extremity volume, functional impairment, and pain. While there is no cure for lymphedema, physical therapy treatment can often alleviate symptoms. To measure the efficacy of treatment, accurate assessment of the limbs is important. Current methods of assessment are complex (water displacement), marginally accurate (circumferential measurements), or expensive (opto-electrical systems). A new method for estimating tissue fluid is bioelectrical spectroscopy (BIS). This method measures impedance to small currents applied to the body and is easily performed. Acceptance of BIS devices for assessment of limb fluid will be dependent on the establishment of sufficient reliability and validity, and the objective of this study was to evaluate reliability and validity of this device compared to perometry. Both upper limbs of ten subjects previously treated for breast cancer were measured using BIS and perometry. We found that inter-rater reliability (r=0.987) and intra-rater reliability (r=0.993) were acceptably high for the BIS unit and concurrent validity was r=-0.904, when compared to perometry. These results confirm that BIS can produce valid and reliable data related to the assessment of upper limbs affected by lymphedema.

KW - Bioelectrical spectroscopy

KW - Bioimpedance

KW - Breast cancer

KW - Lymphedema

KW - Volumetry

UR - http://www.scopus.com/inward/record.url?scp=77955459864&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77955459864&partnerID=8YFLogxK

M3 - Article

VL - 43

SP - 85

EP - 94

JO - Lymphology

JF - Lymphology

SN - 0024-7766

IS - 2

ER -