Hot off the Press August 2022
We have collated some great articles and material published over the last month. Click on the links below to read the abstract or download the full paper.
Prevalence and Risk Factors
Risk Factors for the Development of Clinical and Subclinical Lymphedema Detected by Bioimpedance Spectroscopy- click for abstract
treatment of lymphedema is more effective, but preclinical lymphedema is difficult to detect. We used a new tool,
bioimpedance spectroscopy, to detect preclinical lymphedema. This tool may allow physicians to intervene on
lymphedema early, before patients develop irreversible symptoms.
spectroscopy (BIS) measures extracellular fluid in lymphedema. The purpose of this study was to determine the
incidence of BIS-detected lymphedema using the L-Dex and identify risk factors associated with a positive score.
Lymphedema in Inflammatory Breast Cancer Patients Following Trimodal Treatment - click for abstract
Lymphedema in Inflammatory Breast Cancer Patients Following Trimodal Treatment
Factors Influencing Lower Limb Lymphedema After Cervical Cancer Surgery: A Case–Control Study- click for abstract
Prediction of lymphedema occurrence in patients with breast cancer using the optimized combination of ensemble learning algorithm and feature selection
Assessment
Water Distribution Changes in Complex Decongestive Treatment for Leg Lymphedema: Quantitative Evaluation by Direct Segmental Multi-Frequency Bioimpedance Analysis
Tissue Dielectric Constant of the Lower Leg as an Index of Skin Water: Temporal Variations
Bioimpedance Analysis for Predicting Outcomes of Complex Decongestive Therapy for Gynecological Cancer Related Lymphedema: A Feasibility Study - click for abstract
Bioimpedance Analysis for Predicting Outcomes of Complex Decongestive Therapy for Gynecological Cancer Related Lymphedema: A Feasibility Study
Bae SH, Kim WJ, Seo YJ, Kim J, Jeon JY. Ann Rehabil Med. 2020 Jun;44(3):238-245
OBJECTIVE: To determine whether the bioimpedance analysis (BIA) ratios of upper to lower extremities could predict treatment outcomes after complex decongestive therapy (CDT) for gynecological cancer related lymphedema (GCRL).
METHODS: A retrospective study, from March 2015 to December 2018, was conducted. The study sample comprised patients receiving CDT, 30 minutes per day, for 10 days. Bioimpedance was measured pre- and post-CDT. Circumference measurements were obtained at 20 and 10 cm above the knee (AK) and 10 cm below the knee (BK). We calculated the expected impedance at 0 Hz (R0) of extremities and upper/lower extremity R0 ratios (R0U/L). We evaluated the relationship between R0U/L and changes in R0U/L and circumferences, pre- and post-CDT.
RESULTS: Overall, 59 patients were included in this study. Thirty-one lower extremities in 26 patients comprised the acute group, and 38 lower extremities in 33 patients comprised the chronic group. Pre-treatment R0U/L was significantly correlated with R0U/L change after adjusting for age and BMI (acute: R=0.513, p<0.01; chronic: R=0.423, p<0.01). In the acute group, pre-treatment R0U/L showed a tendency to be correlated with circumference change (AK 20 cm: R=0.427, p=0.02; AK 10 cm: R=0.399, p=0.03). CONCLUSION: Our study results suggested that pre-treatment BIA could predict volume reductions after CDT in the early stages of GCRL. These findings implied that BIA value could be one possible parameter to apply in treatment outcomes prediction, during the early stage of GCRL. Therefore, further large-scale prospective studies will be beneficial.
Analysis of the Understanding and Worry about Lymphedema of Patients with Breast Cancer - click for abstract
Analysis of the Understanding and Worry about Lymphedema of Patients with Breast Cancer
Management Strategies
How we approach lymphedema in the pediatric population. - click for abstract
How we approach lymphedema in the pediatric population.
Pateva I; Greene AK; Snyder KM; Pediatric blood & cancer [Pediatr Blood Cancer] 2022 Aug; Vol. 69 (8), pp. e29611
The impact of rehabilitation sport on breast cancer-related lymphoedema and quality of life - click for abstract
The impact of rehabilitation sport on breast cancer-related lymphoedema and quality of life
Self-efficacy to overcome exercise barriers in individuals with cancer-related lymphedema - click for abstract
Self-efficacy to overcome exercise barriers in individuals with cancer-related lymphedema
Although cancer survivors are recommended to exercise, they may lack confidence (self-efficacy) to be active. This research aimed to measure exercise barriers and related selfefficacy in individuals with cancer-related lymphedema as well as examine relationships between self-efficacy and participant characteristics. A cross-sectional survey was undertaken in individuals with cancer-related lymphedema using a validated 14-item Likert scale assessing self-efficacy to overcome general and lymphedema-specific exercise barriers (0%=not at all confident, 100%=extremely confident). Demographic, medical and lymphedema data were also collected. Of 109 participants (52% response), 79% (n=86) had breast cancer-related lymphedema. Participants were found to be moderately confident to exercise when facing general (48% [95% CI: 44, 52]) and lymphedema- specific exercise barriers (51% [95% CI: 47, 55]). Participants who were female, sedentary (p<0.05), had lymphedema for ≥2 years, and reported greater symptom burden (p<0.05) recorded lower general exercise barriers self efficacy. Lower lymphedema-specific exercise barriers self-efficacy was reported by individuals who were sedentary, had cancers other than breast, and higher symptom burden. These findings suggest general and lymphedema- specific barriers challenge exercise confidence in those with cancer-related lymphedema, and strategies tailored to improve confidence in overcoming exercise barriers are warranted. Supporting individuals to be sufficiently active during and following cancer treatment should consider behavior change strategies tailored to the unique needs faced by individuals with lymphedema.
Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review- click for abstract
Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review
Emerging Anti-Inflammatory Pharmacotherapy and Cell-Based Therapy for Lymphedema