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Measuring head and neck lymphedema: The "ALOHA" trial
Amanda Purcell1, Jodie Nixon1, Jennifer Fleming2
1Department of Occupational Therapy, Princess Alexandra Hospital, Queensland, Australia.
Head & Neck
|September 13, 2014
Summary
The MoistureMeterD (MMD) and tape measurements show promise for assessing head and neck lymphedema. The MMD effectively distinguished patients from controls, indicating its potential as a reliable clinical tool.
Area of Science:
- Oncology
- Medical Devices
- Clinical Assessment
Background:
- No current clinical assessment exists for head and neck lymphedema.
- This study introduces the MoistureMeterD (MMD) and tape measurement system as potential evaluation tools.
Purpose of the Study:
- To assess the reliability and validity of the MMD and tape measurements for head and neck lymphedema.
- To determine if these methods can differentiate between patients with and without head and neck lymphedema.
Main Methods:
- Evaluated 20 patients with head and neck lymphedema and 20 healthy controls.
- Assessed interrater and intrarater reliability for MMD and tape measurements.
- Examined validity through comparisons with healthy controls and lymphedema severity ratings.
Main Results:
- MMD demonstrated excellent interrater (ICC >0.90) and intrarater (0.97) reliability.
- MMD significantly discriminated between patients and controls (p < .001).
- MMD showed significant convergent validity (rho = 0.59) with lymphedema ratings; tape measurements showed weaker correlations.
Conclusions:
- The MMD is a reliable and valid tool for measuring head and neck lymphedema.
- Tape measurements show potential but require further refinement for clinical use.
- These methods offer objective assessment options for head and neck lymphedema.
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