Intro to Circumferential Measurements PDF

Intro to Circumferential Measurements Rebecca Pinkus, PT, DPT Foundations of Examination  To describe the purpose of circumferential measurements To identify the population that Objectives would benefit from this test and mea...

Intro to Circumferential Measurements Rebecca Pinkus, PT, DPT Foundations of Examination  To describe the purpose of circumferential measurements To identify the population that Objectives would benefit from this test and measure To discuss when and how you would perform them  Use of a standard tape measure to gain information on limb girth caused by a variety of conditions. What are Gold standard for limb girth is circumferent water displacement test. ial Research suggests that measuremen circumferential measurements has ts? excellent inter and intra-rater reliability for determining limb volume in the upper extremity especially when used for lymphedema for UE related cancer symptoms.1  Can be used for multiple diagnoses including (but not exclusively): Swelling from acute traumatic injury Ankle sprains, etc Post-surgical swelling Lymphedema Who? Stocking or garment Cardiac related swelling Burns Any kind of limb difference due to tissue injury, muscle bulk, etc, to determine atrophy Many more reasons….  Circumferential measurements with Methodolog reference to bony prominences Need to ensure documentation of y where you measure and what bony prominence so that you can have consistent comparison of measurements.  Figure of 8 for hand Proven to be reliable for measurement of hand and UE swelling for patients with lymphedema1 Hand placed in pronation: start tape Figure 8 measure just distal to ulnar styloid Hand volar surface to just distal of radial styloid diagonally across dorsal aspect to. 5th MCP joint  volar surface to the 2nd MCP joint  diagonally to starting point. https://www.youtube.com/watch? v=V49LQxtA95I&t=3s  Figure of 8 for ankle Proven to be a valid and reliable measurement for measuring ankle Figure 8 edema2 Midpoint between anterior tibialis Ankle tendon and lateral malleolus laterally underfoot to medial arch  back to lateral malleolus --> back across Achilles tendon  across medial malleolus  back to start. https://www.youtube.com/watch?v=7VI ldqF2orY What’s Time to Practice! Next?  References 1. Kimberly Levenhagen, Claire Davies, Marisa Perdomo, Kathryn Ryans, Laura Gilchrist, Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association, Physical Therapy, Volume 97, Issue 7, July 2017, Pages 729–745, https://doi.org/10.1093/ptj/pzx050 2. Mawdsley, R. H., Hoy, D. K., & Erwin, P. M. (2000). Criterion- related validity of the figure-of-eight method of measuring ankle edema. The Journal of Orthopaedic and Sports Physical Therapy, 30(3), 149–153. https://doi.org/10.2519/jospt.2000.30.3.149