Volume 48 Number 10, 2011
Pages 1261 — 1268
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Upper-limb circumference was taken using cloth measuring tape on bilateral upper-limbs at four levels, i.e., at the metacarpophalangeal joints, wrist joint, 15 cm distal to the lateral epicondyle, and 10 cm proximal to the lateral epicondyle. Patients were positioned prone with their upper limbs at their sides and their elbows straight while the circumference measurements were taken [20–21]. Two measurements were taken and their mean was used. The calculated difference between each circumference (in centimeters) at all four levels between the affected and contralateral upper limbs was taken as outcome.
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Volumetric measurements were taken by the water displacement method, which is based on Archimedes’ Principle. Two readings were taken: (1) at the ulnar styloid process level and (2) 45 cm proximal to the ulnar styloid process level for each upper limb. During measurement, patients were advised to keep their upper limb straight and immerse it slowly by sliding their fingers straight down inside the wall of the volumeter, which was filled with water. Water displaced was collected from the point of immersion of upper limb until the marked level was reached and no further dripping of water was observed. The collected water was transferred into a graduated cylinder and the volumetric reading was taken to the nearest 5 mL level. This method of volumetric measurement has been used previously by McKenzie and Kalda [22]. The outcome measure was the calculated difference in volume (in milliliters) displaced between the affected and contralateral upper limbs.
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Pre-post exercise program changes in affected upper-limb circumference and volume. Data presented as mean ± standard deviation.
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DLE = distal to lateral epicondyle, MCP = metacarpophalangeal, PLE = proximal to lateral epicondyle.
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Pre-post exercise program changes in 36-Item Short Form Health Survey quality of life scores.
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Change in Score
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Last Reviewed or Updated Thursday, January 5, 2012 11:31 AM