Research Article

Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals with Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study

Volume: 40 Number: 2 July 19, 2023
EN

Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals with Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study

Abstract

Background: Plantar pressure is sensed by the receptors on the sole. It is still not clear how the changes after the skin involvement and the effect of this on balance and fall risk in lower extremity lymphedema. Purpose: To compare patients with lower extremity lymphedema and healthy individuals in terms of the plantar pressure sense, balance, and fall risk. Methods: A total of 31 participants were included in the study. The plantar pressure sense was evaluated with the Semmes-Weinstein Monofilament Test, the balance was made with the Berg Balance Scale, and the fall risk was evaluated with the Tinetti Fall Efficacy Scale. Results: When the plantar pressure sense of the lower extremity lymphedema group and healthy individuals were compared, differences were found (p<0.05). A significant difference was detected between the groups when the balance and fall values were compared (p<0.05). No significant results were detected when the affected and unaffected extremities were compared in terms of plantar pressure sense in patients with lower extremity lymphedema (p>0.05). Conclusion: This study showed that patients who had lower extremity lymphedema had decreased plantar pressure sense and balance, and increased fall risk. Early detection of these parameters in patients with lymphedema and their management are important for rehabilitation.

Keywords

References

  1. 1- Wang CM, Lee SY, Hsu KF, Lin CF, Ma MC, Hsu YY. Psychometric evaluation of a Chinese version of Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema in women with gynaecological cancer surgery. Eur J Cancer Care. 2018; 27(6): e12940.
  2. 2- Iwersen LF, Sperandio FF, Toriy AM, Palu M, Medeiros da Luz C. Evidence-based practice in the management of lower limb lymphedema after gynecological cancer. Physiother Theory Pract. 2017; 33(1): 1-8.
  3. 3- Strzalkowski ND, Triano JJ, Lam CK, Templeton CA, Bent LR. Thresholds of skin sensitivity are partially influenced by mechanical properties of the skin on the foot sole. Physiol Rep. 2015; 3:pii:e12425.
  4. 4- Surmeli M, Cinar Ozdemir O. The effect of upper limb lymphedema in posture of patients after breast cancer surgery. J Back Musculoskelet Rehabil (Preprint). 2021; 1-9.
  5. 5- Voogd AC,Ververs JM, Vingerhoets A, Roumen H , Coebergh JW, Crommelin MA. Lymphoedema and reduced shoulder function as indicators of quality of life after axillary lymph node dissection for invasive breast cancer. Br J Surg. 2003; 90:76-81.
  6. 6- Citaker S, Gunduz AG, Guclu MB, Nazliel B, Irkec C, Kaya D. Relationship between foot sensation and standing balance in patients with multiple sclerosis. Gait Posture. 2011; 34(2): 275–278.
  7. 7- Kars HJ, Hijmans JM, Geertzen JH, Zijlstra W. The effect of reduced somatosensation on standing balance: a systematic review. J Diabetes Sci Technol. 2009; 3:931–43.
  8. 8- Eils E, Behrens S, Mers O, Thorwesten L, Völker K, Rosenbauma D. Reduced plantar sensation causes a cautious walking pattern. Gait Posture. 2004; 20: 54–60.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Early Pub Date

August 1, 2023

Publication Date

July 19, 2023

Submission Date

October 18, 2022

Acceptance Date

February 13, 2023

Published in Issue

Year 2023 Volume: 40 Number: 2

APA
Korkem Yorulmaz, D., Pehlivan, B., & Yıldırım Şahan, T. (2023). Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals with Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study. Deneysel Ve Klinik Tıp Dergisi, 40(2), 248-253. https://izlik.org/JA65HG89FT
AMA
1.Korkem Yorulmaz D, Pehlivan B, Yıldırım Şahan T. Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals with Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study. J. Exp. Clin. Med. 2023;40(2):248-253. https://izlik.org/JA65HG89FT
Chicago
Korkem Yorulmaz, Duygu, Büşra Pehlivan, and Tezel Yıldırım Şahan. 2023. “Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals With Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study”. Deneysel Ve Klinik Tıp Dergisi 40 (2): 248-53. https://izlik.org/JA65HG89FT.
EndNote
Korkem Yorulmaz D, Pehlivan B, Yıldırım Şahan T (July 1, 2023) Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals with Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study. Deneysel ve Klinik Tıp Dergisi 40 2 248–253.
IEEE
[1]D. Korkem Yorulmaz, B. Pehlivan, and T. Yıldırım Şahan, “Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals with Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study”, J. Exp. Clin. Med., vol. 40, no. 2, pp. 248–253, July 2023, [Online]. Available: https://izlik.org/JA65HG89FT
ISNAD
Korkem Yorulmaz, Duygu - Pehlivan, Büşra - Yıldırım Şahan, Tezel. “Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals With Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study”. Deneysel ve Klinik Tıp Dergisi 40/2 (July 1, 2023): 248-253. https://izlik.org/JA65HG89FT.
JAMA
1.Korkem Yorulmaz D, Pehlivan B, Yıldırım Şahan T. Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals with Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study. J. Exp. Clin. Med. 2023;40:248–253.
MLA
Korkem Yorulmaz, Duygu, et al. “Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals With Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study”. Deneysel Ve Klinik Tıp Dergisi, vol. 40, no. 2, July 2023, pp. 248-53, https://izlik.org/JA65HG89FT.
Vancouver
1.Duygu Korkem Yorulmaz, Büşra Pehlivan, Tezel Yıldırım Şahan. Comparison of Lower Extremity Lymphedema Patients and Healthy Individuals with Plantar Pressure Sense, Balance, and Fall Risk: A Pilot Study. J. Exp. Clin. Med. [Internet]. 2023 Jul. 1;40(2):248-53. Available from: https://izlik.org/JA65HG89FT