Lymphatic Filariasis: A Method to Identify Subclinical Lower Limb Change in PNG Adolescents
2011

Identifying Subclinical Lower Limb Change in Adolescents with Lymphatic Filariasis

Sample size: 53 publication 10 minutes Evidence: moderate

Author Information

Author(s): Gordon Susan, Melrose Wayne, Warner Jeffrey, Buttner Petra, Ward Leigh

Primary Institution: James Cook University

Hypothesis

Can tonometry be used to identify early tissue changes in adolescents with lymphatic filariasis?

Conclusion

Tonometry can effectively identify increased tissue compressibility in adolescents with lymphatic filariasis, even before overt symptoms appear.

Supporting Evidence

  • Participants with lymphatic filariasis had significantly higher tonometric measurements than those without.
  • The sensitivity of tonometry as a screening test for lymphatic filariasis was found to be 100%.
  • Tonometry is a simple, non-invasive method that can be used in field settings.

Takeaway

This study shows that a simple test can help find early signs of a disease that can make legs swell, helping doctors treat kids before they get really sick.

Methodology

The study used tonometry, bioimpedance, and goniometry to assess lower limb changes in adolescents with and without lymphatic filariasis.

Potential Biases

Potential bias in participant selection and measurement due to the blinding of the researcher to ICT test results.

Limitations

The study's findings may not be generalizable to other populations outside of Papua New Guinea.

Participant Demographics

Mean age of participants was 16.5 years, with 54.7% female and 47.2% testing positive for lymphatic filariasis.

Statistical Information

P-Value

p=0.005, p=0.004, p=0.003

Confidence Interval

95%-CI = (86.3%, 100%)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pntd.0001242

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