- Lymphatic System and Diseases
- Musculoskeletal pain and rehabilitation
- Cancer survivorship and care
- Pain Management and Opioid Use
- Pediatric Pain Management Techniques
- Pain Mechanisms and Treatments
- Cancer Treatment and Pharmacology
- Nerve Injury and Rehabilitation
- Pain Management and Placebo Effect
- Anesthesia and Pain Management
- Peripheral Nerve Disorders
- Sympathectomy and Hyperhidrosis Treatments
- Management of metastatic bone disease
- Diagnosis and Treatment of Venous Diseases
- Physical Activity and Health
- Lymphatic Disorders and Treatments
- Childhood Cancer Survivors' Quality of Life
- Botulinum Toxin and Related Neurological Disorders
- Effects of Vibration on Health
- Respiratory Support and Mechanisms
- Laser Applications in Dentistry and Medicine
- Dupuytren's Contracture and Treatments
- Systemic Sclerosis and Related Diseases
- Noise Effects and Management
- Stoma care and complications
Pain in Motion
2021-2024
University of Antwerp
2018-2024
KU Leuven
2018-2024
Universitair Ziekenhuis Leuven
2023
Background: Lymphedema is associated with significant physical and psychosocial problems. The Functioning, Disability Health questionnaire for upper limb lymphedema a valid reliable tool quantifying the amount of problems in functioning patients breast cancer-related lymphedema. Patients suggested revision scoring system to facilitate completion questionnaire. Therefore, adjustment was carried out by implementing numeric rating scale instead existing visual analog scale. Purpose this study...
To investigate the reliability, time efficiency and clinical feasibility of five commonly used methods for assessing excessive arm volume in patients with breast cancer-related lymphoedema (BCRL).Cross-sectional study.University Hospitals Leuven, Belgium.30 participants unilateral BCRL.Excessive was determined by different methods: traditional volumetry overflow, without inverse volumetry, optoelectronic calculated based on circumference measurements. intra- inter-rater measurements were...
Abstract Pain is one of the most common and long-lasting side effects reported by women surgically treated for breast cancer. Educational interventions may optimize current physical therapy modalities pain prevention or relief in this population. neuroscience education (PNE) an educational intervention that explains experience not only from a biomedical perspective but also psychological social factors contribute to it. Through double-blinded randomized controlled trial (EduCan trial) it was...
Introduction Over the past decades, awareness on importance of educational interventions in cancer pain management has increased. However, education is often restricted to biomedical instructions. A more modern approach, also known as neuroscience (PNE), explains from a biopsychosocial perspective. We hypothesise that this comprehensive approach early treatment phase breast will lead beneficial effects for management. Therefore, aim present study investigate effectiveness PNE intervention,...
Background: Local tissue water in patients with breast cancer-related lymphedema (BCRL) can be assessed by measurement of the dielectric constant using MoistureMeterD Compact® (MMDC) device, or performing pitting test. Although these assessment methods are commonly used clinical practice, literature shows a lack research on their clinimetric properties. Therefore, aim this study was to investigate reliability both methods, assessing upper limb BCRL. Methods and Results: Thirty women BCRL...
Abstract Objective Quantitative sensory testing (QST) consists of noninvasive psychophysical assessment techniques to evaluate the functioning somatosensory nervous system. Despite importance reliability for correct use QST results in research and clinical practice, relative absolute intra- inter-rater a comprehensive protocol both peripheral central system breast cancer population has not yet been investigated. Setting University Hospitals, Leuven, Belgium. Subjects Thirty women at least 6...
Abstract Pain is one of the most prevalent and long‐term adverse effects described by people who have undergone breast cancer surgery. Non‐helpful perceptions thoughts about pain may contribute to transition acute persistent pain. Adding educational interventions current physical therapy program in this population help improve or prevent neuroscience education (PNE) a type intervention that addresses experience broader sense explaining not only from biomedical perspective, but also...
Background: A disturbance of the superficial lymphatic system (dermal backflow) in patients with breast cancer-related lymphedema (BCRL) can be visualized by near-infrared fluorescence imaging or lymphofluoroscopy. In clinical practice, exact measurement dermal backflow is difficult. The purpose study to investigate concurrent validity between assessments and lymphofluoroscopy BCRL. Methods Results: Forty-five BCRL stage I IIb received their edematous limb (pitting status, skinfold...
Background: To compare interrater reliability and the time-efficiency for water displacement method, figure-of-eight circumference measurements of ankle foot, to investigate concurrent validity method with method. Methods Results: Thirty patients (21 women 9 men) primary or secondary lower limb lymphedema were evaluated twice. The volume foot was measured in three different ways: a volumeter, at level malleoli metatarsals tapeline. intraclass correlation coefficients (ICCs) ranged from good...
Objective To examine the effectiveness of a single Botulinum Toxin A (BTX-A) infiltration in pectoralis major muscle, addition to standard physical therapy (PT) programme on upper limb impairments and dysfunctions after breast cancer treatment. Methods Fifty patients with persistent pain 3 months finishing treatment participated double-blinded randomised controlled trial. The intervention group received BTX-A infiltration. control placebo (saline) Within one week infiltration, all attended...
Background: The Lymphedema Functioning, Disability, and Health questionnaire for Upper Limb (Lymph-ICF-UL) is a health-related quality-of-life patients with breast cancer-related lymphedema. Previous testing of this showed very good psychometric properties; however, responsiveness has not yet been established. aim study was to determine its internal external responsiveness. Methods Results: Ninety-five treated decongestive lymphatic therapy in longitudinal trial were recruited. Patients...