{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:45:59Z","timestamp":1777916759059,"version":"3.51.4"},"reference-count":58,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T00:00:00Z","timestamp":1749168000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare gait parameters, functionality (muscle strength, balance, exercise capacity) and health status (kinesiophobia, fatigue, quality of life) in lower extremity lymphedema patients and healthy controls and to determine correlations between exercise capacity, gait parameters, muscle strength, balance, quality of life and lymphedema severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty-two lymphedema patients and 20 healthy controls participated in the study. Participants\u2019 demographic and medical characteristics were recorded. Muscle strength, endurance, balance, functional exercise capacity, gait parameters, kinesiophobia, fatigue and quality of life were assessed with dynamometer, 30-s chair stand test, Biodex, 6-min walk test (6MWT), 8-m test (8-MWT), Tampa Scale, Fatigue Severity Scale and Short Form-36, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Lymphedema patients had lower muscle strength and endurance, 6MWT distance, speed, cadence and stride length, 8-mWT speed, cadence and left stance phase, and higher swing phase-left and single support phase-right compared to healthy controls (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .05). Balance parameters were worse in lymphedema patients compared to healthy controls (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .05). Quality of life was lower and kinesiophobia and fatigue levels were higher in lymphedema patients compared to healthy controls (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .05). Significant correlations were found between 6MWT distance, speed and stride length, 8-mWT speed and stride lengths and lymphedema severity, muscle strength, balance, and quality of life (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .05). Multiple regression analyses identified balance and lymphedema severity as predictors for 6MWT distance, speed, and stride length.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Lymphedema patients have reduced muscle strength, exercise capacity, quality of life, and increased kinesiophobia and fatigue. Lymphedema negatively impacts gait and balance. Gait parameters are correlated with muscle strength, balance, quality of life and lymphedema severity in lymphedema patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555251348774","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T08:20:54Z","timestamp":1749198054000},"page":"135-144","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of gait parameters, functionality and health status in patients with lower extremity lymphedema and healthy controls"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9470-5831","authenticated-orcid":false,"given":"Ezgi","family":"Ergin","sequence":"first","affiliation":[{"name":"Dokuz Eylul University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Didem","family":"Karadibak","sequence":"additional","affiliation":[{"name":"Dokuz Eylul University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Merve","family":"Celik","sequence":"additional","affiliation":[{"name":"Dokuz Eylul University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,6]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2017.03.022"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14225667"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2019-001032"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2020-001682"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9103200"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001339"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2019.0004"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6131.146063"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2023.105890"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1679-45082013000400004"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18094549"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/JPO.0000000000000333"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0244842"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192113926"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.matpr.2018.08.111"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.11606\/issn.2317-0190.v23i4a137673"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.21653\/tjpr.936822"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2022.2155900"},{"issue":"4","key":"e_1_3_7_20_2","first-page":"133","article-title":"The diagnosis and treatment of peripheral lymphedema: 2023 consensus document of the international society of Lymphology","volume":"56","author":"Executive Committee of the International Society of Lymphology","year":"2023","unstructured":"Executive Committee of the International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2023 consensus document of the international society of Lymphology. Lymphology 2023; 56(4): 133\u2013151.","journal-title":"Lymphology"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.24291"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/pri.411"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.1999.10608028"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/TGR.0b013e318270c89b"},{"issue":"5","key":"e_1_3_7_25_2","first-page":"S30","article-title":"Reliability of dynamic bilateral postural stability on the Biodex Stability System in older adults","volume":"36","author":"Baldwin SL","year":"2004","unstructured":"Baldwin SL, VanArnam TW, Ploutz-Snyder LL. Reliability of dynamic bilateral postural stability on the Biodex Stability System in older adults. Med Sci Sports Exerc 2004; 36(5): S30.","journal-title":"Med Sci Sports Exerc"},{"issue":"4","key":"e_1_3_7_26_2","first-page":"323","article-title":"Examination of balance measures produced by the Biodex stability system","volume":"33","author":"Arnold BL","year":"1998","unstructured":"Arnold BL, Schmitz RJ. Examination of balance measures produced by the Biodex stability system. J Athl Train 1998; 33(4): 323\u2013327.","journal-title":"J Athl Train"},{"key":"e_1_3_7_27_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00150314"},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","DOI":"10.3390\/s22083050"},{"issue":"1","key":"e_1_3_7_29_2","first-page":"29","article-title":"Comparison of four methods of calculating the symmetry of spatial-temporal parameters of gait","volume":"16","author":"B\u0142azkiewicz M","year":"2014","unstructured":"B\u0142azkiewicz M, Wiszomirska I, Wit A. Comparison of four methods of calculating the symmetry of spatial-temporal parameters of gait. Acta Bioeng Biomech 2014; 16(1): 29\u201335.","journal-title":"Acta Bioeng Biomech"},{"issue":"1","key":"e_1_3_7_30_2","first-page":"7863674","article-title":"A New method of evaluating the symmetry of movement used to assess the gait of patients after unilateral total hip replacement","volume":"2019","author":"Winiarski S","year":"2019","unstructured":"Winiarski S, Rutkowska-Kucharska A, Pozowski A, et al. A New method of evaluating the symmetry of movement used to assess the gait of patients after unilateral total hip replacement. Appl Bionics Biomech 2019; 2019(1): 7863674.","journal-title":"Appl Bionics Biomech"},{"key":"e_1_3_7_31_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-59002-6"},{"key":"e_1_3_7_32_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2018.00459"},{"issue":"1","key":"e_1_3_7_33_2","first-page":"44","article-title":"Tampa Kinezyofobi \u00d6l\u00e7e\u011fi\u2019nin T\u00fcrk\u00e7e versiyonu ve test-tekrar test g\u00fcvenirli\u011fi","volume":"22","author":"Yilmaz \u00d6T","year":"2011","unstructured":"Yilmaz \u00d6T, Yakut Y, Uygur F, et al. Tampa Kinezyofobi \u00d6l\u00e7e\u011fi\u2019nin T\u00fcrk\u00e7e versiyonu ve test-tekrar test g\u00fcvenirli\u011fi. Fizyoterapi Rehabilitasyon 2011; 22(1): 44\u201349.","journal-title":"Fizyoterapi Rehabilitasyon"},{"key":"e_1_3_7_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0b013e3280146ec4"},{"key":"e_1_3_7_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-004-2393-3"},{"key":"e_1_3_7_36_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00008"},{"key":"e_1_3_7_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2584-6"},{"key":"e_1_3_7_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-1879-3"},{"key":"e_1_3_7_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2015.06.011"},{"key":"e_1_3_7_40_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2023.0056"},{"key":"e_1_3_7_41_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2017.0017"},{"key":"e_1_3_7_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/02683555231188236"},{"key":"e_1_3_7_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2018.11.010"},{"key":"e_1_3_7_44_2","doi-asserted-by":"publisher","DOI":"10.1123\/jab.2017-0257"},{"key":"e_1_3_7_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2020.05.008"},{"key":"e_1_3_7_46_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00508-016-1096-4"},{"key":"e_1_3_7_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2014.06.019"},{"key":"e_1_3_7_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2018.06.173"},{"key":"e_1_3_7_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2024.106241"},{"key":"e_1_3_7_50_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2022.0050"},{"key":"e_1_3_7_51_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2015.0027"},{"key":"e_1_3_7_52_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-023-07896-z"},{"key":"e_1_3_7_53_2","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.3571"},{"key":"e_1_3_7_54_2","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2020.1771802"},{"key":"e_1_3_7_55_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-020-01488-9"},{"key":"e_1_3_7_56_2","doi-asserted-by":"publisher","DOI":"10.1590\/1677-5449.006618"},{"key":"e_1_3_7_57_2","doi-asserted-by":"publisher","DOI":"10.1519\/JPT.0000000000000216"},{"key":"e_1_3_7_58_2","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.252"},{"key":"e_1_3_7_59_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2023.111731"}],"container-title":["Phlebology: The Journal of Venous Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555251348774","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02683555251348774","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555251348774","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:55:53Z","timestamp":1777658153000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02683555251348774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,6]]},"references-count":58,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/02683555251348774"],"URL":"https:\/\/doi.org\/10.1177\/02683555251348774","relation":{},"ISSN":["0268-3555","1758-1125"],"issn-type":[{"value":"0268-3555","type":"print"},{"value":"1758-1125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,6]]}}}