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Reaching consensus on exercise recommendations for individuals living with lower limb lymphoedema: a Delphi study.

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Title: Reaching consensus on exercise recommendations for individuals living with lower limb lymphoedema: a Delphi study.
Authors: Davies, Luke M. (AUTHOR), Koelmeyer, Louise (AUTHOR), Gaitatzis, Katrina (AUTHOR), Paramanandam, Vincent Singh (AUTHOR), Thompson, Belinda (AUTHOR)
Source: Disability & Rehabilitation. Jun2026, Vol. 48 Issue 12, p3690-3698. 9p.
Subjects: Lymphedema treatment, Consensus (Social sciences), Medical protocols, Leg, Exercise, Human services programs, Medical personnel, Exercise intensity, Descriptive statistics, Resistance training, Surveys, Exercise physiologists, Physiatrists, Aerobic exercises, Compression garments, Conceptual structures, Delphi method, Expertise
Abstract: Purpose: Existing exercise recommendations primarily focus on upper limb lymphoedema, with limited clarity on the most effective types, frequency, and intensity of exercise for individuals with lower limb lymphoedema. Given the differences observed between the upper and lower limbs, it makes intuitive sense to develop a framework of exercise recommendations for lower limb lymphoedema. Materials and methods: We conducted a modified two round e-Delphi during February and March 2025. A draft framework was developed by the research team using relevant documents identified within the literature.. The expert panel considered 68 exercise recommendations and three recommendations regarding compression garments whilst exercising. Over two rounds, panellists rated their level of agreement on whether each recommendation was important when prescribing exercise to individuals living with lower limb lymphoedema. Results: A total of 54 panellists from 10 countries participated in round 1, with a high retention rate of 96% in round 2. The final framework consisted of 26 exercise recommendations across three domains: resistance (n = 7 recommendations); aerobic (n = 15); flexibility (n = 4); and three recommendations regarding compression garment use whilst exercising. Conclusions: This framework outlines a set of exercise recommendations to guide healthcare professionals in prescribing multimodal programs for individuals living by lower limb lymphoedema. Implications for rehabilitation: Current literature lacks clear guidance on effective exercise, types, frequency, and intensity for lower limb lymphoedema. Clinicians often adapt recommendations designed for upper limb lymphoedema, highlighting the need for tailored guidance for lower limb presentations. The purpose of this framework is not to dictate the way healthcare professionals must prescribe exercise; rather, it is to offer consensus-based exercise recommendations for individuals living with lower limb lymphoedema in the absence of strong scientific evidence. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Reaching consensus on exercise recommendations for individuals living with lower limb lymphoedema: a Delphi study.
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  Data: <searchLink fieldCode="AR" term="%22Davies%2C+Luke+M%2E%22">Davies, Luke M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Koelmeyer%2C+Louise%22">Koelmeyer, Louise</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gaitatzis%2C+Katrina%22">Gaitatzis, Katrina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Paramanandam%2C+Vincent+Singh%22">Paramanandam, Vincent Singh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thompson%2C+Belinda%22">Thompson, Belinda</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Jun2026, Vol. 48 Issue 12, p3690-3698. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Lymphedema+treatment%22">Lymphedema treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Consensus+%28Social+sciences%29%22">Consensus (Social sciences)</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Leg%22">Leg</searchLink><br /><searchLink fieldCode="DE" term="%22Exercise%22">Exercise</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Exercise+intensity%22">Exercise intensity</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Resistance+training%22">Resistance training</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Exercise+physiologists%22">Exercise physiologists</searchLink><br /><searchLink fieldCode="DE" term="%22Physiatrists%22">Physiatrists</searchLink><br /><searchLink fieldCode="DE" term="%22Aerobic+exercises%22">Aerobic exercises</searchLink><br /><searchLink fieldCode="DE" term="%22Compression+garments%22">Compression garments</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Delphi+method%22">Delphi method</searchLink><br /><searchLink fieldCode="DE" term="%22Expertise%22">Expertise</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Existing exercise recommendations primarily focus on upper limb lymphoedema, with limited clarity on the most effective types, frequency, and intensity of exercise for individuals with lower limb lymphoedema. Given the differences observed between the upper and lower limbs, it makes intuitive sense to develop a framework of exercise recommendations for lower limb lymphoedema. Materials and methods: We conducted a modified two round e-Delphi during February and March 2025. A draft framework was developed by the research team using relevant documents identified within the literature.. The expert panel considered 68 exercise recommendations and three recommendations regarding compression garments whilst exercising. Over two rounds, panellists rated their level of agreement on whether each recommendation was important when prescribing exercise to individuals living with lower limb lymphoedema. Results: A total of 54 panellists from 10 countries participated in round 1, with a high retention rate of 96% in round 2. The final framework consisted of 26 exercise recommendations across three domains: resistance (n = 7 recommendations); aerobic (n = 15); flexibility (n = 4); and three recommendations regarding compression garment use whilst exercising. Conclusions: This framework outlines a set of exercise recommendations to guide healthcare professionals in prescribing multimodal programs for individuals living by lower limb lymphoedema. Implications for rehabilitation: Current literature lacks clear guidance on effective exercise, types, frequency, and intensity for lower limb lymphoedema. Clinicians often adapt recommendations designed for upper limb lymphoedema, highlighting the need for tailored guidance for lower limb presentations. The purpose of this framework is not to dictate the way healthcare professionals must prescribe exercise; rather, it is to offer consensus-based exercise recommendations for individuals living with lower limb lymphoedema in the absence of strong scientific evidence. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=195034186
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09638288.2025.2578424
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 3690
    Subjects:
      – SubjectFull: Lymphedema treatment
        Type: general
      – SubjectFull: Consensus (Social sciences)
        Type: general
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Leg
        Type: general
      – SubjectFull: Exercise
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Exercise intensity
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Resistance training
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Exercise physiologists
        Type: general
      – SubjectFull: Physiatrists
        Type: general
      – SubjectFull: Aerobic exercises
        Type: general
      – SubjectFull: Compression garments
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Delphi method
        Type: general
      – SubjectFull: Expertise
        Type: general
    Titles:
      – TitleFull: Reaching consensus on exercise recommendations for individuals living with lower limb lymphoedema: a Delphi study.
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            NameFull: Davies, Luke M.
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            NameFull: Koelmeyer, Louise
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            NameFull: Gaitatzis, Katrina
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            NameFull: Paramanandam, Vincent Singh
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              M: 06
              Text: Jun2026
              Type: published
              Y: 2026
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              Value: 48
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