Current research by Casley-Smith instructors

How Confident Are You in Evaluating and Treating Genital Lymphedema?

The training for upper and lower extremity lymphedema evaluation and treatment is fairly standard across programs. The amount and type of training for genital lymphedema is not as consistent. The purpose of this survey is to determine the style and content of genital lymphedema specific training you received and to assess your confidence in evaluating and providing treatment. The hope is the information gained from this study will help to shape future training for medical professionals.

Please contact the primary investigator, Shelley DiCecco, at any time with questions:

Papers Published

Borman P, Noble-Jones R, Thomas MJ, Bragg T, Gordon K. (2021) Conservative and integrated management of genital lymphoedema: case reports for men. In: Genital Oedema. Journal of Wound Care (special edition Nov. 2021) pp.5-16

Noble-Jones, R., Thomas, MJ., Quéré, I., Morgan, K., Moffatt, C. (2021) An international investigation of the education needs of health professionals conservatively managing genital lymphoedema: survey findings. In: Genital Oedema.  Journal of Wound Care (special edition Nov. 2021) pp17-26

Noble-Jones, R., Thomas, MJ., DiCecco, S., Gabe-Walters, M., Moffatt, C. (2021) Contextual factors affecting the education needs of lymphoedema health professionals regarding genital oedema. In: Genital Oedema. Journal of Wound Care (special edition Nov.2021) pp27-37

Jacob T, Bracha J, Peleg R. Epstein A, Yosha I. Risk Reduction Recommendations for Upper Quadrant Side Effects After Breast Cancer Surgery and Treatments: A Delphi Survey to Evaluate Consensus Among Expert Physical Therapists and Alignment With Current Evidence. Reh Oncol (2021), 39, 4, pp. E106-E118(13)

Deutscher D,  Hayes D, , Cook K F, Werneke M W,  Tucker C A, PT, Mioduski J E, Levenhagen K, PT, Tidhar D, Pfarr M, Kallen M A. Upper Quadrant Edema Patient-Reported Outcome Measure Was Reliable, Valid, and Efficient for Patients with Lymphatic and Venous Disorders. Physical Therapy (2021), pzab219, 27 September

Gabe-Walters, M. and Thomas M. Development of the Lymphoedema Patient Reported Outcome Measure (LYMPROM). British Journal of Nursing (2021) 30.10: 592-598.‏

Thomas, M. Breast cancer-related upper limb lymphoedema: an overview. British Journal of Community Nursing(2021)  26.Sup4: S30-S35.‏

Gabe-Walters, M, Thomas M, and Noble-Jones, R. Lymphoedema care in the mobile unit: a service evaluation of patient experience and attendance rates. British Journal of Healthcare Management (2021) 27.6: 1-8.‏

Noble‐Jones, R, and Thomas MJ. Recognizing genital lymphoedema after penile cancer. International Journal of Urological Nursing (2021)

Noble-Jones R., Thomas, M.J., Lawrence, P., Pike, C. (2021) Guidelines for managing people with lymphoedema remotely: a post-Covid-19 response document. BJN. Vol 30, No 4 pp218-225.

Gabe-Walters, M., and Noble-Jones, R. Challenges and opportunities identified for lymphoedema services in Wales during the COVID-19 pandemic. British Journal of Nursing (2021) 30.4: 210-217.‏

Noble-Jones, R., Thomas M J., and Gabe-Walters M. The education needs of health professionals conservatively managing genital oedema: UK survey findings. British Journal of Nursing (2021) 30.9: S18-S26

Van der Gucht E, Dams L, Meeus M, Devoogdt N, Beintema A, Penen F, Hoelen W, De Vrieze T, De Groef A. Kinesiophobia contributes to pain-related disability in breast cancer survivors: a cross-sectional study. Support Care Cancer. 2020 Sep;28(9):4501-4508. doi: 10.1007/s00520-020-05304-4. Epub 2020 Jan 17. PMID: 31953624.

Armer, Jane M., et al. “ONS Guidelines™ for Cancer Treatment-Related Lymphedema.” Oncology nursing forum. (2020) 47.5‏

Tidhar D, Deutscher D, Armer JM. Lymphoedema, a significant health problem in Israel: A descriptive community-based study. Int Wound J. 2020 Nov 25. doi: 10.1111/iwj.13523. Epub ahead of print. PMID: 33236836.

Thomas M, Coveney E, Pike C, Morgan K, Noble-Jones R. Exploring the impact of lymphoedema on individuals and if lymphatic venous anastomosis surgery effects perceptions on quality of life: A qualitative study. Eur J Oncol Nurs. 2020 Feb;44:101720.

Hague, A., Bragg, T., Thomas, M., Pike, C., Morgan, K., & Ghattaura, A.. Severe lower limb lymphoedema successfully treated with a two-stage debulking procedure: a case report. Case Reports in Plastic Surgery and Hand Surgery (2020) 7(1), 38-42.‏

Jacob T, Silman-Cohen H, Bracha J, Peleg R. Importance of standardized and on-line instructions for women after breast cancer surgery was emphasized by the lockdown during the Covid-19 crisis- A clinical letter. Int J Physiother (2020) 7(5)

Klein I, Tidhar D,  Kalichman L. Lymphatic treatments after orthopedic surgery or injury: A systematic review. Journal of Bodywork and Movement Therapies  (2020)  24, 4, 109-117  ISSN 1360-8592,

Herbst, Karen L., Karen L. Herbst, Linda Anne Kahn, Emily Iker, Rachelle Crescenzi, Chuck Ehrlich, Tami Faris, Thomas Wright, Lindy McHutchison, Jaime Schwartz, Erik Lontok, Michael S. Schwartz, Molly Sleigh, Steven M. Dean, John R. Bartholomew, Polly Armour, Margarita Correa-Perez, Kathleen H. Lisson, Ingrid A. Harten, Nicholas Pennings, Ethan Larson, Andrea Brennan, Joachim Zuther. Letter to the Editor regarding Lipoedema–myths and facts, Part 1 and Part 5. European Best Practice of Lipoedema–Summary of the European Lipoedema Forum consensus. Phlebologie (2020) 49: 31–49. Phlebologie 50.01 (2021): e5-e6.

Hague, A., Bragg, T., Thomas, M., Pike, C., Morgan, K., & Ghattaura, A. Severe lower limb lymphoedema successfully treated with a two-stage debulking procedure: a case report. Case Reports in Plastic Surgery and Hand Surgery (2020)  7(1), 38-42.‏

Noble‐Jones, R., Thomas, M. J., and Bose, P. “The Lymphoedema Genitourinary Cancer Questionnaire in urology follow‐up clinics.” International Journal of Urological Nursing (2019) 13.1: 5-12.‏

Jacob T, Bracha J. Lymphedema treatment certified physical therapists’ awareness of and practice patterns for side effect risk reduction after breast cancer treatments. Int J Physiother. (2019) 6(5):224-230.

Tamar Jacob, Jillian Bracha, Identification of Signs and Symptoms of Axillary Web Syndrome and Breast Seroma During a Course of Physical Therapy 7 Months After Lumpectomy: A Case Report, Physical Therapy (2019) 99, 2 : 229–239,

Tidhar D, Deutscher D, Horn S, Armer J. Treatment Documentation in Practice-Based Evidence Research for Patients Receiving Physical Therapy Because of Lymphedema. Archives of Physical Medicine and Rehabilitation (2019) 100, 8 :1467-1474 ISSN 0003-9993,

Nijs J, Wijma AJ, Leysen L, Pas R, Willaert W, Hoelen W, Ickmans K, Wilgen CPV, Explaining pain following cancer: a practical guide for clinicians. Braz J Phys Ther. (2019),  23-5 Sept-Oct: 367-377.

Karakashian, K, Pike C., and van Loon, R. “Computational investigation of the Laplace law in compression therapy.” Journal of biomechanics  (2019) 85: 6-17.‏

Morgan, K, and Thomas M. “The development of a ‘wet leg’ pathway for chronic oedema.” International journal of palliative nursing (2018) 24.1: 40-46.‏

Karakashian, K., Shaban, L., Pike, C., & van Loon, R. Investigation of shape with patients suffering from unilateral lymphoedema. Annals of biomedical engineering (2018) 46(1), 108-121

Lee, T. S., Morris, C. M., Czerniec, S. A., & Mangion, A. J. Does lymphedema severity affect quality of life? Simple question. challenging answers. Lymphatic research and biology (2018) 16(1), 85-91.‏

Gott, F. H., Ly, K., Piller, N., & Mangion, A. Negative pressure therapy in the management of lymphoedema. Journal of Lymphoedema (2018) 13 , 1.‏

Tidhar D. Armer J. The meaning of success in lymphoedema management. Journal of Lymphoedema, (2018) 13, 1: 37-42

Tidhar D, Deutscher D, Armer JM. Construct Validity of functional status scores of patients with lymphedema. Lymphology (2018) 51, 4 : 160-173

Morris, C. M., Lee, T. S., Czerniec, S. A., & Mangion, A. J.  A patient-based self-examination survey for staging the severity of lymphoedema. Journal of Lymphoedema (2017) 12(1).‏

Humphreys, I., & Thomas, M. J. Evaluation of the economic impact of a national lymphoedema service in Wales. British Journal of Nursing, (2017)  26, 20 :1093-1100.‏

Thomas, M. J., & Morgan, K. The development of Lymphoedema Network Wales to improve care. British Journal of Nursing, (2017)  26, 13: 740-750.‏

Lister, L. and Noble-Jones, R. “Case study: Obesity, genital oedema and lower limb compression bandaging.” British journal of community nursing (2017)  22, Sup10: S21-S25.‏

Peleg, Ruthi MScPT1; Katz-Leurer, Michal PhD2 Effect of Arm Position on Circumference Measurement of Upper Arms in Healthy and in Women With Breast Cancer–Related Lymphedema, Rehabilitation Oncology( 2017) 35, 2 : 72-80 doi: 10.1097/01.REO.0000000000000054

Noble-Jones, R., Rowley, L. and Rowley C. “Clinical innovation: wider collaboration on lymphoedema research is needed—footwear and gait analysis.” Wounds International (2017) 8,1 : 21-24.‏

Thomas, M. J., & Morgan, K. The development of Lymphoedema Network Wales to improve care. British Journal of Nursing (2017)  26,13: 740-750.‏

Thomas, M., et al. “Managing chronic oedema and wet legs in the community: a service evaluation.” Nurs Stand (2017) 32.11 :39-50.‏

Peleg Ruthi, Sofrin-Politi Dafna “Raising doubts concerning doubts the guidelines for the prevention of lymphedema after breast cancer surgery – A storm in a glass of water? Journal of the Israeli Oncology Nursing Society, May 2017, Vol 29, No 1: 20-25

Wanchai, A., Armer, J. M., Stewart, B. R., & Lasinski, B. B. Breast cancer-related lymphedema: A literature review for clinical practice. International Journal of Nursing Sciences (2016) 3,2: 202-207.‏

Nijs J, Leysen L, Pas R, Adriaenssens N, Meeus M, Hoelen W, Ickmans K, Moloney N, Treatment of pain following cancer: applying neuro-immunology in rehabilitation practice. Disabil Rehabil. (2016) Dec 15:1-8.

Nijs J, Leysen L, Adriaenssens N, Aguilar Ferrándiz ME, Devoogdt N, Tassenoy A, Ickmans K, Goubert D, van Wilgen CP, Wijma AJ, Kuppens K, Hoelen W, Hoelen A, Moloney N, Meeus M, Pain following cancer treatment: Guidelines for the clinical classification of predominant neuropathic, nociceptive and central sensitization pain, Acta Oncol. (2016) Jun;55(6):659-63

Hugenholtz-Wamsteker W, Robbeson C, Nijs J, Hoelen W, Meeus M, The effect of docetaxel on developing oedema in patients with breast cancer: a systematic review, Eur J Cancer Care (Engl). (2016) Mar;25(2):269-79

Noble-Jones, R. “Using new research to improve treatment and management of lymphoedema.” British Journal of Nursing (2016) 25,13: 726-726.‏

Noble Jones, R. “Compression moves on: advances in care are changing practice.” British Journal of Nursing 25.4 (2016): 204-206.‏

Armer, J. M., Feldman, J. L., Ostby, P. L., Thrift, K. M., Lasinski, B. B., Beck, M. S., … & Stewart, B. R. Simplifying evidence-based management of breast cancer-related lymphedema. Expert Review of Quality of Life in Cancer Care (2016) 1,5 : 389-402.‏

Shaitelman, S. F., Cromwell, K. D., Rasmussen, J. C., Stout, N. L., Armer, J. M., Lasinski, B. B., & Cormier, J. N. Recent progress in the treatment and prevention of cancer‐related lymphedema. CA: a cancer journal for clinicians (2015) 65, 1: 55-81.‏

Geraets, J. J. X. R., Calders, P., Nijs, J., & van Wilgen, C. P. (2014). Oncologie–interview met Wouter Hoelen. In Jaarboek Fysiotherapie Kinesitherapie (2015) 55-61. Bohn Stafleu van Loghum, Houten.‏

Viehoff, P. B., Heerkens, Y. F., Van Ravensberg, C. D., Hidding, J., Damstra, R. J., Ten Napel, H., & Neumann, H. A. M. Development of consensus International Classification of Functioning, Disability and Health (ICF) core sets for lymphedema. Lymphology (2015)  48,1 : 38-50.‏

Tidhar, D.; Armer, J.M.; Deutscher, D.; Shyu, C.-R.; Azuri, J.; Madsen, R. Measurement Issues in Anthropometric Measures of Limb Volume Change in Persons at Risk for and Living with Lymphedema: A Reliability Study. J. Pers. Med. (2015) 5, 341-353.

Tidhar D, Deutscher D,Armer JM. Lymphoedema, a significant healthproblem in Israel: A descriptive community-based study. Int Wound J. 2020;1–18.

Tidhar D, Hodgson P, Shay C, Towers A. A Lymphedema Self-Management Programme: Report on 30 Cases. Physiotherapy Canada (2014) 4, 66  404-412  DOI: 10.3138/ptc.2013-46

Letellier, Marie-Eve MSc; Towers, Anna MD; Shimony, Avi MD; Tidhar, Dorit MScPT Breast Cancer-Related Lymphedema, American Journal of Physical Medicine & Rehabilitation: September (2014) 93, 9 : 751-763 doi: 10.1097/PHM.000000000000008

Noble-Jones, R., et al. “Development of the lymphoedema genito-urinary cancer questionnaire.” British Journal of Nursing (2014) 23 ,Sup18 : S14-S19.‏

Borthwick Y et al “Reliability and validity of the figure-of-eight method of measuring hand size in patients with breast cancer-related lymphoedema” European Journal of Cancer Care (2013) Mar;22(2):196-201.

Lasinski, Bonnie B. “Complete decongestive therapy for treatment of lymphedema.” Seminars in oncology nursing (2013)  29, 1. ‏

Lasinski, Bonnie B., et al. “A systematic review of the evidence for complete decongestive therapy in the treatment of lymphedema from 2004 to 2011.” PM&R (2012) 4,8: 580-601.‏

Anne L. Newman, Leonard Rosenthall, Anna Towers, Pamela Hodgson, Carol A Shay, Dorit Tidhar, Antonio Vigano, and Robert D. Kilgour.Lymphatic Research and Biology (2013) 104-109.

DiCecco, Shelley Smith. Incorporating pelvic floor exercises in complete decongestive therapy for females with lower extremity lymphedema, with and without genital involvement, to improve volumetric and quality of life outcomes. Diss. 2012.‏

Bracha J;1; Katz-Leurer M. The Immediate Effect of Upper Arm Exercise Compared With Lower or Combined Upper and Lower Arm Exercise on Arm Volume Reduction in Women With Breast Cancer Related Lymphedema: A Randomized Preliminary Study, Rehabilitation Oncology (2012) 30, 3: 3-8


Tidhar, D., Katz-Leurer, M. Aqua lymphatic therapy in women who suffer from breast cancer treatment-related lymphedema: a randomized controlled study. Support Care Cancer ( 2010) 18, 383–392

Bracha J, Jacob T. Using exercise classes to reduce arm lymphoedema. Journal of Lymphoedema, (2010) 5.1: 46-55.‏

Guterman, C., Jacob T., and Tidhar D.. “Incidence of first and recurrent cellulitis and its relationships to physical therapy: An observational study.” Lymphology 3 (2009): 15

Armer, J., Feldman, J., Fu, M., Stout, N., Lasinski, B., Tuppo, C., … & Cormier, J. (2009). ALFP: identifying issues in lymphoedema in the US. J Lymphoedema, 4(2), 85-91.‏

Mitchell, Katy, Peggy B. Gleeson, and Shelley Smith. “Assessing quality of life for females with upper extremity lymphedema.” Journal of Women’s Health Physical Therapy (2009) 33.2 : 7-13.‏

Shimony A, Tidhar D, Geffen DB. [Cancer-related lymphedema in Israel]. Harefuah (2008) 147,7 :624-7, 661.

Shimony A, Tidhar Dorit. Lymphedema: A Comprehensive Review, Annals of Plastic Surgery (2008)  60, 2, 228- doi: 10.1097/SAP.0b013e318165f1f5

Peleg Ruthi, Bracha Jillian ” Israeli Lymphedema Association”, Journal of Lymphoedema, 2007, Vol 2, No 2: 76-78

Tidhar D, Drouin J, Shimony A. Aqua Lymphatic Therapy in Managing Lower Extremity Lymphedema. Supportive Oncology (2007)  5, 4 : 179-183

Tidhar D, Shimony A, Drouin J. Oncology Aqua Lymphatic Therapy for Postsurgical Breast Cancer Lymphedema. Rehabilitation (2004)  22, 3,: 6-14

Oppenheimer R, Finkel R, Brennan A. Treatment of Radiation-Induced Fibrosis of the Face with Manual Compression Therapy. Ear, Nose & Throat Journal (2004) 83(7):478-480. doi:10.1177/014556130408300714

Casley‐Smith, Judith R., et al. “Treatment for lymphedema of the arm‐The Casley‐Smith method: A noninvasive method produces continued reduction.” Cancer: Interdisciplinary International Journal of the American Cancer Society 83.S12B (1998): 2843-2860.‏

Boris, M., Weindorf, S., Lasinski, B., & Boris, G. Lymphedema reduction by noninvasive complex lymphedema therapy. Oncology (1994) 8, 9 : 95-106.‏

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