General Assessment Form
Self Reporting Assessment Form
Vascular Assessment From
Arm measurement form, click on the link to download the form
Leg measurement form, click on the link to download the form
These assessment forms have been developed over time by the Assessment Committee, which has included Hildegard Reul-Hirche, Helen Badran, Robyn Box, Dr Helen Mackie, Andrea Mangion, Elsebeth Perry, Neil Piller.
Jennifer Gilber (chair), Hildegard Reul-Hirche, Iwa Yeung, Jane Phillips
ALA Council, 2004
Aim of Standard
This standard indicates a basic technique for the circumferential measurement of lymphoedematous limbs that can be used by clinicians and researchers across Australasia.
Standard measurement techniques will encourage clinician accountability, quality of services for consumers, consistency in approach for consumers, comparability for research and strengthen the evidence base for lymphoedema services.
ALA Council, October 2012
Measurement of lymphoedematous limbs using an interval circumferential tape measurement technique. Measurement forms part of the overall assessment of the person at risk of or with lymphoedema. It allows the quantification of limb size difference and change over time with intervention or as a consequence of complications. Accurate measurement will assist in targeted long term management and has the potential to facilitate optimal outcomes based on specific response to indicated changes. The technique of circumferential measurement using a tape has been reviewed by a peer (Delphi) process in Australia. The results of this process developed a consensus for a standardized technique (ALA Lymphoedema Measuring Standards) and measurement chart (ALA Lymphoedema Measuring Forms) which is available on the ALA website www.lymphoedema.org.au. The use of this standardized technique gives improved reliability and comparison to outcome and research data, and is widely used by Australian and New Zealand clinicians and researchers. At this time, Australia is the only country which has a consensus method developed using the Delphi technique.