1. Upper-limb circumference was taken using cloth measuring
tape on bilateral upper-limbs at four levels, i.e.,
at the metacarpophalangeal joints, wrist joint, 15 cm
distal to the lateral epicondyle, and 10 cm proximal to
the lateral epicondyle. Patients were positioned prone
with their upper limbs at their sides and their elbows
straight while the circumference measurements were
taken [20–21]. Two measurements were taken and their
mean was used. The calculated difference between
each circumference (in centimeters) at all four levels
between the affected and contralateral upper limbs was
taken as outcome.