Breast cancer surgery: Is it a problem for the upper extremity?

Objective & Hypothesis:Objective: The aim of this study was to determine shoulder pain, range of motion (ROM), shoulder muscle strength (SMS), handgrip strength (HS), and the presence of lymphedema in patients who had undergone breast cancer surgery.

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Key Findings & Data:Materials and Methods: Ninety-three females operated unilaterally for breast cancer were included in the study.

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Conclusion & Impact:Additionally, shoulder ROM, SMS, and HS in the operated side were significantly lower than in the nonoperated side (p

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to determine shoulder pain, range of motion (ROM), shoulder muscle strength (SMS), handgrip strength (HS), and the presence of lymphedema in patients who had undergone breast cancer surgery. Materials and Methods: Ninety-three females operated unilaterally for breast cancer were included in the study. Shoulder pain intensity of the operated side (rest and movement) was evaluated by a visual analogue scale. Active shoulder ROM was measured using a goniometer, SMS and HS was measured by a hand dynamometer. The presence of lymphedema was assessed by arm-forearm circumference measurements. Results: Shoulder pain during movement (76.3%) and decreased HS (59%) were the most common upper extremity problems. Other problems were shoulder pain during rest (41.9%), limited shoulder abduction (46.2%) and flexion (45.1%), decreased SMS in abduction (51.6%) and flexion (38.8%), the presence of lymphedema in the arm (23.7%) and forearm (11.9%), respectively. Additionally, shoulder ROM, SMS, and HS in the operated side were significantly lower than in the nonoperated side (p

Özet

Amaç: Meme kanseri nedeniyle cerrahi geçiren hastalarda, omuz ağrısı,eklem hareket açıklığı (EHA), omuz kas gücü (OKG), el kavrama gücü (el KG) ve lenfödem varlığını belirlemekti. Gereç ve Yöntem: Çalışmaya meme kanseri nedeni ile unilateral opereolan 93 kadın dahil edildi. Opere edilen tarafta omuz ağrı şiddeti(istirahat ve hareket) vizüel analog skala ile değerlendirildi. Aktif omuz EHA gonyometre ile, OKG ve el KG el dinamometresi ile ölçüldü. Lenfödem varlığı kol-önkol çevre ölçümü ile değerlendirildi.Bulgular: Hareketle omuz ağrısı (%76,3) ve el KG kaybı (%59) en sık gözlenen üst ekstremite problemleri idi. Diğer sorunlar ise sırasıyla; omuz abdüksiyon (%46,2) ve fleksiyon (%45,1) EHA kısıtlılığı, istirahat omuz ağrısı (%41,9), abdüksiyon (51,6) ve fleksiyon (%38,8) OKG kaybı, kolda (%23,7) ve önkolda (%11,9) lenfödem varlığı idi. Ayrıca, opere edilentarafta omuz EHA, OKG ve el KG değerleri opere edilmeyen taraftan anlamlı derecede düşüktü (p

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Cite This Article

CANTÜRK, F., ULUS, Y., BÜYÜKAKINCAK, Ö., KURU, Ö., BİLGİCİ, A., TANDER, B., AKYOL, Y., ÖZEN, N., BÜYÜKAKINCAK, S. (2022). Breast cancer surgery: Is it a problem for the upper extremity?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, Cilt: 59 - Sayı: 4, 304–309. https://ajindex.com/articles/628885

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