•  
  •  
 

Rehabilitation Practice and Science

Translated Title

頭頸癌患者於選擇性頸部廓清術後肩部及上肢的功能表現

Abstract

Background: Shoulder dysfunction is common after nerve-sparing selective neck dissection (SND). We aimed to assess the upper extremity function and shoulder pain in patients with head and neck cancer (HNC) after SND. Methods: In this cross-sectional study, we enrolled 38 patients with HNCs after SND and evaluated shoulder active range of motion (ROM), muscle strength, pain, and the Disabilities of the Arm, Shoulder and Hand Score (DASH) questionnaire for upper extremity function on operative and non-operative sides. Results: Significant reductions in shoulder motions, muscle strength, and higher level of shoulder pain were observed on the operative side after SND. Worse upper extremity function was significantly associated with shoulder pain, and restricted shoulder ROM. DASH score is associated with shoulder flexion, extension and pain. Conclusion: Despite SND, there is still negative impact on upper extremity function, which is associated with decreased shoulder motions and shoulder pain. For setting practical rehabilitation in HNC patients with SND, the focus should be on regaining shoulder motions, especially shoulder flexion and extension, reducing shoulder pain, and getting better upper extremity performances.

Language

English

First Page

99

Last Page

107

Download

Share

COinS