Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Comparison of Shoulder Range of Motion, Pain, Function, Scapular Position Between Breast Cancer Surgery and Shoulder Surgery Female Patients

유방암 절제술과 견관절 수술을 한 여성의 견관절 관절가동범위, 통증수준, 기능수준, 견갑골의 자세 비교

  • Lee, Min-Ji (Dept. of Physical Therapy, The Graduate School, Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Natural Science, Daejeon University) ;
  • Shim, Jae-Kwang (Dept. of Physical Therapy, Daejeon Wellness Hospital)
  • 이민지 (대전대학교 일반대학원 물리치료학과) ;
  • 김선엽 (대전대학교 자연과학대학 물리치료학과) ;
  • 심재광 (대전 웰니스병원 물리치료실)
  • Received : 2014.08.07
  • Accepted : 2014.11.04
  • Published : 2015.02.19
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Abstract

This study aimed to compare the characteristics of breast cancer surgery and shoulder surgery patients on the shoulder range of motion (ROM), degree of pain and dysfunction, and scapular position. This study was carried out with a total of 90 women: a breast cancer surgery group (BS, $n_1=30$), a shoulder surgery group (SS, $n_2=30$) and a control group ($n_3=30$). Shoulder ROM, the Quadruple Visual Analogue Scale (QVAS), the Shoulder Pain and Disability Index (SPADI), and the Scapular Index (SI) were used to assess shoulder function. Statistical analyses were performed using a one-way analysis of variance, crosstab test, and independent sample t-test. Post-hoc testing was carried out with Bonferroni test. There were significant differences in shoulder ROM when the BS and the SS were compared with the control group. However, there was no significant difference in ROM between the BS and SS. Furthermore, there was a significant difference in shoulder pain between both surgery groups, and there was greater shoulder dysfunction in the SS than in the BS. There was also a significant difference in upper extremity posture when the BS and the SS were compared to the control group. Finally, there was no significant difference in upper extremity posture between the BS and the SS. This study compared shoulder ROM, pain, dysfunction, and upper extremity postures between the BS and SS. While there were no significant differences in shoulder ROM, pain, and upper extremity posture between both surgery groups, the level of dysfunction was found to be significantly different. Therefore, health professionals managing for breast cancer surgery or shoulder surgery patients should consider these outcomes.

Keywords

References

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