Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Physical Therapy for Esophageal Cancer Patient With Long Thoracic Neuropathy After Esophagectomy: A Case Report

  • Do, Junghwa (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lim, One-bin (Department of Physical Therapy, College of Health Science, Yonsei University) ;
  • Kim, Ja-young (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jeon, Jae Yong (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Cho, Young-ki (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2020.07.03
  • Accepted : 2020.07.31
  • Published : 2020.08.20
Download PDF
⟨ Previous Next ⟩

Abstract

Esophageal cancer is a representative cancer that occur physical deterioration but, physical problems after surgery were not well reported. The purpose of this study is to report on the long thoracic neuropathy after surgery, and to identify the symptoms and effects of physical therapy after esophageal cancer surgery. This is a case of a 61-year-old man who showed winging of the scapula with long thoracic nerve injury on the results of electromyography after an esophageal cancer surgery. Physical therapy programs were implemented 8 sessions during hospitalization. The quality of life, fatigue, shoulder range of motion (ROM), numeric rating scale (NRS), 6-minute walk test, and 30-second chair stand test were assessed. The quality of life, fatigue, shoulder ROM, NRS (pain), 6-minute walk test, and 30-second chair stand test were improved. However, the esophageal-specific symptom was not different after physical therapy program. As esophageal cancer suffers from physical difficulties after surgery, physical therapy programs are thought to be helpful.

Keywords

References

  1. American Cancer Society. Esophagus cancer. American Cancer Society [Internet]. Atlanta: 2020 Mar [cited 2020 May 18]. Available from: http://www.cancer.org/Cancer/Esophagus-Cancer/OverviewGuide/index.
  2. Korea Central Cancer Registry, National Cancer Center. Annual report on the causes of death statistics in Korea in 2016. Sejong: Ministry of Health and Welfare; 2018 Dec. Report No.: 11-1352000-000145-10. 13-5 p.
  3. Sjoquist KM, Burmeister BH, Smithers BM, Zalcberg JR, Simes RJ, Barbour A, et al.; Australasian Gastro-Intestinal Trials Group. Survival after neoadjuvant chemotherapy or chemoradiotherapy for resectable oesophageal carcinoma: an updated meta-analysis. Lancet Oncol 2011;12(7):681-92. https://doi.org/10.1016/S1470-2045(11)70142-5
  4. Takeuchi H, Miyata H, Gotoh M, Kitagawa Y, Baba H, Kimura W, et al. A risk model for esophagectomy using data of 5354 patients included in a Japanese nationwide web-based database. Ann Surg 2014;260(2):259-66. https://doi.org/10.1097/sla.0000000000000644
  5. Anandavadivelan P, Lagergren P. Cachexia in patients with oesophageal cancer. Nat Rev Clin Oncol 2016;13(3):185-98. https://doi.org/10.1038/nrclinonc.2015.200
  6. Djarv T, Lagergren J, Blazeby JM, Lagergren P. Long-term health-related quality of life following surgery for oesophageal cancer. Br J Surg 2008;95(9):1121-6. https://doi.org/10.1002/bjs.6293
  7. Tatematsu N, Park M, Tanaka E, Sakai Y, Tsuboyama T. Association between physical activity and postoperative complications after esophagectomy for cancer: a prospective observational study. Asian Pac J Cancer Prev 2013;14(1):47-51. https://doi.org/10.7314/APJCP.2013.14.1.47
  8. Jack S, West MA, Raw D, Marwood S, Ambler G, Cope TM, et al. The effect of neoadjuvant chemotherapy on physical fitness and survival in patients undergoing oesophagogastric cancer surgery. Eur J Surg Oncol 2014;40(10):1313-20. https://doi.org/10.1016/j.ejso.2014.03.010
  9. Gerritsen JK, Vincent AJ. Exercise improves quality of life in patients with cancer: a systematic review and meta-analysis of randomised controlled trials. Br J Sports Med 2016;50(13):796-803. https://doi.org/10.1136/bjsports-2015-094787
  10. Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, et al. Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database Syst Rev 2012;(8):CD007566.
  11. Fong DY, Ho JW, Hui BP, Lee AM, Macfarlane DJ, Leung SS, et al. Physical activity for cancer survivors: meta-analysis of randomised controlled trials. BMJ 2012;344:e70. https://doi.org/10.1136/bmj.e70
  12. Inoue T, Ito S, Ando M, Nagaya M, Aso H, Mizuno Y, et al. Changes in exercise capacity, muscle strength, and healthrelated quality of life in esophageal cancer patients undergoing esophagectomy. BMC Sports Sci Med Rehabil 2016;8:34. https://doi.org/10.1186/s13102-016-0060-y
  13. Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport 1999;70(2):113-9. https://doi.org/10.1080/02701367.1999.10608028
  14. Guyatt GH, Thompson PJ, Berman LB, Sullivan MJ, Townsend M, Jones NL, et al. How should we measure function in patients with chronic heart and lung disease? J Chronic Dis 1985;38(6):517-24. https://doi.org/10.1016/0021-9681(85)90035-9
  15. Wilson RC, Jones PW. A comparison of the visual analogue scale and modified Borg scale for the measurement of dyspnoea during exercise. Clin Sci (Lond) 1989;76(3):277-82. https://doi.org/10.1042/cs0760277
  16. Yun YH, Park YS, Lee ES, Bang SM, Heo DS, Park SY, et al. Validation of the Korean version of the EORTC QLQ-C30. Qual Life Res 2004;13(4):863-8. https://doi.org/10.1023/B:QURE.0000021692.81214.70
  17. Blazeby JM, Conroy T, Hammerlid E, Fayers P, Sezer O, Koller M, et al.; European Organisation for Research and Treatement of Cancer Gastrointestinal and Quality of Life Groups. Clinical and psychometric validation of an EORTC questionnaire module, the EORTC QLQ-OES18, to assess quality of life in patients with oesophageal cancer. Eur J Cancer 2003;39(10):1384-94. https://doi.org/10.1016/S0959-8049(03)00270-3
  18. Memarian R. Application of fundamentals and theories in nursing. Tehran: University of Tarbiat Modares Press; 2004;76-90.
  19. Cella D, Eton DT, Lai JS, Peterman AH, Merkel DE. Combining anchor and distribution-based methods to derive minimal clinically important differences on the Functional Assessment of Cancer Therapy (FACT) anemia and fatigue scales. J Pain Symptom Manage 2002;24(6):547-61. https://doi.org/10.1016/S0885-3924(02)00529-8
  20. Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. Philadelphia: F.A. Davis; 1985.
  21. Butt Z, Wagner LI, Beaumont JL, Paice JA, Peterman AH, Shevrin D, et al. Use of a single-item screening tool to detect clinically significant fatigue, pain, distress, and anorexia in ambulatory cancer practice. J Pain Symptom Manage 2008;35(1):20-30. https://doi.org/10.1016/j.jpainsymman.2007.02.040
  22. Toshkezi G, Dejesus J, Jabre JF, Hohler A, Davies K. Long thoracic neuropathy caused by an apical pulmonary tumor. J Neurosurg 2009;110(4):754-7. https://doi.org/10.3171/2008.10.JNS08755
  23. Hamada J, Igarashi E, Akita K, Mochizuki T. A cadaveric study of the serratus anterior muscle and the long thoracic nerve. J Shoulder Elbow Surg 2008;17(5):790-4. https://doi.org/10.1016/j.jse.2008.02.009
  24. Shin AR, Lee JH, Kim DE, Cynn HS. Thera-band application changes muscle activity and kyphosis and scapular winging during knee push-up plus in subjects with scapular winging: the cross-sectional study. Medicine (Baltimore) 2018;97(14):e0348. https://doi.org/10.1097/md.0000000000010348
  25. Januario LB, Madeleine P, Cid MM, Samani A, Oliveira AB. Can exposure variation be promoted in the shoulder girdle muscles by modifying work pace and inserting pauses during simulated assembly work? Appl Ergon 2018;66:151-60. https://doi.org/10.1016/j.apergo.2017.08.011
  26. National Cancer Institute. Coordinating Center for Clinical Trials (CCCT). National Cancer Institute [Internet]. Rockville: 2010 [cited 2020 May 2]. Available from: http://transformingtrials.cancer.gov/steeringcommittees/symptom-management.
  27. Hardwick DH, Beebe JA, McDonnell MK, Lang CE. A comparison of serratus anterior muscle activation during a wall slide exercise and other traditional exercises. J Orthop Sports Phys Ther 2006;36(12):903-10. https://doi.org/10.2519/jospt.2006.2306
  28. Pool MK, Nadrian H, Pasha N. Effects of a self-care education program on quality of life after surgery in patients with esophageal cancer. Gastroenterol Nurs 2012;35(5):332-40. https://doi.org/10.1097/SGA.0b013e3182605f86
  29. Anderson KO, Getto CJ, Mendoza TR, Palmer SN, Wang XS, Reyes-Gibby CC, et al. Fatigue and sleep disturbance in patients with cancer, patients with clinical depression, and community-dwelling adults. J Pain Symptom Manage 2003;25(4):307-18. https://doi.org/10.1016/S0885-3924(02)00682-6
  30. Dirksen SR, Epstein DR. Efficacy of an insomnia intervention on fatigue, mood and quality of life in breast cancer survivors. J Adv Nurs 2008;61(6):664-75. https://doi.org/10.1111/j.1365-2648.2007.04560.x
  31. Mantoan S, Cavallin F, Pinto E, Saadeh LM, Alfieri R, Cagol M, et al. Long-term quality of life after esophagectomy with gastric pull-up. J Surg Oncol 2018;117(5):970-6. https://doi.org/10.1002/jso.24995
  32. Gannon JA, Guinan EM, Doyle SL, Beddy P, Reynolds JV, Hussey J. Reduced fitness and physical functioning are longterm sequelae after curative treatment for esophageal cancer: a matched control study. Dis Esophagus 2017;30(8):1-7.
  33. Watanabe M, Okamura A, Toihata T, Yamashita K, Yuda M, Hayami M, et al. Recent progress in perioperative management of patients undergoing esophagectomy for esophageal cancer. Esophagus 2018;15(3):160-4. https://doi.org/10.1007/s10388-018-0617-9