The association of breast cancer-related lymphedema after unilateral mastectomy with shoulder girdle kinematics and upper extremity function


BARAN E. , YILDIZ T. İ. , GÜRŞEN C. , ÜZELPASACI E. , ÖZGÜL S. , DÜZGÜN İ. , ...Daha Fazla

JOURNAL OF BIOMECHANICS, cilt.121, 2021 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 121
  • Basım Tarihi: 2021
  • Doi Numarası: 10.1016/j.jbiomech.2021.110432
  • Dergi Adı: JOURNAL OF BIOMECHANICS

Özet

The purpose of this study was to examine the association of breast cancer-related lymphedema on shoulder girdle kinematics and upper extremity function. The study included 67 breast cancer survivors with and without unilateral lymphedema. Individuals were divided into non-lymphedema, moderate and severe lymphedema groups according to the volumetric measurement difference between the affected and unaffected upper extremities. A three-dimensional motion monitor-electromagnetic system was used to analyze scapular movements during the elevation and depression phases of the upper extremity elevation in the scapular plane. Shoulder range of motion was assessed with a digital inclinometer. Upper extremity function was assessed with the & lsquo;Disabilities of the Arm, Shoulder, and Hand Questionnaire & ndash; Short Form (Quick-DASH)& rsquo;. The scapular upward rotation was lower for the severe lymphedema group than for the non-lymphedema group in the 90 & ndash;60 & ndash;30 degrees depression phases of arm elevation (p < .05). The scapular anterior tilt was higher for the severe lymphedema group than for the non-lymphedema group in the 30 degrees depression phase of arm elevation (p < .05). Shoulder abduction range of motion was the lowest in the severe lymphedema group (p < .05). The non-lymphedema group had the lowest quick-DASH score and the severe lymphedema group had the highest score (p < .05). There were statistically significant moderate associations between the quick-DASH scores and scapular movements in all groups (p < .05). The development, presence and/or severity of lymphedema were associated with impaired shoulder-girdle kinematics and decreased upper extremity function. However, a need exists for longitudinal studies comparing individuals with and without lymphedema and healthy controls.& nbsp; (c) 2021 Elsevier Ltd. All rights reserved.