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Predictors of Altered Upper Extremity Function During the First Year After Breast Cancer Treatment
- Source :
- American journal of physical medicine & rehabilitation, vol 95, iss 9
- Publication Year :
- 2016
- Publisher :
- eScholarship, University of California, 2016.
-
Abstract
- ObjectiveThe purpose of this study was to evaluate trajectories of and predictors for changes in upper extremity (UE) function in women (n = 396) during the first year after breast cancer treatment.DesignProspective, longitudinal assessments of shoulder range of motion (ROM), grip strength, and perceived interference of function were performed before and for 1 year after surgery. Demographic, clinical, and treatment characteristics were evaluated as predictors of postoperative function.ResultsWomen had a mean (SD) age of 54.9 (11.6) years, and 64% were white. Small but statistically significant reductions in shoulder ROM were found on the affected side over 12 months (P < 0.001). Predictors of interindividual differences in ROM at the 1-month assessment were ethnicity, neoadjuvant chemotherapy, type of surgery, axillary lymph node dissection, and preoperative ROM. Predictors of interindividual differences in changes over time in postoperative ROM were living alone, type of surgery, axillary lymph node dissection, and adjuvant chemotherapy. Declines in mean grip strength from before through 1 month after surgery were small and not clinically meaningful. Women with greater preoperative breast pain interference scores had higher postoperative interference scores at all postoperative assessments.ConclusionSome of the modifiable risk factors identified in this study can be targeted for intervention to improve UE function in these women.
- Subjects :
- medicine.medical_treatment
Mammaplasty
Grip strength
0302 clinical medicine
Postoperative Complications
030212 general & internal medicine
Longitudinal Studies
Prospective Studies
Range of Motion, Articular
Function
skin and connective tissue diseases
Prospective cohort study
Adjuvant
Mastectomy
Cancer
Mobility
Hand Strength
Rehabilitation
Age Factors
Middle Aged
Neoadjuvant Therapy
medicine.anatomical_structure
Chemotherapy, Adjuvant
030220 oncology & carcinogenesis
Female
Patient Safety
Range of motion
Range of Motion
medicine.medical_specialty
Clinical Sciences
Physical Therapy, Sports Therapy and Rehabilitation
Breast Neoplasms
Article
Upper Extremity
03 medical and health sciences
Breast cancer
Clinical Research
Hand strength
Breast Cancer
medicine
Humans
Chemotherapy
business.industry
Racial Groups
Human Movement and Sports Sciences
Grip Strength
medicine.disease
Axilla
Physical therapy
Lymph Node Excision
business
Mastodynia
Articular
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- American journal of physical medicine & rehabilitation, vol 95, iss 9
- Accession number :
- edsair.doi.dedup.....52a482ecc972c8a2fa94458d4f3143f6