A randomized controlled trial of scapular exercises with electromyography biofeedback in oral cancer patients with accessory nerve dysfunction

Chen, Y.-H.; Liang, Wei-An; Lin, Chun-Ching; Huang, Chien-Chang

doi:10.1007/s00520-022-07263-4

Cited by 3 publications

(3 citation statements)

References 41 publications

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“…Moreover, there is a pressing need for more studies within the Pakistani context to enrich the existing data and support the findings of this study. Future investigations should also aim to develop a standardized questionnaire to facilitate data collection and interpretation, and consider including a broader demographic to compare lactating working women with housewives, thereby offering a more nuanced understanding of the impact of breastfeeding practices on maternal health (12,14,20).…”

Section: Discussionmentioning

confidence: 99%

Association of Breast-Feeding Positions with Scapular Dyskinesia in Postpartum Females

Haider,

Irshad,

Abbas

et al. 2024

JHRR

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Background: Breastfeeding is a vital activity for the nurturing and development of infants. However, the postures adopted during breastfeeding may have implications for the physical well-being of postpartum females, particularly concerning scapular dyskinesia—a condition characterized by altered scapular movement and positioning, which can affect shoulder function. Objective: This study aimed to investigate the association between different breastfeeding positions and the prevalence of scapular dyskinesia among postpartum females, providing insights into the potential musculoskeletal implications of breastfeeding practices. Methods: An observational cross-sectional study was conducted involving 111 postpartum females aged 18-45 years, who had been breastfeeding for six months or more. Participants were recruited using non-probability convenient sampling from various hospitals in Lahore, Pakistan. Data on breastfeeding positions and the occurrence of scapular dyskinesia were collected through self-administered questionnaires and the Scapular Dyskinesia Test (SDT) by McClure, respectively. Descriptive statistics were used to summarize participant demographics and breastfeeding practices, while the chi-square test was employed to examine the association between breastfeeding positions and scapular dyskinesia. Results: Among the participants, the cradle hold was the most commonly used breastfeeding position (82.0%), followed by the cross cradle (13.5%), side-lying (3.6%), and laid-back positions (0.9%). The prevalence of scapular dyskinesia was 41.4%, with no statistically significant association found between breastfeeding positions and scapular dyskinesia (p-value = 0.06). Additionally, upper back pain was reported by 39.6% of the participants, indicating a notable presence of musculoskeletal discomfort. Conclusion: The study concluded that there is no significant association between breastfeeding positions and scapular dyskinesia among postpartum females. Despite the high prevalence of scapular dyskinesia and musculoskeletal discomfort, the type of breastfeeding position does not appear to influence the likelihood of developing scapular dyskinesia. These findings suggest the need for further research into the factors contributing to musculoskeletal health in postpartum females and the development of guidelines for breastfeeding practices that promote maternal comfort and physical well-being.

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Section: Discussionmentioning

confidence: 99%

Association of Breast-Feeding Positions with Scapular Dyskinesia in Postpartum Females

Haider,

Irshad,

Abbas

et al. 2024

JHRR

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“…Evidence supports the effectiveness of interventions such as myofascial release, progressive resistance training, and neuromuscular re-education in improving shoulder dysfunction [93]. Studies in HNC patients advocate early rehabilitation, including scapular control training, EMG biofeedback, and exercisebased interventions [104,105].…”

Section: Managementmentioning

confidence: 99%

Evaluation and Management of Shoulder Dysfunction in Cancer Survivors

Lee,

Stubblefield

2024

Curr Phys Med Rehabil Rep

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Purpose of Review Shoulder dysfunction widely affects function and quality of life of cancer survivors. This paper discusses the etiology, identification, evaluation, and management of the common shoulder impairments seen in cancer survivors, particularly those with breast cancer, head and neck cancer, and Hodgkin lymphoma. Recent Findings Shoulder dysfunction can be caused by a wide range of sources, often as a sequelae of cancer treatments including surgery, systemic therapy, and radiation therapy. These can change the shoulder biomechanics leading to musculoskeletal disorders such as rotator cuff disease and adhesive capsulitis. Other etiologies include neuromuscular complications, such as post-breast surgery pain syndrome and radiation fibrosis syndrome, and lymphovascular disorders such as lymphedema and axillary web syndrome. Metastatic bone disease and primary bone cancer should be considered for those with intense shoulder pain. Detailed history and physical exam, and in some cases, imaging can assist with evaluation of shoulder issues. Exercise, physical and occupation therapy are essential in managing shoulder dysfunction. Summary Shoulder dysfunction can limit function and quality of life for cancer survivors. It is important to consider the possible etiologies as accurate diagnosis is critical for optimal treatment.

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“…Indeed, rehabilitation has been reported as a cornerstone for BC survivors management with growing literature highlighting its role in improving physical function and overall wellbeing [5,26]. Moreover, rehabilitation exercises might have a role in improving shoulder kinematic and neuromotor control, targeting the multilevel etiological causes underpinning shoulder inflammation [27][28][29]. Although a multidisciplinary management might provide further advantages for BC survivors affected by SBS, there is still a gap of knowledge about the combination of these two therapeutic interventions.…”

Section: Introductionmentioning

confidence: 99%

Effects of Ultrasound-Guided Injection Combined with a Targeted Therapeutic Exercise in Breast Cancer Women with Subacromial Pain Syndrome: A Randomized Clinical Study

Lippi

Sire

Folli

et al. 2022

JPM

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In this randomized controlled study, we aimed to assess the effects of US-guided injections of the subacromial bursa followed by a personalized rehabilitation program for breast cancer (BC) survivors. We assessed patients with subacromial pain syndrome without tendon lesions and with a history of post-surgical non-metastatic BC. Thirty-seven patients were enrolled and randomly assigned 1:1 to receive US-guided corticosteroid injections combined with a personalized rehabilitation program (Group A; n: 19) or US-guided corticosteroid injections alone (Group B; n: 18). The primary outcome was pain relief, assessed using a numerical pain rating scale (NPRS). The secondary outcomes were muscle strength, shoulder function, and quality of life. No major or minor late effects were reported after the multidisciplinary intervention. Statistically significant within-group differences were found in terms of NPRS (p ≤ 0.05) in both groups. No significant between-group differences were reported after one week. However, the between-group analysis showed significant differences (p ≤ 0.05) after three months of follow-up in terms of pain intensity, muscle strength, shoulder function, and quality of life. Our findings suggested positive effects of a multidisciplinary approach including US-guided corticosteroid injections combined with a personalized rehabilitation program in improving pain intensity and quality of life of BC survivors with subacromial pain syndrome.

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A randomized controlled trial of scapular exercises with electromyography biofeedback in oral cancer patients with accessory nerve dysfunction

Cited by 3 publications

References 41 publications

Association of Breast-Feeding Positions with Scapular Dyskinesia in Postpartum Females

Association of Breast-Feeding Positions with Scapular Dyskinesia in Postpartum Females

Evaluation and Management of Shoulder Dysfunction in Cancer Survivors

Effects of Ultrasound-Guided Injection Combined with a Targeted Therapeutic Exercise in Breast Cancer Women with Subacromial Pain Syndrome: A Randomized Clinical Study

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