Causes of Shoulder Pain in Women with Breast Cancer-Related Lymphedema: A Pilot Study

Jeong, Ho Joong; Sim, Young-Je; Hwang, Ki Hun; Kim, Ghi Chan

doi:10.3349/ymj.2011.52.4.661

Cited by 37 publications

(42 citation statements)

References 13 publications

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“…The DASH is growing in its popularity to assess upper extremity function in BCS (Brackley, Mishra, Sigaroudina, and Iqbal, 2010;Button et al, 2010;Chan, Lui, and So, 2010;Harrington et al, 2011;Hayes, Battistutta, and Newman, 2005;Hayes, Rye, Battistutta, and Newman, 2010;Jeong, Sim, Hwang, and Kim, 2011;Kaya et al, 2010;King, Deveaux, White, and Rayson, 2012;McNeely and Courneya, 2010;Smoot et al, 2010;Thomas-Maclean et al, 2008). Despite this popularity, only one study has examined upper extremity impairments and its relationship to disability in BCS using the DASH (Thomas-Maclean et al, 2008).…”

Section: Discussionmentioning

confidence: 94%

“…Currently, approximately 30 validated outcome measures exist for assessing function and disability in patients with shoulder pain and dysfunction (Wright and Baumgarten, 2010). Two of these, the Disabilities of Arm, Shoulder and Hand (DASH) questionnaire and the Pennsylvania Shoulder Score (PSS) are becoming more commonly used to examine upper extremity disability and function in BCS (Brackley, Mishra, Sigaroudina, and Iqbal, 2010;Button et al, 2010;Chan, Lui, and So, 2010;Harrington et al, 2011;Hayes, Battistutta, and Newman, 2005;Hayes, Rye, Battistutta, and Newman, 2010;Jeong, Sim, Hwang, and Kim, 2011;Kaya et al, 2010;King, Deveaux, White, and Rayson, 2012;McNeely and Courneya, 2010;Smoot et al, 2010;Thomas-Maclean et al, 2008).…”

Section: Introductionmentioning

confidence: 98%

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Upper extremity strength and range of motion and their relationship to function in breast cancer survivors

Harrington

Padua

Battaglini

et al. 2013

Physiotherapy Theory and Practice

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The impact upper extremity impairments (UE) have on UE function in breast cancer survivors (BCS) is unclear. The purpose of this study was to evaluate the associations between upper extremity active range of motion (AROM), passive range of motion (PROM), and strength with self-reported function in BCS. BCS (n = 24) completed the Disabilities of Arm, Shoulder and Hand (DASH) and the Pennsylvania Shoulder Score (PSS). AROM and PROM of shoulder flexion, extension, external rotation (ER) at 0° and 90° of abduction, and internal rotation (IR) at 90° of abduction were measured using a digital inclinometer. Strength was measured using a hand-held dynamometer for scapular abduction and upward rotation, scapular depression and adduction, flexion, IR, ER, scaption, and horizontal adduction. All constructs of AROM, PROM, and strength were correlated with the DASH and PSS. DASH was moderately to highly correlated with 2 of 5 AROM, 2 of 5 PROM, and 6 of 7 shoulder strength measures. PSS was moderately to highly correlated with 2 of 5 AROM, 2 of 5 PROM, and 4 of 7 shoulder strength measures. Regression analysis showed that AROM explained 40% of the DASH scores and strength explained 20% of scores on the PSS. This study characterizes the impact that shoulder motion, flexibility, and strength losses have on shoulder function in BCS. Deficits in AROM and shoulder strength explained the greatest proportion of shoulder disability. Future clinical trials should consider incorporating AROM and strengthening techniques to improve shoulder use after breast cancer treatments.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 98%

Upper extremity strength and range of motion and their relationship to function in breast cancer survivors

Harrington

Padua

Battaglini

et al. 2013

Physiotherapy Theory and Practice

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“…The time of assessment varied across these studies from prior to breast cancer surgery to 7.8 years after surgery. 15,29–35 Although, 2 of the 11 studies 32,36 did not report the average duration since breast cancer surgery and one study 37 was vague stating participants “received surgical treatment for breast cancer within the past 5 years”. For studies that involved an intervention, the duration of the interventions were variable from 1 month, 2 months, 3 months, and 6 months.…”

Section: Resultsmentioning

confidence: 99%

Patient-Reported Upper Extremity Outcome Measures Used in Breast Cancer Survivors: A Systematic Review

Harrington

Michener

Kendig

et al. 2014

Archives of Physical Medicine and Rehabilitation

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Objective 1) To identify English Language published patient-reported upper extremity outcome measures used in breast cancer research and 2) To examine construct validity and responsiveness in patient-reported upper extremity outcome measures used in breast cancer research. Data Sources PubMed, CINAHL and ProQuest MEDLINE® databases were searched up to February 5, 2013. Study Selection Studies were included if a patient-reported upper extremity outcome measure was administered, the participants were diagnosed with breast cancer, and published in English. Data Extraction Eight hundred and sixty-five articles were screened. Fifty-nine full text articles were assessed for eligibility. A total of 46 articles met the initial eligibility criteria for aim 1. Eleven of these articles reported mean and standard deviations for the outcome scores, and included a comparison group analysis for aim 2. Data Synthesis Construct validity was evaluated by calculating effect sizes for known group differences in 6 studies using the Disabilities of Arm, Shoulder and Hand (DASH), Penn Shoulder Score, Shoulder Disability Questionnaire-Dutch, and 10 Questions by Wingate (Wingate). Responsiveness was analyzed comparing a treatment and control group by calculating the coefficient of responsiveness in 5 studies for the DASH and Wingate. Conclusions Eight different patient-reported upper extremity outcome measures have been reported in the peer-review literature for women with breast cancer, some (n=3) were specifically developed for breast cancer survivors and others that were not (n=5). Based on the current evidence we recommend administering the DASH to assess patient-reported upper extremity function in breast cancer survivors because the DASH had most consistently large effects sizes for construct validity and responsiveness. Future large studies are needed for more definitive recommendations.

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“…According to Jeong et al (2011), the muscles that make up the rotator cuff are responsible for stabilizing the shoulder joint complex; however, tendinitis of the rotator cuff can be a complication related to lymphoedema, which is caused by internal derangement of the tendon fibers, generating functional overload. Adriaenssens et al (2012) conducted a randomized study with 119 women post-breast cancer in order to evaluate the morbidity of ipsilateral surgery shoulder.…”

Section: Discussionmentioning

confidence: 99%

Effects of vibration therapy in the musculoskeletal system in post-surgical breast cancer women: longitudinal controlled clinical study

et al. 2016

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Introduction: The biomechanical changes that arise after breast cancer increase the need for new rehabilitation programs. The aim of this study was to evaluate medium-and long-term effects of vibration therapy on pain intensity, range of motion, myoelectric activity, and muscle strength of post-surgical breast cancer women. Methods: This controlled longitudinal clinical study was composed of 14 breast cancer women, who underwent vibration therapy treatment (VTG), and 14 healthy women, who constituted the control group (CG). The VTG performed ten 15-minutes sessions of vibration therapy on their affected upper limb. The volunteers were evaluated before and after treatment protocol, and three months later. Results: We observed an attenuation of pain intensity after vibration therapy (p < 0.0001) and significant increase in range of motion during extension, abduction, and adduction movements of the horizontal shoulder. We noticed a trend in the reduction of compensatory movements, which activated the muscle contraction mechanism. The scapular dynamometer values for shoulder strength were significant. The VTG had less muscle strength than the CG in all situations: before treatment (p < 0.0001), after treatment (p = 0.0024), and 3 months later (p = 0.0008). The VTG increased muscle strength after treatment (p = 0.0005) and 3 months later (p = 0.0006). Conclusion: Vibration therapy attenuated pain symptoms, improved shoulder movements, activated muscle contraction mechanism, and increased shoulder strength, which may be benefits of the conducted physical therapy.

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Causes of Shoulder Pain in Women with Breast Cancer-Related Lymphedema: A Pilot Study

Cited by 37 publications

References 13 publications

Upper extremity strength and range of motion and their relationship to function in breast cancer survivors

Upper extremity strength and range of motion and their relationship to function in breast cancer survivors

Patient-Reported Upper Extremity Outcome Measures Used in Breast Cancer Survivors: A Systematic Review

Effects of vibration therapy in the musculoskeletal system in post-surgical breast cancer women: longitudinal controlled clinical study

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