Physiotherapy for accessory nerve shoulder dysfunction following neck dissection surgery: A literature review

McGarvey, Aoife C.; Chiarelli, Pauline; Osmotherly, Peter G.; Hoffman, Gary R.

doi:10.1002/hed.21366

Cited by 53 publications

(47 citation statements)

References 124 publications

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“…[13][14][15] A metaanalysis examining the effect of RET on QOL for all cancers reported a small clinical benefit from resistance exercise immediately post-intervention; 14 because few of the included studies reported follow-up data, however, the authors were not able to draw conclusions on longterm effects. 14 Our follow-up results show that benefits are largely sustained over the follow-up period and that further improvement may also occur in the subgroup of participants who continue regular RET.…”

Section: Discussionmentioning

confidence: 99%

“…Our study is one of the first to provide follow-up data on a resistance exercise intervention for shoulder pain and dysfunction after neck dissection in HNC survivors. [13][14][15] Because the study design allowed crossover for participants originally assigned to the TP group, we did not anticipate continued group differences at 12-month follow-up based on randomization. We were interested to determine, however, whether any benefits from the 12-week PRET intervention persisted over the longer term.…”

Section: Ré Sumémentioning

confidence: 99%

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Sustainability of Outcomes after a Randomized Crossover Trial of Resistance Exercise for Shoulder Dysfunction in Survivors of Head and Neck Cancer

McNeely

Parliament

Seikaly³

et al. 2015

Physiotherapy Canada

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Purpose: Shoulder pain and dysfunction may occur after surgery for head and neck cancer (HNC) as a result of damage to or resection of the spinal accessory nerve. Previous research found that 12 weeks of upper extremity progressive resistance exercise training (PRET) improved shoulder outcomes in survivors of HNC; the purpose of this study was to determine whether benefits persisted over the longer term. Methods: Survivors of HNC were assigned at random to PRET (n ¼ 27) or a standard therapeutic protocol (TP; n ¼ 25), with an opportunity for crossover in the TP group after 12 weeks. At 12-month follow-up, participants were mailed a questionnaire that assessed quality of life (QOL), shoulder outcomes, and exercise behaviour. Results: Of the 52 participants enrolled in the study, 44 were eligible at 12-month follow-up, and 37 (71%) completed the questionnaires. Overall, self-reported outcomes were largely sustained over the follow-up period. After 12 months, regardless of original group allocation, participants who continued resistance exercise training during the follow-up period reported better neck dissection-related functioning (p ¼ 0.021) and better QOL (p ¼ 0.011) than those who did not. Conclusions: Benefits of PRET were sustained at 12-month follow-up. Ongoing participation in resistance exercise training may prove valuable as a supportive care intervention for survivors of HNC.Key Words: exercise therapy; follow-up studies; head and neck neoplasms; quality of life; shoulder pain RÉ SUMÉObjet : Une douleur à l'é paule et une dysfonction peuvent faire leur apparition aprè s une intervention chirurgicale pour un cancer de la tê te et du cou (CTC) parce que le nerf spinal accessoire a é té endommagé ou ré sé qué . Des recherches anté rieures ont ré vé lé que 12 semaines d'exercice contre ré sistance progressive (ERP) des membres supé rieurs amé lioraient le ré sultat pour l'é paule chez les survivants d'un CTC. Cette é tude visait à dé terminer si les bienfaits persistaient à long terme. Mé thodes : Les survivants d'un CTC ont é té ré partis au hasard pour suivre un programme d'ERP (n ¼ 27) ou un protocole thé rapeutique habituel (PT; n ¼ 25) et ont pu passer au groupe PT aprè s 12 semaines. Au suivi à 12 mois, on a envoyé par la poste aux participants un questionnaire d'é valuation de la qualité de vie (QDV), des ré sultats pour l'é paule et du comportement lié à l'exercice. Ré sultats : Sur les 52 participants inscrits à l'é tude, 44 é taient admissibles au suivi à 12 mois et 37 (71 %) ont ré pondu aux questionnaires. Dans l'ensemble, les ré sultats autodé claré s ont é té maintenus en grande partie au cours de la pé riode de suivi. Aprè s 12 mois, sans é gard à leur affectation au groupe original, les participants qui ont poursuivi leur entraînement par l'exercice à ré sistance au cours de la pé riode de suivi ont signalé un meilleur fonctionnement lié à la dissection subie au cou (p ¼ 0,021) et une meilleure QDV (p ¼ 0,011) que ceux qui ne l'ont pas fait. Conclusions : Les bienfaits de l'ERP persi...

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Section: Discussionmentioning

confidence: 99%

Section: Ré Sumémentioning

confidence: 99%

Sustainability of Outcomes after a Randomized Crossover Trial of Resistance Exercise for Shoulder Dysfunction in Survivors of Head and Neck Cancer

McNeely

Parliament

Seikaly³

et al. 2015

Physiotherapy Canada

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“…Literature data also support our findings. High recovery potential has been shown after accessory nerve injuries in the recent literature (30,31). Akgun et al (30), showed that conservative management is effective even in late diagnosed spinal accessory nerve injuries.…”

Section: Discussionmentioning

confidence: 99%

Spinal Aksesuar Sinir Felci: Dört Atipik Hastanın Değerlendirilmesi

Bahadır¹,

Topatan²,

Kurtulus³

2011

Tftr

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Sum marySpinal accessory nerve palsy commonly occurs as a result of iatrogenic injury, usually during lymph node excision in the posterior cervical triangle. Numerous alternative etiologies are described. Trauma is the most common cause of non-iatrogenic palsy. Sometimes, the cause of the palsy cannot be identified. Here, we report four atypical cases of isolated spinal accessory nerve palsy leading to trapezius muscle dysfunction. In one patient, accessory nerve palsy developed after reduction mammaplasty and abdominoplasty surgery (Case 1). One of them experienced a stretch injury due to weight lifting (Case 2). In one patient, a clear reason could not be identified (Case 3). In a 12-year-old girl, accessory nerve palsy was caused by her heavy school bag (Case 4). All three segments of trapezius muscle were involved in all cases, except for the case 1 who had only the upper segment involvement. The patients were followed clinically and electrophysiologically for 24-30 months. Both cases 1 and 2 showed complete recovery within six months, whereas cases 3 and 4 showed incomplete recovery. The clinical similarities and differences, and also the neurophysiological findings of cases are discussed in this paper. Our long-term follow-up findings may help us to understand the mechanism and the natural course of the accessory nerve palsies. Turk J Phys Med Re hab 2011;57:248-52.

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“…Additionally, physical therapists must be aware of the decline in nutritional status after surgery or chemoradiation in these patients [57]. Paralysis of accessory nerve that causes trapezius muscle dysfunction is often seen following neck dissection [58]. This dysfunction leads to shoulder syndrome with adhesive capsulitis.…”

Section: Common Dysfunctions In Head and Neck Tumormentioning

confidence: 99%

Physical Therapy in Patients with Cancer

Morishita¹,

Tsubaki²

2017

Clinical Physical Therapy

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Physical therapists often treat cancer patients. Cancer treatment includes chemotherapy, radiotherapy, and surgery, which are being continuously developed and thus increase survival of patients with each cancer diagnosis. More speciically, 5-year survival rates increase with each cancer diagnosis. Cancer patients have many problems including muscle weakness, pulmonary dysfunction, fatigue, and pain. In the end, patients with cancer tend to have a decline in activities of daily living (ADL) and quality of life (QOL). Additionally, cancer patients often have progressive disease, depression, and anxiety. Physical therapy often helps patients regain strength and physical function and improve their QOL and independence of daily living that they may have lost due to cancer or its treatment. Physical therapy has an important role in increasing physical function of cancer patients, cancer survivors, and children with cancer. In the future, physical therapy may be progressively needed for management of cancer patients.

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Physiotherapy for accessory nerve shoulder dysfunction following neck dissection surgery: A literature review

Cited by 53 publications

References 124 publications

Sustainability of Outcomes after a Randomized Crossover Trial of Resistance Exercise for Shoulder Dysfunction in Survivors of Head and Neck Cancer

Sustainability of Outcomes after a Randomized Crossover Trial of Resistance Exercise for Shoulder Dysfunction in Survivors of Head and Neck Cancer

Spinal Aksesuar Sinir Felci: Dört Atipik Hastanın Değerlendirilmesi

Physical Therapy in Patients with Cancer

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