The 11th Nerve Syndrome: Accessory Nerve Palsy or Adhesive Capsulitis?

Electromyographic Findings After Different Selective Neck Dissections

“…Remmler et al 10 reported that positive sharp waves and fibrillation potentials at rest were observed in the needle EMG of the trapezius muscle in more than half of the patients up to 3 months after MRND surgery; these disappeared after 12 months. Several other studies have presented similar results regarding EMG abnormalities observed after MRND 2,7,8 . It was assumed, on the basis of such observations, that axonotmesis occurred in the nerves innervating the trapezius muscle after surgery and that recovery was achieved by neuroregeneration.…”

Electromyographic Findings After Different Selective Neck Dissections

“…Remmler et al 10 reported that positive sharp waves and fibrillation potentials at rest were observed in the needle EMG of the trapezius muscle in more than half of the patients up to 3 months after MRND surgery; these disappeared after 12 months. Several other studies have presented similar results regarding EMG abnormalities observed after MRND 2,7,8 . It was assumed, on the basis of such observations, that axonotmesis occurred in the nerves innervating the trapezius muscle after surgery and that recovery was achieved by neuroregeneration.…”

Quality of Life, Shoulder Range of Motion, and Spinal Accessory Nerve Status in 5‐Year Survivors of Head and Neck Cancer

“…41,42 Regardless of the integrity of the accessory nerve, rehabilitation can have an important role is treating the “shoulder syndrome” by preventing adhesive capsulitis and reducing myofascial pain in the shoulder girdle. 43,44 Of note, very few subjects (27%) in our study received instruction in shoulder ROM exercises after surgery for HNC. Only 21% received instructions in a home exercise program from a physical or occupational therapist.…”

“…Rehabilitation interventions such as physical or occupational therapy may help patients regain independence in ADLs after neck dissection [40] and improve QOL and arm abduction [41,42]. Regardless of the integrity of the accessory nerve, rehabilitation can have an important role is treating the “shoulder syndrome” by preventing adhesive capsulitis and reducing myofascial pain in the shoulder girdle [43,44]. Of note, very few subjects in our study (27%) received instruction about shoulder ROM exercises after surgery for HNC.…”

Shoulder function after accessory nerve–sparing neck dissections

“…In the study by Salerno et al,12 physical therapy similarly intended to obtain early recovery of passive motion and to avoid the occurrence of joint fibrosis was shown to contribute to decreasing shoulder complaints and improving the patients' quality of life. Patten and Hillel9 also reported findings of SAN involvement in the postoperative first month and findings of adhesive capsulitis in the postoperative sixth month, even in NDs sparing the SAN. Those authors stressed the importance of physical therapy in the early postoperative period for avoiding shoulder disability in the late postoperative period.…”

Electromyographic Findings After Different Selective Neck Dissections

“…Remmler et al 10 reported that positive sharp waves and fibrillation potentials at rest were observed in the needle EMG of the trapezius muscle in more than half of the patients up to 3 months after MRND surgery; these disappeared after 12 months. Several other studies have presented similar results regarding EMG abnormalities observed after MRND 2,7,8 . It was assumed, on the basis of such observations, that axonotmesis occurred in the nerves innervating the trapezius muscle after surgery and that recovery was achieved by neuroregeneration.…”

Quality of Life, Shoulder Range of Motion, and Spinal Accessory Nerve Status in 5‐Year Survivors of Head and Neck Cancer

“…41,42 Regardless of the integrity of the accessory nerve, rehabilitation can have an important role is treating the “shoulder syndrome” by preventing adhesive capsulitis and reducing myofascial pain in the shoulder girdle. 43,44 Of note, very few subjects (27%) in our study received instruction in shoulder ROM exercises after surgery for HNC. Only 21% received instructions in a home exercise program from a physical or occupational therapist.…”

“…Rehabilitation interventions such as physical or occupational therapy may help patients regain independence in ADLs after neck dissection [40] and improve QOL and arm abduction [41,42]. Regardless of the integrity of the accessory nerve, rehabilitation can have an important role is treating the “shoulder syndrome” by preventing adhesive capsulitis and reducing myofascial pain in the shoulder girdle [43,44]. Of note, very few subjects in our study (27%) received instruction about shoulder ROM exercises after surgery for HNC.…”

Shoulder function after accessory nerve–sparing neck dissections

“…In the study by Salerno et al,12 physical therapy similarly intended to obtain early recovery of passive motion and to avoid the occurrence of joint fibrosis was shown to contribute to decreasing shoulder complaints and improving the patients' quality of life. Patten and Hillel9 also reported findings of SAN involvement in the postoperative first month and findings of adhesive capsulitis in the postoperative sixth month, even in NDs sparing the SAN. Those authors stressed the importance of physical therapy in the early postoperative period for avoiding shoulder disability in the late postoperative period.…”

Electromyographic Findings After Different Selective Neck Dissections

“…Remmler et al 10 reported that positive sharp waves and fibrillation potentials at rest were observed in the needle EMG of the trapezius muscle in more than half of the patients up to 3 months after MRND surgery; these disappeared after 12 months. Several other studies have presented similar results regarding EMG abnormalities observed after MRND 2,7,8 . It was assumed, on the basis of such observations, that axonotmesis occurred in the nerves innervating the trapezius muscle after surgery and that recovery was achieved by neuroregeneration.…”

Quality of Life, Shoulder Range of Motion, and Spinal Accessory Nerve Status in 5‐Year Survivors of Head and Neck Cancer

“…41,42 Regardless of the integrity of the accessory nerve, rehabilitation can have an important role is treating the “shoulder syndrome” by preventing adhesive capsulitis and reducing myofascial pain in the shoulder girdle. 43,44 Of note, very few subjects (27%) in our study received instruction in shoulder ROM exercises after surgery for HNC. Only 21% received instructions in a home exercise program from a physical or occupational therapist.…”

“…Rehabilitation interventions such as physical or occupational therapy may help patients regain independence in ADLs after neck dissection [40] and improve QOL and arm abduction [41,42]. Regardless of the integrity of the accessory nerve, rehabilitation can have an important role is treating the “shoulder syndrome” by preventing adhesive capsulitis and reducing myofascial pain in the shoulder girdle [43,44]. Of note, very few subjects in our study (27%) received instruction about shoulder ROM exercises after surgery for HNC.…”

Shoulder function after accessory nerve–sparing neck dissections

“…In the study by Salerno et al,12 physical therapy similarly intended to obtain early recovery of passive motion and to avoid the occurrence of joint fibrosis was shown to contribute to decreasing shoulder complaints and improving the patients' quality of life. Patten and Hillel9 also reported findings of SAN involvement in the postoperative first month and findings of adhesive capsulitis in the postoperative sixth month, even in NDs sparing the SAN. Those authors stressed the importance of physical therapy in the early postoperative period for avoiding shoulder disability in the late postoperative period.…”