Upper extremity impairments in women with or without lymphedema following breast cancer treatment
Identifieur interne : 005534 ( Main/Exploration ); précédent : 005533; suivant : 005535Upper extremity impairments in women with or without lymphedema following breast cancer treatment
Auteurs : Betty Smoot [États-Unis] ; Josephine Wong [États-Unis] ; Bruce Cooper [États-Unis] ; Linda Wanek [États-Unis] ; Kimberly Topp [États-Unis] ; Nancy Byl [États-Unis] ; Marylin Dodd [États-Unis]Source :
- Journal of Cancer Survivorship [ 1932-2259 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- physiopathology : Breast Neoplasms, Lymphedema, Upper Extremity.
- Disabled Persons, Female, Humans, Middle Aged, Quality of Life, Range of Motion, Articular, Surveys and Questionnaires.
Abstract
Breast-cancer-related lymphedema affects ∼25% of breast cancer (BC) survivors and may impact use of the upper limb during activity. The purpose of this study is to compare upper extremity (UE) impairment and activity between women with and without lymphedema after BC treatment.
144 women post BC treatment completed demographic, symptom, and Disability of Arm-Shoulder-Hand (DASH) questionnaires. Objective measures included Purdue pegboard, finger-tapper, Semmes-Weinstein monofilaments, vibration perception threshold, strength, range of motion (ROM), and volume.
Women with lymphedema had more lymph nodes removed (
UE impairments are found in women following treatment for BC. Women with lymphedema have greater UE impairment and limitation in activities than women without. Many of these impairments are amenable to prevention measures or treatment, so early detection by health care providers is essential.
Url:
DOI: 10.1007/s11764-010-0118-x
PubMed: 20373044
PubMed Central: 2882040
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Upper extremity impairments in women with or without lymphedema following breast cancer treatment</title>
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<author><name sortKey="Wong, Josephine" sort="Wong, Josephine" uniqKey="Wong J" first="Josephine" last="Wong">Josephine Wong</name>
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<author><name sortKey="Wanek, Linda" sort="Wanek, Linda" uniqKey="Wanek L" first="Linda" last="Wanek">Linda Wanek</name>
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<author><name sortKey="Byl, Nancy" sort="Byl, Nancy" uniqKey="Byl N" first="Nancy" last="Byl">Nancy Byl</name>
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<author><name sortKey="Dodd, Marylin" sort="Dodd, Marylin" uniqKey="Dodd M" first="Marylin" last="Dodd">Marylin Dodd</name>
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<series><title level="j">Journal of Cancer Survivorship</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast Neoplasms (physiopathology)</term>
<term>Disabled Persons</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (physiopathology)</term>
<term>Middle Aged</term>
<term>Quality of Life</term>
<term>Range of Motion, Articular</term>
<term>Surveys and Questionnaires</term>
<term>Upper Extremity (physiopathology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Amplitude articulaire</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Membre supérieur (physiopathologie)</term>
<term>Personnes handicapées</term>
<term>Qualité de vie</term>
<term>Tumeurs du sein (physiopathologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Lymphoedème</term>
<term>Membre supérieur</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Disabled Persons</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Quality of Life</term>
<term>Range of Motion, Articular</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Amplitude articulaire</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction</title>
<p>Breast-cancer-related lymphedema affects ∼25% of breast cancer (BC) survivors and may impact use of the upper limb during activity. The purpose of this study is to compare upper extremity (UE) impairment and activity between women with and without lymphedema after BC treatment.</p>
</sec>
<sec><title>Methods</title>
<p>144 women post BC treatment completed demographic, symptom, and Disability of Arm-Shoulder-Hand (DASH) questionnaires. Objective measures included Purdue pegboard, finger-tapper, Semmes-Weinstein monofilaments, vibration perception threshold, strength, range of motion (ROM), and volume.</p>
</sec>
<sec><title>Results</title>
<p>Women with lymphedema had more lymph nodes removed (<italic>p</italic>
< .001), more UE symptoms (<italic>p</italic>
< .001), higher BMI (<italic>p</italic>
= .041), and higher DASH scores (greater limitation) (<italic>p</italic>
< .001). For all participants there was less strength (elbow flexion, wrist flexion, grip), less shoulder ROM, and decreased sensation at the medial upper arm (<italic>p</italic>
< .05) in the affected UE. These differences were greater in women with lymphedema, particularly in shoulder abduction ROM (<italic>p</italic>
< .05). Women with lymphedema had bilaterally less elbow flexion strength and shoulder ROM (<italic>p</italic>
< .05). Past diagnosis of lymphedema, grip strength, shoulder abduction ROM, and number of comorbidities contributed to the variance in DASH scores (<italic>R</italic>
<sup>2</sup>
of 0.463, <italic>p</italic>
< .001).</p>
</sec>
<sec><title>Implications for cancer survivors</title>
<p>UE impairments are found in women following treatment for BC. Women with lymphedema have greater UE impairment and limitation in activities than women without. Many of these impairments are amenable to prevention measures or treatment, so early detection by health care providers is essential.</p>
</sec>
</div>
</front>
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