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Upper extremity impairments in women with or without lymphedema following breast cancer treatment.

Identifieur interne : 002673 ( PubMed/Checkpoint ); précédent : 002672; suivant : 002674

Upper extremity impairments in women with or without lymphedema following breast cancer treatment.

Auteurs : Betty Smoot [États-Unis] ; Josephine Wong ; Bruce Cooper ; Linda Wanek ; Kimberly Topp ; Nancy Byl ; Marylin Dodd

Source :

RBID : pubmed:20373044

Descripteurs français

English descriptors

Abstract

Breast-cancer-related lymphedema affects approximately 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.

DOI: 10.1007/s11764-010-0118-x
PubMed: 20373044


Affiliations:


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pubmed:20373044

Le document en format XML

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<term>Breast Neoplasms (physiopathology)</term>
<term>Disabled Persons</term>
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<term>Humans</term>
<term>Lymphedema (physiopathology)</term>
<term>Middle Aged</term>
<term>Quality of Life</term>
<term>Range of Motion, Articular</term>
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<term>Upper Extremity (physiopathology)</term>
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<term>Enquêtes et questionnaires</term>
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<term>Humains</term>
<term>Lymphoedème (physiopathologie)</term>
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<term>Qualité de vie</term>
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<div type="abstract" xml:lang="en">Breast-cancer-related lymphedema affects approximately 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.</div>
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<Day>10</Day>
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<Month>09</Month>
<Day>23</Day>
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<Volume>4</Volume>
<Issue>2</Issue>
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<Year>2010</Year>
<Month>Jun</Month>
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<Title>Journal of cancer survivorship : research and practice</Title>
<ISOAbbreviation>J Cancer Surviv</ISOAbbreviation>
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<ArticleTitle>Upper extremity impairments in women with or without lymphedema following breast cancer treatment.</ArticleTitle>
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<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Breast-cancer-related lymphedema affects approximately 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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Women with lymphedema had more lymph nodes removed (p < .001), more UE symptoms (p < .001), higher BMI (p = .041), and higher DASH scores (greater limitation) (p < .001). For all participants there was less strength (elbow flexion, wrist flexion, grip), less shoulder ROM, and decreased sensation at the medial upper arm (p < .05) in the affected UE. These differences were greater in women with lymphedema, particularly in shoulder abduction ROM (p < .05). Women with lymphedema had bilaterally less elbow flexion strength and shoulder ROM (p < .05). Past diagnosis of lymphedema, grip strength, shoulder abduction ROM, and number of comorbidities contributed to the variance in DASH scores (R (2) of 0.463, p < .001).</AbstractText>
<AbstractText Label="IMPLICATIONS FOR CANCER SURVIVORS" NlmCategory="CONCLUSIONS">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.</AbstractText>
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