School of Health and Social Care, Glasgow Caledonian University, Glasgow, UK.
Eur J Cancer Care (Engl). 2011 Jan;20(1):113-22. doi: 10.1111/j.1365-2354.2009.01149.x.
Patients commonly develop shoulder disability and reduction in quality of life (QOL) following neck dissection surgery. There is a lack of studies investigating the impact of preventative rehabilitation to prevent shoulder disability in this population. An exploratory trial was undertaken to investigate this gap in the head and neck cancer literature. Thirty-two subjects were randomly assigned to either one of two groups: early physiotherapy for a period of 3 months following surgery and current routine inpatient care and advice. Blinded measurement of shoulder function and QOL were recorded pre-operatively and at 1 year following surgery. No difference was found using between-group analysis (Mann-Whitney U-Test) for any outcome measures observed. Descriptive data analysis suggests that subjects receiving early physiotherapy had a perception of increased physical well-being when compared with subjects receiving routine care. There may be some clinical significance that subjects receiving a course of physiotherapy did appear to rate their physical well-being higher than those subjects not undergoing rehabilitation. Further research to investigate the preventative effects of physiotherapy on this population should consider the use of head and neck cancer-specific outcome measurement of both shoulder disability and QOL.
患者在接受颈部清扫术后通常会出现肩部功能障碍和生活质量（QOL）下降。目前缺乏研究调查预防性康复对预防该人群肩部残疾的影响。本研究旨在探索头颈部癌症文献中的这一空白。将 32 名受试者随机分配到以下两组中的一组：术后 3 个月内进行早期物理治疗，以及目前的常规住院护理和建议。在术前和术后 1 年进行盲法测量肩部功能和 QOL。使用组间分析（Mann-Whitney U-Test）发现，在观察到的任何结果指标上均未发现差异。描述性数据分析表明，与接受常规护理的受试者相比，接受早期物理治疗的受试者对身体整体健康状况的感知有所改善。接受物理治疗的受试者似乎比未接受康复的受试者对自己的身体整体健康状况评价更高，这可能具有一定的临床意义。进一步研究应考虑使用针对头颈部癌症的肩部残疾和 QOL 的特定结果测量来调查物理治疗对该人群的预防效果。
