Department of Physical Therapy and Rehabilitation Science, University of California, San Francisco, Box 0736, San Francisco, CA 94143-0736, USA.
Department of Physical Therapy, Samuel Merritt University, 450 30th Street, Oakland, CA 94609, USA.
J Hand Ther. 2014 Jan-Mar;27(1):4-11. doi: 10.1016/j.jht.2013.08.021. Epub 2013 Sep 29.
Descriptive, cross-sectional.
Breast cancer (BC) treatments place the nervous system at risk, which may contribute to upper extremity (UE) mechanosensitivity.
To evaluate elbow extension range of motion (EE-ROM) during upper limb neurodynamic testing (ULNT) post-BC treatment.
ULNT EE-ROM was measured for 145 women post-BC treatment. Women were sub-grouped by presence/absence of pain and lymphedema.
Mean EE-ROM during ULNT1 was -22.3° (SD 11.9°) on the unaffected limb and -25.99° (SD 13.1°) on the affected limb. The women with pain and lymphedema had the greatest limitation in EE-ROM during ULNT1 testing, particularly of their affected limb (-33.8°, SD 12.9). Symptoms were reported more frequently in the affected chest, shoulder, arm, elbow, and hand. The intensity of symptoms was greater at the affected chest (p = 0.046), shoulder (p = 0.033) and arm (p = 0.039).
Women with lymphedema and pain after BC treatment may present with altered neural mechanosensitivity.
3a.
描述性、横断面研究。
乳腺癌（BC）的治疗会使神经系统处于危险之中，这可能导致上肢（UE）的机械敏感性增加。
评估乳腺癌治疗后上肢神经动力测试（ULNT）中肘部伸展活动度（EE-ROM）。
对 145 名乳腺癌治疗后的女性进行 ULNT EE-ROM 测量。根据疼痛和淋巴水肿的存在/缺失对女性进行分组。
ULNT1 时，非受累侧的平均 EE-ROM 为-22.3°（SD 11.9°），受累侧为-25.99°（SD 13.1°）。有疼痛和淋巴水肿的女性在 ULNT1 测试中 EE-ROM 的限制最大，尤其是受累侧（-33.8°，SD 12.9°）。症状更多地出现在受累的胸部、肩部、手臂、肘部和手部。受累胸部（p = 0.046）、肩部（p = 0.033）和手臂（p = 0.039）的症状强度更大。
乳腺癌治疗后出现淋巴水肿和疼痛的女性可能表现出神经机械敏感性改变。
3a。
