Department of Kinesiology, Faculty of Health Sciences, Universidad Católica del Maule, Talca, Chile; Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, SP, Brazil.
Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, SP, Brazil.
Musculoskelet Sci Pract. 2019 Apr;40:72-79. doi: 10.1016/j.msksp.2019.01.012. Epub 2019 Jan 24.
There are no conclusive results concerning changes in scapular kinematics associated with upper limb dysfunctions after breast cancer surgery.
To compare the three-dimensional (3-D) scapular kinematics during elevation of the arm between women after breast cancer surgery and controls. Shoulder range of motion (ROM), muscle strength, pain intensity, upper limb function, and quality of life were also assessed.
Forty-two women were assigned to two groups (surgery group, n = 21; control group, n = 21). 3-D scapular kinematics was collected during elevation of the arm in the scapular plane. ROM was assessed using a digital inclinometer, muscle strength using a manual dynamometer, pain with the Visual Analogue Scale (VAS), upper limb function with the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and quality of life with the 36-item Short-Form Health Survey (SF36).
The surgery group presented decreased scapular upward rotation at 120° of arm elevation in the scapular plane (p < .05; d = -0.88), decreased shoulder external rotation ROM and strength of shoulder abduction and external rotation when the affected side was compared to the non-affected side and control group. Moreover, the surgery group also reported higher pain, increased upper limb disability and poorer quality of life compared with healthy controls.
Scapular upward rotation seems to be decreased at 120° of arm elevation in women following breast cancer surgery. In addition, shoulder external rotation ROM, abduction strength, external rotation strength, function, and quality of life are also impaired in these women. They also experienced pain during the studied movements.
乳腺癌手术后，与上肢功能障碍相关的肩胛骨运动学变化尚无明确结论。
比较乳腺癌手术后女性与对照组在手臂抬高时的三维（3-D）肩胛骨运动学。还评估了肩关节活动度（ROM）、肌肉力量、疼痛强度、上肢功能和生活质量。
将 42 名女性分为两组（手术组，n=21；对照组，n=21）。在肩胛骨平面抬起手臂时采集 3-D 肩胛骨运动学。ROM 使用数字测斜仪评估，肌肉力量使用手动测力计评估，疼痛使用视觉模拟量表（VAS）评估，上肢功能使用手臂、肩部和手残疾问卷（DASH）评估，生活质量使用 36 项简明健康调查量表（SF36）评估。
手术组在肩胛骨平面的手臂抬高 120°时，肩胛骨上旋减少（p<0.05；d=-0.88），与非患病侧和对照组相比，患侧肩关节外旋 ROM 和肩外展及外旋力量下降。此外，与健康对照组相比，手术组还报告了更高的疼痛、上肢残疾增加和生活质量下降。
乳腺癌手术后女性在手臂抬高 120°时，肩胛骨上旋似乎减少。此外，这些女性的肩关节外旋 ROM、外展力量、外旋力量、功能和生活质量也受损，她们在研究动作中也感到疼痛。
