Physiotherapy in Women's Health (FPSM) Research Group, Physiotherapy Department, Faculty of Medicine and Health Sciences, University of Alcalá, 28805, Madrid, Spain.
Sci Rep. 2021 Nov 26;11(1):23016. doi: 10.1038/s41598-021-02379-9.
This study aimed to describe changes in supraspinatus tendon thickness, acromiohumeral distance, and the presence of fluid in the subacromial bursa as measured by ultrasound, as well as shoulder range of motion and strength, perceived shoulder disability, and health-related quality of life in women before and after breast cancer treatment. Women who underwent surgery for unilateral breast cancer who did not suffer from shoulder pain or difficulty performing activities of daily living in the 6 months prior to surgery were included. One pre-surgical (A) and three post-surgical assessments at 7-10 days (A), 3 months (A), and 6 months (A) after surgery were carried out. The thickness of the supraspinatus tendon on the affected side decreased between post-surgical (A) and 6-month (A) follow-up assessments (p = 0.029), although the minimal detectable change was not reached. The active range of motion of the affected shoulder decreased after surgery. Strength changes were observed in both shoulders after surgery. The intensity of shoulder pain increased between post-surgical and 6-month follow-up assessments. Shoulder function was decreased at the post-surgical assessment and increased throughout the follow-ups. Health-related quality of life declined after surgery. A trend of decreasing thickness of the supraspinatus tendon of the affected shoulder was observed. Detecting these possible structural changes early would allow for early or preventive treatment.
本研究旨在描述乳腺癌治疗前后女性的冈上肌腱厚度、肩峰肱骨头间距和肩峰下滑囊内液体的变化，以及肩的活动范围和力量、感知到的肩功能障碍和健康相关生活质量。纳入了接受单侧乳腺癌手术且在术前 6 个月内无肩部疼痛或日常生活活动困难的女性。在术前（A）和术后 7-10 天（A）、3 个月（A）和 6 个月（A）进行了 3 次评估。术后（A）和 6 个月（A）随访评估时，患侧冈上肌腱厚度减少（p=0.029），但未达到最小可检测变化。术后患肩主动活动范围减小。术后双侧肩部肌力发生变化。术后和 6 个月随访时，肩部疼痛强度增加。术后肩功能降低，整个随访过程中逐渐增加。术后健康相关生活质量下降。患侧冈上肌腱厚度呈逐渐变薄的趋势。早期发现这些可能的结构变化，可以进行早期或预防性治疗。
