National Cancer Survivorship Center, National Cancer Control Institute, National Cancer Center, Goyang-si, Republic of Korea; Department of Sport Industry Studies, Yonsei University, Seoul, Republic of Korea.
Department of Sport Industry Studies, Yonsei University, Seoul, Republic of Korea.
Clin Breast Cancer. 2023 Jun;23(4):e247-e258. doi: 10.1016/j.clbc.2023.03.001. Epub 2023 Mar 6.
Breast cancer surgery is associated with upper-body morbidities that may last several years postsurgery. Research has not determined if the type of surgery leads to differential effects on shoulder function, activity levels, and QoL during the early rehabilitation period. The main objective of this study is to examine changes in shoulder function, health, and fitness outcomes from the day before to surgery to 6 months postsurgery.
We recruited breast cancer patients (N = 70) scheduled to receive breast cancer surgery at Severance Hospital in Seoul to participate in this prospective study. Shoulder range of motion (ROM) and upper body strength, the disabilities of Arm, Shoulder, and Hand (quick-DASH), body composition, physical activity levels, and QoL were measured at baseline (presurgery) and then weekly for 4 weeks, and at 3 months and 6 months postsurgery.
During 6 months after surgery, shoulder ROM was reduced only affected arm while shoulder strength was significantly declined in both affected and unaffected arms. Within 4 weeks postsurgery, patients who underwent total mastectomy were significantly less recovered than patients with partial mastectomy in ROM of flexion (P < .05) and abduction (P < .05). However, shoulder strength of both arms observed no interaction between surgical type and time. We observed significant changes in body composition, quick-DASH score, physical activity levels, and QoL from presurgery to 6-months postsurgery.
Shoulder function, activity levels, and QoL improved significantly from surgery to 6-months postsurgery. Surgery type influenced changes in shoulder ROM.
乳腺癌手术会导致术后数年出现上半身多种疾病。目前的研究尚未确定手术类型是否会对肩部功能、活动水平和生活质量产生不同的影响。本研究的主要目的是检查从手术前一天到手术后 6 个月期间肩部功能、健康和体能的变化。
我们招募了在首尔 Severance 医院接受乳腺癌手术的乳腺癌患者（N=70），以参与这项前瞻性研究。在基线（手术前）和术后每周测量一次，共 4 周，以及术后 3 个月和 6 个月，评估肩部活动范围（ROM）和上肢力量、手臂、肩部和手部残疾（快速-DASH）、身体成分、身体活动水平和生活质量。
在手术后 6 个月期间，只有患侧肩部 ROM 减少，而患侧和健侧肩部力量均显著下降。术后 4 周内，接受全乳切除术的患者与接受部分乳房切除术的患者相比，ROM 的屈曲（P<.05）和外展（P<.05）恢复较差。然而，双侧肩部力量均未观察到手术类型和时间之间的交互作用。我们观察到从手术前到 6 个月后，身体成分、快速-DASH 评分、身体活动水平和生活质量都发生了显著变化。
从手术到 6 个月后，肩部功能、活动水平和生活质量显著改善。手术类型影响肩部 ROM 的变化。
