Foundation University College of Physical Therapy, Foundation University, Islamabad, Pakistan.
Armed Forces Institute of Rehabilitation Medicine, Islamabad, Pakistan.
J Pak Med Assoc. 2023 Jul;73(7):1498-1501. doi: 10.47391/JPMA.7170.
Breast cancer, if diagnosed at advanced stages, often leads to surgical intervention, i.e. mastectomy, which later presents complications that add to morbidity. A cross-sectional analytical study was conducted to determine pain, upper limb ROM, grip strength, lymphoedema, and their co-relation with kinesiophobia in post mastectomy patients. A sample of 55 female patients was selected via non-probability purposive sampling. Kinesiophobia was assessed using Tampa Scale of kinesiophobia (TSK-11) and pain via Numeric Pain Rating Scale. Upper extremity ROM was measured using a plastic goniometer, grip strength by Jamar Hydraulic dynamometer, and limb volumes were calculated by summed truncated cone volume via circumferential tape measurements. Wilcoxon signed rank test and Spearman co-relation test was used for analysis. Significant difference between the limb volumes was noted (p=0.02) and a reduction in overall upper extremity ranges was seen (p<0.05). A positive significant co-relation between pain and TSK score (r= 0.300, p=0.026) was observed.
乳腺癌如果在晚期诊断，通常需要进行手术干预，即乳房切除术，随后会出现并发症，增加发病率。本研究采用横断面分析方法，旨在确定乳腺癌术后患者的疼痛、上肢活动度、握力、淋巴水肿及其与运动恐惧之间的关系。通过非概率目的抽样选择了 55 名女性患者作为样本。使用 Tampa 运动恐惧量表（TSK-11）评估运动恐惧，使用数字疼痛评分量表评估疼痛。上肢活动度使用塑料量角器测量，握力使用 Jamar 液压测力计测量，肢体体积通过周长带测量的截断圆锥体体积总和计算。采用 Wilcoxon 符号秩检验和 Spearman 相关检验进行分析。结果发现，肢体体积之间存在显著差异（p=0.02），并且整体上肢活动范围减少（p<0.05）。疼痛与 TSK 评分之间存在显著正相关（r=0.300，p=0.026）。
