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A novel neck brace to characterize neck mobility impairments following neck dissection in head and neck cancer patients.

作者信息

Chang Biing-Chwen, Zhang Haohan, Long Sallie, Obayemi Adetokunbo, Troob Scott H, Agrawal Sunil K

机构信息

Department of Mechanical Engineering, School of Engineering and Applied Sciences, Columbia University, New York, New York, USA.

Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, New York, New York, USA.

出版信息

Wearable Technol. 2021 Jul 12;2:e8. doi: 10.1017/wtc.2021.8. eCollection 2021.


DOI:10.1017/wtc.2021.8
PMID:38486630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10936248/
Abstract

OBJECTIVE: This article introduces a dynamic neck brace to measure the full range of motion (RoM) of the head-neck. This easy-to-wear brace was used, along with surface electromyography (EMG), to study changes in movement characteristics after neck dissection (ND) in a clinical setting. METHODS: The brace was inspired by the head-neck anatomy and was designed based on the head-neck movement of 10 healthy individuals. A 6 degrees-of-freedom open-chain structure was adopted to allow full RoM of the head-neck with respect to the shoulders. The physical model was realized by 3D printed materials and inexpensive sensors. Five subjects, who underwent unilateral selective ND, were assessed preoperative and postoperative using this prototype during the head-neck motions. Concurrent EMG measurements of their sternocleidomastoid, splenius capitis, and trapezius muscles were made. RESULTS: Reduced RoM during lateral bending on both sides of the neck was observed after surgery, with a mean angle change of 8.03° on the dissected side (95% confidence intervals [CI], 3.11-12.94) and 9.29° on the nondissected side (95% CI, 4.88-13.69), where CI denotes the confidence interval. Axial rotation showed a reduction in the RoM by 5.37° (95% CI, 2.34-8.39) on the nondissection side. Neck extension showed a slight increase in the RoM by 3.15° (95% CI, 0.81-5.49) postoperatively. CONCLUSIONS: This brace may serve as a simple but useful tool in the clinic to document head-neck RoM changes in patients undergoing ND. Such a characterization may help clinicians evaluate the surgical procedure and guide the recovery of patients.

摘要

相似文献

[1]
A novel neck brace to characterize neck mobility impairments following neck dissection in head and neck cancer patients.

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引用本文的文献

[1]
Evaluation of an assistive exosuit for alleviating neck and shoulder muscle fatigue during prolonged flexed neck posture.

J Neuroeng Rehabil. 2024-12-30

[2]
A six degrees-of-freedom cable-driven robotic platform for head-neck movement.

Sci Rep. 2024-4-16

本文引用的文献

[1]
A robotic neck brace to characterize head-neck motion and muscle electromyography in subjects with amyotrophic lateral sclerosis.

Ann Clin Transl Neurol. 2019-8-7

[2]
"I didn't actually know there was such a thing as rehab": survivor, family, and clinician perceptions of rehabilitation following treatment for head and neck cancer.

Support Care Cancer. 2016-4

[3]
Association Between Multimodality Neck Treatment and Work and Leisure Impairment: A Disease-Specific Measure to Assess Both Impairment and Rehabilitation After Neck Dissection.

JAMA Otolaryngol Head Neck Surg. 2015-10

[4]
Quality of life, shoulder range of motion, and spinal accessory nerve status in 5-year survivors of head and neck cancer.

PM R. 2014-12

[5]
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Laryngoscope. 2010-5

[6]
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Eur J Cancer Care (Engl). 2008-11

[7]
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Head Neck. 2004-11

[8]
Morbidity of the neck after head and neck cancer therapy.

Head Neck. 2004-9

[9]
Short-term and long-term quality of life after neck dissection.

Head Neck. 2001-11

[10]
Incidence of shoulder pain after neck dissection: a clinical explorative study for risk factors.

Head Neck. 2001-11

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