Department of Rehabilitation Sciences, KU Leuven, 3000 Leuven, Belgium.
CarEdOn Research Group, 3000 Leuven, Belgium.
Sensors (Basel). 2024 May 28;24(11):3472. doi: 10.3390/s24113472.
(1) Background: This study aimed to describe upper-limb (UL) movement quality parameters in women after breast cancer surgery and to explore their clinical relevance in relation to post-surgical pain and disability. (2) Methods: UL movement quality was assessed in 30 women before and 3 weeks after surgery for breast cancer. Via accelerometer data captured from a sensor located at the distal end of the forearm on the operated side, various movement quality parameters (local dynamic stability, movement predictability, movement smoothness, movement symmetry, and movement variability) were investigated while women performed a cyclic, weighted reaching task. At both test moments, the Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH) questionnaire was filled out to assess UL disability and pain severity. (3) Results: No significant differences in movement quality parameters were found between the pre-surgical and post-surgical time points. No significant correlations between post-operative UL disability or pain severity and movement quality were found. (4) Conclusions: From this study sample, no apparent clinically relevant movement quality parameters could be derived for a cyclic, weighted reaching task. This suggests that the search for an easy-to-use, quantitative analysis tool for UL qualitative functioning to be used in research and clinical practice should continue.
(1) 背景：本研究旨在描述乳腺癌手术后女性上肢（UL）运动质量参数，并探讨其与术后疼痛和残疾的临床相关性。(2) 方法：对 30 名接受乳腺癌手术的女性在手术前和手术后 3 周进行 UL 运动质量评估。通过位于手术侧前臂远端的传感器捕获的加速度计数据，研究了各种运动质量参数（局部动态稳定性、运动可预测性、运动平滑度、运动对称性和运动可变性），同时女性进行了周期性的、加权的伸手任务。在两个测试时刻，都填写了快速上肢功能障碍问卷（Quick DASH）来评估 UL 残疾和疼痛严重程度。(3) 结果：在手术前和手术后的时间点之间，运动质量参数没有显著差异。术后 UL 残疾或疼痛严重程度与运动质量之间没有显著相关性。(4) 结论：从本研究样本中，无法为周期性、加权的伸手任务得出明显的临床相关运动质量参数。这表明，应该继续寻找一种易于使用的、定量分析上肢定性功能的工具，用于研究和临床实践。
