Shinde Sandeep B, Jain Pooja P, Jagwani Diksha S, Patil Sanjay K, Gudur Anand, Shinde Ravindra V
Associate Professor, Head of Department of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad, Maharashtra, India.
Department of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad, Maharashtra, India.
South Asian J Cancer. 2024 Feb 16;14(1):23-29. doi: 10.1055/s-0044-1779301. eCollection 2025 Jan.
Breast cancer (BC) is one of the most frequent cancers in women, and breast cancer-related lymphedema (BCRL) is a common side effect of BC treatment. When the lymphatic drainage system is damaged, lymphedema develops, which further exacerbates swelling and leads to pain, an increase in limb circumference, a reduction in joint range of motion, and a decrease in the use of the affected hand for functional tasks. Handgrip strength is essential for performing upper limb functional daily activities. Less is known about the long-term effects of lymphedema on hand function. The objective of the study was estimation of hand function impairment in BC survivors with lymphedema. This study was carried out by randomly selecting 100 out of 1,200 women with lymphedema, aged between 40 and 80 years, and who underwent sentinel lymph node biopsy along with radiotherapy, were included in this study. The handgrip strength was tested using an electronic handheld dynamometer. The functional wrist and hand scales were used to evaluate hand function. The Michigan Hand Outcome Questionnaire (MHQ) was used to evaluate the hand's overall function. A statistical analysis was done using SPSS statistical software (version 23.0). Handgrip strength of the affected hand by BCRL when compared with the unaffected hand was reduced. Functional hand and wrist scale have shown very poor results of the affected hand when compared with the unaffected hand. Majority of participants in the MHQ were unsatisfied with the overall functioning of the hand ( < 0.0001). This study concluded that there was significant hand function impairment in BC survivors with lymphedema. BCRL had a negative impact on daily activities of the individual and also affected the mental, emotional, and social aspects. BCRL also had an impact on overall self-reported physical function and quality of life.
乳腺癌（BC）是女性中最常见的癌症之一，与乳腺癌相关的淋巴水肿（BCRL）是BC治疗的常见副作用。当淋巴引流系统受损时，就会发生淋巴水肿，这会进一步加剧肿胀，并导致疼痛、肢体周长增加、关节活动范围减小以及受影响的手在执行功能性任务时的使用减少。握力对于进行上肢日常功能活动至关重要。关于淋巴水肿对手部功能的长期影响，人们了解较少。本研究的目的是评估患有淋巴水肿的BC幸存者的手部功能损伤。本研究通过从1200名年龄在40至80岁之间、接受了前哨淋巴结活检及放疗的淋巴水肿女性中随机选取100名进行。使用电子手持式测力计测试握力。使用功能性手腕和手部量表评估手部功能。使用密歇根手部结果问卷（MHQ）评估手部的整体功能。使用SPSS统计软件（版本23.0）进行统计分析。与未受影响的手相比，BCRL导致的受影响手的握力降低。与未受影响的手相比，受影响手的功能性手部和手腕量表结果非常差。在MHQ中，大多数参与者对手部的整体功能不满意（<0.0001）。本研究得出结论，患有淋巴水肿的BC幸存者存在明显的手部功能损伤。BCRL对个体的日常活动有负面影响，也影响心理、情感和社会方面。BCRL还对总体自我报告的身体功能和生活质量有影响。
