| Titre : | Shoulder Kinematics of Axillary Web Syndrome in Women Treated for Breast Cancer (2023) |
| Auteurs : | Renata Braudy ; Brittany Atoms ; Jenna Coghlan ; Meaghan Staples ; David Moga ; Ryan Tollefsrud ; Rebekah L Lawrence ; Paula Ludewig ; Linda Koehler |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 3, 2023) |
| Article en page(s) : | p. 403-409 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Noeuds lymphatiques ; Phénomènes biomécaniques ; Réadaptation ; Scapula ; Tumeurs du sein |
| Résumé : | Objective To better understand how the shoulder moves in breast cancer survivors with axillary web syndrome (AWS), we compared 3-dimensional (3D) shoulder kinematics during shoulder elevation among breast cancer survivors with and without AWS 5 years postoperatively. Although research consistently shows decreased shoulder range of motion with AWS, we do not understand the underlying biomechanics. Design Nested case control study. Setting University Academic Breast Center. Participants Twenty-five women who had surgery 5 years previously for unilateral breast cancer with the removal of at least 1 lymph node participated in this study (N=25). Twelve participants had AWS; 13 women did not have AWS. Interventions Not applicable. Main Outcome Measures Three-dimensional shoulder kinematic data during shoulder forward flexion, scapular plane abduction, and coronal plane abduction were collected using 3D electromagnetic motion tracking. Kinematic data were extracted at 30°, 60°, 90°, and 120° of arm elevation for scapular upward rotation, internal rotation, and posterior tilt as well as for glenohumeral external rotation. Results Women with AWS demonstrated 15.2° less scapular upward rotation at 120° humerothoracic elevation (95% confidence interval [-25.2, -5.2], P=.005), regardless of plane. No significant between-group differences were found for any other angle of scapular upward rotation, nor for scapular internal rotation, scapular posterior tilt, or glenohumeral axial rotation at any angle. Conclusions Five years after surgery for breast cancer, women diagnosed with AWS have altered scapulohumeral kinematics that may place them at an increased risk of shoulder pain based on existing kinematic literature in healthy cohorts. This information can help guide rehabilitation programs for breast cancer survivors to facilitate pain-free upper extremity function after treatment. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399932201615X |
Bibliothèques HE Vinci
