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Mechanosensitivity in the upper extremity following breast cancer treatment

机译:乳腺癌治疗后上肢的机械敏感性

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Study design Descriptive, cross-sectional. Introduction Breast cancer (BC) treatments place the nervous system at risk, which may contribute to upper extremity (UE) mechanosensitivity. Purpose of the study To evaluate elbow extension range of motion (EE-ROM) during upper limb neurodynamic testing (ULNT) post-BC treatment. Methods ULNT EE-ROM was measured for 145 women post-BC treatment. Women were sub-grouped by presence/absence of pain and lymphedema. Results Mean EE-ROM during ULNT1 was -22.3 (SD 11.9) on the unaffected limb and -25.99 (SD 13.1) on the affected limb. The women with pain and lymphedema had the greatest limitation in EE-ROM during ULNT1 testing, particularly of their affected limb (-33.8, SD 12.9). Symptoms were reported more frequently in the affected chest, shoulder, arm, elbow, and hand. The intensity of symptoms was greater at the affected chest (p = 0.046), shoulder (p = 0.033) and arm (p = 0.039). Conclusions Women with lymphedema and pain after BC treatment may present with altered neural mechanosensitivity. Level of evidence 3a.
机译:研究设计描述性,横截面。简介乳腺癌(BC)治疗会使神经系统处于危险之中,这可能有助于上肢(UE)机械敏感性。研究目的在BC治疗后评估上肢神经动力学测试(ULNT)期间肘部活动范围(EE-ROM)。方法对145例BC患者进行ULNT EE-ROM测量。根据是否存在疼痛和淋巴水肿将妇女分组。结果ULNT1期间未受影响肢体的平均EE-ROM为-22.3(SD 11.9),受影响肢体的平均EE-ROM为-25.99(SD 13.1)。在ULNT1测试期间,患有疼痛和淋巴水肿的女性在EE-ROM中的局限性最大,尤其是其患肢(-33.8,SD 12.9)。据报告,患病的胸部,肩膀,手臂,肘部和手部症状较频繁。在受影响的胸部(p = 0.046),肩膀(p = 0.033)和手臂(p = 0.039)处,症状的强度更大。结论BC治疗后有淋巴水肿和疼痛的女性可能表现为神经机械敏感性改变。证据等级3a。

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