首页> 外文期刊>Journal of cancer survivorship: research and practice >The role of occupational upper extremity use in breast cancer related upper extremity lymphedema.
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The role of occupational upper extremity use in breast cancer related upper extremity lymphedema.

机译:职业上肢使用在乳腺癌相关上肢淋巴水肿中的作用。

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BACKGROUND: Upper extremity (UE) use has been related to breast cancer-related lymph edema (BCRL). Our aim was to evaluate severity of BCRL in different occupation groups, according to upper extremity use. METHODS: Fifty-five women with BCRL were recruited. Group-1 (n = 21), with a mean age of 59, included patients who worked continuously <30 min at a time and 1 h and >8 h per day. RESULTS: The age, operation type, infection occurrence, radiotherapy status, and the operation on the side of the dominant hand were not statistically different between the groups. The stage and grade of the BCRL in group-3 were higher than the other groups (both p < 0.001). The restriction of shoulder movements on the operation side (p = 0.04) and shoulder physiotherapy need (p < 0.001) were the highest in group-3. Arm pain (p = 0.004) and pain medicine needs (p = 0.028) in group-1 were lower than the other groups. CONCLUSION: Group-3 had the worst BCRL clinical stage and grade status and other breast cancer treatment related morbities. Occupations that require greater use of the upper extremities. At present there is a need for closer monitoring of patients with more severe BCRL. Potential exacerbating and maintaining factors of functional limitations and pain need to considered so that clinical management addresses these in relation to daily use of the affected UE.
机译:背景:上肢(UE)使用与乳腺癌相关的淋巴水肿(BCR1)有关。根据上肢使用,我们的目标是评估不同占领群体中BCRL的严重程度。方法:招募了55名BCRL妇女。组-1(n = 21),平均年龄为59岁,包括在一次连续<30分钟的患者,每天50分钟和<或= 8小时。 2族(N = 15),平均年龄为54岁,是一次在30至60分钟的时间在30至60分钟之间,每天<或= 8小时。第3组(n = 19),均为51岁的平均年龄,包括持续工作> 1小时和> 8小时的患者。结果:年龄,操作型,感染发生,放射治疗状态和主导手侧面的操作在组之间没有统计学不同。 BCR1中BCR1的阶段和等级高于其他基团(P <0.001)。在操作侧的肩部运动的限制(P = 0.04)和肩部物理治疗需要(P <0.001)是组-3中最高的。 Arm疼痛(p = 0.004)和疼痛药物(p = 0.028)均低于其他组。结论:-3组具有最糟糕的BCRL临床阶段和等级状态和其他乳腺癌治疗的病态。需要更好地使用上肢的职业。目前需要更接近更严重的BCRL患者的监测。潜在加剧和维持功能局限性和疼痛的因素需要考虑,以便临床管理解决这些受影响UE的日常使用。

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