Shoulder Dysfunction and Physical Performance in Head and Neck Cancer Patients Receving Surgery – Three Month Changes
Date Issued
2011
Date
2011
Author(s)
Lin, Chia-Yu
Abstract
Neck dissection (ND) is one of the major procedures for most head and neck cancer receiving surgery. Due to the potential harm to the spinal accessory nerve from ND or other related treatments, patients might experience limited shoulder function or even dysfunction. The purposes of this study were to (1) explore the levels of neck and shoulder function, physical function, and pain problems in head and neck cancer patient receiving neck dissection within three months of operation (OP); and (2) identify the factors related to the changes of physical f performance over the first three months of receiving neck dissection. A 3-month longitudinal study with 5 time data collections (Pre-OP, 2 weeks Post-OP, and 1 to 3 months post OP) was conducted to recruit head and neck patients in a medical center in Northern Taiwan. Patients were assessed by Shoulder Pain and Disability Index, Brief Pain Inventory, Short-Form McGill Pain Questionnaire, Karnofsky’s Performance Status, Symptom Severity Scale and Background Information Form. The Generalized Estimating Equation (GEE) was used to analyze the factors related to the changes of physical performance.
A total of 60 subjects were recruited. The results showed the declining function in shoulder function, neck rotation angles and performance status in the first three months. Most of patients had pain characterized as aching and stabbing. Postoperative pain interference, depression and symptom severity were positively correlated with severity of shoulder dysfunction. Patients with better shoulder function, less anxiety, lower depression, less pain interference, and lower symptom severity reported to have better physical performance over the first three months of receiving neck dissection. The results suggest that head and neck patients receiving surgery still have many problems needed to be cared. With better care of these problems are necessary and it would better help patients’ recovery in their physical performance.
Subjects
Head and Neck Cancer
Neck Dissection
Shoulder Function
Pain
Karnofsky’s Performance Status
SDGs
Type
thesis
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