Comparison of Three Shoulder Dysfunction Measures in Primary Head and Neck Cancer Patients Receiving Neck Dissection
Date Issued
2009
Date
2009
Author(s)
Lin, Chwen-Mei
Abstract
Head and neck cancer is one of the major health care problems in Taiwan. Surgery is the major treatment in curing theses types of cancers. Patients receiving surgery usually also receive neck dissection for preventing further metastasis. However, it potentially might cause shoulder dysfunction. Therefore, we need to have valid instrument to assess patients’ shoulder dysfunction. The purpose of this study was to examine and compare three shoulder-specific measures Chinese version of their psychometrics and feasibility used in head and neck cancer patients.n instrument validation study with cross-sectional data collection was conducted in a medical center in Northern Tawian. There were 110 eligible subjects were recruited. The three measures included：(1) American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form（ASES）﹐(2) the Constant Murley Score（CMS）﹐and (3) Shoulder Pain and Disability Index（SPADI）.The results showed that the three measures all had good content validity. These three measures also had acceptable internal consistency reliability（Cronbach’s alpha ranged from0.69 to 0.86）. Concurrent and Convergent validity were demonstrated﹒The effect of post surgical status on shoulder function was correlated to patient’s age﹐body weight﹐Karnofsky Performance Status (KPS)﹐types of surgery and radiotherapy. There is positive relationship between shoulder function and quality of life﹒Among the ASES﹐the CMS﹐and the SPADI were easily to be used, the CMS was most useful to detect shoulder complaints since that includes subjective and objective scoring of shoulder condition﹒We suggest to do test-retest reliability of CMS to confirm that stability﹒
Subjects
Head and Neck cancer
Neck Dissection
Shoulder function
Validity
SDGs
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