AI Article Synopsis
- This study is a descriptive, cross-sectional design focused on how breast cancer treatments affect the nervous system and upper extremity sensitivity.
- It aims to assess elbow extension range of motion (EE-ROM) during neurodynamic testing in women who have undergone breast cancer treatment.
- Results show that women with pain and lymphedema have the most significant limitations in EE-ROM, especially in the affected limb, with reported symptoms being more intense in the shoulder, arm, and chest areas.
Article Abstract
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.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3903181 | PMC |
| http://dx.doi.org/10.1016/j.jht.2013.08.021 | DOI Listing |
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