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Maximizing shoulder function after accessory nerve injury and neck dissection surgery: A multicenter randomized

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Early physical therapy with intensive scapular strengthening exercises significantly improved shoulder abduction after neck dissection in the short term. Further research is needed to confirm long-term benefits compared to usual care.

Keywords:
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Area of Science:

  • Oncology
  • Physical Therapy
  • Neurosurgery

Background:

  • Neck dissection can lead to shoulder pain and dysfunction due to accessory nerve injury.
  • The efficacy of early physical therapy, specifically scapular strengthening, remains unclear.

Purpose of the Study:

  • To evaluate the impact of intensive scapular strengthening exercises on shoulder function post-neck dissection.

Main Methods:

  • 59 participants were randomized into an intervention group (scapular exercises, 12 weeks) or a control group.
  • Assessments were conducted at baseline and at 3, 6, and 12 months post-intervention.

Main Results:

  • At 3 months, the intervention group showed significantly greater active shoulder abduction (+26.6°) compared to the control group (p = .007).
  • Data were analyzed from 52 participants at the 3-month follow-up.

Conclusions:

  • Intensive scapular strengthening exercises offer a favorable short-term treatment for enhancing shoulder abduction.
  • Long-term effectiveness compared to standard care requires further investigation.