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Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
Published on: January 12, 2017
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Factors associated with upper limb function in breast cancer survivors
Cristina Roldán-Jiménez1,2, Jaime Martín-Martín2,3, Bella Pajares4
1Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Málaga, Andalucía Tech., Málaga, Spain.
PM & R : the Journal of Injury, Function, and Rehabilitation
|October 29, 2021
Summary
Breast cancer survivors with better upper limb function had higher grip strength and less fear avoidance and central sensitization. These factors significantly explain upper limb function, guiding clinical interventions.
Area of Science:
- Oncology
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Breast cancer treatment can lead to impaired upper limb function.
- This impairment may be influenced by various factors post-surgery.
Purpose of the Study:
- To analyze the association between upper limb function and strength, fear avoidance, and central sensitization symptoms in breast cancer survivors.
- To explore how these variables relate to upper limb function.
Main Methods:
- A validation cohort of 174 breast cancer survivors was studied.
- Upper limb function was assessed using the Upper Limb Functional Index (ULFI-Sp).
- Grip strength, fear avoidance (FACS-Sp), and central sensitization (CSI-Sp) were measured; a linear regression model was applied.
Main Results:
- The regression model was significant (p < .0001) and explained 45% of the variance in upper limb function.
- Higher grip strength, lower fear avoidance, and fewer central sensitization symptoms were strongly associated with better upper limb function.
Conclusions:
- Improved upper limb function in breast cancer survivors correlates with greater strength, reduced fear avoidance, and fewer central sensitization symptoms.
- These findings support the consideration of strength, fear avoidance, and central sensitization in clinical interventions for upper limb function.
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