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淋巴严重程度对肩关节功能和乳腺癌幸存者的肌肉激活模式的影响:一个横截面研究

Mahmoud Hamada Mohamed¹, Rafik E Radwan², Mohamed M ElMeligie³

¹Department of Physical Therapy for Surgery, Faculty of Physical Therapy Ahram Canadian University, 4 Industrial Zone, Banks Complex, 6th of October City, Giza, Egypt.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

|December 17, 2024

概括

与乳腺癌相关的淋巴 (BCRL) 显著损害了肩膀功能. 严重程度的增加导致运动范围,力量和肌肉激活的减少,影响幸存者的日常任务.

科学领域:

在瘤学瘤学.
康复医学康复医学康复医学
生物医学工程生物医学工程

背景情况:

与乳腺癌相关的淋巴 (BCRL) 是一种常见的并发症,影响上肢功能.
肩部功能障碍显著影响乳腺癌幸存者的生活质量.

研究的目的:

调查BCRL严重程度对肩膀运动范围,力量,肌肉活化和患者报告的残疾的影响.
量化淋巴的严重程度和肩部功能缺陷之间的关系.

主要方法:

一项涉及75名单边BCRL妇女的横截面观察研究,按淋巴的严重程度 (轻度,中度,严重) 分类.
评估了肩部运动范围,同位体强度,手臂残疾 (DASH) 得分,以及肩部肌肉的表面电肌图 (EMG).
利用参数和非参数统计分析来评估数据.

主要成果:

观察到肩膀运动能力,力量和功能逐渐下降,BCRL严重程度增加.
严重的BCRL与肩膀运动范围和同度强度显著减少有关 (p < 0.001).
在更严重的病例中,观察到肌肉激活模式受损,包括EMG幅度降低和肩膀肌肉发作延迟.

结论:

前进的BCRL严重程度与肩膀移动性,力量和神经肌肉控制的显著下降有关.
这些发现表明肩膀关节控制受损,导致手臂提升和日常活动的残疾.
这些缺陷的渐进性强调了乳腺癌幸存者的淋巴严重程度和肩部功能障碍之间的联系.

关键词:

电动肌图学电动肌图学淋巴 edemema 淋巴 edemema 淋巴 edemema 淋巴 edemema 淋巴 edemema 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 运动范围的范围.康复康复康复康复肩膀肩膀在肩膀上力量就是力量.

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