Journal of Rehabilitation Sciences & Research

The Relationship between the Upper Extremity Volume and Disability,Thoracic Kyphosis, Shoulder Protraction, and Forward Head Posture in Patients with Upper Extremity Lymphedema Following Total Mastectomy

Sara Abolahrari-Shirazi; Narges Meftahi; Zeinab Zakeri; Donya Jaberolansar; Maryam Taherpour

Volume 10, Issue 1 , March 2023, , Pages 49-54

Abstract

Background: Upper extremity (UE) lymphedema, which negatively affects patients’ personal and social well-being, is the most common complication after breast cancer treatment. ... Read More Background: Upper extremity (UE) lymphedema, which negatively affects patients’ personal and social well-being, is the most common complication after breast cancer treatment. Previous studies have demonstrated the adverse effectsof surgical interventions for breast cancer on spinal postures and UE disability;however, no studies have examined the relationships between UE volume and postural changes and between UE volume and UE disability in patients withlymphedema. Furthermore, some spinal postural changes in patients with forward head posture (FHP) remain unassessed in these patients. Therefore, the present study investigated the relationship between the volume of the affected UE with FHP, kyphosis, shoulder protraction, and UE disability in lymphedema patients.Methods: The present cross-sectional study was carried out on 32 women with unilateral UE lymphedema. UE volume and kyphosis were measured by volumetry and a flexible ruler, respectively. Cervical angle was used to assess FHP. To measure shoulder protraction and FHP, data obtained from markers and photography was analyzed in ImageJ software. The disability of the affected UE was assessed by the Persian version of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Data analysis was performed using Pearson’s correlation test.Results: Significant positive correlations were observed between UE volume and UE disability as well as kyphosis. Significant negative correlations between UE volume and shoulder as well as cervical angle were also seen. UE disabilityhad a significant negative correlation with shoulder angle but no significant relationship with kyphosis or cervical angle.Conclusion: An increase in the affected UE volume due to lymphedema is related to an increase in UE disability, kyphosis angle, FHP, and shoulder protraction. In addition to treatments for UE volume reduction in lymphedema patients,accurate posture evaluation is also recommended.

Intra-rater and Inter-rater Reliability and Agreement of the Scapular Dyskinesis test in Young Men with Forward Head and Round Shoulder Posture

Mohammad Bayattork; Foad Seidi; Hooman Minoonejad; Philip McClure; Esmaeil Mozafaripoor

Volume 6, Issue 4 , December 2019, , Pages 169-173

Abstract

Background: Forward head and round shoulder posture (FHRSP) is believed to be related to scapular dyskinesis (SD), placing increased stress on the neck and shoulder, leading to pain ... Read More

Journal of Rehabilitation Sciences & Research

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Keywords = shoulder

The Relationship between the Upper Extremity Volume and Disability,Thoracic Kyphosis, Shoulder Protraction, and Forward Head Posture in Patients with Upper Extremity Lymphedema Following Total Mastectomy

Abstract

Intra-rater and Inter-rater Reliability and Agreement of the Scapular Dyskinesis test in Young Men with Forward Head and Round Shoulder Posture

Abstract