Cargando…
Factors influencing neck and shoulder function after oral oncology treatment: a five-year prospective cohort study in 113 patients
BACKGROUND: The aim of this study was to identify factors influencing shoulder and/or neck function in patients up to five years after treatment. MATERIALS AND METHODS: Lateral flexion of the neck, ipsilateral forward flexion, and abduction of the shoulder were measured. Potential factors were enter...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6541579/ https://www.ncbi.nlm.nih.gov/pubmed/30430300 http://dx.doi.org/10.1007/s00520-018-4534-1 |
_version_ | 1783422786826403840 |
---|---|
author | van Hinte, Gerben Wetzels, Jan-Willem G. H. Merkx, Matthias A. W. de Haan, Anton F. J. Koole, Ron Speksnijder, Caroline M. |
author_facet | van Hinte, Gerben Wetzels, Jan-Willem G. H. Merkx, Matthias A. W. de Haan, Anton F. J. Koole, Ron Speksnijder, Caroline M. |
author_sort | van Hinte, Gerben |
collection | PubMed |
description | BACKGROUND: The aim of this study was to identify factors influencing shoulder and/or neck function in patients up to five years after treatment. MATERIALS AND METHODS: Lateral flexion of the neck, ipsilateral forward flexion, and abduction of the shoulder were measured. Potential factors were entered into a linear mixed model analysis to create a multivariate model for describing the results. RESULTS: Predicted neck and shoulder function was negatively influenced by higher age before intervention. Contralateral flexion of the neck was lower for patients undergoing surgery and radiotherapy compared to surgery. Ipsilateral flexion of the neck is influenced by a higher age at baseline. Ipsilateral shoulder abduction is lower for female gender, bone graft/flap reconstruction, and more extensive neck dissection. Ipsilateral forward flexion of the shoulder is lower for bone graft/flap reconstruction and better for patients with a T2 tumor in comparison to T3 and T4 tumors, as predicted. CONCLUSION: By our five-year follow-up outcomes of this study, neck and/or shoulder impairments can be found for high-risk patients by physiotherapists. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00520-018-4534-1) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6541579 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-65415792019-06-14 Factors influencing neck and shoulder function after oral oncology treatment: a five-year prospective cohort study in 113 patients van Hinte, Gerben Wetzels, Jan-Willem G. H. Merkx, Matthias A. W. de Haan, Anton F. J. Koole, Ron Speksnijder, Caroline M. Support Care Cancer Original Article BACKGROUND: The aim of this study was to identify factors influencing shoulder and/or neck function in patients up to five years after treatment. MATERIALS AND METHODS: Lateral flexion of the neck, ipsilateral forward flexion, and abduction of the shoulder were measured. Potential factors were entered into a linear mixed model analysis to create a multivariate model for describing the results. RESULTS: Predicted neck and shoulder function was negatively influenced by higher age before intervention. Contralateral flexion of the neck was lower for patients undergoing surgery and radiotherapy compared to surgery. Ipsilateral flexion of the neck is influenced by a higher age at baseline. Ipsilateral shoulder abduction is lower for female gender, bone graft/flap reconstruction, and more extensive neck dissection. Ipsilateral forward flexion of the shoulder is lower for bone graft/flap reconstruction and better for patients with a T2 tumor in comparison to T3 and T4 tumors, as predicted. CONCLUSION: By our five-year follow-up outcomes of this study, neck and/or shoulder impairments can be found for high-risk patients by physiotherapists. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00520-018-4534-1) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2018-11-14 2019 /pmc/articles/PMC6541579/ /pubmed/30430300 http://dx.doi.org/10.1007/s00520-018-4534-1 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article van Hinte, Gerben Wetzels, Jan-Willem G. H. Merkx, Matthias A. W. de Haan, Anton F. J. Koole, Ron Speksnijder, Caroline M. Factors influencing neck and shoulder function after oral oncology treatment: a five-year prospective cohort study in 113 patients |
title | Factors influencing neck and shoulder function after oral oncology treatment: a five-year prospective cohort study in 113 patients |
title_full | Factors influencing neck and shoulder function after oral oncology treatment: a five-year prospective cohort study in 113 patients |
title_fullStr | Factors influencing neck and shoulder function after oral oncology treatment: a five-year prospective cohort study in 113 patients |
title_full_unstemmed | Factors influencing neck and shoulder function after oral oncology treatment: a five-year prospective cohort study in 113 patients |
title_short | Factors influencing neck and shoulder function after oral oncology treatment: a five-year prospective cohort study in 113 patients |
title_sort | factors influencing neck and shoulder function after oral oncology treatment: a five-year prospective cohort study in 113 patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6541579/ https://www.ncbi.nlm.nih.gov/pubmed/30430300 http://dx.doi.org/10.1007/s00520-018-4534-1 |
work_keys_str_mv | AT vanhintegerben factorsinfluencingneckandshoulderfunctionafteroraloncologytreatmentafiveyearprospectivecohortstudyin113patients AT wetzelsjanwillemgh factorsinfluencingneckandshoulderfunctionafteroraloncologytreatmentafiveyearprospectivecohortstudyin113patients AT merkxmatthiasaw factorsinfluencingneckandshoulderfunctionafteroraloncologytreatmentafiveyearprospectivecohortstudyin113patients AT dehaanantonfj factorsinfluencingneckandshoulderfunctionafteroraloncologytreatmentafiveyearprospectivecohortstudyin113patients AT kooleron factorsinfluencingneckandshoulderfunctionafteroraloncologytreatmentafiveyearprospectivecohortstudyin113patients AT speksnijdercarolinem factorsinfluencingneckandshoulderfunctionafteroraloncologytreatmentafiveyearprospectivecohortstudyin113patients |