A Short-Term Longitudinal Study on Arm/Shoulder Functions Following Breast Cancer Surgery and Its Implications on Shoulder Physiotherapy.

IF 0.7 Q4 ONCOLOGY

Indian Journal of Surgical Oncology Pub Date : 2026-09-01 Epub Date: 2026-02-20 DOI:10.1007/s13193-026-02548-0

Khriethonuo Kesiezie, Navneet Kaur

{"title":"A Short-Term Longitudinal Study on Arm/Shoulder Functions Following Breast Cancer Surgery and Its Implications on Shoulder Physiotherapy.","authors":"Khriethonuo Kesiezie, Navneet Kaur","doi":"10.1007/s13193-026-02548-0","DOIUrl":null,"url":null,"abstract":"Background: Enhanced survival following breast cancer diagnosis has brought into focus various long term sequelae of treatment, one of the most common of which are arm/shoulder problems (ASPs).Objectives: To study arm and shoulder functions in the post operative period and early follow up to elucidate the role of surgery in the etiopathogenesis of ASPs and to develop a pragmatic plan for shoulder physiotherapy.Methods: This prospective longitudinal study was conducted on (n = 53) patients, who underwent surgery for operable breast cancer. Evaluation of shoulder function was done at 2, 4, and 12 weeks after surgery. Main outcome measures were: (1) Restriction in range of shoulder movement (ROM) assessed using Goniometer; (2) Arm strength measurement using Hand grip dynamometer; (3) Arm/shoulder function assessment using Kwan's Arm Problem scale (KAPS).Results: At 2 weeks, 66% patients showed a significant restriction in flexion and 53% in abduction of shoulder, which had reduced to 7.5% and 9.4% respectively by 12 weeks. Arm strength was significantly reduced at all the three assessments. At 2 weeks, 72% patients had significant arm/shoulder dysfunction (KAPS score > 21.5), while none at 12 weeks. Arm and shoulder pain and use of arm were the items with highest mean scores.Conclusion: Early initiation of structured physiotherapy and an emphasis on both mobility and strength restoration can achieve near complete functional recovery within three months.Supplementary information: The online version contains supplementary material available at https://doi.org/10.1007/s13193-026-02548-0.","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 9","pages":"2174-2179"},"PeriodicalIF":0.7000,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620050/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Surgical Oncology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s13193-026-02548-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/20 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"ONCOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Enhanced survival following breast cancer diagnosis has brought into focus various long term sequelae of treatment, one of the most common of which are arm/shoulder problems (ASPs).

Objectives: To study arm and shoulder functions in the post operative period and early follow up to elucidate the role of surgery in the etiopathogenesis of ASPs and to develop a pragmatic plan for shoulder physiotherapy.

Methods: This prospective longitudinal study was conducted on (n = 53) patients, who underwent surgery for operable breast cancer. Evaluation of shoulder function was done at 2, 4, and 12 weeks after surgery. Main outcome measures were: (1) Restriction in range of shoulder movement (ROM) assessed using Goniometer; (2) Arm strength measurement using Hand grip dynamometer; (3) Arm/shoulder function assessment using Kwan's Arm Problem scale (KAPS).

Results: At 2 weeks, 66% patients showed a significant restriction in flexion and 53% in abduction of shoulder, which had reduced to 7.5% and 9.4% respectively by 12 weeks. Arm strength was significantly reduced at all the three assessments. At 2 weeks, 72% patients had significant arm/shoulder dysfunction (KAPS score > 21.5), while none at 12 weeks. Arm and shoulder pain and use of arm were the items with highest mean scores.

Conclusion: Early initiation of structured physiotherapy and an emphasis on both mobility and strength restoration can achieve near complete functional recovery within three months.

Supplementary information: The online version contains supplementary material available at https://doi.org/10.1007/s13193-026-02548-0.

查看原文本刊更多论文

乳腺癌手术后手臂/肩部功能的短期纵向研究及其对肩部物理治疗的影响。

背景：乳腺癌诊断后生存率的提高引起了各种长期治疗后遗症的关注，其中最常见的是手臂/肩部问题（asp）。目的：通过研究术后及早期随访的手臂和肩部功能，阐明手术在asp发病机制中的作用，并制定实用的肩部物理治疗方案。方法：这项前瞻性纵向研究对（n = 53）例接受手术治疗可手术乳腺癌的患者进行了研究。术后2周、4周和12周评估肩关节功能。主要观察指标为：(1)肩关节活动度受限（ROM）；(2)使用手握测力仪测量手臂力量；(3)使用关氏手臂问题量表（KAPS）评估手臂/肩部功能。结果：2周时，66%的患者肩关节屈曲受限，53%的患者肩关节外展受限，12周时分别减少到7.5%和9.4%。在所有三个评估中，臂力都显著降低。在2周时，72%的患者有明显的手臂/肩部功能障碍（KAPS评分为bbbb21.5），而在12周时没有。手臂和肩部疼痛以及手臂的使用是平均得分最高的项目。结论：早期开始有组织的物理治疗并强调活动能力和力量的恢复可以在三个月内实现几乎完全的功能恢复。补充信息：在线版本包含补充资料，可在https://doi.org/10.1007/s13193-026-02548-0上获得。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Indian Journal of Surgical Oncology ONCOLOGY-

CiteScore

1.10

自引率

0.00%

发文量

190

期刊介绍： The Indian Journal of Surgical Oncology aims to encourage and promote clinical and research activities pertaining to Surgical Oncology. It also aims to bring in the concept of multidisciplinary team approach in management of various cancers. The Journal would publish original article, point of technique, review article, case report, letter to editor, profiles of eminent teachers, surgeons and instititions - a short (up to 500 words) of the Cancer Institutions, departments, and oncologist, who founded new departments.