Factors associated with upper limb function in breast cancer survivors
| العنوان: | Factors associated with upper limb function in breast cancer survivors |
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| المؤلفون: | Bella Pajares, Emilio Alba, Cristina Roldán-Jiménez, Antonio Cuesta-Vargas, Jaime Martín Martín, Nuria Ribelles |
| المصدر: | PM&R. 15:151-156 |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Occupational therapy, medicine.medical_specialty, business.industry, Rehabilitation, Psychological intervention, Physical Therapy, Sports Therapy and Rehabilitation, Regression analysis, Affect (psychology), medicine.disease, body regions, Grip strength, medicine.anatomical_structure, Breast cancer, Neurology, Cohort, medicine, Physical therapy, Upper limb, Neurology (clinical), business |
| الوصف: | Introduction Breast cancer survivors may suffer side effects from treatment, such as impaired upper limb function after surgery, which may be affected by a range of factors. Aim The aim of this study is to analyse the association between upper limb function and strength, fear avoidance, and central sensitisation symptoms among breast cancer survivors, and to explore how these variables are associated with upper limb function. Design Validation cohort. Setting Institutional Practice at Public Hospital PATIENTS: 174 breast cancer survivors who had been undergone surgery for a primary tumour. Interventions Not applicable. Main outcome measure Upper limb function was measured by the Upper Limb Functional Index (ULFI-Sp). Independent outcomes were: handgrip strength, which was measured using a Jamar dynamometer on the dominant side; fear avoidance, measured using the Fear-Avoidance Components Scale (FACS-Sp); and central sensitisation symptoms, that were measured using the Central Sensitisation Inventory (CSI-Sp). A linear regression model explaining the ULFI-Sp results was constructed with the variables. Results The regression model was significant (F=46.826; p=0.00), and explained 45% of the variance of the ULFI values. All variables showed strong associations with upper limb function. Conclusions Greater upper limb function is associated with higher grip strength, lower fear-avoidance behaviour and fewer central sensitisation symptoms among breast cancer survivors. These variables explained 45% of the upper limb function in the regression model, and concur with earlier research showing that factors such as central sensitisation symptoms and kinesiophobia negatively affect upper limb function in such patients. Clinicians should therefore take into account strength, fear avoidance, and central sensitisation symptoms when considering interventions aimed at improving upper limb function among breast cancer survivors. This article is protected by copyright. All rights reserved. |
| تدمد: | 1934-1563 1934-1482 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9349a39abf055b1c6a25f51fe88d7936Test https://doi.org/10.1002/pmrj.12731Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....9349a39abf055b1c6a25f51fe88d7936 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19341563 19341482 |
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