Abstract:
OBJECTIVES:To assess the changes in shoulder strength of patients with breast cancer during the first year after surgery; and to compare the effect of sentinel lymph node biopsy (SLNB) and axillary lymph node dissection (ALND) on shoulder strength. DESIGN:Prospective longitudinal observational study from presurgery to 1 year after. SETTING:Tertiary hospital. PARTICIPANTS:Of 129 consecutive patients examined for eligibility, a sample of women (N=112) with breast cancer were included (44 underwent ALND, and 68 underwent SLNB). INTERVENTIONS:Not applicable. MAIN OUTCOMES MEASURES:Difference between the affected and unaffected arm in strength of shoulder external rotators, internal rotators, abductors, and serratus anterior, measured by dynamometry. Evaluations were performed prior to surgery and at 1, 6, and 12 months after surgery. RESULTS:After breast cancer ALND surgery, strength decreased significantly at the first month for internal rotators, without having recovered presurgery values after 1 year of follow-up, with a mean difference of 2.26kg (P=.011). There was no significant loss of strength for patients treated with SLNB. The loss of shoulder range of motion was only significant the first month for the ALND group. The factors identified as associated with strength loss in the general estimating equation models were the ALND surgery and having received physical/occupational therapy during follow-up. CONCLUSIONS:One year after breast cancer surgery, patients treated with ALND had not recovered their previous shoulder internal rotators strength, whereas those who underwent SLNB presented no significant loss of strength. This provides important information for designing rehabilitation programs targeted specifically at the affected muscle group after nodal surgical approach.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Monleon S,Ferrer M,Tejero M,Pont A,Piqueras M,Belmonte Rdoi
10.1016/j.apmr.2015.12.014subject
Has Abstractpub_date
2016-06-01 00:00:00pages
953-63issue
6eissn
0003-9993issn
1532-821Xpii
S0003-9993(15)01567-1journal_volume
97pub_type
杂志文章abstract:OBJECTIVE:To develop and assess the reliability of a group of cervical nonorganic physical signs to be used as a simple screening tool for identifying patients with low neck pain who exhibit abnormal illness behavior. DESIGN:Survey, consecutive sample. DATA SET:Double masked. SETTING:Functional restoration program. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/s0003-9993(00)90136-9
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abstract:OBJECTIVE:To test the hypotheses that people with hemiplegia using arms and legs to propel their wheelchairs perform better backward than forward and prefer the backward direction. DESIGN:Within-participant cross-sectional design. PARTICIPANTS:Manual wheelchair users (N=18) with hemiplegia caused by stroke, a sample ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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更新日期:2013-09-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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abstract:OBJECTIVE:To investigate the effectiveness of a home-based multiple-speed treadmill training program to improve gait performance in persons with a transfemoral amputation (TFA). DESIGN:Repeated measures. SETTING:Research laboratory. PARTICIPANTS:Individuals with a TFA (N=8) who had undergone a unilateral amputation ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2013.08.001
更新日期:2013-12-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1053/apmr.2003.50105
更新日期:2003-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1053/apmr.2000.6282
更新日期:2000-09-01 00:00:00
abstract::This study was designed to help clinicians establish objective guidelines for meeting the nutritional requirements of spinal cord injury (SCI) patients during their initial hospitalizations. The nutritional status of 51 SCI patients treated between 1983 and 1986 was assessed at two, four, and eight weeks after injury....
journal_title:Archives of physical medicine and rehabilitation
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doi:
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2007.04.001
更新日期:2007-07-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2017-09-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.01.031
更新日期:2005-01-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2004.04.044
更新日期:2004-12-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2009.01.012
更新日期:2009-07-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2008.06.009
更新日期:2008-12-01 00:00:00
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doi:10.1016/j.apmr.2007.09.040
更新日期:2008-04-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0003-9993(94)90090-6
更新日期:1994-10-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80665-2
更新日期:1995-04-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-12-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2017-10-01 00:00:00
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更新日期:1977-04-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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更新日期:2009-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2018-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.01.003
更新日期:2015-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/0003-9993(86)90107-3
更新日期:1986-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2015-05-01 00:00:00
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更新日期:2019-07-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.apmr.2016.01.006
更新日期:2016-05-01 00:00:00
abstract:UNLABELLED:Cooper RA. Comparison of virtual wheelchair driving performance of people with traumatic brain injury using an isometric and a conventional joystick. OBJECTIVE:To compare wheelchair driving performance in a driving simulator using a conventional joystick and an isometric joystick. DESIGN:Randomized, cohort...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2011-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-09-01 00:00:00