Investigations into shoulder function after radical neck dissection

Fialka, V.; Vinzenz, K.

doi:10.1016/s1010-5182(88)80036-2

Cited by 32 publications

(28 citation statements)

References 18 publications

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“…Prevention of frozen shoulder through active ROM and active-assisted ROM;Prevention of anterior chest wall flexibility deficits through trunk mobility exercises;Strengthening of alternate scapular elevators and retractors[13];Instruction of compensatory techniques for activities requiring sustained shoulder abduction and forward flexion;Neuromuscular retraining of shoulder girdle muscles;Preservation of trapezius muscle tone through electrical stimulation[14] if reinnervation is anticipated;Postural modification and re-education; andProviding shoulder support[12] to allow recovery of the levator scapulae. …”

Section: Rehabilitationmentioning

confidence: 99%

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A comprehensive review of head and neck cancer rehabilitation: Physical therapy perspectives

Karthikeyan¹,

Manoor²,

Supe³

2012

Indian J Palliat Care

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Rehabilitation in relation to cancer can be preventative, restorative, supportive, and palliative. It is recognized that patients may have rehabilitation needs throughout their care pathway. The role of physiotherapy in the cancer rehabilitation is less understood and particularly in the head and neck cancer (HNC) patients. This results in various residual deformities and dysfunctions for the patients with HNC. The objective of this review is to provide detailed information regarding the problems faced after the cancer treatments and rehabilitation of patients who suffered with HNC. The fact that cancer patients are facing several months of chemotherapy and/or radiotherapy and usually major surgery, as well as the direct effect of immobility due to pain, means that muscle wasting, joint stiffness, as well as de-conditioning and fatigue are inevitable. The absence of physiotherapy intervention would be detrimental to patient care and the ability of the patient/family to cope with the effects of the disease or its treatment on their functional capacity and quality of life. Following any treatment for HNC, physical therapy may play an essential role in preventing various complications and helping patients to mitigate impairments, and restoring function of the shoulder joint, neck, and face.

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Section: Rehabilitationmentioning

confidence: 99%

“…Preservation of trapezius muscle tone through electrical stimulation[14] if reinnervation is anticipated;…”

Section: Rehabilitationmentioning

confidence: 99%

A comprehensive review of head and neck cancer rehabilitation: Physical therapy perspectives

Karthikeyan¹,

Manoor²,

Supe³

2012

Indian J Palliat Care

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“…The impaired ROM at the shoulder causes difficulty in simple tasks such as combing the hair, putting on clothing and reaching for objects overhead (Herring, King, and Connelly, 1987). Patients may complain that there is a loss of power in the arm and that it is easily fatigued with use (Fialka and Vinzenz, 1988). Movement may exacerbate the pain, and patients with severe discomfort may require long-term use of narcotic analgesics (Wiater and Bigliani, 1999).…”

Section: Anatomic and Pathophysiologic Considerationsmentioning

confidence: 99%

“…Treatment regimens varying from simple ROM exercises to physiotherapy programs that include interventions such as therapeutic exercise, manual therapy and the use of electrotherapeutic modalities (Gordon et al,44 Herring, King, and Connelly, 1987;Johnson, Anseff, and Saunders, 1978;Saunders and Johnson, 1975;Villaneuva and Ajmani, 1977). Preliminary studies, though designed to examine spinal accessory nerve function following neck dissection procedures, reported improvements in pain and ROM in subjects that had received physiotherapy even though the patients had not been enrolled in any standardized rehabilitation program (Fialka and Vinzenz, 1988;Gordon et al, 1977). Johnson, Anseff, and Saunders (1978) introduced the use of resistance training for trapezius dysfunction due to spinal accessory nerve damage.…”

Section: Interventionsmentioning

confidence: 99%

Resistance exercise for post neck dissection shoulder pain: three case reports

McNeely¹,

Parliament

Courneya

et al. 2004

Physiotherapy Theory and Practice

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“…As a result of this, the physiotherapy management of this condition in a population of symptomatic subjects with established adhesive capsulitis of the shoulder has been extensively investigated (Johnson et al 1978;Herring et al 1987;Fialka & Vinzenz 1988;Laska & Hannig 2001;McNeely et al 2004). As a result of this, the physiotherapy management of this condition in a population of symptomatic subjects with established adhesive capsulitis of the shoulder has been extensively investigated (Johnson et al 1978;Herring et al 1987;Fialka & Vinzenz 1988;Laska & Hannig 2001;McNeely et al 2004).…”

Section: Introductionmentioning

confidence: 99%

An exploratory trial of preventative rehabilitation on shoulder disability and quality of life in patients following neck dissection surgery

Lauchlan

Caul

Carron

et al. 2010

European Journal of Cancer Care

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Patients commonly develop shoulder disability and reduction in quality of life (QOL) following neck dissection surgery. There is a lack of studies investigating the impact of preventative rehabilitation to prevent shoulder disability in this population. An exploratory trial was undertaken to investigate this gap in the head and neck cancer literature. Thirty-two subjects were randomly assigned to either one of two groups: early physiotherapy for a period of 3 months following surgery and current routine inpatient care and advice. Blinded measurement of shoulder function and QOL were recorded pre-operatively and at 1 year following surgery. No difference was found using between-group analysis (Mann-Whitney U-Test) for any outcome measures observed. Descriptive data analysis suggests that subjects receiving early physiotherapy had a perception of increased physical well-being when compared with subjects receiving routine care. There may be some clinical significance that subjects receiving a course of physiotherapy did appear to rate their physical well-being higher than those subjects not undergoing rehabilitation. Further research to investigate the preventative effects of physiotherapy on this population should consider the use of head and neck cancer-specific outcome measurement of both shoulder disability and QOL.

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Investigations into shoulder function after radical neck dissection

Cited by 32 publications

References 18 publications

A comprehensive review of head and neck cancer rehabilitation: Physical therapy perspectives

A comprehensive review of head and neck cancer rehabilitation: Physical therapy perspectives

Resistance exercise for post neck dissection shoulder pain: three case reports

An exploratory trial of preventative rehabilitation on shoulder disability and quality of life in patients following neck dissection surgery

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