Function of Shoulder and Quality of Life between Operation of Thyroid Cancer.
- Author:
In Taek KIM
1
;
Jung Hun KIM
;
Young Joo SIM
;
Ho Joong JEONG
;
Ghi Chan KIM
Author Information
1. Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine, Busan, Korea. oggum@hanmail.net
- Publication Type:Original Article
- Keywords:
Quality of life;
Shoulder pain;
Thyroid cancer
- MeSH:
Activities of Daily Living;
Depression;
Humans;
Neck;
Neck Dissection;
Postoperative Care;
Prospective Studies;
Quality of Life;
Surveys and Questionnaires;
Range of Motion, Articular;
Risk Factors;
Shoulder;
Shoulder Pain;
Thyroid Gland;
Thyroid Neoplasms
- From:Kosin Medical Journal
2011;26(1):67-75
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: To determine which factors are changed in the thyroid cancer postoperative care and how quality of life compared between patients who had undergone modified radical neck dissection and selective neck dissection. METHODS: Prospectively, total 151 patients who diagnosed as thyroid cancer and underwent 16 modified radical neck dissection (mRND) or 135 selective neck dissection (SND) were evaluated for shoulder function, neck mobility, and quality of life and degree of depression at baseline, 2 days and 1 week postoperatively. All patients performed neck and shoulder stretching exercise three times a day beginning the morning following surgery. Shoulder function was assessed with the Constant's shoulder scale. Quality of life was assessed with the SF36v2 questionnaire. And depression was assessed with Beck depression inventory (BDI). RESULTS: The disability scores of patients were significantly worse for neck range of motion (ROM), shoulder pain, ADL, shoulder ROM, shoulder abduction power, total score of Constant's shoulder scale, physical function domain in SF-36v2 and BDI score & grade 2 days after the surgeries. SF36v2 domain score was no significantly difference between two groups. CONCLUSION: The mRND and SND are risk factors for neck ROM limitation, shoulder dysfunction, and onset of depression. In comparison between mRND and SND, more deterioration in ADL, shoulder abduction power, total score of Constant's shoulder scale are associated with modified radical neck dissection. More study is needed about usefulness of the stretching exercise in shoulder pain onset through comparison with control group.
