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Supportive Care in Cancer

Erschienen in:

13.02.2017 | Original Article

Assessment of musculoskeletal impairment in head and neck cancer patients

verfasst von: Michael K. Ghiam, Kyle Mannion, Mary S. Dietrich, Kristen L. Stevens, Jill Gilbert, Barbara A. Murphy

Erschienen in: Supportive Care in Cancer | Ausgabe 7/2017

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Abstract

Purpose

This study aims to describe the types of musculoskeletal impairment in head and neck cancer survivors and to evaluate objective and subjective measures of musculoskeletal impairment and identify areas of need in future studies.

Methods

This is a cross-sectional pilot study of 29 head and neck cancer patients who were treated with resection and reconstruction. Subjective measures of musculoskeletal impairment (Neck Disability Index, Shoulder Pain and Disability Index, Vanderbilt Head and Neck Symptom Survey, General Symptom Survey) were collected and compared to objective measures (Cervical Range of Motion Device, Inter-incisal Distance). Digital photography was used to assess the severity of postural abnormalities. Findings were summarized using descriptive statistical and graphical methods.

Results

The majority of patients in this cohort suffered from neck disability (69%). Thirty-five percent of patients had shoulder pain and disability. Cervical range of motion deficits were observed in all directions. Inter-incisal distance averaged 33.4 mm and inversely correlated with self-reported jaw and trismus symptoms. Digital photography identified shoulder misalignment in 93% of subjects, head tilt in 89% of subjects, and postural deviation in 68% of subjects.

Conclusion

Musculoskeletal impairment is a significant side effect in head and neck cancer survivors that results in chronic neck pain, shoulder disability, trismus, and postural deficits. Tools to describe postural deficits are needed.

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Titel: Assessment of musculoskeletal impairment in head and neck cancer patients
verfasst von: Michael K. Ghiam
Kyle Mannion
Mary S. Dietrich
Kristen L. Stevens
Jill Gilbert
Barbara A. Murphy
Publikationsdatum: 13.02.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 7/2017
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-017-3603-1

Springer Medizin

Assessment of musculoskeletal impairment in head and neck cancer patients