Margaret L McNeely, K. S. Courneya, Mona M. Al Onazi, Qinggang Wang, Stephanie Bernard, Leanne Dickau, Jeff K. Vallance, S. Culos-Reed, Charles E Matthews, Lin Yang, C. Friedenreich
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引用次数: 0
Abstract
To examine potential associations between post-surgical axillary web syndrome (AWS) and demographic, medical, surgical, and health-related fitness variables in newly diagnosed individuals with breast cancer. Participants were recruited between 2012 and 2019. Objective measures of health-related fitness, body composition, shoulder range of motion (ROM) and function, and AWS were performed within 3 months of breast cancer surgery. AWS was identified in 243 (17.3%) participants and was associated with poorer shoulder ROM and function, and higher pain compared with women without AWS. Multivariable logistic regression analysis identified axillary lymph node dissection versus sentinel lymph node biopsy [OR = 3.97; 95% CI: 2.62, 6.03], mastectomy versus breast-conserving surgery [OR = 1.60, 95% CI: 1.17, 2.19], lower versus higher total percentage body fat [OR = 1.60; 95% CI: 1.10, 2.34], and earlier versus later time from surgery [OR: 1.56; 95% CI: 1.10, 2.23] as significantly associated with a higher odds of AWS. Higher cardiorespiratory fitness [OR =1.04; 95% CI: 1.01, 1.08] and university or higher education [OR = 1.47; 95% CI: 1.1, 2.00] were also associated with higher odds of presenting with AWS. Findings highlight the need for increased awareness of AWS to facilitate early detection and physiotherapy intervention in the early post-surgical period.
期刊介绍:
Physiotherapy Canada is the official, scholarly, refereed journal of the Canadian Physiotherapy Association (CPA), giving direction to excellence in clinical science and reasoning, knowledge translation, therapeutic skills and patient-centred care.
Founded in 1923, Physiotherapy Canada meets the diverse needs of national and international readers and serves as a key repository of inquiries, evidence and advances in the practice of physiotherapy.
Physiotherapy Canada publishes the results of qualitative and quantitative research including systematic reviews, meta analyses, meta syntheses, public/health policy research, clinical practice guidelines, and case reports. Key messages, clinical commentaries, brief reports and book reviews support knowledge translation to clinical practice.
In addition to delivering authoritative, original scientific articles and reports of significant clinical studies, Physiotherapy Canada’s editorials and abstracts are presented in both English and French, expanding the journal’s reach nationally and internationally. Key messages form an integral part of each research article, providing a succinct summary for readers of all levels. This approach also allows readers to quickly get a feel for ‘what is already known’ and ‘what this study adds to’ the subject.
Clinician’s commentaries for key articles assist in bridging research and practice by discussing the article’s impact at the clinical level. The journal also features special themed series which bring readers up to date research supporting evidence-informed practice.
The Canadian Physiotherapy Association (CPA) is the national professional association representing almost 15,000 members distributed throughout all provinces and territories. CPA’s mission is to provide leadership and direction to the physiotherapy profession, foster excellence in practice, education and research, and promote high standards of health in Canada.