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dc.contributor.authorTan, C.
dc.contributor.authorYeo, P.
dc.contributor.authorRangabashyam, M.
dc.contributor.authorOmar, A.
dc.contributor.authorNg, C.
dc.contributor.authorSultana, R.
dc.contributor.authorNetto, Kevin
dc.contributor.authorPng, M.
dc.contributor.authorNagadia, R.
dc.contributor.authorTay, G.
dc.contributor.authorTan, N.
dc.contributor.authorIyer, N.
dc.contributor.authorTan, H.
dc.date.accessioned2023-06-09T07:43:24Z
dc.date.available2023-06-09T07:43:24Z
dc.date.issued2022
dc.identifier.citationTan, C. and Yeo, P. and Rangabashyam, M. and Omar A. and Ng C. et al. 2022. Shoulder recovery for head and neck cancer patients after unilateral neck dissection: a pilot exploratory study. Journal of Novel Physiotherapy and Rehabilitation. 6: pp. 011-017.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/92354
dc.identifier.doi10.29328/journal.jnpr.1001045
dc.description.abstract

An established side-effect of neck dissection (ND) for head and neck (HNC) tumour management includes shoulder dysfunction (SD), which can impact quality of life (QOL). Shoulder strength and range of movement (ROM) are key parameters to be monitored in SD. However, such evaluations are not routinely conducted in the clinical setting. The aim of this study was to evaluate objectively the impact of ND on shoulder functions.

Methods: This is a pilot exploratory study in a tertiary cancer centre. Five participants with unilateral ND and advanced HNC, completed the study. Outcome measures consisted of self-reported QOL questionnaires, C2–T1 dermatomes and shoulder ROM and strength testing. Data was collected at baseline, 1.5-months after surgery and 6-months after diagnosis (after adjuvant treatment completion).

Results: Most outcome measures on the surgically affected side were negatively impacted post-operatively, with varied recovery seen at follow-up. Sensory loss was noted at C3–4 dermatome levels. Shoulder ROM and strength was reduced on the surficial side for all participants, with some recovery after six months except for two participants.

Conclusion: Results of SD after ND are diverse and unique to each patient. Findings from this pilot study indicate that regular rehabilitation/exercise may facilitate recovery of shoulder function post HNC surgery. However, customised rehabilitation may yield better outcomes. Future studies with a larger sample are indicated to validate the findings of this study.

dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titleShoulder recovery for head and neck cancer patients after unilateral neck dissection: a pilot exploratory study
dc.typeJournal Article
dcterms.source.volume6
dcterms.source.startPage011
dcterms.source.endPage017
dcterms.source.issn2573-6264
dcterms.source.titleJournal of Novel Physiotherapy and Rehabilitation
dc.date.updated2023-06-09T07:43:23Z
curtin.departmentCurtin School of Allied Health
curtin.accessStatusOpen access
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidNetto, Kevin [0000-0002-3680-3548]
curtin.contributor.scopusauthoridNetto, Kevin [12794273600]
curtin.repositoryagreementV3


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