Musculoskeletal Disorders Related to Upper Limb Disability after One-Year Lung Cancer Resection

Lung resection represents the main curative treatment in lung cancer; however, this surgical process leads to several disorders in tissues and organs. Previous studies have reported cardiovascular, pulmonary, and muscular disturbances that affect the functional capacity of these patients in the shor...

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Bibliographic Details
Published in:Cancers 2024-06, Vol.16 (12), p.2279
Main Authors: Martín Núñez, Javier, Raya Benítez, Julia, Quero Valenzuela, Florencio, Calvache Mateo, Andrés, Navas Otero, Alba, Heredia Ciuró, Alejandro, Valenza, Marie Carmen
Format: Article
Language:English
Subjects:
Cancer
Care and treatment
Disability
Hypersensitivity
Lung cancer
Mobility
Musculoskeletal diseases
Oncology, Experimental
Pain
Patients
Quality of life
Range of motion
Respiratory agents
Shoulder
Statistical analysis
Surgery
Thoracic surgery
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Summary:Lung resection represents the main curative treatment in lung cancer; however, this surgical process leads to several disorders in tissues and organs. Previous studies have reported cardiovascular, pulmonary, and muscular disturbances that affect the functional capacity of these patients in the short, mid, and long term. However, upper limb impairment has been scarcely explored in the long term, despite the relevance in the independence of the patients. The aim of this study was to characterize the upper limb impairment in survivors of lung cancer one year after pulmonary resection. In this observational trial, patients who underwent lung cancer surgery were compared to control, healthy subjects matched by age and gender. Upper limb musculoskeletal disorders (shoulder range of motion, pain pressure threshold, nerve-related symptoms) and functional capacity (upper limb exercise capacity) were evaluated one-year post-surgery. A total of 76 survivors of lung cancer and 74 healthy subjects were included in the study. Significant differences between groups were found for active shoulder mobility ( < 0.05), widespread hypersensitivity to mechanical pain ( < 0.001), mechanosensitivity of the neural tissue ( < 0.001), and upper limb exercise capacity ( < 0.001). Patients who undergo lung cancer surgery show upper limb musculoskeletal disorders and upper limb functional impairment after a one-year lung resection. This clinical condition could limit the functionality and quality of life of patients with lung cancer.
ISSN:2072-6694
2072-6694
DOI:10.3390/cancers16122279