Factors influencing neck and shoulder function after oral oncology treatment: a five-year prospective cohort study in 113 patients

Background The aim of this study was to identify factors influencing shoulder and/or neck function in patients up to five years after treatment. Materials and methods Lateral flexion of the neck, ipsilateral forward flexion, and abduction of the shoulder were measured. Potential factors were entered...

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Bibliographic Details
Published in:Supportive care in cancer 2019-07, Vol.27 (7), p.2553-2560
Main Authors: van Hinte, Gerben, Wetzels, Jan-Willem G. H., Merkx, Matthias A. W., de Haan, Anton F. J., Koole, Ron, Speksnijder, Caroline M.
Format: Article
Language:English
Subjects:
Chemotherapy
Cohort analysis
Comparative analysis
Kidnapping
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Mobility
Neck
Nursing
Nursing Research
Oncology
Oral cancer
Original
Original Article
Pain Medicine
Rehabilitation Medicine
Risk factors
Shoulder
Skin & tissue grafts
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Summary:Background The aim of this study was to identify factors influencing shoulder and/or neck function in patients up to five years after treatment. Materials and methods Lateral flexion of the neck, ipsilateral forward flexion, and abduction of the shoulder were measured. Potential factors were entered into a linear mixed model analysis to create a multivariate model for describing the results. Results Predicted neck and shoulder function was negatively influenced by higher age before intervention. Contralateral flexion of the neck was lower for patients undergoing surgery and radiotherapy compared to surgery. Ipsilateral flexion of the neck is influenced by a higher age at baseline. Ipsilateral shoulder abduction is lower for female gender, bone graft/flap reconstruction, and more extensive neck dissection. Ipsilateral forward flexion of the shoulder is lower for bone graft/flap reconstruction and better for patients with a T2 tumor in comparison to T3 and T4 tumors, as predicted. Conclusion By our five-year follow-up outcomes of this study, neck and/or shoulder impairments can be found for high-risk patients by physiotherapists.
ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-018-4534-1