Acta Medica Okayama volume75 issue1
2021-02 発行
Akezaki, Yoshiteru
Division of Physical Therapy, Kochi Professional University of Rehabilitation
Nakata, Eiji
Department of Orthopaedic Surgery, Okayama University Hospital
Kikuuchi, Masato
Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
Tominaga, Ritsuko
Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
Kurokawa, Hideaki
Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
Hamada, Makiko
Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
Aogi, Kenjiro
Breast Oncology, National Hospital Organization Shikoku Cancer Center
Ohsumi, Shozo
Breast Oncology, National Hospital Organization Shikoku Cancer Center
Sugihara, Shinsuke
Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
In this study, we examined whether axillary web syndrome (AWS) in patients with breast cancer following axil-lary lymph node dissection affects range of motion (ROM), upper extremity function, and quality of life (QOL). The risk factors for AWS were also evaluated in a total of 238 consecutive breast cancer patients follow-ing axillary lymph node dissection. At 1, 2, and 3 months after surgery, there were no significant differences between the AWS group and the non-AWS group in upper-limb function or QOL. At 2 months after surgery, shoulder flexion and abduction ROM were significantly higher in the AWS group than in the non-AWS group (p < 0.05). Self-training time at home was not significantly different between the groups at 1, 2, or 3 months. Only age was a significant predictor of AWS at 1 month after surgery (p < 0.05). The AWS group in the present study did not have worse results for shoulder joint ROM, upper-limb function, and QOL than the non-AWS group. Younger age should be useful for predicting the development of AWS in the early postoperative period.