Acta Medica Okayama volume75 issue1
2021-02 発行

Influence of and Risk Factors for Axillary Web Syndrome Following Surgery for Breast Cancer

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
Publication Date
2021-02
Abstract
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.
Document Type
Original Article
Keywords
breast cancer
axillary web syndrome
age
upper limb function
quality of life
Link to PubMed
75_1_39.pdf 1.95 MB