Neck and Shoulders Motion Range after Neck Dissection

Volume 1 - Issue 1

Ljiljana Širić¹*, Vesna Širić², Marinela Rosso³, Željko Širić⁴, Željko Kotromanović¹ and Hrvoje Mihalj¹

Received: May 26, 2018;   Published: June 11, 2018

DOI: 10.32474/SJO.2018.01.000102

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Abstract

Neck dissection is a complex surgical procedure which leaves multiple consequences on the person to whom it is made. The aim was to measure the degree of damage to neck and shoulders motor function in patients who underwent neck dissection.

Materials and methods: 30 subjects divided into two groups depending on the dissection made (16 (53.3%) of selective and 14 (46.6% radical) accounted for both sexes (3 (10% of women and 27 (90%) of men) in average age of 64.2 years who underwent neck dissection. Digital goniometer was used to measure subject’s maximum range of motion on 7 variables (4 variables for the neck movements and 3 variables for the shoulder movements), of which 5 were bilateral. The results are ranked with in the category of a certain degree of damage depending on the standardized values of the maximum amplitude at the non-operated population with normal function of motion.

Results: Significant difference was found in the values of the amplitude of shoulder flexion, extension and abduction between groups at a significance level of 5% and in the confidence interval of 95%.

Conclusion: Rehabilitation is necessary after neck dissection and kinesiotherapy can be an important rehabilitation method for patients.

Keywords: Neck Dissection, Neck Motion Amplitude, Range of Motion, Rehabilitation, Shoulder Motion Amplitude.

Abbreviations: SND: Selective Neck Dissection, RND: Radical Neck Dissection, NF: Neck Flexion, NE: Neck Extension, NR: Neck Rotation, NLF: Neck Lateral Flexion, SF: Shoulder Flexion; SE: Shoulder Extension; SA: Shoulder Abduction; N: Number of Samples; x: Arithmetic Mean; SD: Standard Deviation; t: T value; df: Degree Of Freedom; F: F value; p: P value.

Abstract| Introduction| Materials and Methods| Results| Discussion| Limitations of the Study| Conclusion| References|