The relationship between shoulder pain and damage to the cervical plexus following neck dissection

OBJECTIVES: The purpose of this study was to begin investigating the relationship between nodal yield in neck dissection and the likelihood of finding cervical metastases in T1 and T2 head and neck squamous cell carcinoma (HNSCC). No clinical implications are drawn from this preliminary work. STUDY DESIGN AND SETTING: This study was a retrospective analysis of 564 patients with T1 and T2 HNSCC of the oral cavity, oropharynx, or hypopharynx from the National Cancer Institute Surveillance, Epidemiology, and End Results (SEER) Program registry. A multivariate analysis was performed to evaluate the relationship between nodal yield in neck dissection and the discovery of cervical metastases. Other independent factors included in the analysis were gender, age, race, and primary site of tumor. RESULTS: Compared with nodal yield < 13, cervical metastases were more likely to be found for nodal yield 21–28 ( P < 0.001, odds ratio (OR) = 3.68), 29–40 (P = 0.021, OR = 1.98), and >40 (P < 0.001, OR = 3.52). Increased age, male sex, and oropharynx and hypopharynx primaries were also associated with a significantly increased likelihood of finding cervical metastases. CONCLUSION: In T1 and T2 cases of HNSCC, nodal yield >20, increased age, male sex, and primary site correspond with an increased likelihood of finding cervical metastases.

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Relationship between Shoulder Pain and Selected Variables in Patients with Hemiplegia

Clinical Rehabilitation ◽

10.1177/026921558800200204 ◽

1988 ◽

Vol 2 (2) ◽

pp. 111-117 ◽

Cited By ~ 17

Author(s):

Richard W Bohannon

Keyword(s):

Body Weight ◽

Shoulder Pain ◽

External Rotation ◽

Adhesive Capsulitis ◽

Independent Variables ◽

Extensor Muscles ◽

Shoulder External Rotation ◽

Muscle Groups ◽

The Relationship ◽

External Rotator

This investigation was performed to clarify the relationship between six independent variable categories and shoulder pain (SP) in hemiplegia. In this study, 30 hemiplegic patients served as subjects. The Ritchie articular index was used to measure SP. The independent variables were age, body weight, time since onset of stroke, shoulder subluxation, range of shoulder external rotation, and plegic shoulder muscle group strength. Subluxation was judged by palpation. Range of shoulder external rotation was measured goniometrically. Strength of the shoulder internal and external rotator, abductor and extensor muscles was measured with a hand-held dynamometer and normalized against body weight. A strength balance ratio of the shoulder was also determined (external rotators + abductors/internal rotators + extensors). Variables were measured on admission and prior to discharge. Spearman correlations or chi-squares were determined between the initial and final measurements of the independent variables and SP. More than 80% of the patients had SP. Correlated significantly with SP at both assessments and across time were range of shoulder external rotation (−.574 to −.797), and strength of the shoulder external rotator (−.523 to −.583) and abductor (−.375 to −.519) muscles. Correlated significantly at one or more of the assessments were body weight, time since onset and the strength of the other muscle groups (including the strength ratio). Shoulder subluxation was not correlated with SP. Patients with greater weakness may be more prone to the development of pain because their muscles lack adequate strength to move the joint enough to prevent the development of adhesive capsulitis.

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The Relationship of Strength and Muscle Balance to Shoulder Pain and Impingement Syndrome in Elite Quadriplegic Wheelchair Rugby Players

International Journal of Sports Medicine ◽

10.1055/s-2007-971906 ◽

1998 ◽

Vol 19 (03) ◽

pp. 210-214 ◽

Cited By ~ 24

Author(s):

M. Miyahara ◽

G. Sleivert ◽

D. Gerrard

Keyword(s):

Shoulder Pain ◽

Impingement Syndrome ◽

Wheelchair Rugby ◽

Muscle Balance ◽

Relationship Of ◽

The Relationship ◽

Rugby Players

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A practical suggestion on functional neck dissection with preservation of spinal accessory nerve and cervical plexus

JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY ◽

10.5106/jjshns.5.185 ◽

1995 ◽

Vol 5 (2) ◽

pp. 185-192

Author(s):

Wataru Nishijima

Keyword(s):

Neck Dissection ◽

Spinal Accessory Nerve ◽

Accessory Nerve ◽

Cervical Plexus ◽

Spinal Accessory ◽

Practical Suggestion ◽

Functional Neck Dissection

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The Relationship between Stress and Health-related Quality of Life is Mediated by Shoulder Pain, Shoulder Disorder, and Depression

10.21203/rs.3.rs-1020292/v1 ◽

2021 ◽

Author(s):

Myung Kyung Lee ◽

Jihyun Oh

Keyword(s):

Quality Of Life ◽

Shoulder Pain ◽

Health Related Quality ◽

Shoulder Disorder ◽

Related Quality ◽

Health Related ◽

Serial Mediation ◽

The Relationship ◽

Stress And Health

Abstract The purpose of this study is to analyze the mediating effect of shoulder pain, shoulder disorder, and depression in the relationship between stress and health-related quality of life in middle-aged women using a serial mediation model. For this study, data was collected from middle-aged women aged between 35 and 64 living in Seoul, South Korea, from May 13, 2021 to May 23, 2021. Data regarding stress, health-related quality of life, shoulder pain, shoulder disorder, and depression were collected using a self-reported, structured survey. SPSS macro process (Model 6) was used, and the relationship between stress and health-related quality of life of participants were analyzed using serial mediation analysis using shoulder pain, shoulder disorder, and depression as variables. From the results of the study, it was observed that stress has a statistically direct impact on health-related quality of life. On performing serial mediation analysis, shoulder pain, shoulder disorder, and depression were found to be statistically significant, which predicts the relationship between stress and health-related quality of life; the variables showed an explanatory power of 33% for influencing the quality of life. Therefore, the relationship between stress and health-related quality of life was found to be partially mediated by shoulder pain, shoulder disorder, and depression. This study suggests the need for healthcare workers to develop a method, such as exercise intervention programs based on various degrees and types of physical activity, for improving the health-related quality of life and reducing stress caused by shoulder pain, shoulder disorder, and depression in middle-aged women.

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