Impact of shoulder complaints after neck dissection on shoulder disability and quality of life

Martijn M. Stuiver, Cornelis P. van Wilgen, Erlijn M. de Boer, Cees J.T. de Goede, Muriel Koolstra, Anita van Opzeeland, Piet Venema, Margriet W. Sterken, Andrew Vincent, Pieter U. Dijkstra

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Abstract

Objective: To explore relationships between shoulder complaints after neck dissection, shoulder disability, and quality of life. To find clinical predictors for mid- to long-term shoulder disability. Study Design: Prospective. Patients and Methods: Shoulder pain, shoulder mobility, and shoulder droop, as well as scores on shoulder disability questionnaire and RAND-36 (quality of life), were measured at baseline, discharge (T1), and 4 months postoperatively (T2) on 139 patients admitted for neck dissection to major head and neck centers in the Netherlands. Results: Shoulder mobility was significantly decreased at T1 and did not improve. Significant relationships between shoulder function, shoulder disability score, and RAND-36 domains were found. Two clusters of clinical symptoms could be identified as independent predictors for shoulder disability. Conclusions: Objective deterioration in shoulder function after neck dissection is associated with perceived shoulder disability and related to physical functioning and bodily pain. Predictors for shoulder disability can be found.

Original languageEnglish
Pages (from-to)32-39
Number of pages8
JournalOtolaryngology - Head and Neck Surgery
Volume139
Issue number1
DOIs
Publication statusPublished - 1 Jul 2008

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Stuiver, M. M., van Wilgen, C. P., de Boer, E. M., de Goede, C. J. T., Koolstra, M., van Opzeeland, A., ... Dijkstra, P. U. (2008). Impact of shoulder complaints after neck dissection on shoulder disability and quality of life. Otolaryngology - Head and Neck Surgery, 139(1), 32-39. https://doi.org/10.1016/j.otohns.2008.03.019