Abstract
Objectives
To investigate the prevalence and risk factors for adhesive capsulitis in postoperative
breast cancer patients up to 5 years after surgery who were attending an outpatient
community cancer rehabilitation program, and to determine whether any significant
relationship exists between arm lymphedema and adhesive capsulitis.
Design
Cross-sectional observational study.
Setting
National cancer rehabilitation center.
Participants
Asian women (N=135) who underwent breast surgery and were referred for an outpatient
community cancer rehabilitation program.
Interventions
Not applicable.
Main Outcome Measures
Presence of adhesive capsulitis, lymphedema.
Results
The prevalence of adhesive capsulitis and lymphedema in this population was 22.2%
and 33.3%, respectively. A history of mastectomy (odds ratio [OR], 3.93; 95% confidence
interval [CI], 1.23-12.63; P=.021), mastectomy with reconstruction (OR, 2.72; 95% CI, 1.27-30.54; P=.024), and lymphedema (OR, 7.92; 95% CI, 2.73-22.95; P<.001) were found to be significantly associated with adhesive capsulitis on multivariate
analysis.
Conclusions
Adhesive capsulitis and lymphedema are common in breast cancer survivors. The design
of cancer rehabilitation programs for breast cancer survivors should include surveillance
and management of adhesive capsulitis, especially in the presence of lymphedema.
Keywords
List of abbreviations:
ALND (axillary lymph node dissection), CI (confidence interval), OR (odds ratio), ROM (range of motion)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: October 23, 2020
Footnotes
Disclosures: none.
Identification
Copyright
© 2020 by the American Congress of Rehabilitation Medicine
