유방암 절제술 후 상지 림프부종과 견갑골 기능이상의 상관관계 (The Relationship between Upper Limb Lymphedema after Mastectomy and Scapular Dyskinesis)

서지정보

· 발행기관 : 한국체육과학회
· 수록지 정보 : 한국체육과학회지 / 22권 / 2호 / 1103 ~ 1112페이지
· 저자명 : 하해정, 안소윤, 권해연

초록

The purpose of this study was to investigate the most effective and comprehensible method for the assessment of lymphedema and scapular dyskinesis in breast cancer-related lymphedema (BCRL).
20 volunteers with diagnosed BCRL were involved in the study. all assessment of the patient's edema sides (ES) and non-edema sides (NES) were evaluated. the assessment tools for lymphedema are; the circumference of the upper limb for the volume. scapular dyskinesis was used resting scapular position (RSP) and range of motion (ROM). RSP are; 1) scapular index, 2) 8th thoracic spinous process (T8S) to inferior angle of scapular (IAS) distance, 3) standing PM distance, 4) PM index (PMI). ROM are; 1) shoulder flexion, 2) shoulder extesion. the paired t-test was used to compare ES and NES. pearson correlation analysis was used to confer a relationship between the volume of arm, RSP, and ROM.
The result of this study indicated that; 1) the volume of arm statistically significant (p<.05), 2) all the variable between the ES and NES for scapular dyskinesis were statistically significant (p<.05), 3) the standing PM distance showed the strongest relationship in the correlation analysis between RSP and ROM (p<.05, r=.87).
Therefore, it can be concluded that there is a relationship between the standing PM distance and ROM and it is suggested that an assessment tool using the standing PM distance to evaluate scapular dyskinesis in BCRL would be clinically effective.

영어초록

The purpose of this study was to investigate the most effective and comprehensible method for the assessment of lymphedema and scapular dyskinesis in breast cancer-related lymphedema (BCRL).
20 volunteers with diagnosed BCRL were involved in the study. all assessment of the patient's edema sides (ES) and non-edema sides (NES) were evaluated. the assessment tools for lymphedema are; the circumference of the upper limb for the volume. scapular dyskinesis was used resting scapular position (RSP) and range of motion (ROM). RSP are; 1) scapular index, 2) 8th thoracic spinous process (T8S) to inferior angle of scapular (IAS) distance, 3) standing PM distance, 4) PM index (PMI). ROM are; 1) shoulder flexion, 2) shoulder extesion. the paired t-test was used to compare ES and NES. pearson correlation analysis was used to confer a relationship between the volume of arm, RSP, and ROM.
The result of this study indicated that; 1) the volume of arm statistically significant (p<.05), 2) all the variable between the ES and NES for scapular dyskinesis were statistically significant (p<.05), 3) the standing PM distance showed the strongest relationship in the correlation analysis between RSP and ROM (p<.05, r=.87).
Therefore, it can be concluded that there is a relationship between the standing PM distance and ROM and it is suggested that an assessment tool using the standing PM distance to evaluate scapular dyskinesis in BCRL would be clinically effective.

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