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RESEARCH ROUND-UP Shoulder Pain and Dysfunction After Head and Neck Cancer and Thyroid Cancer Treatment Bryan A. Spinelli, PT, PhD Board-Certified Orthopaedic Clinical Specialist, Department of Physical Therapy, Thomas Jefferson University, Philadelphia, PA Head and neck cancer (HNC) and thyroid cancer ac- of or receive care for shoulder pain and dysfunction. Even count for approximately 7% of new cancers diagnosed with the prevalence of self-reported shoulder problems be- each year in the United States. Medical management of ing significantly higher in patients who received thyroid HNC and thyroid cancer may include neck dissection de- cancer treatment (58.7%) than in healthy controls (13.6%), pending on the extent of tumor and risk for metastases. only 11.9% of patients with thyroid cancer recalled receiv- Types of neck dissection include radical neck dissection ing preoperative information regarding risk of shoulder (RND), modified radical neck dissection (MRND), and se- problems after surgery. Furthermore, only 34.9% of pa- 2,3 lective neck dissection (SND). Because of the nature of tients who received thyroid cancer treatment reported re- these surgical procedures, it is not surprising that shoulder ceiving additional care for their shoulder problems. pain and dysfunction may occur in persons who undergo The American Cancer Society
Rehabilitation Oncology – Wolters Kluwer Health
Published: Oct 1, 2017
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