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- Title
Musculoskeletal Disorders Related to Upper Limb Disability after One-Year Lung Cancer Resection.
- Authors
Martín Núñez, Javier; Raya Benítez, Julia; Quero Valenzuela, Florencio; Calvache Mateo, Andrés; Navas Otero, Alba; Heredia Ciuró, Alejandro; Valenza, Marie Carmen
- Abstract
Simple Summary: Lung resection is the main curative treatment for lung cancer, but it can cause several tissue and organ disorders. While cardiovascular, pulmonary, and muscular disturbances post-surgery have been studied, long-term upper limb impairment has not been extensively explored despite its impact on patient independence. This study aimed to characterize upper limb impairment in survivors of lung cancer one year after surgery. In an observational trial, 76 patients with lung cancer who had undergone surgery were compared to 74 healthy controls. Our results revealed significant differences in active shoulder mobility, pain hypersensitivity, neural tissue mechanosensitivity, and upper limb exercise capacity. These results indicate that survivors of lung cancer experience significant upper limb musculoskeletal disorders and functional impairment one year post-resection, which can limit their functionality and quality of life. Lung resection represents the main curative treatment in lung cancer; however, this surgical process leads to several disorders in tissues and organs. Previous studies have reported cardiovascular, pulmonary, and muscular disturbances that affect the functional capacity of these patients in the short, mid, and long term. However, upper limb impairment has been scarcely explored in the long term, despite the relevance in the independence of the patients. The aim of this study was to characterize the upper limb impairment in survivors of lung cancer one year after pulmonary resection. In this observational trial, patients who underwent lung cancer surgery were compared to control, healthy subjects matched by age and gender. Upper limb musculoskeletal disorders (shoulder range of motion, pain pressure threshold, nerve-related symptoms) and functional capacity (upper limb exercise capacity) were evaluated one-year post-surgery. A total of 76 survivors of lung cancer and 74 healthy subjects were included in the study. Significant differences between groups were found for active shoulder mobility (p < 0.05), widespread hypersensitivity to mechanical pain (p < 0.001), mechanosensitivity of the neural tissue (p < 0.001), and upper limb exercise capacity (p < 0.001). Patients who undergo lung cancer surgery show upper limb musculoskeletal disorders and upper limb functional impairment after a one-year lung resection. This clinical condition could limit the functionality and quality of life of patients with lung cancer.
- Subjects
ARM; RESEARCH funding; MUSCULOSKELETAL system diseases; SCIENTIFIC observation; SHOULDER; FUNCTIONAL status; CANCER patients; PAIN threshold; DESCRIPTIVE statistics; SURGICAL complications; LUNG tumors; LUNG surgery; QUALITY of life; CASE-control method; EXERCISE tests; DATA analysis software; CONFIDENCE intervals; TIME; RANGE of motion of joints
- Publication
Cancers, 2024, Vol 16, Issue 12, p2279
- ISSN
2072-6694
- Publication type
Article
- DOI
10.3390/cancers16122279