Subjective and Objective Measures in Assessing Neck Disability and Pain in Head and Neck Cancer.
Aged
Biomechanical Phenomena
/ physiology
Case-Control Studies
Cross-Sectional Studies
Disability Evaluation
Female
Head and Neck Neoplasms
/ complications
Humans
Male
Middle Aged
Neck
/ pathology
Pain Measurement
/ psychology
Patient Reported Outcome Measures
Quality of Life
Range of Motion, Articular
/ physiology
Survivorship
Head and neck neoplasms
kinematics
neck disability
quality of life
survivorship
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
revised:
27
01
2021
received:
16
10
2020
accepted:
09
02
2021
pubmed:
4
3
2021
medline:
21
9
2021
entrez:
3
3
2021
Statut:
ppublish
Résumé
The intensification of treatment for head and neck cancers (HNCs) has created a cohort of patients living with short- and long-term comorbidities and functional deficits. This study aimed to determine whether there is a relationship between patient-reported outcomes (PROs) and objective measures of neck function in survivors of HNCs. Cross-sectional study. Thirty-one subjects (aged 64 ± 8.7 years; 28 males and three females) were recruited and completed the Neck Disability Index (NDI) and a numeric pain scale. At the same visit, subjects were fitted with two portable motion sensors to collect range of motion (ROM) and velocity data. Differences between ROM, velocity, and PRO subgroups were assessed using a one-tailed t test (*P < .05). The Pearson correlation coefficient (r) was calculated between the NDI values and the ROM and velocity values for each motion. A moderate correlation (r = 0.507) was observed between NDI and neck pain. Patients with no disability according to the NDI had significantly higher ROM and velocity than patients with mild to moderate disability. Velocity in all degrees of freedom (axial rotation, flexion and extension, and lateral bending) was significantly lower for patients who perceived higher levels of neck pain and neck disability. This study notes that patients who report neck disability and pain have more limited ROM and velocity following HNC treatment. These data may improve treatment planning and care delivery by facilitating an understanding of the experiences of HNC survivors and the pathophysiology that must be targeted to address their psychosocial and functional deficits. 4 Laryngoscope, 131:2015-2022, 2021.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2015-2022Informations de copyright
© 2021 The American Laryngological, Rhinological and Otological Society, Inc..
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