Bilateral Shoulder Dysfunction Related to the Lung Resection Area After Thoracotomy |
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| Authors: | Aline P Bonato Miranda Hugo C Dutra de Souza Bruna Frequete Almeida Santos Jo?o Abr? o Federico Garcia Cipriano Anamaria Siriani de Oliveira Ada C Gastaldi |
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| Institution: | From the School of Medicine of Ribeirão Preto (APBM, HCDDS, BFAS, JA, FGC, ASDO, ACG); Department of Biomechanics, Medicine and Rehabilitation of the Musculoskeletal System (JA); and Department of Surgery and Anatomy, São Paulo University, São Paulo, Brazil (FGC). |
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| Abstract: | This study aimed to investigate the mobility, pain, and disability of the shoulders after different pulmonary surgical procedures.It is a cross-sectional prospective study. A total of 38 patients who underwent lung surgery via thoracotomy (mean age = 57 ± 10 years) were evaluated in the preoperative period, and first and second postoperative days were assessed for range of motion of shoulder; pain intensity; and application of the Shoulder Pain and Disability Index questionnaire. This study compared the 3 days of evaluation, and the subgroups according to the resection area (biopsy/nodulectomy, lung segmentectomy and lobectomy).There was a decrease of flexion (153° ± 16°–98° ± 23°), abduction (151° ± 20°–126° ± 38°), and increased Shoulder Pain and Disability Index (2.4–44.3) in the shoulder ipsilateral to surgery from the preoperative to the first postoperative day (P < 0.05). There was a greater loss of ipsilateral flexion and abduction in the lobectomy subgroup (P < 0.05), and decreased abduction of the contralateral shoulder in the lung segmentectomy and lobectomy subgroups (P < 0.05).After pulmonary surgery, there is bilateral impairment in shoulder range of motion, with greater limitation on ipsilateral shoulder, and larger resections. |
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