Effect of the Unilateral Breast Cancer Surgery on the Shoulder Movement: Electromyographic and Motion

  • Israel Miguel-Andrés Centro de Innovación Aplicada en Tecnologías Competitivas (CIATEC, A.C.)
  • Silvia Beatríz García-González Clinical Research, University of Guanajuato
  • José de Jesús Mayagoitia-Vázquez Centro de Innovación Aplicada en Tecnologías Competitivas (CIATEC, A.C.)
  • Karla Barrera-Beltrán Hospital Regional de Alta Especialidad del Bajío
  • Didier Samayoa-Ochoa ESIME Zacatenco, Instituto Politécnico Nacional
  • Miguel León-Rodríguez Universidad Politécnica de Guanajuato
  • Leonardo Azael García-García University of Sussex
Keywords: Breast cancer, Electromyography, Mastectomy, Shoulder, Rehabilitation

Abstract

After breast cancer surgery, women might develop musculoskeletal impairments that affect movements of the upper limbs and reduce the quality of life. The objective of this research was to analyze the effect of the unilateral breast cancer surgery on the kinematics of the shoulder and the electrical activity of the upper trapezius, middle deltoid and pectoralis major muscles. Eight right-handed female participants, mean age 46.5 ± 5.45 years and mean body mass 71.21 ± 13.33 kg, with unilateral breast cancer surgery, without breast reconstruction and without lymphedema symptoms were included in the research. Flexion-extension and abduction-adduction movements of the shoulder were evaluated with infrared cameras and the electrical activity was measured using surface electromyography. The statistical analysis of the direction angles showed a significant reduction of the flexion-extension and abduction-adduction movements in the affected side in most of the participants (p<0.05). The muscle electrical activity did not present a significant difference between the two sides for the flexion-extension and abduction-adduction movements (p>0.05). The results suggest that the surgical procedure could compromise the range of motion of the affected side. Furthermore, this research contributes to clarify the effect of the surgical procedure in the range of motion of the upper limbs.

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References

Sharma R. Breast cancer incidence, mortality and mortality-to-incidence ratio (MIR) are associated with human development, 1990–2016: evidence from Global Burden of Disease Study 2016. Breast Cancer [Internet]. 2019;26(4):428–445. Available from: https://doi.org/10.1007/s12282-018-00941-4

Dey B, Kumar A. A review article on breast Cancer. Int J Pharm Pharm Res [Internet]. 2018;11(2):284–98. Available from: https://ijppr.humanjournals.com/wp-content/uploads/2018/02/25.Biplob-Dey-Arun-Kumar.pdf

Smoot B, Wampler M, Topp KS. Breast Cancer Treatments and Complications: Implications for Rehabilitation. Rehabil Oncol [Internet]. 2009;27(3):16–26. Available from: https://doi.org/10.1097/01893697-200927030-00004

Liszka M, Samborski W. Assessment of biomechanical parameters of the shoulder joint at the operated side versus non-operated side in patients treated surgically for breast cancer. Rep Pract Oncol Radiother [Internet]. 2018;23(5):378–383. Available from: https://doi.org/10.1016/j.rpor.2018.07.001

Global Burden of Disease Cancer Collaboration. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2016: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol [Internet]. 2018;4(11):1553–1568. Available from: https://doi.org/10.1001/jamaoncol.2018.2706

Volaklis KA, Halle M, Tokmakidis SP. Exercise in the prevention and rehabilitation of breast cancer. Wien Klin Wochenschr [Internet]. 2013;125:297–301. Available from: https://doi.org/10.1007/s00508-013-0365-8

Bray F, Ferlay J, Soerjomataram I, Siegel RL, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin [Internet]. 2018;8:(6):394–424. Available from: https://doi.org/10.3322/caac.21492

Hayes SC, Rye S, Battistutta D, DiSipio T, et al. Upper-body morbidity following breast cancer treatment is common, may persist longer-term and adversely influences quality of life. Health Qual Life Outcomes [Internet]. 2010;8:92. Available from: https://doi.org/10.1186/1477-7525-8-92

Beyaz SG, Ergönenç JŞ, Ergönenç T, Sönmez ÖU, et al. Postmastectomy painA Cross-sectional Study of Prevalence, Pain Characteristics, and Effects on Quality of Life. Chin Med J [Internet]. 2016;129(1):66–71. Available from: https://doi.org/10.4103/0366-6999.172589

Boquiren VM, Hack TF, Thomas RL, Towers A, et al. A longitudinal analysis of chronic arm morbidity following breast cancer surgery. Breast Cancer Res Treat [Internet]. 2016;157(3):413–425. Available from: https://doi.org/10.1007/s10549-016-3834-8

Crosbie J, Kilbreath SL, Dylke E, Refshauge KM, et al. Effects of Mastectomy on Shoulder and Spinal Kinematics During Bilateral Upper-Limb Movement. Phys Ther [Internet]. 2010;90(5):679–692. Available from: https://doi.org/10.2522/ptj.20090104

Rietman JS, Dijkstra PU, Hoekstra HJ, Eisma WH, et al. Late morbidity after treatment of breast cancer in relation to daily activities and quality of life: A systematic review. Eur J Surg Oncol [Internet]. 2003;29(3):229–238. Available from: https://doi.org/10.1053/ejso.2002.1403

Kärki A, Simonen R, Mälkiä E, Selfe J. Impairments, activity limitations and participation restrictions 6 and 12 months after breast cancer operation. J Rehabil Med [Internet]. 2005;37(3):180–188. Available from: https://doi.org/10.1080/16501970410024181

Hayes SC, Johansson K, Stout NL, Prosnitz R, et al. Upper-body morbidity after breast cancer: Incidence and evidence for evaluation, prevention, and management within a prospective surveillance model of care. Cancer [Internet]. 2012;118(S8):2237-2249. Available from: https://doi.org/10.1002/cncr.27467

Gong Y, Tan Q, Qin Q, Wei C. Prevalence of postmastectomy pain syndrome and associated risk factors: A large single-institution cohort study. Medicine (Baltimore) [Internet]. 2020;99(20):e19834. Available from: https://doi.org/10.1097/MD.0000000000019834

Lee CH, Chung SY, Kim WY, Yang SN. Effect of breast cancer surgery on chest tightness and upper limb dysfunction. Medicine (Baltimore) [Internet]. 2019;98(19):e15524. Available from: https://doi.org/10.1097/MD.0000000000015524

Yang EJ, Kwon YO. Changes in shoulder muscle activity pattern on surface electromyography after breast cancer surgery. J Surg Oncol [Internet]. 2018;117(2):116–123. Available from: https://doi.org/10.1002/jso.24800

Shamley D, Lascurain-Aguirrebeña I, Oskrochi R. Clinical anatomy of the shoulder after treatment for breast cancer. Clin Anat [Internet]. 2014;27(3):467–477. Available from: https://doi.org/10.1002/ca.22267

Shamley DR, Srinanaganathan R, Weatherall R, Oskrochi R, et al. Changes in shoulder muscle size and activity following treatment for breast cancer. Breast Cancer Res Treat [Internet]. 2007;10:19–27. Available from: https://doi.org/10.1007/s10549-006-9466-7

Oskrochi G, Lesaffre E, Oskrochi Y, Shamley D. An Application of the Multivariate Linear Mixed Model to the Analysis of Shoulder Complexity in Breast Cancer Patients. Int J Environ Res Public Health [Internet]. 2016;13(3):274. Available from: https://doi.org/10.3390/ijerph13030274

Prieto-Gómez V, Navarro-Brazález B, Sánchez-Méndez Ó, de-la-Villa P, et al. Electromyographic Analysis of Shoulder Neuromuscular Activity in Women Following Breast Cancer Treatment: A Cross-Sectional Descriptive Study. J Clin Med [Internet]. 2020;9(6):1804. Available from: https://doi.org/10.3390/jcm9061804

Cheville AL, Troxel AB, Basford JR, Kornblith AB. Prevalence and Treatment Patterns of Physical Impairments in Patients With Metastatic Breast Cancer. J Clin Oncol [Internet]. 2008;26(16):2621–2629. Available from: https://doi.org/10.1200/jco.2007.12.3075

Chrischilles EA, Riley D, Letuchy E, Koehler L, et al. Upper extremity disability and quality of life after breast cancer treatment in the Greater Plains Collaborative clinical research network. Breast Cancer Res Treat [Internet]. 2019;175:675–689. Available from: https://doi.org/10.1007/s10549-019-05184-1

Hernanz F, Paz L, Jimeno J, Tolaretxipi E, et al. Patient-reported outcomes in breast conserving treatment. Information given by breast surgeon. What to improve. Rev Senol y Patol Mamar [Internet]. 2021; 34(2):122–124. Available from: https://doi.org/10.1016/j.senol.2020.04.003

Shamley D, Srinaganathan R, Oskrochi R, Lascurain-Aguirrebeña I, et al. Three-dimensional scapulothoracic motion following treatment for breast cancer. Breast Cancer Res Treat [Internet]. 2009;118(2):315 Available from: https://doi.org/10.1007/s10549-008-0240-x

Ribeiro IL, Camargo PR, Alburquerque-Sendín F, Ferrari AV, et al. Three-dimensional scapular kinematics, shoulder outcome measures and quality of life following treatment for breast cancer – A case control study. Musculoskelet Sci Pract [Internet]. 2019;40:72–79. Available from: https://doi.org/10.1016/j.msksp.2019.01.012

Lang AE, Dickerson CR, Kim SY, Stobart J, et al. Impingement pain affects kinematics of breast cancer survivors in work-related functional tasks. Clin Biomech [Internet]. 2019;70:223–230. Available from: https://doi.org/10.1016/j.clinbiomech.2019.10.001

Miguel-Andres I, Alonso-Rasgado T, Walmsley A, Watts AC. Effect of Anconeus Muscle Blocking on Elbow Kinematics: Electromyographic, Inertial Sensors and Finite Element Study. Ann Biomed Eng [Internet]. 2017;45(3):775–788. Available from: https://doi.org/10.1007/s10439-016-1715-2

Brookham RL, Cudlip AC, Dickerson CR. Examining upper limb kinematics and dysfunction of breast cancer survivors in functional dynamic tasks. Clin Biomech [Internet]. 2018;55:86–93. Available from: https://doi.org/10.1016/j.clinbiomech.2018.04.010

Akoochakian M, Davari HA, Alizadeh MH, Rahnama N. Evaluation of shoulder girdle strength more than 12 month after modified radical mastectomy and axillary nodes dissection. J Res Med Sci [Internet]. 2017;22(3):81. Available from: https://doi.org/10.4103/jrms.JRMS_649_16

Bellavance EC, Kesmodel SB. Decision-Making in the Surgical Treatment of Breast Cancer: Factors Influencing Women’s Choices for Mastectomy and Breast Conserving Surgery. Front Oncol [Internet]. 2016;6:74. Available from: https://doi.org/10.3389/fonc.2016.00074

World Medical Association. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA [Internet]. 2013;310(20):2191–2194. Available from: https://doi.org/10.1001/jama.2013.281053

Published
2022-04-25
How to Cite
Miguel-Andrés, I., García-González, S. B., Mayagoitia-Vázquez, J. de J., Barrera-Beltrán, K., Samayoa-Ochoa, D., León-Rodríguez, M., & García-García, L. A. (2022). Effect of the Unilateral Breast Cancer Surgery on the Shoulder Movement: Electromyographic and Motion. Mexican Journal of Biomedical Engineering, 43(1), 40-51. Retrieved from https://rmib.com.mx/index.php/rmib/article/view/1213
Section
Research Articles