title: Bilateral Shoulder Dysfunction Related to the Lung Resection Area After Thoracotomy.
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.
authors.affiliation: 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).
authors.forename: Aline P Bonato
authors.initials: AP
authors.lastname: Miranda
authors.forename: Hugo C Dutra
authors.initials: HC
authors.lastname: de Souza
authors.forename: Bruna Frequete Almeida
authors.initials: BF
authors.lastname: Santos
authors.forename: João
authors.initials: J
authors.lastname: Abrã O
authors.forename: Federico Garcia
authors.initials: FG
authors.lastname: Cipriano
authors.forename: Anamaria Siriani
authors.initials: AS
authors.lastname: de Oliveira
authors.forename: Ada C
authors.initials: AC
authors.lastname: Gastaldi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation; D011013:Pneumonectomy / Q000009:adverse effects*; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology*; D012785:Shoulder Joint / Q000503:physiopathology*; D020069:Shoulder Pain / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation; D011795:Surveys and Questionnaires; D013908:Thoracotomy / Q000009:adverse effects*; D055815:Young Adult