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Shoulder dysfunction related to the lung resection area in the immediate postoperative period after thoracotomy
WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS427–eS632
Ethics approval: University of Sydney, HREC Ref: 12-2009/12340; St Vincent’s Hospital, Darlinghurst, NSW, HREC Ref: 12/157. http://dx.doi.org/10.1016/j.physio.2015.03.3225 Research Report Poster Presentation Number: RR-PO-02-03-Sat Saturday 2 May 2015 12:15 Exhibit halls 401–403 SHOULDER DYSFUNCTION RELATED TO THE LUNG RESECTION AREA IN THE IMMEDIATE POSTOPERATIVE PERIOD AFTER THORACOTOMY A. Gastaldi 1 , A. Miranda 1 , B. Santos 1 , A. Oliveira 1 , J. Abrao 2 , F. Cipriano 3 , H. Souza 1
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Implications: The development of a program of bilateral exercises for the upper limbs in order to achieve reduction of shoulder dysfunction in the immediate postoperative period, especially in patients undergoing procedures with larger resections, is recommended. Keywords: Shoulder; Range of joint motion; thoracotomy Funding acknowledgements: CAPES and FAPESP – Brazil. Ethics approval: Approved by the Research Ethics Committee of the Clinical Hospital of the School of Medicine of Ribeirão Preto (No. 13657/201). http://dx.doi.org/10.1016/j.physio.2015.03.3226 Research Report Platform Presentation Number: RR-PL-2924 Monday 4 May 2015 14:18 Room 334–335
1 Sao Paulo University Medical School, Physiotherapy Course, Ribeirao Preto, Brazil; 2 Sao Paulo University Medical School, Anaesthesia, Ribeirao Preto, Brazil; 3 Sao Paulo University Medical School, Surgery, Ribeirao Preto, Brazil
MIRROR NEURON SYSTEM RECRUITMENT DURING OBSERVATION AND SIMULTANEOUS OBSERVATION AND EXECUTION OF TASKS WITH DIFFERENT CHARACTERISTICS
Background: Shoulder mobility can become restricted after thoracotomy, mainly due to intense pain, resulting in functional disability of patients who undergo lung resection. Purpose: This study aims to investigate the mobility, pain and disability of the shoulders after different pulmonary surgical procedures. Methods: Participants: 38 patients who underwent lung surgery via thoracotomy (mean age = 57 years). Data measurement: In the preoperative period and first and second days of the postoperative period, all patients were assessed for: range of motion of shoulder flexion and abduction; pain intensity by visual analog scale; and application of the Shoulder Pain and Disability Index (SPADI) questionnaire for evaluation of shoulder function. Data were analyzed by comparing the values obtained in the three days of evaluation, and analyzed in subgroups according to the resection area (biopsy/lumpectomy, lung segmentectomy and lobectomy), using analysis of variance and the Student’s t-test, adopting a significance level of 5%. Results: There was a decrease of flexion (153 ± 16◦ to 98 ± 23◦ ), abduction (151 ± 20◦ to 126 ± 38◦ ) and increased SPADI (2.4 to 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 and flexion of the contralateral shoulder in the lung segmentectomy subgroup (p < 0.05). Conclusion(s): There is bilateral limitation of range of motion of shoulder elevation, with greater impairment of the ipsilateral shoulder, and more impairment in larger resections.
R. Gatti 1,2,3 , M.A. Rocca 4 , S. Fumagalli 1,4 , E. Cattrysse 5 , E. Kerckhofs 5 , M. Filippi 4 1 San
Raffaele Scientific Institute, Laboratory of Movement Analysis, Division of Neuroscience, Milan, Italy; 2 San Raffaele Hospital, Rehabilitation Department, Milan, Italy; 3 Vita-Salute San Raffaele University, Physiotherapy, Milan, Italy; 4 San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Neuroimaging Research Unit, Institute of Experimental Neurology, Division of Neuroscience, Milan, Italy; 5 Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Brussels, Belgium Background: The mirror neurons system (MNS) is a particular set of visuomotor neurons located in the premotor cortex, parietal lobule and inferior frontal gyrus. These neurons respond not only during action execution, but also during observation of actions performed by others. The preference of their activation during the observation of transitive (i.e., goaldirected movements involving an object, such as grasping a cup) versus intransitive movement has been documented. It remains unexplored whether MNS activation differs between transitive, intransitive simple and intransitive complex movements as well as during simply observed or simultaneously observed and executed movements. Purpose: Using functional magnetic resonance imaging (fMRI), we analyzed MNS activation during the observation and the simultaneously observation and execution of tasks performed with the dominant upper limb in different modalities (simple intransitive, complex intransitive and transitive).
Ethics approval: University of Sydney, HREC Ref: 12-2009/12340; St Vincent’s Hospital, Darlinghurst, NSW, HREC Ref: 12/157. http://dx.doi.org/10.1016/j.physio.2015.03.3225 Research Report Poster Presentation Number: RR-PO-02-03-Sat Saturday 2 May 2015 12:15 Exhibit halls 401–403 SHOULDER DYSFUNCTION RELATED TO THE LUNG RESECTION AREA IN THE IMMEDIATE POSTOPERATIVE PERIOD AFTER THORACOTOMY A. Gastaldi 1 , A. Miranda 1 , B. Santos 1 , A. Oliveira 1 , J. Abrao 2 , F. Cipriano 3 , H. Souza 1
eS445
Implications: The development of a program of bilateral exercises for the upper limbs in order to achieve reduction of shoulder dysfunction in the immediate postoperative period, especially in patients undergoing procedures with larger resections, is recommended. Keywords: Shoulder; Range of joint motion; thoracotomy Funding acknowledgements: CAPES and FAPESP – Brazil. Ethics approval: Approved by the Research Ethics Committee of the Clinical Hospital of the School of Medicine of Ribeirão Preto (No. 13657/201). http://dx.doi.org/10.1016/j.physio.2015.03.3226 Research Report Platform Presentation Number: RR-PL-2924 Monday 4 May 2015 14:18 Room 334–335
1 Sao Paulo University Medical School, Physiotherapy Course, Ribeirao Preto, Brazil; 2 Sao Paulo University Medical School, Anaesthesia, Ribeirao Preto, Brazil; 3 Sao Paulo University Medical School, Surgery, Ribeirao Preto, Brazil
MIRROR NEURON SYSTEM RECRUITMENT DURING OBSERVATION AND SIMULTANEOUS OBSERVATION AND EXECUTION OF TASKS WITH DIFFERENT CHARACTERISTICS
Background: Shoulder mobility can become restricted after thoracotomy, mainly due to intense pain, resulting in functional disability of patients who undergo lung resection. Purpose: This study aims to investigate the mobility, pain and disability of the shoulders after different pulmonary surgical procedures. Methods: Participants: 38 patients who underwent lung surgery via thoracotomy (mean age = 57 years). Data measurement: In the preoperative period and first and second days of the postoperative period, all patients were assessed for: range of motion of shoulder flexion and abduction; pain intensity by visual analog scale; and application of the Shoulder Pain and Disability Index (SPADI) questionnaire for evaluation of shoulder function. Data were analyzed by comparing the values obtained in the three days of evaluation, and analyzed in subgroups according to the resection area (biopsy/lumpectomy, lung segmentectomy and lobectomy), using analysis of variance and the Student’s t-test, adopting a significance level of 5%. Results: There was a decrease of flexion (153 ± 16◦ to 98 ± 23◦ ), abduction (151 ± 20◦ to 126 ± 38◦ ) and increased SPADI (2.4 to 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 and flexion of the contralateral shoulder in the lung segmentectomy subgroup (p < 0.05). Conclusion(s): There is bilateral limitation of range of motion of shoulder elevation, with greater impairment of the ipsilateral shoulder, and more impairment in larger resections.
R. Gatti 1,2,3 , M.A. Rocca 4 , S. Fumagalli 1,4 , E. Cattrysse 5 , E. Kerckhofs 5 , M. Filippi 4 1 San
Raffaele Scientific Institute, Laboratory of Movement Analysis, Division of Neuroscience, Milan, Italy; 2 San Raffaele Hospital, Rehabilitation Department, Milan, Italy; 3 Vita-Salute San Raffaele University, Physiotherapy, Milan, Italy; 4 San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Neuroimaging Research Unit, Institute of Experimental Neurology, Division of Neuroscience, Milan, Italy; 5 Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Brussels, Belgium Background: The mirror neurons system (MNS) is a particular set of visuomotor neurons located in the premotor cortex, parietal lobule and inferior frontal gyrus. These neurons respond not only during action execution, but also during observation of actions performed by others. The preference of their activation during the observation of transitive (i.e., goaldirected movements involving an object, such as grasping a cup) versus intransitive movement has been documented. It remains unexplored whether MNS activation differs between transitive, intransitive simple and intransitive complex movements as well as during simply observed or simultaneously observed and executed movements. Purpose: Using functional magnetic resonance imaging (fMRI), we analyzed MNS activation during the observation and the simultaneously observation and execution of tasks performed with the dominant upper limb in different modalities (simple intransitive, complex intransitive and transitive).