Correlation Of Kinesiophobia And Upper Extremity Parameters In Post Mastectomy Patients

J Pak Med Assoc. 2023 Jul;73(7):1498-1501. doi: 10.47391/JPMA.7170.

Abstract

Breast cancer, if diagnosed at advanced stages, often leads to surgical intervention, i.e. mastectomy, which later presents complications that add to morbidity. A cross-sectional analytical study was conducted to determine pain, upper limb ROM, grip strength, lymphoedema, and their co-relation with kinesiophobia in post mastectomy patients. A sample of 55 female patients was selected via non-probability purposive sampling. Kinesiophobia was assessed using Tampa Scale of kinesiophobia (TSK-11) and pain via Numeric Pain Rating Scale. Upper extremity ROM was measured using a plastic goniometer, grip strength by Jamar Hydraulic dynamometer, and limb volumes were calculated by summed truncated cone volume via circumferential tape measurements. Wilcoxon signed rank test and Spearman co-relation test was used for analysis. Significant difference between the limb volumes was noted (p=0.02) and a reduction in overall upper extremity ranges was seen (p<0.05). A positive significant co-relation between pain and TSK score (r= 0.300, p=0.026) was observed.

Keywords: Grip strength, Kinesiophobia, Lymphedema, Mastectomy, Pain, Range of motion..

MeSH terms

  • Breast Neoplasms* / complications
  • Breast Neoplasms* / surgery
  • Cross-Sectional Studies
  • Female
  • Humans
  • Kinesiophobia
  • Mastectomy / adverse effects
  • Pain
  • Upper Extremity