alexa Kinesiologic Study of Shoulder Joints and Acromioclavicular Joint in Women Undergoing Unilateral Breast Surgery of the Type Mastectomy and Quadrantectomy

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Kinesiologic Study of Shoulder Joints and Acromioclavicular Joint in Women Undergoing Unilateral Breast Surgery of the Type Mastectomy and Quadrantectomy

"The loss of range of motion seems to be related to the thoracic nerve injury and also with the lack of physical therapy, lymphatic drainage and rehabilitation exercise therapy applied. Some authors cited in this study reported that among the surgical complications of AL, we can observe the long thoracic nerve injury. Most injuries of this nerve are partial and transient (neuropraxia), which gradually recovers with conservative treatment. However, when this regression does not occur in the first six months, the lesion can be considered complete, with few chances of rehabilitation. When we started the project for some reason I thought it would be something very easy to accomplish, however, when it became reality I realized it was something bigger than I thought, because it would be somehow playing on people’s emotional aspect and that is exactly what happened, each woman told her story and assessed her problems as a result of surgery and her quality of life before and after surgery. So it was not just an evaluation assessment, there were many assessments and listening to every woman involved in the research. In fact, my work is one of the most significant in the last five years of my academic career. When I discussed the project and drafted the literature, i was impressed by the statements of some authors affirming that the recovery was long overdue. The long thoracic nerve injury results in decreased strength or paralysis of the serratus anterior muscle, leading to destabilization of the shoulder girdle on the prominence of the medial border of the scapula and inferior angle of rotation of the middle line, featuring a winged scapula. In our assessment the serratus anterior muscle was the muscle that showed the lowest values of action potentials when transformed in RMS, exactly as described by Schmitz et al. Given the values of range of motion of the shoulder joint the most outstanding was the loss of flexion range of motion around 40° of the surgical side and in the movements of extension and horizontal flexion on the surgical side of the arm. Many patients indicated that they cannot dance in “couple” if it requires to place an arm in horizontal extension and abduction, especially if is the surgical side arm, because they claim a feeling of “pulling” and they cannot dance in this posture. For full article https://www.omicsonline.org/kinesiologic-study-of-shoulder-joints-and-acromioclavicular-joint-in%20women-undergoing-unilateral-breast-surgery-of-the-type-mastectomy%20and-quadrantectomy-2161-1076.1000110.php?aid=4434 "

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