A Longitudinal Study to Investigate Changes in Functional Ability and Concerns in Head Neck Cancer Patients Undergoing Neck Dissection

Introduction: The study investigated changes of shoulder/neck range of motion (ROM), shoulder strength, patient concerns and quality of life at pre-surgery and 1 month following neck dissection surgery. Method: Participants were 30 head and neck cancer patients selected for unilateral neck dissection. Shoulder/neck ROM and shoulder strength were measured at pre-surgery and 1 month post-surgery. The Patient Concerns Inventory-Level of Importance, University of Washington Quality of Life, Shoulder Pain and Disability Index and Neck Dissection Impairment Index were completed at the same time periods. Result: A significant drop in ROM and strength were found after surgery. Patients’ concerns changed over time. Significant correlations between the PCI-LOI and the UWQOL support cross-sectional convergent validity of the PCI-LOI. Conclusion: Decreased ROM and strength were observed on the affected side after surgery. Patients’ concerns changed over time. Identification of these concerns might help health professionals to focus on these specific patient needs