OBJECTIVES: To assess the changes in shoulder strength of @entity1 with @entity0 during the first year after surgery; and to compare the effect of @entity1600 ( @entity1600 ) and @entity1600 ( @entity1600 ) on shoulder strength. DESIGN: Prospective longitudinal observational study from presurgery to 1 year after. SETTING: Tertiary hospital. @entity1 : Of 129 consecutive @entity1 examined for eligibility, a sample of @entity1 (N=112) with @entity0 were included (44 underwent @entity1600 , and 68 underwent @entity1600 ). INTERVENTIONS: Not applicable. MAIN OUTCOMES MEASURES: Difference between the affected and unaffected arm in strength of shoulder external rotators, internal rotators, abductors, and serratus anterior, measured by dynamometry. Evaluations were performed prior to surgery and at 1, 6, and 12 months after surgery. RESULTS: After @entity0 @entity1600 surgery, strength decreased significantly at the first month for internal rotators, without having recovered presurgery values after 1 year of follow-up, with a mean difference of 2.26kg (P=.011). There was no significant loss of strength for @entity1 treated with @entity1600 . The loss of shoulder range of motion was only significant the first month for the @entity1600 group. The factors identified as associated with strength loss in the general estimating equation models were the @entity1600 surgery and having received physical/occupational therapy during follow-up. CONCLUSIONS: One year after @entity0 surgery, @entity1 treated with @entity1600 had not recovered their previous shoulder internal rotators strength, whereas those who underwent @entity1600 presented no significant loss of strength. This provides important information for designing rehabilitation programs targeted specifically at the affected muscle group after nodal surgical approach.

Shoulder Strength Changes 1 Year After Axillary Lymph Node Dissection or Sentinel Lymph Node Biopsy in @entity1 With XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'PARTICIPANTS'] @entity1600 :: ('MESH:D014388', 'Disease') :: ['sentinel lymph node biopsy', 'axillary lymph node dissection', 'SLNB', 'ALND'] @entity0 :: ('MESH:D001943', 'Disease') :: ['breast cancer']
@entity0 :: (MESH:D001943,Disease) :: ['Breast Cancer']
