Incidence of Previous Upper Body Dysfunction in Women Scheduled for Breast Sparing Surgery
Bibliographic record
Abstract
Many women are at risk of developing musculoskeletal pain in the upper body-neck and shoulder regions (Luime et al, 2004; Lundberg et al, 1999). It would be expected that any pain a woman was experiencing in the neck and shoulder regions would have a lower priority once a lump in the breast has been discovered and surgery is recommended. It is unclear how many women who begin adjuvant therapy are dealing with musculoskeletal restrictions in these areas. Therefore the purpose to initiate a pilot study examine the frequency of musculoskeletal restrictions/pain in the upper body-neck area of women who underwent breast sparing surgery associate with breast cancer. METHODS: Objective and subjective measures were obtained on a small sample of women (n=10) who recently underwent surgery. Primary outcome measures included shoulder mobility (ROM) which included shoulder flexion and abduction, shoulder strength via isometric strength testing, evaluation of shoulder impingement, neuropathy and finally evaluation of neck ROM. Subjective information was also collected on history of previous upper body problems, the necessity to seek medical help for problems, work and computer habits. All women were in relatively good health with the exception of being diagnosed with a suspicious mass in their breast. SUMMARY OF RESULTS: Data was obtained on 10 women. Subjectively it was found that 8/10 were experiencing shoulder pain, 6/10 neck pain, 2/10 elbow pain, 1/10 wrist pain. Objectively 2/10 had reduced shoulder flexion (40®, 60 ®) and 5/10 had reduced shoulder abduction (60-90®). In regards to neurological pain, 6/10 women were complaining of tingling /pins and needles and 2/10 had a positive Roos sign. Anterior impingement, 4/10 of the women had a positive impingement test with both the Neer's and the Hawkins-Kennedy tests. Many of the women mentioned that they had experienced upper body pain before surgery. CONCLUSION: The next step will be to perform the same type of screening evaluation before surgery and on a larger sample size. It is hoped that the results will help clinicians to identify women who may be at greater risk of developing shoulder and neck problems.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".