Table 2.
Summary of Assessments of Left Upper Extremity
| Assessment | Site | Treatment Session One (Week 0) | Treatment Session Two (Week 0.5) | Phone Call (Week 8.5) | Follow-Up Visit (Week 14.5) | ||
|---|---|---|---|---|---|---|---|
|
| |||||||
| Pre (Baseline) | Post | Pre | Post | ||||
| Stance and Posture (visual inspection) | Shoulder | Slight anterior rotation | No apparent anterior rotation | No apparent anterior rotation | No apparent anterior rotation | -- | No apparent anterior rotation |
| Active-free ROM functional testing (movement performed by client) | Cervical | Restricted abduction and rotation to left | No restrictions | No restrictions | No restrictions | -- | No restrictions |
| GH joint | Restricted flexion and abduction | Somewhat restricted flexion and abduction | Full flexion and abduction, no restrictions | Full flexion and abduction, no restrictions | -- | Full flexion and abduction, no restrictions | |
| Elbow and wrist | Restricted extension | Somewhat restricted extension | Full extension; Some restriction on hyperextension | Full extension, even on hyperextension. | -- | Full extension, even on hyperextension | |
|
| |||||||
| Passive-relaxed ROM testing (movement performed by therapist) | GH joint | High resting tension of levator scapula, restricted ROM on abduction and flexion | -- | -- | -- | -- | -- |
| Elbow and wrist | Springy end-feel, restricted ROM | Normal end-feel, no restrictions | Normal end-feel, no restrictions | Normal end-feel, no restrictions | -- | Normal end-feel, no restrictions | |
|
| |||||||
| Movement-associated pain (self-rated, using Oxford Scale) | GH joint | 5/10 | 0/10 | 0/10 | 0/10 | 0/10 | 0/10 |
| Elbow | 4/10 | 0/10 | 0/10 | 0/10 | 0/10 | 0/10 | |
| Wrist | 2/10 | 0/10 | 0/10 | 0/10 | 0/10 | 0/10 | |
|
| |||||||
| GH flexion (goniometer) | GH joint | 140°/180° | 170°/180° | Not measured, as per Active-free results | Not measured, as per Active-free results | -- | Not measured, as per Active-free results |
|
| |||||||
| Cording (visual inspection) | UOQ to AF | Prominent | Less prominent | Minimal | Residual in axilla only | Axillary scar area (Fig. 1D) | None |
| Elbow to wrist | Prominent | Less prominent | None | None | None | None | |
|
| |||||||
| Cording (palpation) | UOQ to AF | Prominent, taut, rope-like | Diminished | Minimal | Residual only | -- | None |
| Elbow to wrist | Prominent, taut, floss-like | Diminished | Minimal, only on hyperextension | Residual only | -- | None | |
|
| |||||||
| Lymphedema (visual inspection, palpation, self-report) | Upper extremity | None | None | None | None | -- | None |
AF = antecubital fossa; GH = glenohumeral; ROM = range of motion; UOQ = area of chest wall where breast upper outer quadrant had been prior to mastectomy (see arrow, Figure 1(a)).