Table 7.
Differences in Muscle Strength Testing in the Dominant Lower and Upper Extremities Between Cancer Survivors With (n=426) and Without (n=197) Chemotherapy Induced Neuropathy (CIN)
Location | Extremity | 0+ | 1+ | 2+ | 3+ | 4+ | 5+ | p-value* |
---|---|---|---|---|---|---|---|---|
% (n) | % (n) | % (n) | % (n) | % (n) | % (n) | |||
Extension of great toe | No CIN | 0.0 (0) | 0.0 (0) | 0.0 (0) | 0.0 (0) | 5.1 (10) | 94.9 (185) | <.001 |
CIN | 0.7 (3) | 0.9 (4) | 1.4 (6) | 2.8 (12) | 16.8 (71) | 77.3 (327) | ||
Dorsiflexion of ankle | No CIN | 0.5 (1) | 0.0 (0) | 0.0 (0) | 0.0 (0) | 1.0 (2) | 98.5 (192) | .004 |
CIN | 0.5 (2) | 0.0 (0) | 0.2 (1) | 1.2 (5) | 5.2 (22) | 92.9 (393) | ||
Plantar flexion of ankle | No CIN | 0.5 (1) | 0.0 (0) | 0.0 (0) | 0.0 (0) | 2.6 (5) | 96.9 (188) | .010 |
CIN | 0.5 (2) | 0.0 (0) | 0.2 (1) | 1.4 (6) | 6.6 (28) | 91.2 (385) | ||
Abduction of the little finger | No CIN | 0.0 (0) | 0.0 (0) | 0.5 (1) | 0.5 (1) | 13.3 (26) | 85.6 (167) | <.001 |
CIN | 0.0 (0) | 0.0 (0) | 1.7 (7) | 5.9 (25) | 23.6 (100) | 68.8 (291) | ||
Opposition of thumb and little finger |
No CIN | 0.0 (0) | 0.0 (0) | 0.5 (1) | 1.0 (2) | 3.6 (7) | 94.9 (185) | <.001 |
CIN | 0.2 (1) | 0.0 (0) | 1.2 (5) | 4.5 (19) | 15.1 (64) | 79.0 (334) | ||
Wrist extension | No CIN | 0.0 (0) | 0.0 (0) | 0.0 (0) | 0.0 (0) | 2.1 (4) | 97.9 (191) | .001 |
CIN | 0.0 (0) | 0.2 (1) | 0.7 (3) | 1.4 (6) | 7.3 (31) | 90.3 (381) |
Mann Whitney U test
Medical Research Council Scale: 0=no flicker of movement, 1=visible contraction without movement of the site, 2=movement of the site but not against gravity, 3=movement over the full range against gravity, 4=movement against gravity and resistance, 5=normal