頭頸部がん患者における術後補助療法実施が体格，運動機能，生活の質の術後経過に及ぼす影響

• Published in: 理学療法学 Vol. 44; no. 3; pp. 181 - 189
• Main Authors: 原 毅, 石井 貴弥, 西村 晃典, 出浦 健太郎, 三浦 弘規, 草野 修輔, 久保 晃
• Format: Journal Article
• Language: Japanese
• Published: 日本理学療法士学会 2017; Japanese Society of Physical Therapy
• Subjects: Body mass index; Head and neck cancer patient; Physical function; Postoperative adjuvant therapy; Quality of Life; 体格; 生活の質; 術後補助療法; 運動機能; 頭頸部がん患者
• ISSN: 0289-3770; 2189-602X
• DOI: 10.15063/rigaku.11234

Purpose: This study aimed to examine the effects of postoperative adjuvant therapy on the body mass index (BMI), physical function, and quality of life (QOL) in head and neck cancer patients.Methods: The subjects were 24 perioperative head and neck cancer patients [21 men and 3 women; age: 54.2 ± 11.0 (mean ± SD) years] who were classified into two groups based on whether they received postoperative adjuvant therapy. BMI, six-minute walk distance, grip strength (GS), shoulder joint abduction range of motion (SROM), and health-related QOL were measured before and 12 months after surgery.Results: SROM and physical, emotional, and social functions in health-related QOL were significantly lower in subjects with postoperative adjuvant therapy than in those without postoperative adjuvant therapy. In addition, postoperative adjuvant therapy was found to significantly affect the postoperative recovery of BMI and GS.Conclusions: In head and neck cancer patients, postoperative adjuvant therapy affects BMI and strength and lowers QOL from that before surgery. 【目的】頭頸部がん患者の術後補助療法実施が体格，運動機能，生活の質（以下，QOL）への影響を検討すること。【方法】対象は，周術期頭頸部がん患者24 例（男性21 例，女性3例，年齢54.2 ± 11.0 歳）とし，術後補助療法実施の有無で2 群に分類した。体格をBody Mass Index（以下，BMI），運動機能を6 分間歩行距離，握力（以下，GS），肩関節外転可動域（以下，SROM），QOL をShort-Form 36-Item Health Survey version 2（以下，SF36）で術前から術後12 ヵ月間に各々5 回評価した。【結果】術後補助療法実施群は，非実施群よりSROM，SF36 の身体・精神的日常役割機能，社会生活機能が有意に低く，BMI とGS の術後回復が有意に遅かった。【結論】術後補助療法を受けた頭頸部がん患者は，体格，運動機能の回復が遅く，手術前よりQOL が低かった。