Early and Systematic Shoulder Rehabilitation Following Cervical Lymph Node Dissection

Early and Systematic Shoulder Rehabilitation Following Cervical Lymph Node Dissection

A prospective, monocentric, controlled, randomized study of systematic early shoulder rehabilitation following cervical lymph node dissection for the prevention and treatment of shoulder dysfunction.

Pre-inclusion: information, collection of consent, collection of antecedents and biometric data, clinical examination (goniometric measurement and visual analogic scale of pain), collection of DASH, EORTC QLQ-C30 and H&N35 questionnaires.

Surgical intervention (J0) and randomization into 2 groups:

Group 1 - systematic early rehabilitation Group 2 - without systematic rehabilitation

M3, M6, M12: collection of complications, adjuvant treatments, number of physiotherapy sessions performed, clinical examination (goniometric measurement and visual analogic scale of pain), collection of DASH, EORTC QLQ- C30 and H&N35 questionnaires.

Inclusion Criteria:

• Proficiency in the oral and written French language
• unilateral or bilateral cervical lymph node dissection preserving the accessory spinal nerve
• Karnofsky index ≥ 80%
• Age ≥ 18 years

Exclusion Criteria:

• cognitive disorders
• predictable difficulties in compliance with treatment and/or follow-up
• pre-existing pathology involving shoulder and its mobility, independent of head and neck cancer
• comorbidity preventing rehabilitation of the shoulder
• time to start rehabilitation after 6 weeks postoperatively
• pregnant women
• minors
• majors under guardianship
• refusal to participate in the study