Association between objectively measured shoulder kinematics and fear avoidance beliefs in women with latissimus dorsi flap breast reconstruction

Nicole E. Blackburn; Ian Cleland; Chris Nugent; Joseph G. McVeigh; Eilis M. McCaughan; Iseult M. Wilson

doi:10.1007/978-3-031-21333-5_2

Association between objectively measured shoulder kinematics and fear avoidance beliefs in women with latissimus dorsi flap breast reconstruction

Nicole E. Blackburn^*, Ian Cleland, Chris Nugent, Joseph G. McVeigh, Eilis M. McCaughan, Iseult M. Wilson

^*Corresponding author for this work

School of Nursing and Midwifery

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Abstract

Breast reconstruction using the latissimus dorsi (LD) flap following mastectomy is an important management option in breast cancer. A common complication following LD flap, which is often ignored, is shoulder dysfunction. Fear avoidance stemming from the belief that movement will worsen symptoms or cause injury, may impact further on dysfunction or limit recovery. Whilst previous studies have demonstrated a link between fear avoidance and function in conditions such as osteoarthritis, to our knowledge, no prior study has examined whether LD flap patients who endorse fear-avoidant beliefs have impaired shoulder function, measured objectively. This study used questionnaire data from women (n = 159) who had undergone a LD flap breast reconstruction and combined with objective measures of shoulder kinematics, from accelerometry (n = 15), to assess how fear avoidance was associated with shoulder kinematics. The mean scores for the fear avoidance beliefs questionnaire indicated low fear avoidance beliefs. This was corroborated by the objective measures from accelerometry which indicated no difference in shoulder kinematics between the operated and non-operated shoulder. These results indicate that that women after breast reconstruction have less fear avoidance, when compared to other patients with shoulder problems, and are therefore likely to have better outcomes. Future work will seek to investigate the impact of LD flap breast reconstruction on activities of daily living using objective measurement through accelerometry.

Original language	English
Title of host publication	Proceedings of the International Conference on Ubiquitous Computing and Ambient Intelligence (UCAmI 2022)
Editors	José Bravo, Sergio Ochoa, Jesús Favela
Publisher	Springer Science and Business Media Deutschland GmbH
Pages	15-25
Number of pages	11
ISBN (Electronic)	9783031213335
ISBN (Print)	9783031213328
DOIs	https://doi.org/10.1007/978-3-031-21333-5_2
Publication status	Published - 21 Nov 2022
Event	14th International Conference on Ubiquitous Computing and Ambient Intelligence, UCAmI 2022 - Córdoba, Spain Duration: 29 Nov 2022 → 02 Dec 2022

Publication series

Name	Lecture Notes in Networks and Systems
Volume	594 LNNS
ISSN (Print)	2367-3370
ISSN (Electronic)	2367-3389

Conference

Conference	14th International Conference on Ubiquitous Computing and Ambient Intelligence, UCAmI 2022
Country/Territory	Spain
City	Córdoba
Period	29/11/2022 → 02/12/2022

Bibliographical note

Funding Information:
Acknowledgements. We gratefully acknowledge the Department of Employment and Learning, Northern Ireland for funding the researcher’s (NEB) studentship and Cancer Focus Northern Ireland for kindly funding the focus group and survey component of this research (to IMW). For collection of IMU data, Invest Northern Ireland is acknowledged for supporting this project under the Competence Centre Programme Grant RD0513853 – Connected Health Innovation Centre.

Publisher Copyright:
© 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Keywords

Breast reconstruction
Fear avoidance
Inertial measurement unit
Objective measures
Shoulder function

ASJC Scopus subject areas

Control and Systems Engineering
Signal Processing
Computer Networks and Communications

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/978-3-031-21333-5_2Licence: Unspecified

Cite this

Blackburn, N. E., Cleland, I., Nugent, C., McVeigh, J. G., McCaughan, E. M., & Wilson, I. M. (2022). Association between objectively measured shoulder kinematics and fear avoidance beliefs in women with latissimus dorsi flap breast reconstruction. In J. Bravo, S. Ochoa, & J. Favela (Eds.), Proceedings of the International Conference on Ubiquitous Computing and Ambient Intelligence (UCAmI 2022) (pp. 15-25). (Lecture Notes in Networks and Systems; Vol. 594 LNNS). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/978-3-031-21333-5_2

Blackburn, Nicole E. ; Cleland, Ian ; Nugent, Chris et al. / Association between objectively measured shoulder kinematics and fear avoidance beliefs in women with latissimus dorsi flap breast reconstruction. Proceedings of the International Conference on Ubiquitous Computing and Ambient Intelligence (UCAmI 2022). editor / José Bravo ; Sergio Ochoa ; Jesús Favela. Springer Science and Business Media Deutschland GmbH, 2022. pp. 15-25 (Lecture Notes in Networks and Systems).

@inproceedings{4173b7adc24a4655a2e091dd7018ae11,

title = "Association between objectively measured shoulder kinematics and fear avoidance beliefs in women with latissimus dorsi flap breast reconstruction",

abstract = "Breast reconstruction using the latissimus dorsi (LD) flap following mastectomy is an important management option in breast cancer. A common complication following LD flap, which is often ignored, is shoulder dysfunction. Fear avoidance stemming from the belief that movement will worsen symptoms or cause injury, may impact further on dysfunction or limit recovery. Whilst previous studies have demonstrated a link between fear avoidance and function in conditions such as osteoarthritis, to our knowledge, no prior study has examined whether LD flap patients who endorse fear-avoidant beliefs have impaired shoulder function, measured objectively. This study used questionnaire data from women (n = 159) who had undergone a LD flap breast reconstruction and combined with objective measures of shoulder kinematics, from accelerometry (n = 15), to assess how fear avoidance was associated with shoulder kinematics. The mean scores for the fear avoidance beliefs questionnaire indicated low fear avoidance beliefs. This was corroborated by the objective measures from accelerometry which indicated no difference in shoulder kinematics between the operated and non-operated shoulder. These results indicate that that women after breast reconstruction have less fear avoidance, when compared to other patients with shoulder problems, and are therefore likely to have better outcomes. Future work will seek to investigate the impact of LD flap breast reconstruction on activities of daily living using objective measurement through accelerometry.",

keywords = "Breast reconstruction, Fear avoidance, Inertial measurement unit, Objective measures, Shoulder function",

author = "Blackburn, {Nicole E.} and Ian Cleland and Chris Nugent and McVeigh, {Joseph G.} and McCaughan, {Eilis M.} and Wilson, {Iseult M.}",

note = "Funding Information: Acknowledgements. We gratefully acknowledge the Department of Employment and Learning, Northern Ireland for funding the researcher{\textquoteright}s (NEB) studentship and Cancer Focus Northern Ireland for kindly funding the focus group and survey component of this research (to IMW). For collection of IMU data, Invest Northern Ireland is acknowledged for supporting this project under the Competence Centre Programme Grant RD0513853 – Connected Health Innovation Centre. Publisher Copyright: {\textcopyright} 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.; 14th International Conference on Ubiquitous Computing and Ambient Intelligence, UCAmI 2022 ; Conference date: 29-11-2022 Through 02-12-2022",

year = "2022",

month = nov,

day = "21",

doi = "10.1007/978-3-031-21333-5_2",

language = "English",

isbn = "9783031213328",

series = "Lecture Notes in Networks and Systems",

publisher = "Springer Science and Business Media Deutschland GmbH",

pages = "15--25",

editor = "Jos{\'e} Bravo and Sergio Ochoa and Jes{\'u}s Favela",

booktitle = "Proceedings of the International Conference on Ubiquitous Computing and Ambient Intelligence (UCAmI 2022)",

address = "Germany",

}

Blackburn, NE, Cleland, I, Nugent, C, McVeigh, JG, McCaughan, EM & Wilson, IM 2022, Association between objectively measured shoulder kinematics and fear avoidance beliefs in women with latissimus dorsi flap breast reconstruction. in J Bravo, S Ochoa & J Favela (eds), Proceedings of the International Conference on Ubiquitous Computing and Ambient Intelligence (UCAmI 2022). Lecture Notes in Networks and Systems, vol. 594 LNNS, Springer Science and Business Media Deutschland GmbH, pp. 15-25, 14th International Conference on Ubiquitous Computing and Ambient Intelligence, UCAmI 2022, Córdoba, Spain, 29/11/2022. https://doi.org/10.1007/978-3-031-21333-5_2

Association between objectively measured shoulder kinematics and fear avoidance beliefs in women with latissimus dorsi flap breast reconstruction. / Blackburn, Nicole E.; Cleland, Ian; Nugent, Chris et al.
Proceedings of the International Conference on Ubiquitous Computing and Ambient Intelligence (UCAmI 2022). ed. / José Bravo; Sergio Ochoa; Jesús Favela. Springer Science and Business Media Deutschland GmbH, 2022. p. 15-25 (Lecture Notes in Networks and Systems; Vol. 594 LNNS).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

TY - GEN

T1 - Association between objectively measured shoulder kinematics and fear avoidance beliefs in women with latissimus dorsi flap breast reconstruction

AU - Blackburn, Nicole E.

AU - Cleland, Ian

AU - Nugent, Chris

AU - McVeigh, Joseph G.

AU - McCaughan, Eilis M.

AU - Wilson, Iseult M.

N1 - Funding Information: Acknowledgements. We gratefully acknowledge the Department of Employment and Learning, Northern Ireland for funding the researcher’s (NEB) studentship and Cancer Focus Northern Ireland for kindly funding the focus group and survey component of this research (to IMW). For collection of IMU data, Invest Northern Ireland is acknowledged for supporting this project under the Competence Centre Programme Grant RD0513853 – Connected Health Innovation Centre. Publisher Copyright: © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

PY - 2022/11/21

Y1 - 2022/11/21

N2 - Breast reconstruction using the latissimus dorsi (LD) flap following mastectomy is an important management option in breast cancer. A common complication following LD flap, which is often ignored, is shoulder dysfunction. Fear avoidance stemming from the belief that movement will worsen symptoms or cause injury, may impact further on dysfunction or limit recovery. Whilst previous studies have demonstrated a link between fear avoidance and function in conditions such as osteoarthritis, to our knowledge, no prior study has examined whether LD flap patients who endorse fear-avoidant beliefs have impaired shoulder function, measured objectively. This study used questionnaire data from women (n = 159) who had undergone a LD flap breast reconstruction and combined with objective measures of shoulder kinematics, from accelerometry (n = 15), to assess how fear avoidance was associated with shoulder kinematics. The mean scores for the fear avoidance beliefs questionnaire indicated low fear avoidance beliefs. This was corroborated by the objective measures from accelerometry which indicated no difference in shoulder kinematics between the operated and non-operated shoulder. These results indicate that that women after breast reconstruction have less fear avoidance, when compared to other patients with shoulder problems, and are therefore likely to have better outcomes. Future work will seek to investigate the impact of LD flap breast reconstruction on activities of daily living using objective measurement through accelerometry.

AB - Breast reconstruction using the latissimus dorsi (LD) flap following mastectomy is an important management option in breast cancer. A common complication following LD flap, which is often ignored, is shoulder dysfunction. Fear avoidance stemming from the belief that movement will worsen symptoms or cause injury, may impact further on dysfunction or limit recovery. Whilst previous studies have demonstrated a link between fear avoidance and function in conditions such as osteoarthritis, to our knowledge, no prior study has examined whether LD flap patients who endorse fear-avoidant beliefs have impaired shoulder function, measured objectively. This study used questionnaire data from women (n = 159) who had undergone a LD flap breast reconstruction and combined with objective measures of shoulder kinematics, from accelerometry (n = 15), to assess how fear avoidance was associated with shoulder kinematics. The mean scores for the fear avoidance beliefs questionnaire indicated low fear avoidance beliefs. This was corroborated by the objective measures from accelerometry which indicated no difference in shoulder kinematics between the operated and non-operated shoulder. These results indicate that that women after breast reconstruction have less fear avoidance, when compared to other patients with shoulder problems, and are therefore likely to have better outcomes. Future work will seek to investigate the impact of LD flap breast reconstruction on activities of daily living using objective measurement through accelerometry.

KW - Breast reconstruction

KW - Fear avoidance

KW - Inertial measurement unit

KW - Objective measures

KW - Shoulder function

U2 - 10.1007/978-3-031-21333-5_2

DO - 10.1007/978-3-031-21333-5_2

M3 - Conference contribution

AN - SCOPUS:85145083835

SN - 9783031213328

T3 - Lecture Notes in Networks and Systems

SP - 15

EP - 25

BT - Proceedings of the International Conference on Ubiquitous Computing and Ambient Intelligence (UCAmI 2022)

A2 - Bravo, José

A2 - Ochoa, Sergio

A2 - Favela, Jesús

PB - Springer Science and Business Media Deutschland GmbH

T2 - 14th International Conference on Ubiquitous Computing and Ambient Intelligence, UCAmI 2022

Y2 - 29 November 2022 through 2 December 2022

ER -

Blackburn NE, Cleland I, Nugent C, McVeigh JG, McCaughan EM, Wilson IM. Association between objectively measured shoulder kinematics and fear avoidance beliefs in women with latissimus dorsi flap breast reconstruction. In Bravo J, Ochoa S, Favela J, editors, Proceedings of the International Conference on Ubiquitous Computing and Ambient Intelligence (UCAmI 2022). Springer Science and Business Media Deutschland GmbH. 2022. p. 15-25. (Lecture Notes in Networks and Systems). doi: 10.1007/978-3-031-21333-5_2

Association between objectively measured shoulder kinematics and fear avoidance beliefs in women with latissimus dorsi flap breast reconstruction

Abstract

Publication series

Conference

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Fingerprint

Cite this