{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:53:25Z","timestamp":1792259605398,"version":"4.4.0"},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2002,2,11]],"date-time":"2002-02-11T00:00:00Z","timestamp":1013385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2002,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Constant's Shoulder Scale is a validated and widely applied instrument for assessment of shoulder function. We used this instrument to assess which treatment and demographic variables contribute to shoulder dysfunction after neck dissection in head and neck cancer patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A convenience sample of 54 patients with 64 neck dissections and minimum follow\u2010up of 11 months were evaluated. Thirty\u2010two accessory nerve\u2013sparing modified radical (MRND) and 32 selective neck (SND) dissections were performed. Multivariable regression analysis was used to determine the variables that were predictive for shoulder dysfunction. Clinical variables included <jats:italic>age, time from surgery<\/jats:italic>, <jats:italic>handedness, weight, radiation therapy<\/jats:italic>, <jats:italic>neck dissection type, tumor stage<\/jats:italic>, and <jats:italic>site<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients receiving MRND had significantly worse shoulder function than patients with SND (<jats:italic>p<\/jats:italic> = .0007). <jats:italic>Radiation therapy<\/jats:italic> contributed negatively, whereas <jats:italic>weight<\/jats:italic> contributed positively (<jats:italic>p<\/jats:italic> = .0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The critical factors contributing to shoulder dysfunction after neck dissection were <jats:italic>weight<\/jats:italic>, <jats:italic>radiation therapy<\/jats:italic>, and <jats:italic>neck dissection type<\/jats:italic>. \u00a9 2002 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.10067","type":"journal-article","created":{"date-parts":[[2004,10,27]],"date-time":"2004-10-27T11:13:35Z","timestamp":1098875615000},"page":"432-436","source":"Crossref","is-referenced-by-count":121,"title":["Functional assessment using Constant's Shoulder Scale after modified radical and selective neck dissection"],"prefix":"10.1002","volume":"24","author":[{"given":"Douglas B.","family":"Chepeha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodney J.","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith C.","family":"Chepeha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodoros N.","family":"Teknos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol R.","family":"Bradford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pramod K.","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey E.","family":"Terrell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory T.","family":"Wolf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,2,11]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1961.00740030433011"},{"key":"e_1_2_5_3_2","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1288\/00005537-198407000-00015","article-title":"Functional neck dissection: An evaluation and review of 843 cases","volume":"94","author":"Boca E","year":"1984","journal-title":"Laryngoscope"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880110203"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(85)90164-3"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(83)90246-5"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00023"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900100101014"},{"key":"e_1_2_5_9_2","first-page":"2043","article-title":"Assessment of shoulder function in rheumatoid arthritis","volume":"23","author":"Van Den Ende C","year":"1996","journal-title":"The J Rheumatol"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880120607"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890060103"},{"key":"e_1_2_5_12_2","unstructured":"TaylorR ChepehaJ TeknosT et al.Development and validation of the neck dissection impairment Index (NDII)\u2014A quality of life measure. Presented at the American Academy of Otolaryngology \u2010 Head and Neck Surgery Foundation Annual Meeting. Washington DC September 2000."}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.10067","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.10067","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T12:02:45Z","timestamp":1700308965000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.10067"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,2,11]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2002,5]]}},"alternative-id":["10.1002\/hed.10067"],"URL":"https:\/\/doi.org\/10.1002\/hed.10067","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,2,11]]}}}