{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T12:01:23Z","timestamp":1793275283019,"version":"4.5.0"},"reference-count":55,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T00:00:00Z","timestamp":1674432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004336","name":"Novartis AG","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004336","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009473","name":"University of M\u00e1laga","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009473","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinical-breast-cancer.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Breast Cancer"],"published-print":{"date-parts":[[2023,6]]},"DOI":"10.1016\/j.clbc.2023.01.008","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T23:08:08Z","timestamp":1674169688000},"page":"e175-e181","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Forearm Muscle Activity During the Handgrip Test in Breast Cancer Survivors: A Cross-Sectional Study"],"prefix":"10.1016","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8637-6222","authenticated-orcid":false,"given":"Iv\u00e1n Jos\u00e9","family":"Fuentes-Abolafio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Rold\u00e1n-Jim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos Iglesias","family":"Campos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bella I","family":"Pajares-Hachero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio","family":"Alba-Conejo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Cuesta-Vargas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.clbc.2023.01.008_bib0001","first-page":"394","article-title":"Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"68","author":"Bray","year":"2018","journal-title":"CA: A Cancer J Clin"},{"key":"10.1016\/j.clbc.2023.01.008_bib0002","doi-asserted-by":"crossref","first-page":"E359","DOI":"10.1002\/ijc.29210","article-title":"Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012","volume":"136","author":"Ferlay","year":"2015","journal-title":"Int J Cancer"},{"key":"10.1016\/j.clbc.2023.01.008_bib0003","first-page":"7","article-title":"Cancer statistics, 2017","volume":"67","author":"Siegel","year":"2017","journal-title":"CA: A Cancer J Clin"},{"key":"10.1016\/j.clbc.2023.01.008_bib0004","first-page":"7","article-title":"Cancer statistics, 2019","volume":"69","author":"Siegel","year":"2019","journal-title":"CA: A Cancer J Clini"},{"key":"10.1016\/j.clbc.2023.01.008_bib0005","first-page":"87","article-title":"Global cancer statistics, 2012","volume":"65","author":"Torre","year":"2015","journal-title":"CA: A Cancer J Clin"},{"issue":"10071","key":"10.1016\/j.clbc.2023.01.008_bib0006","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1016\/S0140-6736(16)31392-7","article-title":"The global burden of women's cancers: a grand challenge in global health","volume":"389","author":"Ginsburg","year":"2017","journal-title":"Lancet"},{"key":"10.1016\/j.clbc.2023.01.008_bib0007","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1097\/GRF.0000000000000239","article-title":"Breast Cancer epidemiology and risk factors","volume":"59","author":"Rojas","year":"2016","journal-title":"Clin Obst Gynecol"},{"key":"10.1016\/j.clbc.2023.01.008_bib0008","unstructured":"National Cancer Institute. Office of Cancer Survivorship. Available at: https:\/\/cancercontrol.cancer.gov\/ocs\/. Accessed November 16, 2020."},{"key":"10.1016\/j.clbc.2023.01.008_bib0009","doi-asserted-by":"crossref","first-page":"679","DOI":"10.2522\/ptj.20090104","article-title":"Effects of mastectomy on shoulder and spinal kinematics during bilateral upper-limb movement","volume":"90","author":"Crosbie","year":"2010","journal-title":"Physical Ther"},{"key":"10.1016\/j.clbc.2023.01.008_bib0010","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s10549-008-0240-x","article-title":"Three-dimensional scapulothoracic motion following treatment for breast cancer","volume":"118","author":"Shamley","year":"2009","journal-title":"Breast Cancer Res Treat"},{"key":"10.1016\/j.clbc.2023.01.008_bib0011","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1097\/AJP.0b013e3181c4904a","article-title":"Incidence of myofascial pain syndrome in breast cancer surgery: a prospective study","volume":"26","author":"Lacomba","year":"2010","journal-title":"Clin J Pain"},{"key":"10.1016\/j.clbc.2023.01.008_bib0012","doi-asserted-by":"crossref","first-page":"e96748","DOI":"10.1371\/journal.pone.0096748","article-title":"Treatment related impairments in arm and shoulder in patients with breast cancer: a systematic review","volume":"9","author":"Hidding","year":"2014","journal-title":"PLoS ONE"},{"key":"10.1016\/j.clbc.2023.01.008_bib0013","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.pmrj.2013.08.605","article-title":"Upper body pain and functional disorders in patients with breast cancer","volume":"6","author":"Stubblefield","year":"2014","journal-title":"PM R"},{"key":"10.1016\/j.clbc.2023.01.008_bib0014","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1016\/j.bjps.2019.11.038","article-title":"Functional return after implant-based breast reconstruction: a prospective study of objective and patient-reported outcomes","volume":"73","author":"Patel","year":"2020","journal-title":"J Plastic Reconstr Aesthetic Surg"},{"key":"10.1016\/j.clbc.2023.01.008_bib0015","doi-asserted-by":"crossref","first-page":"e10979","DOI":"10.1097\/MD.0000000000010979","article-title":"Quantitative analysis of shoulder function and strength after breast reconstruction a retrospective cohort study","volume":"97","author":"Myung","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.clbc.2023.01.008_bib0016","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.clinbiomech.2018.04.010","article-title":"Examining upper limb kinematics and dysfunction of breast cancer survivors in functional dynamic tasks","volume":"55","author":"Brookham","year":"2018","journal-title":"Clin Biomech"},{"key":"10.1016\/j.clbc.2023.01.008_bib0017","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s10549-012-2061-1","article-title":"Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery","volume":"134","author":"Levy","year":"2012","journal-title":"Breast Cancer Res Treat"},{"key":"10.1016\/j.clbc.2023.01.008_bib0018","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L","article-title":"Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder, and Head). The Upper Extremity Collaborative Group (UECG)","volume":"29","author":"Hudak","year":"1996","journal-title":"Am J Ind Med"},{"key":"10.1016\/j.clbc.2023.01.008_bib0019","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10549-005-5991-z","article-title":"Objective and subjective upper body function six months following diagnosis of breast cancer","volume":"94","author":"Hayes","year":"2005","journal-title":"Breast Cancer Res Treat"},{"key":"10.1016\/j.clbc.2023.01.008_bib0020","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1002\/art.1790040403","article-title":"Development of a shoulder pain and disability index","volume":"4","author":"Roach","year":"1991","journal-title":"Arthritis Care Res"},{"key":"10.1016\/j.clbc.2023.01.008_bib0021","first-page":"727","article-title":"Measuring shoulder function with the shoulder pain and disability Index","volume":"22","author":"Williams","year":"1995","journal-title":"J Rheumatol"},{"key":"10.1016\/j.clbc.2023.01.008_bib0022","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1186\/1477-7525-11-126","article-title":"Cross-cultural adaptation, reliability and validity of the Spanish version of the upper limb functional index","volume":"26","author":"Cuesta-Vargas","year":"2013","journal-title":"Health Qual Life Outcomes"},{"key":"10.1016\/j.clbc.2023.01.008_bib0023","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1097\/PHM.0b013e31825f1538","article-title":"The handgrip strength test as a measure of function in breast cancer survivors: relationship to cancer-related symptoms and physical and physiologic parameters","volume":"91","author":"Cantarero-Villanueva","year":"2012","journal-title":"Ame J Phys Med Rehabil"},{"key":"10.1016\/j.clbc.2023.01.008_bib0024","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3390\/nu9070695","article-title":"Relationship between handgrip strength and muscle mass in female survivors of breast cancer: a mediation analysis","volume":"9","author":"Benavides-Rodr\u00edguez","year":"2017","journal-title":"Nutrients"},{"key":"10.1016\/j.clbc.2023.01.008_bib0025","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1097\/00003677-200101000-00005","article-title":"Surface electromyography for noninvasive characterization of muscle","volume":"29","author":"Merletti","year":"2001","journal-title":"Exer Sport Sci Rev"},{"key":"10.1016\/j.clbc.2023.01.008_bib0026","doi-asserted-by":"crossref","first-page":"95","DOI":"10.14474\/ptrs.2016.5.2.95","article-title":"Effects of hand grip strength on shoulder muscle activity in breast cancer patients","volume":"5","author":"Yun","year":"2016","journal-title":"Phys Ther Rehabil Sci"},{"key":"10.1016\/j.clbc.2023.01.008_bib0027","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1097\/PHM.0b013e318214e406","article-title":"Altered pattern of cervical muscle activation during performance of a functional upper limb task in breast Cancer survivors","volume":"90","author":"Galiano-Castillo","year":"2011","journal-title":"Am J Physi Med Rehabil"},{"key":"10.1016\/j.clbc.2023.01.008_bib0028","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.3390\/jcm9061804","article-title":"Electromyographic analysis of shoulder neuromuscular activity in women following Breast Cancer Treatment: a cross-sectional descriptive study","volume":"9","author":"Prieto-G\u00f3mez","year":"2020","journal-title":"J Clin Med"},{"key":"10.1016\/j.clbc.2023.01.008_bib0029","doi-asserted-by":"crossref","first-page":"447","DOI":"10.3233\/BMR-170848","article-title":"Reduction in handgrip strength and electromyographic activity in women with breast cancer","volume":"31","author":"Perez","year":"2018","journal-title":"J Back Musculoskeletal Rehabil"},{"key":"10.1016\/j.clbc.2023.01.008_bib0030","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1001\/jama.2013.281053","article-title":"World medical association declaration of Helsinki: ethical principles for medical research involving human subjects","volume":"310","author":"Association","year":"2013","journal-title":"JAMA"},{"issue":"9596","key":"10.1016\/j.clbc.2023.01.008_bib0031","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies","volume":"370","author":"von Elm","year":"2007","journal-title":"Lancet"},{"key":"10.1016\/j.clbc.2023.01.008_bib0032","doi-asserted-by":"crossref","first-page":"W163","DOI":"10.7326\/0003-4819-147-8-200710160-00010-w1","article-title":"Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration","volume":"147","author":"Vandenbroucke","year":"2007","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.clbc.2023.01.008_bib0033","doi-asserted-by":"crossref","DOI":"10.1088\/1361-6579\/aba007","article-title":"Muscle activity and architecture as a predictor of hand-grip strength","volume":"41","author":"Trinidad-Fern\u00e1ndez","year":"2020","journal-title":"Physiol Measur"},{"key":"10.1016\/j.clbc.2023.01.008_bib0034","unstructured":"Surface electromyography for the non-invasive assessment of muscles. Accessed: March, 2021. Available at: www.seniam.org."},{"key":"10.1016\/j.clbc.2023.01.008_bib0035","article-title":"Shoulder and Upper Limb, Hand Flexor Digitorum Profundus Muscle.In: StatPearls [Internet]. Treasure Island (FL): StatPearls","volume":"17","author":"Lung","year":"2022","journal-title":"Publishing"},{"key":"10.1016\/j.clbc.2023.01.008_bib0036","unstructured":"Okafor L VM Anatomy, Shoulder and Upper Limb, Hand Flexor Digitorum Superficialis Muscle. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020."},{"key":"10.1016\/j.clbc.2023.01.008_bib0037","unstructured":"Perotto A DE Anatomical Guide for the Electromyographer: The Limbs and Trunk. 4th ed. AO Perotto. Springfield, IL 62704, Charles C Thomas Publisher Ltd, 2005, hardcover, 345 pp, illus, ISBN: 0-398-07577-8Ch."},{"key":"10.1016\/j.clbc.2023.01.008_bib0038","series-title":"Atlas of Muscle Innervation Zones: Understanding Surface Electromyography and Its Applications","first-page":"142p","author":"Barbero","year":"2012"},{"key":"10.1016\/j.clbc.2023.01.008_bib0039","unstructured":"Elaine Ewing Fess CAM. Clinical Assessment Recommendations. American Society of Hand Therapist; 1981 [Accessed March, 2021]. Available at: https:\/\/asht.org\/practice\/clinical-assessment-recommendations."},{"key":"10.1016\/j.clbc.2023.01.008_bib0040","unstructured":"Piper BF, Dibble SL, Dodd MJ, Weiss MC, Slaughter RE PSM. The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer. Oncol Nurs Forum 25:677-84."},{"key":"10.1016\/j.clbc.2023.01.008_bib0041","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1188\/03.ONF.787-795","article-title":"Clinical excellence through evidence-based practice: fatigue management as a model","volume":"30","author":"Mock","year":"2003","journal-title":"Oncol Nurs Forum"},{"key":"10.1016\/j.clbc.2023.01.008_bib0042","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1111\/j.1529-8027.2008.00156.x","article-title":"Chemotherapy-induced neuropathy","volume":"13","author":"Windebank","year":"2008","journal-title":"J Peripheral Nerv Sys"},{"key":"10.1016\/j.clbc.2023.01.008_bib0043","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.3390\/ijms20061451","article-title":"Mechanisms of chemotherapy-induced peripheral neuropathy","volume":"20","author":"Zajaczkowsk\u0105","year":"2019","journal-title":"Int J Mol Sci"},{"key":"10.1016\/j.clbc.2023.01.008_bib0044","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/j.apmr.2016.07.017","article-title":"The association between maximal bench press strength and Isometric handgrip strength among breast cancer survivors","volume":"98","author":"Benjamin","year":"2017","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.clbc.2023.01.008_bib0045","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1097\/PHM.0000000000000455","article-title":"Predictors of altered upper extremity function during the first year after breast cancer treatment","volume":"95","author":"Smoot","year":"2016","journal-title":"Am J Phy Med Rehab"},{"key":"10.1016\/j.clbc.2023.01.008_bib0046","first-page":"1","article-title":"Cancer survivors exhibit a different relationship between muscle strength and health-related quality of life\/fatigue compared to healthy subjects","volume":"27","author":"Morishita","year":"2018","journal-title":"Eur J Cancer Care"},{"key":"10.1016\/j.clbc.2023.01.008_bib0047","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1093\/ageing\/afq034","article-title":"Sarcopenia: European consensus on definition and diagnosis","volume":"39","author":"Cruz-Jentoft","year":"2010","journal-title":"Age and Ageing"},{"key":"10.1016\/j.clbc.2023.01.008_bib0048","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1093\/ageing\/afy169","article-title":"Sarcopenia: revised European consensus on definition and diagnosis","volume":"48","author":"Cruz-Jentoft","year":"2019","journal-title":"Age and Ageing"},{"issue":"SUPPL.8","key":"10.1016\/j.clbc.2023.01.008_bib0049","doi-asserted-by":"crossref","first-page":"2261","DOI":"10.1002\/cncr.27475","article-title":"Cancer-related fatigue: Implications for breast cancer survivors","volume":"118","author":"Berger","year":"2012","journal-title":"Cancer"},{"key":"10.1016\/j.clbc.2023.01.008_bib0050","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1093\/annonc\/mdq458","article-title":"Cancer-related fatigue: a practical review","volume":"22","author":"Campos","year":"2011","journal-title":"Ann Oncol"},{"key":"10.1016\/j.clbc.2023.01.008_bib0051","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1007\/s12282-019-01004-y","article-title":"Physical symptoms and components of labor tasks associated with upper limb disability among working breast cancer survivors","volume":"27","author":"de Souza Cunha","year":"2020","journal-title":"Breast Cancer"},{"issue":"4","key":"10.1016\/j.clbc.2023.01.008_bib0052","first-page":"1933","article-title":"Factors associated with upper limb dysfunction in breast cancer survivors","volume":"29","author":"Siqueira","year":"2020","journal-title":"Supp Care Cancer"},{"key":"10.1016\/j.clbc.2023.01.008_bib0053","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.1152\/jappl.1983.54.6.1653","article-title":"Myoelectric signal versus force relationship in different human muscle","volume":"54","author":"Lawrence","year":"1983","journal-title":"J Appl Physiol"},{"key":"10.1016\/j.clbc.2023.01.008_bib0054","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1519\/JSC.0b013e31815ef675","article-title":"Establishing a new index of muscle cross-sectional area and its relationship with isometric muscle strength","volume":"22","author":"Akagi","year":"2008","journal-title":"J Strength Cond Res"},{"key":"10.1016\/j.clbc.2023.01.008_bib0055","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.jelekin.2012.08.004","article-title":"Muscle fatigue and contraction intensity modulates the complexity of surface electromyography","volume":"23","author":"Cashaback","year":"2013","journal-title":"J Electromyogr Kinesiol"}],"container-title":["Clinical Breast Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1526820923000186?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1526820923000186?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:25:08Z","timestamp":1761513908000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1526820923000186"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":55,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["S1526820923000186"],"URL":"https:\/\/doi.org\/10.1016\/j.clbc.2023.01.008","relation":{},"ISSN":["1526-8209"],"issn-type":[{"value":"1526-8209","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Forearm Muscle Activity During the Handgrip Test in Breast Cancer Survivors: A Cross-Sectional Study","name":"articletitle","label":"Article Title"},{"value":"Clinical Breast Cancer","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clbc.2023.01.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 The Authors. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}