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갑상선절제술 후 경부불편감의 경감을 위한 조기 경부운동의 효과 분석: 무작위 전향적 연구
Early Neck Exercises to Reduce Post-Thyroidectomy Syndrome after Uncomplicated Thyroid Surgery: A Prospective Randomized Study

대한갑상선학회지 2014년 7권 1호 p.70 ~ p.76

장전엽(Jang Jeon-Yeob) - 성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실
장영수(Chang Young-Soo) - 성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실
김은혜(Kim Eun-Hye) - 성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실
문정환(Moon Jeong-Hwan) - 단국대학교 의과대학 이비인후-두경부외과학교실
손영익(Son Young-Ik) - 성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과

Abstract

Background and Objectives: To evaluate the efficacy and safety of early neck exercises to reduce post-thyroidectomy symptoms and syndromes for patients undergoing thyroid surgery.

Materials and Methods: One hundred patients who had undergone thyroid surgery were randomly assigned 1：1 to control (delayed exercise, initiating at postoperative 2 weeks) or early exercise group (initiating at postoperative 1 day). Questionnaire survey (voice, globus sense, neck discomfort, swallowing difficulty) and objective measurement (surgical wound adhesion, range of neck motion and scar scale) were performed at 2 weeks and 3 months postoperatively.

Results: Compared to control, early exercise significantly decreased the degree of neck discomfort at 2 weeks after thyroid surgery (p=0.037) while other subjective symptoms including voice change, globus sense, and swallowing difficulty were not significantly different between the two groups. The degree of surgical wound adhesion was significantly decreased (p＜0.001) and the range of motion was improved in early exercise group (p=0.010). In addition, the objective scores of Vancouver Scar Scale (VSS) were decreased in early exercise group compared to those of control group (p=0.020).

Conclusion: Early neck exercises are safe and effective to reduce postoperative neck discomfort, wound adhesion, or hypertrophy of scar and to improve the range of motion in patients undergoing thyroid surgery.

키워드

Neck exercise, Thyroid surgery, Post-thyroidectomy syndrome, Post-operative neck discomfort

KMID : 1202020140070010070

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주제코드

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유효성결과(Recomendation)

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DOI

KCD코드

ICD 03

건강보험코드

갑상선절제술 후 경부불편감의 경감을 위한 조기 경부운동의 효과 분석: 무작위 전향적 연구 Early Neck Exercises to Reduce Post-Thyroidectomy Syndrome after Uncomplicated Thyroid Surgery: A Prospective Randomized Study

Abstract

키워드

갑상선절제술 후 경부불편감의 경감을 위한 조기 경부운동의 효과 분석: 무작위 전향적 연구
Early Neck Exercises to Reduce Post-Thyroidectomy Syndrome after Uncomplicated Thyroid Surgery: A Prospective Randomized Study