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Usefulness of Kinect sensor–based reachable workspace system for assessing upper extremity dysfunction in breast cancer patients

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Abstract

Purpose

Recently, the utility of the Kinect sensor–based reachable workspace analysis system for measuring upper extremity outcomes of neuromuscular and musculoskeletal diseases has been demonstrated. Here, we investigated its usefulness for assessing upper extremity dysfunction in breast cancer patients.

Methods

Twenty unilateral breast cancer patients were enrolled. Upper extremity active range of motion was captured by the Kinect sensor, and reachable workspace relative surface areas (RSAs) were obtained. The QuickDASH was completed to assess upper extremity disability. General and breast cancer–specific quality of life (QOL) were assessed by the EORTC QLQ-C30 and EORTC QLQ-BR23.

Results

The total RSA ratio of the affected and unaffected sides ranges from 0.64 to 1.11. Total RSA was significantly reduced on the affected versus unaffected side (0.659 ± 0.105 vs. 0.762 ± 0.065; p = 0.001). Quadrant 1 and 3 RSAs were significantly reduced (0.135 ± 0.039 vs. 0.183 ± 0.040, p < 0.001; 0.172 ± 0.058 vs. 0.217 ± 0.031, p = 0.006). Total RSA of the affected side was strongly correlated with the numeric pain rating scale during movement (r = − 0.812, p < 0.001) and moderately with the QuickDASH (r = − 0.494, p = 0.027). Further, quadrant 3 RSA was correlated with EORTC QLQ-C30 role functioning (r = 0.576, p = 0.008) and EORTC QLQ-BR23 arm symptoms (r = − 0.588, p = 0.006) scales.

Conclusions

The Kinect sensor–based reachable workspace analysis system was effectively applied to assess upper extremity dysfunction in breast cancer patients. This system could potentially serve as a quick and simple outcome measure that provides quantitative data for breast cancer patients.

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Authors and Affiliations

  1. Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, South Korea

    Kyeong Eun Uhm, Seunghwan Lee & Jongmin Lee

  2. Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA

    Gregorij Kurillo

  3. Department of Physical Medicine and Rehabilitation, School of Medicine, University of California at Irvine, Orange, CA, USA

    Jay J. Han

  4. Department of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, South Korea

    Jung-Hyun Yang & Young Bum Yoo

  5. Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, South Korea

    Jongmin Lee

Authors
  1. Kyeong Eun Uhm
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  2. Seunghwan Lee
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  3. Gregorij Kurillo
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  7. Jongmin Lee
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Correspondence to Jongmin Lee.

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The study protocol was approved by the Institutional Review Board of Konkuk University Medical Center.

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Informed consent was obtained from all individual participants included in the study.

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Uhm, K.E., Lee, S., Kurillo, G. et al. Usefulness of Kinect sensor–based reachable workspace system for assessing upper extremity dysfunction in breast cancer patients. Support Care Cancer 28, 779–786 (2020). https://doi.org/10.1007/s00520-019-04874-2

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