الفهرس 
Title : Impact Of Hand Lymphedema On Functional Mobility, Grip Strength And Kinesthetic Sense Of The Hand In Women With Breast Cancer
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Abstract
Lymphedema is a common complication of breast cancer treatment and in BCRL (breast cancer-related lymphedema), arm swelling is unevenly distributed, and some regions are partly or entirely spared. In particular, the hand may or not be swollen, but when involved functional impairment can be substantial so it’s unclear to what extent other variables such as pain , grip strength, functional mobility and kinesthetic sense disturbancesdiffer between women with hand lymphedema and without hand lymphedema in breast cancer–related lymphedema (BCRL).The purpose of this study is to determine the impact of hand lymphedema on each of pain, grip strength, functional mobility and kinesthetic sense disturbances in women with breast cancer-related lymphedema (BCRL) and to evaluate the correlation of hand edema severity and each of the independent variables (pain, hand grip strength, functional mobility, and kinesthetic sense ). Sixty women experiencing lymphedema after breast surgery participated in this study. They were recruited from Kasr Al-ainy hospital , between 40 to 60 years old were divided into two equal groups, group (A,B) . After breast cancer therapy, women with hand edema (HE+, n = 30) and without hand edema (HE, n = 30) .Arm lymphedema severity and hand size , pain , grip strength ,functional mobility and kinesthetic sense were evaluated . Mann-Whitney U-test used to determine the significance differences between two groups for the measured variables (pain, functional mobility , grip strength, kinesthetic sense) . Pearson’s product correlation (r) was used to determine the relationship between measurement techniques. The result of this study revealed that there were significant differences between group A and group B in each of pain , grip strength difference ,functional mobility, and kinesthetic sense of the hand that hand lymphedema has a negative relationship with each of these independent variables a ( (p = 0.04) (p = 0.001) (p = 0.0001)(p = 0.0001) respectively). There was no significant correlation between the severity of hand lymphedema and each of pain intensity, hand grip strength and functional mobility of the hand (p = 0.228&r = 0.23 ) (p = 0.938& r = -0.015 ) (p = 0.283& r = -0.02) respectively. However, there was a significant moderate positive correlation between hand lymphedema severityand hand kinesthetic sense loss (P = 0.0001& r = 0.67 ).We concluding thatlimbs affected by hand lymphedema have more pain, weaker grip strength, less hand functional mobility, and loss of hand kinesthetic sense. The severity of lymphedema is not associated with increased symptoms of hand lymphedema as pain, hand grip strength and functional mobility, but it did affect hand kinesthetic sense.