Relationships Among Range of Motion, Functional Mobility, and Quality of Life in Children and Adolescents After Limb-Sparing Surgery for Lower-Extremity Sarcoma

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Purpose:The study was designed to examine relationships between range of motion (ROM), functional mobility, and quality of life (QL) in patients with lower-extremity sarcoma (LES) after limb-sparing surgeryMethods:Sixty-eight patients with LES (age, 10–26 years) participated. The patients performed hip flexion, hip extension, knee flexion, and knee extension, Timed Up and Down Stairs (TUDS), Timed Up and Go (TUG), nine-minute run-walk (9-min), and completed the QL measure, Short-Form-36 version two (SF-36v2).Results:Significant correlations (p < 0.01) were found between hip extension and SF-36v2 physical component scale (PCS; r = 0.33), TUDS (r = −0.32), TUG (r = −0.33); hip flexion and TUDS (r = −0.31), TUG (r = −0.39), 9-min (r = 0.44); knee flexion and TUDS (r = −0.52), TUG (r = −0.40), 9-min (r = 0.37); SF-36v2 PCS and TUDS (r = −0.56), TUG (r = −0.51), 9-min (r = 0.60).Conclusion:ROM correlates with functional mobility and QL in patients with LES after limb-sparing surgery. ROM exercises are important component of a physical therapy program for children and adolescents with LES.

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