Abstract：
UNASSIGNED: This study aimed to investigate the relationship between various clinical factors and physical function in the early postoperative period in patients with soft tissue sarcomas (STSs) by subjective and objective evaluations.
UNASSIGNED: The 90 patients enrolled in this study were classified into five groups according to tumor location: retroperitoneal, gluteal, groin, thigh, and lower leg. The Musculoskeletal Tumor Society (MSTS) score was evaluated at discharge; the timed up-and-go test (TUGT) was performed preoperatively and at discharge. Group comparisons by tumor location were performed. To identify significant factors associated with physical dysfunction, multivariate analysis was performed using an MSTS score of <80% and a change in pre and postoperative TUGT score.
UNASSIGNED: There were no significant differences between the tumor location and physical function. The change in pre- and postoperative TUGT scores was significantly associated with an MSTS score of <80%. Quadriceps and tibialis anterior muscle resections were significantly associated with the change in pre- and post-operative TUGT scores.
UNASSIGNED: The quadriceps and tibialis anterior muscles may affect physical dysfunction after surgery for STSs. Early postoperative rehabilitation should include the identification of resected muscles and functional improvement of residual muscles, possibly with orthotic support for knee extension and ankle dorsiflexion.
Surgical intervention for soft tissue sarcomas often leads to functional impairment of lower extremities.The Musculoskeletal Tumor Society scoring system and timed up-and-go test (TUGT) can be used as subjective and objective evaluations of physical function in patients with tumors in the lower extremities.The quadriceps and tibialis anterior muscle resections were significantly associated with change in the pre- and postoperative TUGT scores in the early postoperative period in patients with soft tissue sarcomas (STSs).For early postoperative rehabilitation of STSs, identification of resected muscles and functional improvement of residual muscles, possibly with orthotic support for knee extension and ankle dorsiflexion are recommended.
UNASSIGNED: The 90 patients enrolled in this study were classified into five groups according to tumor location: retroperitoneal, gluteal, groin, thigh, and lower leg. The Musculoskeletal Tumor Society (MSTS) score was evaluated at discharge; the timed up-and-go test (TUGT) was performed preoperatively and at discharge. Group comparisons by tumor location were performed. To identify significant factors associated with physical dysfunction, multivariate analysis was performed using an MSTS score of <80% and a change in pre and postoperative TUGT score.
UNASSIGNED: There were no significant differences between the tumor location and physical function. The change in pre- and postoperative TUGT scores was significantly associated with an MSTS score of <80%. Quadriceps and tibialis anterior muscle resections were significantly associated with the change in pre- and post-operative TUGT scores.
UNASSIGNED: The quadriceps and tibialis anterior muscles may affect physical dysfunction after surgery for STSs. Early postoperative rehabilitation should include the identification of resected muscles and functional improvement of residual muscles, possibly with orthotic support for knee extension and ankle dorsiflexion.
Surgical intervention for soft tissue sarcomas often leads to functional impairment of lower extremities.The Musculoskeletal Tumor Society scoring system and timed up-and-go test (TUGT) can be used as subjective and objective evaluations of physical function in patients with tumors in the lower extremities.The quadriceps and tibialis anterior muscle resections were significantly associated with change in the pre- and postoperative TUGT scores in the early postoperative period in patients with soft tissue sarcomas (STSs).For early postoperative rehabilitation of STSs, identification of resected muscles and functional improvement of residual muscles, possibly with orthotic support for knee extension and ankle dorsiflexion are recommended.
摘要：
■本研究旨在通过主观和客观评估来研究软组织肉瘤（STSs）患者术后早期各种临床因素与身体功能之间的关系。
■本研究的90例患者根据肿瘤位置分为5组：腹膜后，臀肌,腹股沟,大腿,和小腿。出院时评估肌肉骨骼肿瘤协会（MSTS）评分；术前和出院时进行定时上行测试（TUGT）。根据肿瘤位置进行分组比较。为了确定与身体功能障碍相关的重要因素，多变量分析使用MSTS评分<80%以及术前和术后TUGT评分的变化进行。
■肿瘤位置和身体功能之间没有显着差异。术前和术后TUGT评分的变化与MSTS评分<80%显著相关。股四头肌和胫骨前肌切除术与术前和术后TUGT评分的变化显着相关。
■股四头肌和胫骨前肌可能会影响STS手术后的身体功能障碍。术后早期康复应包括切除肌肉的识别和残余肌肉的功能改善，可能有矫正支持膝盖伸展和踝关节背屈。
软组织肉瘤的手术干预通常会导致下肢的功能损害。肌肉骨骼肿瘤学会评分系统和定时上行测试（TUGT）可用作下肢肿瘤患者身体功能的主观和客观评估。在软组织肉瘤（STSs）患者中，股四头肌和胫骨前肌切除术与术后早期TUGT评分的变化显着相关。对于STS的早期术后康复，识别切除的肌肉和残余肌肉的功能改善，建议使用矫形支撑进行膝关节伸展和踝关节背屈。
■本研究的90例患者根据肿瘤位置分为5组：腹膜后，臀肌,腹股沟,大腿,和小腿。出院时评估肌肉骨骼肿瘤协会（MSTS）评分；术前和出院时进行定时上行测试（TUGT）。根据肿瘤位置进行分组比较。为了确定与身体功能障碍相关的重要因素，多变量分析使用MSTS评分<80%以及术前和术后TUGT评分的变化进行。
■肿瘤位置和身体功能之间没有显着差异。术前和术后TUGT评分的变化与MSTS评分<80%显著相关。股四头肌和胫骨前肌切除术与术前和术后TUGT评分的变化显着相关。
■股四头肌和胫骨前肌可能会影响STS手术后的身体功能障碍。术后早期康复应包括切除肌肉的识别和残余肌肉的功能改善，可能有矫正支持膝盖伸展和踝关节背屈。
软组织肉瘤的手术干预通常会导致下肢的功能损害。肌肉骨骼肿瘤学会评分系统和定时上行测试（TUGT）可用作下肢肿瘤患者身体功能的主观和客观评估。在软组织肉瘤（STSs）患者中，股四头肌和胫骨前肌切除术与术后早期TUGT评分的变化显着相关。对于STS的早期术后康复，识别切除的肌肉和残余肌肉的功能改善，建议使用矫形支撑进行膝关节伸展和踝关节背屈。
