背景與目的：乳癌病人常有上半身機能障礙，影響其身體之活動/參與。本研究探討初期乳癌病 人的身體機能與活動/參與的相關性。方法；34位初期乳癌療癒者填寫生活品質量表與上肢功能 障礙問卷，並接受臨床測試（肩關節活動度、臂圍、握力與肩部肌耐力以及六分鐘行走測試）。以 生活品質量表六個功能面向及上肢功能障礙問卷分數為ICF架構之活動/參與成份，另採計生活品 質問卷中五項主觀的身體症狀以及客觀臨床測試為身體機能變項。以斯皮爾曼相關性分析主、客 觀身體機能變項與活動/參與成份變項間之相關性。結果：活動/參與成份與五項主觀身體症狀 大多呈現顯著相關（P<0.05);其中上肢功能障礙問卷分數分別與疼痛（p.509)、手臂症狀（r^.685 ) 與乳房症狀（r= .554)有中度相關；身體功能面向則與疲倦呈現中度負相關（r=-.517)。但是客觀的 臨床測試與活動/參與成份則呈低度或無相關。結論：初期乳癌病人自覺上肢活動/參與的障礙與 主觀感受的身體症狀有顯著相關，但與客觀身體機能表現無關。臨床意義：在評量乳癌病人，應 注重病人的主觀感受，方可擬定以病人為中心的介入策略。（物理治療2013;38(2):144-151 )

Background and Purpose: Breast cancer survivors usually accompany with upper body impairments and negatively impact their activities and participations. The purpose of this study was to investigate the correlations between body functions and activity/participation. Methods: Thirty-four early stage breast cancer survivors finished Quality of Life questionnaires (EORTC QLQ-C30 and BR23) and Disability of Arm, Shoulder and Hand questionnaire (DASH). They also received physical tests including shoulder range of motion, arm circumferences, grip strength and shoulder muscle endurance, six-minute walking distance. Six functioning domains computed from EORTC QLQ-C30 and DASH scores were categorized into activity and participation components. Five symptom scales (fatigue, pain, insomnia, arm symptoms and breast symptoms) were computed as subjective body function variables. The results of physical tests were categorized into objective physical function component. All variables were analyzed by Spearman’s correlation tests. Results: Five subjective symptom scores were significantly correlated with DASH score and most of the functioning domains. Moderate correlations were found between DASH and three subjective symptom scores including pain (r=.509), arm symptoms (r=.685) and breast symptoms (r=.554) respectively. Fatigue and physical functioning also correlated moderately (r=-.517). However, the objective physical tests had low correlations with DASH and functioning domain scores. Conclusion: Disabilities reported by early stage breast cancer survivors were significantly correlated with their subjective perceived symptoms, but not with objective physical tests. Clinical Relevance: Considering subjective symptoms of breast cancer survivors is important for setting patient-centered intervention strategy. (FJPT 2013;38(2):144-151)