Abstract
The case was a 60-year-old man with cucullaris muscle paralysis after head and neck cancer lymph node dissection. Rehabilitation commenced after the Modified Eden-Lange Procedure. The patient had limited upper limb elevation and difficulty with activities of daily living requiring upward reaching. Rehabilitation began from the early postoperative period, and the patient acquired 150-degree active elevation range of motion at five months after surgery, and was able to smoothly change a light bulb, indicating improvement in arm elevation. The active elevation improved to 170 degrees two and a half years after surgery. Exercise of the transition muscle promoted reconstruction of the shoulder upper arm rhythm that linked to residual muscle and improved arm function and ADL.
