Assessment of Postural Balance in Women Treated for Breast Cancer
<i>Background and objectives:</i> Surgery is the primary and most effective treatment of breast cancer. Unilateral mastectomy disrupts the distribution of muscle tension between the right and the left sides of the body. The aim of the study was to evaluate postural balance in patients tr...
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MDPI AG
2020-09-01
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Series: | Medicina |
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Online Access: | https://www.mdpi.com/1010-660X/56/10/505 |
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author | Iwona Głowacka-Mrotek Magdalena Tarkowska Tomasz Nowikiewicz Magdalena Hagner-Derengowska Aleksander Goch |
author_facet | Iwona Głowacka-Mrotek Magdalena Tarkowska Tomasz Nowikiewicz Magdalena Hagner-Derengowska Aleksander Goch |
author_sort | Iwona Głowacka-Mrotek |
collection | DOAJ |
description | <i>Background and objectives:</i> Surgery is the primary and most effective treatment of breast cancer. Unilateral mastectomy disrupts the distribution of muscle tension between the right and the left sides of the body. The aim of the study was to evaluate postural balance in patients treated for breast cancer by mastectomy. <i>Materials and methods:</i> A controlled clinical study was conducted on 90 patients who have undergone surgical treatment for breast cancer (mastectomy) 5–6 years prior (Breast Group—BG). The control group (CG) consisted of 74 healthy female volunteers. Analysis of balance was performed using the Alfa stabilography platform. A static test (Romberg’s test) with open and closed eyes was used to assess balance. The following balance parameters were analyzed: path length, statokinesigram area, parameters of deflection and velocity of the foot pressure center. <i>Results:</i> The study demonstrated that patients from BG (5–6 years after surgery) obtained worse results in both tests with open (maximum back deviation, maximum forward deviation, average Y deviation, average Y velocity, path length and path surface area) (<i>p</i> < 0.05) as well as with closed eyes (maximum backward deviation, maximum forward deviation, mean Y deviation and path length) (<i>p</i> < 0.05). <i>Conclusions:</i> Our study demonstrated that women 5–6 years after surgery for breast cancer have impaired balance compared to healthy women, despite physiotherapy. |
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id | doaj.art-42f2e2a92336403dacb0545f2c82f436 |
institution | Directory Open Access Journal |
issn | 1010-660X |
language | English |
last_indexed | 2024-03-12T06:21:37Z |
publishDate | 2020-09-01 |
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spelling | doaj.art-42f2e2a92336403dacb0545f2c82f4362023-09-03T02:10:44ZengMDPI AGMedicina1010-660X2020-09-015650550510.3390/medicina56100505Assessment of Postural Balance in Women Treated for Breast CancerIwona Głowacka-Mrotek0Magdalena Tarkowska1Tomasz Nowikiewicz2Magdalena Hagner-Derengowska3Aleksander Goch4Department of Rehabilitation, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 87-100 Toruń, PolandDepartment of Laser Therapy and Physiotherapy, Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 87-100 Toruń, PolandDepartment of Surgical Oncology, Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 87-100 Toruń, PolandDepartment of Rehabilitation, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 87-100 Toruń, PolandDepartment of Rehabilitation, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 87-100 Toruń, Poland<i>Background and objectives:</i> Surgery is the primary and most effective treatment of breast cancer. Unilateral mastectomy disrupts the distribution of muscle tension between the right and the left sides of the body. The aim of the study was to evaluate postural balance in patients treated for breast cancer by mastectomy. <i>Materials and methods:</i> A controlled clinical study was conducted on 90 patients who have undergone surgical treatment for breast cancer (mastectomy) 5–6 years prior (Breast Group—BG). The control group (CG) consisted of 74 healthy female volunteers. Analysis of balance was performed using the Alfa stabilography platform. A static test (Romberg’s test) with open and closed eyes was used to assess balance. The following balance parameters were analyzed: path length, statokinesigram area, parameters of deflection and velocity of the foot pressure center. <i>Results:</i> The study demonstrated that patients from BG (5–6 years after surgery) obtained worse results in both tests with open (maximum back deviation, maximum forward deviation, average Y deviation, average Y velocity, path length and path surface area) (<i>p</i> < 0.05) as well as with closed eyes (maximum backward deviation, maximum forward deviation, mean Y deviation and path length) (<i>p</i> < 0.05). <i>Conclusions:</i> Our study demonstrated that women 5–6 years after surgery for breast cancer have impaired balance compared to healthy women, despite physiotherapy.https://www.mdpi.com/1010-660X/56/10/505balancemastectomyadverse consequencesbreast cancer |
spellingShingle | Iwona Głowacka-Mrotek Magdalena Tarkowska Tomasz Nowikiewicz Magdalena Hagner-Derengowska Aleksander Goch Assessment of Postural Balance in Women Treated for Breast Cancer Medicina balance mastectomy adverse consequences breast cancer |
title | Assessment of Postural Balance in Women Treated for Breast Cancer |
title_full | Assessment of Postural Balance in Women Treated for Breast Cancer |
title_fullStr | Assessment of Postural Balance in Women Treated for Breast Cancer |
title_full_unstemmed | Assessment of Postural Balance in Women Treated for Breast Cancer |
title_short | Assessment of Postural Balance in Women Treated for Breast Cancer |
title_sort | assessment of postural balance in women treated for breast cancer |
topic | balance mastectomy adverse consequences breast cancer |
url | https://www.mdpi.com/1010-660X/56/10/505 |
work_keys_str_mv | AT iwonagłowackamrotek assessmentofposturalbalanceinwomentreatedforbreastcancer AT magdalenatarkowska assessmentofposturalbalanceinwomentreatedforbreastcancer AT tomasznowikiewicz assessmentofposturalbalanceinwomentreatedforbreastcancer AT magdalenahagnerderengowska assessmentofposturalbalanceinwomentreatedforbreastcancer AT aleksandergoch assessmentofposturalbalanceinwomentreatedforbreastcancer |