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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Main Authors: Iwona Głowacka-Mrotek, Magdalena Tarkowska, Tomasz Nowikiewicz, Magdalena Hagner-Derengowska, Aleksander Goch
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Medicina
Subjects:
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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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
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AT tomasznowikiewicz assessmentofposturalbalanceinwomentreatedforbreastcancer
AT magdalenahagnerderengowska assessmentofposturalbalanceinwomentreatedforbreastcancer
AT aleksandergoch assessmentofposturalbalanceinwomentreatedforbreastcancer