Objective Integrated Assessment of Functional Outcomes in Reduction Mammaplasty
Background: The aim of our study was an objective integrated assessment of the functional outcomes of reduction mammaplasty. Methods: The study involved 17 women undergoing reduction mammaplasty from March 2009 to June 2011. Each patient was assessed before surgery and 2 months postoperatively with...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2013-10-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/Fulltext/2013/10000/Article.3.aspx |
| _version_ | 1811264409616515072 |
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| author | Giovanni Nicoletti, MD FEBoPRAS Ilaria Passaro, MD Alberto Malovini, PhD Angela Faga, MD, FICS Elena Dalla Toffola, MD |
| author_facet | Giovanni Nicoletti, MD FEBoPRAS Ilaria Passaro, MD Alberto Malovini, PhD Angela Faga, MD, FICS Elena Dalla Toffola, MD |
| author_sort | Giovanni Nicoletti, MD FEBoPRAS |
| collection | DOAJ |
| description | Background: The aim of our study was an objective integrated assessment of the functional outcomes of reduction mammaplasty.
Methods: The study involved 17 women undergoing reduction mammaplasty from March 2009 to June 2011. Each patient was assessed before surgery and 2 months postoperatively with the original association of 4 subjective and objective assessment methods: a physiatric clinical examination, the Roland Morris Disability Questionnaire, the Berg Balance Scale, and a static force platform analysis.
Results: All of the tests proved multiple statistically significant associated outcomes demonstrating a significant improvement in the functional status following reduction mammaplasty. Surgical correction of breast hypertrophy could achieve both spinal pain relief and recovery of performance status in everyday life tasks, owing to a muscular postural functional rearrangement with a consistent antigravity muscle activity sparing. Pain reduction in turn could reduce the antalgic stiffness and improved the spinal range of motion. In our sample, the improvement of the spinal range of motion in flexion matched a similar improvement in extension. Recovery of a more favorable postural pattern with reduction of the anterior imbalance was demonstrated by the static force stabilometry. Therefore, postoperatively, all of our patients narrowed the gap between the actual body barycenter and the ideal one. The static force platform assessment also consistently confirmed the effectiveness of an accurate clinical examination of functional impairment from breast hypertrophy.
Conclusions: The static force platform assessment might help the clinician to support the diagnosis of functional impairment from a breast hypertrophy with objectively based data. |
| first_indexed | 2024-04-12T20:03:52Z |
| format | Article |
| id | doaj.art-97c92551cf724e8b839fbedde761fd27 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-12T20:03:52Z |
| publishDate | 2013-10-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-97c92551cf724e8b839fbedde761fd272022-12-22T03:18:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742013-10-0117e6110.1097/GOX.000000000000000401720096-201310000-00003Objective Integrated Assessment of Functional Outcomes in Reduction MammaplastyGiovanni Nicoletti, MD FEBoPRAS0Ilaria Passaro, MD1Alberto Malovini, PhD2Angela Faga, MD, FICS3Elena Dalla Toffola, MD4From the Plastic Surgery Unit, University of Pavia, Salvatore Maugeri Research and Care Institute, Pavia, ItalyPhysical Medicine and Rehabilitation Unit, University of Pavia, San Matteo Research and Care Institute, Pavia, Italy;Department of Computer Engineering and Systems Science, University of Pavia, Salvatore Maugeri Research and Care Institute, Pavia, Italy.From the Plastic Surgery Unit, University of Pavia, Salvatore Maugeri Research and Care Institute, Pavia, ItalyPhysical Medicine and Rehabilitation Unit, University of Pavia, San Matteo Research and Care Institute, Pavia, Italy;Background: The aim of our study was an objective integrated assessment of the functional outcomes of reduction mammaplasty. Methods: The study involved 17 women undergoing reduction mammaplasty from March 2009 to June 2011. Each patient was assessed before surgery and 2 months postoperatively with the original association of 4 subjective and objective assessment methods: a physiatric clinical examination, the Roland Morris Disability Questionnaire, the Berg Balance Scale, and a static force platform analysis. Results: All of the tests proved multiple statistically significant associated outcomes demonstrating a significant improvement in the functional status following reduction mammaplasty. Surgical correction of breast hypertrophy could achieve both spinal pain relief and recovery of performance status in everyday life tasks, owing to a muscular postural functional rearrangement with a consistent antigravity muscle activity sparing. Pain reduction in turn could reduce the antalgic stiffness and improved the spinal range of motion. In our sample, the improvement of the spinal range of motion in flexion matched a similar improvement in extension. Recovery of a more favorable postural pattern with reduction of the anterior imbalance was demonstrated by the static force stabilometry. Therefore, postoperatively, all of our patients narrowed the gap between the actual body barycenter and the ideal one. The static force platform assessment also consistently confirmed the effectiveness of an accurate clinical examination of functional impairment from breast hypertrophy. Conclusions: The static force platform assessment might help the clinician to support the diagnosis of functional impairment from a breast hypertrophy with objectively based data.http://journals.lww.com/prsgo/Fulltext/2013/10000/Article.3.aspx |
| spellingShingle | Giovanni Nicoletti, MD FEBoPRAS Ilaria Passaro, MD Alberto Malovini, PhD Angela Faga, MD, FICS Elena Dalla Toffola, MD Objective Integrated Assessment of Functional Outcomes in Reduction Mammaplasty Plastic and Reconstructive Surgery, Global Open |
| title | Objective Integrated Assessment of Functional Outcomes in Reduction Mammaplasty |
| title_full | Objective Integrated Assessment of Functional Outcomes in Reduction Mammaplasty |
| title_fullStr | Objective Integrated Assessment of Functional Outcomes in Reduction Mammaplasty |
| title_full_unstemmed | Objective Integrated Assessment of Functional Outcomes in Reduction Mammaplasty |
| title_short | Objective Integrated Assessment of Functional Outcomes in Reduction Mammaplasty |
| title_sort | objective integrated assessment of functional outcomes in reduction mammaplasty |
| url | http://journals.lww.com/prsgo/Fulltext/2013/10000/Article.3.aspx |
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