Malicka Iwona, Barczyk Katarzyna, Hanuszkiewicz Justyna, Skolimowska Beata, Woźniewski Marek
Physiotherapy Faculty, University of Physical Education in Wrocław.
Ortop Traumatol Rehabil. 2010 Jul-Aug;12(4):353-61.
Human body posture changes in the course of ontogenesis. The changes are brought about by both internal factors (illness) and external factors (injury). The negative consequences of a medical condition such as breast cancer, together with the treatment process, undoubtedly contribute to disturbance of body posture. The aim of this paper was to evaluate the type of body posture in women after treatment of breast cancer on the basis of anteroposterior spinal curves.
The study involved a group of 51 (Group 1) women following treatment of breast cancer and a group of 37 healthy women (Group 2). The average age of the women in Group 1 was 61 years, and the average age of the healthy women was 58 years. All participants underwent a photogrammetric examination of body posture. Postural types were defined on the basis of the value of a compensation index (μ) as kyphotic, balanced, and lordotic. The following subtypes were distinguished within these three categories, depending on the shape of the spinal curves: kyphotic subtype I, II, III; balanced subtype I, II, III; and lordotic subtype I, II, III.
The post-mastectomy group and the control group did not differ with regard to age (p=0.09), making it possible to continue the analysis of postural differences, which revealed significant differences at p=0.00008. In the group of women after treatment of breast cancer, 82.3% demonstrated a faulty body posture, compared to only 35.1% of the controls. There was no significant relationship between the quality of body posture and oncological treatment.
A significantly higher incidence of faulty body postures was observed among women after treatment of breast cancer.
人体姿势在个体发育过程中会发生变化。这些变化是由内部因素（疾病）和外部因素（损伤）共同引起的。诸如乳腺癌等疾病状况的负面后果，连同治疗过程，无疑会导致身体姿势紊乱。本文旨在基于脊柱前后曲线评估乳腺癌治疗后女性的身体姿势类型。
该研究纳入了一组51名（第1组）乳腺癌治疗后的女性和一组37名健康女性（第2组）。第1组女性的平均年龄为61岁，健康女性的平均年龄为58岁。所有参与者均接受了身体姿势的摄影测量检查。姿势类型根据补偿指数（μ）的值定义为驼背型、平衡型和前凸型。在这三个类别中，根据脊柱曲线的形状区分出以下亚型：驼背型I、II、III；平衡型I、II、III；以及前凸型I、II、III。
乳房切除术后组和对照组在年龄方面无差异（p = 0.09），这使得能够继续分析姿势差异，分析结果显示在p = 0.00008时有显著差异。在乳腺癌治疗后的女性组中，82.3%表现出身体姿势不良，而对照组中这一比例仅为35.1%。身体姿势质量与肿瘤治疗之间无显著关系。
在乳腺癌治疗后的女性中观察到身体姿势不良的发生率显著更高。
