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乳腺癌治疗后女性矢状面特定形式体育活动对身体姿势的影响。

Effects of selected forms of physical activity on body posture in the sagittal plane in women post breast cancer treatment.

作者信息

Hanuszkiewicz Justyna, Malicka Iwona, Barczyk-Pawelec Katarzyna, Woźniewski Marek

出版信息

J Back Musculoskelet Rehabil. 2015;28(1):35-42. doi: 10.3233/BMR-140487.

DOI:10.3233/BMR-140487
PMID:24968794
Abstract

BACKGROUND

Breast cancer treatment may be a cause of postural disorders.

OBJECTIVE

Assessment of the effects of various forms of physical activity on body posture in the sagittal plane in women post breast cancer treatment.

STUDY GROUP

Sixty women who had received breast cancer treatment. The study group was intentionally divided into three groups of 20 women who followed different exercise regimens: NordicWalking (NW), water resistance exercise (WE) or general fitness exercise (GE).

METHODS

Photogrammetric examination of body posture using a Computer-Based Body Posture Diagnostics apparatus performed at baseline and after an 8-week regimen of appropriately selected physical exercise.

RESULTS

A favourable tendency for the shallowing of thoracic kyphosis and the reduction of lumbar cu rvature of the spine was noted in the NW group. Reduced kyphosis was also noted in the WE group, however it was accompanied by more pronounced lumbar lordosis and a tendency for excessive forward bending of the trunk. In the GE group, on the other hand, no significant differences were observed in terms of the shape of anteroposterior spinal curvatures.

CONCLUSIONS

The diversity observed in the shape of anteroposterior spinal curvatures following physical training regimens of different type and nature demonstrates the need of appropriate exercise selection to attain the desired therapeutic outcome. Balanced postural changes were only identified among the women in the NW group. In the GE group, however, training only sustained the status existing prior to the initiation of the exercise regimen.

摘要

背景

乳腺癌治疗可能是导致姿势障碍的一个原因。

目的

评估各种形式的体育活动对乳腺癌治疗后女性矢状面身体姿势的影响。

研究组

60名接受过乳腺癌治疗的女性。研究组被有意分为三组,每组20名女性,她们遵循不同的运动方案:越野行走(NW)、水中阻力运动(WE)或一般健身运动(GE)。

方法

使用基于计算机的身体姿势诊断设备对身体姿势进行摄影测量检查,在基线时以及经过8周适当选择的体育锻炼方案后进行。

结果

在NW组中,观察到胸椎后凸变浅和腰椎脊柱曲度减小的有利趋势。在WE组中也观察到后凸减小,然而,这伴随着更明显的腰椎前凸和躯干过度向前弯曲的趋势。另一方面,在GE组中,前后脊柱曲度的形状没有观察到显著差异。

结论

在不同类型和性质的体育训练方案后,前后脊柱曲度形状的多样性表明需要选择合适的运动以获得理想的治疗效果。仅在NW组女性中发现了平衡的姿势变化。然而,在GE组中,训练仅维持了运动方案开始前的现有状态。

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