Zak Marek, Biskup Malgorzata, Macek Pawel, Krol Halina, Krupnik Szymon, Opuchlik Anna
Department of Physical Rehabilitation in Rheumatology and Geriatrics, University School of Physical Education, Krakow, Poland.
Department of Rehabilitation, Holycross Cancer Centre, Kielce, Poland.
PLoS One. 2017 Mar 17;12(3):e0173970. doi: 10.1371/journal.pone.0173970. eCollection 2017.
Breast cancer treatment, including radical surgery, is also pursued as late as the 7th - 8th decade of women's lives. Standard physical rehabilitation procedures offered to those women are predominantly focused on attenuating specific functional deficits of the upper limb and trunk. Seldom do they entail any regimens specifically aimed at recovering overall functionality, and reducing exposure to falls-risk. The study aimed to assess potential interrelationships between the self-reported falls, individual functional capabilities and appreciably reducing exposure to falls-risk in a group of post-menopausal, post-surgical breast cancer survivors.
The study recruited 102 women (aged 65-79; mean age 70.2), post-surgical breast cancer survivors. The subjects were stratified by age into three groups: Group 1 (65-69 years); Group 2 (70-74 years), and Group 3 (75-79 years). Individual functional capabilities were assessed with Eight-foot up & go test (8UG), chair stand test (CST), and 2-minute step test (2ST). Tinetti POMA test was applied to assess gait and balance disorders. Self-reported falls in the past year were ascertained through a questionnaire.
Assessment of individual aerobic endurance (2ST) also demonstrated a clear deficit in the mean scores category in all respective age sub-groups, as compared against the reference values. The deficits ranged from 4.86 to 15.90 steps less than the normative values; the oldest subjects demonstrating the largest deficit. The aerobic endurance tests results significantly impacted the ultimate assessment of an individual falls-risk in the oldest group. The analysis of the number of falls sustained within the recent year indicated that 43.67% of the subjects fell victim of such incidents.
An individual exposure to falls-risk was found to be appreciably more dependent upon individual aerobic endurance rather than overall strength of the lower part of the body in the breast cancer survivors over 75.
乳腺癌治疗，包括根治性手术，甚至在女性70至80岁时仍在进行。为这些女性提供的标准身体康复程序主要集中在减轻上肢和躯干的特定功能缺陷上。它们很少包含任何专门旨在恢复整体功能和降低跌倒风险的方案。该研究旨在评估一组绝经后、手术后乳腺癌幸存者自我报告的跌倒、个体功能能力与显著降低跌倒风险之间的潜在相互关系。
该研究招募了102名女性（年龄65 - 79岁；平均年龄70.2岁），她们均为手术后乳腺癌幸存者。受试者按年龄分为三组：第1组（65 - 69岁）；第2组（70 - 74岁）和第3组（75 - 79岁）。通过八英尺起走测试（8UG）、椅子站立测试（CST）和两分钟踏步测试（2ST）评估个体功能能力。应用Tinetti POMA测试评估步态和平衡障碍。通过问卷调查确定过去一年中自我报告的跌倒情况。
与参考值相比，对个体有氧耐力（2ST）的评估也表明所有相应年龄亚组在平均得分类别中均存在明显不足。不足范围比标准值少4.86至15.90步；年龄最大的受试者不足最为明显。有氧耐力测试结果对最年长者组个体跌倒风险的最终评估有显著影响。对最近一年内跌倒次数的分析表明，43.67%的受试者曾跌倒。
在75岁以上的乳腺癌幸存者中，发现个体跌倒风险明显更依赖于个体有氧耐力，而非身体下部的整体力量。
