Bahcaci Umut, Demirbuken Ilksan
Department of Medical Oncology, Gayrettepe Florence Nightingale Hospital, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University Istanbul, Turkey.
Indian J Cancer. 2019 Jan-Mar;56(1):50-54. doi: 10.4103/ijc.IJC_47_18.
Breast cancer (BC) is the most common type of cancer among women in the world. Patients can face musculoskeletal disorders due to treatment side effects that result in failure to walk, falling, or fractures associated with balance problems.
The aim of this study was to determine whether postural balance would be affected during chemotherapy (CT) in people with BC.
MATERİALS AND METHODS: A total of 32 women who consulted the medical oncology department, between 31 and 63 years of age, were admitted to the study. For fear of falling, fall efficiacy scale; for static balance, double-leg, single-leg, and tandem stance tests with eyes opened and eyes closed; Romberg test; for dinamic balance, Sit To Stand (STS) test, and Time Up and Go (TUG) tests were performed in the patients.
Reduced fear of falling between CT cycles (P < 0.0125), no change in postural sway in double-leg stance test with eyes opened (P = 0.734) and eyes closed (P = 0.127), significantly increased postural instability in single-leg and tandem stance test with eyes opened and eyes closed (P = 0.000), no change in postural stability in Romberg test (P > 0.05), significantly increased postural instability in STS (P = 0.000) and TUG tests (P = 0.000), and significantly increased time of finishing the STS (P = 0.021) and TUG tests (P = 0.010) were noted.
CONCLUSİON: Patients demonstrated postural instability which can ruin the daily life activities in many parameters of measurements. Postural balance exercises should be performed by BC survivors undergoing CT.
乳腺癌（BC）是全球女性中最常见的癌症类型。患者可能因治疗副作用而面临肌肉骨骼疾病，导致行走困难、跌倒或与平衡问题相关的骨折。
本研究的目的是确定乳腺癌患者在化疗（CT）期间姿势平衡是否会受到影响。
共有32名年龄在31至63岁之间、到医学肿瘤科就诊的女性被纳入研究。对患者进行了以下测试：为评估跌倒恐惧，采用跌倒效能量表；为评估静态平衡，进行睁眼和闭眼的双腿、单腿及串联站立测试、罗姆伯格测试；为评估动态平衡，进行坐立试验（STS）和定时起立行走测试（TUG）。
化疗周期之间跌倒恐惧降低（P < 0.0125），睁眼双腿站立测试中姿势摆动无变化（P = 0.734），闭眼双腿站立测试中姿势摆动无变化（P = 0.127），睁眼和闭眼单腿及串联站立测试中姿势不稳定性显著增加（P = 0.000），罗姆伯格测试中姿势稳定性无变化（P > 0.05），STS测试（P = 0.000）和TUG测试（P = 0.000）中姿势不稳定性显著增加，完成STS测试（P = 0.021）和TUG测试（P = 0.010）的时间显著增加。
患者在多项测量参数中表现出姿势不稳定性，这可能会破坏日常生活活动。接受CT治疗的乳腺癌幸存者应进行姿势平衡锻炼。
