Głowacka-Mrotek Iwona, Tarkowska Magdalena, Nowikiewicz Tomasz, Hagner-Derengowska Magdalena, Goch Aleksander
Department of Rehabilitation, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 87-100 Toruń, Poland.
Department of Physiotherapy, Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 87-100 Toruń, Poland.
Medicina (Kaunas). 2020 Sep 27;56(10):505. doi: 10.3390/medicina56100505.
Surgery is the primary and most effective treatment of breast cancer. Unilateral mastectomy disrupts the distribution of muscle tension between the right and the left sides of the body. The aim of the study was to evaluate postural balance in patients treated for breast cancer by mastectomy. A controlled clinical study was conducted on 90 patients who have undergone surgical treatment for breast cancer (mastectomy) 5-6 years prior (Breast Group-BG). The control group (CG) consisted of 74 healthy female volunteers. Analysis of balance was performed using the Alfa stabilography platform. A static test (Romberg's test) with open and closed eyes was used to assess balance. The following balance parameters were analyzed: path length, statokinesigram area, parameters of deflection and velocity of the foot pressure center. The study demonstrated that patients from BG (5-6 years after surgery) obtained worse results in both tests with open (maximum back deviation, maximum forward deviation, average Y deviation, average Y velocity, path length and path surface area) ( < 0.05) as well as with closed eyes (maximum backward deviation, maximum forward deviation, mean Y deviation and path length) ( < 0.05). Our study demonstrated that women 5-6 years after surgery for breast cancer have impaired balance compared to healthy women, despite physiotherapy.
手术是乳腺癌的主要且最有效的治疗方法。单侧乳房切除术会破坏身体左右两侧肌肉张力的分布。本研究的目的是评估接受乳房切除术治疗的乳腺癌患者的姿势平衡。对90例在5至6年前接受过乳腺癌手术治疗(乳房切除术)的患者进行了一项对照临床研究(乳腺癌组-BG)。对照组(CG)由74名健康女性志愿者组成。使用Alfa稳定图平台进行平衡分析。采用睁眼和闭眼的静态测试(罗姆伯格试验)来评估平衡。分析了以下平衡参数:路径长度、静态运动图面积、足部压力中心的偏移参数和速度参数。研究表明,BG组患者(术后5至6年)在睁眼测试(最大后向偏移、最大前向偏移、平均Y偏移、平均Y速度、路径长度和路径表面积)(<0.05)以及闭眼测试(最大后向偏移、最大前向偏移、平均Y偏移和路径长度)(<0.05)中均取得较差结果。我们的研究表明,乳腺癌手术后5至6年的女性与健康女性相比,尽管进行了物理治疗,但其平衡能力仍受损。