Koralewska Anna, Domagalska-Szopa Małgorzata, Siwiec Jan, Szopa Andrzej
Department of Developmental Age Physiotherapy, Medical University of Silesia in Katowice, 40-751 Katowice, Poland.
John Paul II Pediatric Center in Sosnowiec, 41-218 Sosnowiec, Poland.
J Clin Med. 2023 Apr 6;12(7):2745. doi: 10.3390/jcm12072745.
Most women who have had a mastectomy and have not opted for breast reconstruction choose to use an external breast prosthesis. This study aimed to assess the impacts of external breast prostheses on the body postures of women after unilateral mastectomies. An additional aim was to identify whether postural asymmetry depended on the side of mastectomy. This study involved 52 women after unilateral mastectomy and consisted of two parts: (1) anthropometric measurement and (2) assessment of body posture using the moiré topography method. The posturometric indices showed that the body posture of the subjects in the sagittal plane is characterized by forward trunk inclination and a tendency to excessive kyphosis. There were no significant differences between parameters characterizing body posture with and without external breast prosthesis. The lack of external breast prosthesis had a significant effect only on excessive forward trunk inclination. Significant differences were found in the posturometric parameters in the transverse plane between the groups of patients after left- and right-sided mastectomy. The obtained results did not fully confirm the hypothesis that the external breast prosthesis affects the body posture of women after unilateral mastectomy.
大多数接受了乳房切除术且未选择乳房重建的女性会选择使用外部乳房假体。本研究旨在评估外部乳房假体对单侧乳房切除术后女性身体姿势的影响。另一个目的是确定姿势不对称是否取决于乳房切除的一侧。本研究纳入了52名单侧乳房切除术后的女性,分为两个部分:(1)人体测量;(2)使用莫尔条纹地形测量法评估身体姿势。姿势测量指标显示,受试者矢状面的身体姿势特征为躯干前倾和过度驼背倾向。佩戴和不佩戴外部乳房假体时身体姿势的特征参数之间没有显著差异。未佩戴外部乳房假体仅对躯干过度前倾有显著影响。在左侧和右侧乳房切除术后患者组之间,横断面的姿势测量参数存在显著差异。所得结果并未完全证实外部乳房假体影响单侧乳房切除术后女性身体姿势这一假设。