Section of Neurorehabilitation, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Section of Neurorehabilitation, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy -
Eur J Phys Rehabil Med. 2023 Jun;59(3):406-413. doi: 10.23736/S1973-9087.23.07865-6. Epub 2023 May 11.
The constant improvement of the diagnostic process and the crescent efficacy of treatment options for Breast Cancer have led to an increase in the survival rate of patients. Thereby, it has become fundamental for Breast Care Units to deal with short-, medium-, and long-term sequelae of the disease and its treatment. Among these, changes in posture seem to have a crucial role. This review aims to collect and summarize the current knowledge on postural disorders in Breast Cancer Survivors, focusing on evaluation methods and rehabilitation protocols.
A systematic research was conducted on PubMed, Scopus and World of Science databases, considering all the studies published up to 2021. Case reports, case series, cross-sectional, retrospective and prospective studies were included. Narrative and Systematic reviews were excluded.
After applying the eligibility criteria and bibliographic expansion, 55 articles were selected. Forty-four studies focused on the analysis and the quantification of postural abnormalities, showing a huge variability in population characteristics, valuative methods and outcome measures. Most of them are cross-sectional studies. Rehabilitation treatments have been considered in only 12 studies: all the rehabilitative treatments proved to be effective but, the heterogeneity among the evaluation methods has made a comparison impossible. Hence, we designed a complete evaluation protocol for the assessment of postural abnormalities in Breast Cancer Survivors. Our protocol has been drawn following the structure of International Classification of Functioning, Disability and Health.
Our review pointed out the crescent interest of the current Literature on analysis and treatment of postural alterations in breast cancer survivors. Since the extreme variety of outcome measures made it impossible to give a clear indication for evaluation and treatment of this disorder, we designed a complete evaluation protocol for the assessment of postural abnormalities in breast cancer survivors, with the goal of guiding the design of new clinical trials on these subjects.
乳腺癌诊断过程的不断改进和治疗选择的疗效不断提高，导致患者的生存率提高。因此，乳腺护理单位必须处理疾病及其治疗的短期、中期和长期后遗症。在这些后遗症中，姿势的变化似乎起着至关重要的作用。本综述旨在收集和总结乳腺癌幸存者姿势障碍的现有知识，重点关注评估方法和康复方案。
在 PubMed、Scopus 和 World of Science 数据库中进行了系统研究，考虑了截至 2021 年发表的所有研究。纳入了病例报告、病例系列、横断面、回顾性和前瞻性研究。排除了叙述性和系统评价。
在应用入选标准和文献扩展后，共选择了 55 篇文章。44 项研究集中于分析和量化姿势异常，显示出人群特征、评估方法和结果测量的巨大变异性。它们大多数是横断面研究。只有 12 项研究考虑了康复治疗：所有康复治疗都被证明是有效的，但评估方法的异质性使得比较变得不可能。因此，我们设计了一个完整的评估方案，用于评估乳腺癌幸存者的姿势异常。我们的方案是根据国际功能、残疾和健康分类的结构制定的。
我们的综述指出，目前文献对乳腺癌幸存者姿势改变的分析和治疗越来越感兴趣。由于结果测量的极端多样性使得对这种疾病的评估和治疗无法给出明确的指示，我们设计了一个完整的评估方案，用于评估乳腺癌幸存者的姿势异常，旨在指导这些主题的新临床试验的设计。
