Abstract

Introduction: Breast cancer is the most commonly diagnosed malignant tumour in women in Poland, as well as in developed countries of the world. The unilateral radical mastectomy may result in disturbance of statics and body balance. Disturbances in body coordination may be associated with unevenly distributed tension of postural muscles between left and right side.

Aim of the research: Evaluation of equivalent reactions in women after mastectomy on the basis of posturographic examination.

Material and methods: 40 women were provided with the study, including 16 female patients (40%) after right-sided mastectomy and 24 female patients (60%) after left-sided treatment. The average age of respondents was 68.5 years. The Postural Stability Test, as well as Sensor Integration and Balance Test on the Biodex Balance System platform were used to evaluate the equivalent reactions. Research was carried out at the Posturology Laboratory of Physiotherapy Institute of the Jan Kochanowski University in Kielce.

Results and conclusions: Mann-Whitney U-test showed a statistically significant relation in the Postural Stability Test in dynamic mode between M/L stability index and the side of carried out mastectomy (p=0.027). Women after right-sided mastectomy mostly had lower parameters in dynamic posture, especially in the frontal plane (M/L). Pearson’s correlation coefficient showed a significant relation between the Postural Stability Test in dynamic mode and the Sensor Integration and Balance Test on a soft open-eye surface (p=0.001). The standing position of examined was characterized by higher leavings in the sagittal plane than in the frontal plane (A/P>M//L).

Wojciechowski Ł, Gamecka – Stanisławek K. Platformy stabilometryczne jako narzędzie oceny zaburzeń równowagi i koordynacji. Rehabilitacja w praktyce 2012; 6: 60 – 63.

Mraz M, Szczepaniak D, Ostrowska B i wsp. Ocena koordynacji wzrokowo – ruchowej dynamicznym testem stabilograficznym u osób z chorobą Parkinsona objętych postępowaniem fizjoterapeutycznym. Alter Ego Seniora 2014; 2, 1: 49 – 52.

Wilczyński J, Lipińska-Stańczak M, Szaraniec K. Wady postawy a prędkość środka nacisku stóp u dzieci w wieku szkolnym. Studia Medyczne 2014; 30, 3:156–161.

Wilczyński J. Posturologia – nauka o postawie ciała człowieka. Studia Medyczne 2011; 23, 3: 7 – 17.

Czerniak U, Demuth A, Krzykala M et al. Body fat and quality of life in women treated for breast cancer. Studies In Physical Culture&Tourism 2012; 19, 1: 21 – 24.

Nissen MJ, Shapiro A, Swenson KK. Changes in Weight and Body Composition in Women Receiving Chemotherapy for Breast Cancer. Clin Breast Cancer 2011; 11, 1: 52-60.

Hanuszkiewicz J, Malicka I, Barczyk-Pawelec K et al. Effects of selected forms of physical activity on body posture in the sagittal plane in women post breast cancer treatment. J Back Musculoskelet Rehabil 2015; 28, 1: 35-42.

Wilczyński J. Balance reactions based on the anteroposterior speed of posturegram measured among girls and boys aged 12-15. Studia Medyczne 2010; 20: 13 – 17.

Schlein C. System Balansowy SD. Instrukcja obsługi. Gliwice 2013.

Rachwał M, Drzał – Grabiec J, Walicka – Cupryś K et al. Control of static balance among women after mastectomy. Vision impast on the quality of the equilibrium response. Postępy rehabilitacji 2013; 3: 13 – 20.

Hojan K, Manikowska F, Molinska-Glura M et al. The Impact of an External Breast Prosthesis on the Gait Parameters of Women After Mastectomy. Cancer Nurs 2014; 37, 2: E30 - 6.

Głowacka I, Nowikiewicz T, Hagner W et al. Sagittal Plane Postural Changes in Female Patients with Breast Cancer after Different Surgical Techniques. Breast J. 2017; 23, 1: 109-111.

Atanes Mendes Peres AC, Dias de Oliveira Latorre MD, Yugo Maesaka J et al. Body Posture After Mastectomy: Comparison Between Immediate Breast Reconstruction Versus Mastectomy Alone. Physiotherapy Research International 2017; 22, 1: e1642.

Almstedt HC, Grote S, Perez SE et al. Training-related improvements in musculoskeletal health and balance: a 13-week pilot study of female cancer survivors. Eur J Cancer Care 2017; 26; doi: 10.1111/ecc.12442

Drżał-Grabiec J, Rachwał M., Walicka-Cupryś K. Postawa ciała kobiet o mastektomii. Onkologia Polska 2013; 16, 1: 11-15.

Karczewska E, Szlachta P, Pytka K et al. Kinesio Taping Method in the asymmetry treatment of the shoulder girdle in women after mastectomy – a pilot study. European Journal of Medical Technologies 2016; 1, 10: 37-43.

Serel S, Tuzlalı ZY, Akkaya Z et al. Physical Effects of Unilateral Mastectomy on Spine Deformity. Clin Breast Cancer 2017; 17, 1: 29-33.

Potthoff K, Schmidt ME, Wiskemann J et al. Randomized controlled trial to evaluate the effects of progressive resistance training compared to progressive muscle relaxation in breast cancer patients undergoing adjuvant radiotherapy: the BEST study. BMC Cancer 2013; 13, 1: 162 -172.

van Huizum MA, Hoornweg MJ, de Ruiter N et al. Effect of latissimus dorsi flap breast reconstruction on the strength profile of the upper extremity. J Plast Surg Hand Surg. 2016; 50, 4: 202-207.

Hojan K, Wruk B, Stryła W. The impact of treatment in breast cancer on back pain. Onkologia Polska 2010; 13: 177-184.

Lee CE, Warden SJ, Szuck B et al. Preliminary Study on the Efficacy of a Community-Based Physical Activity Intervention on Physical Function-Related Risk Factors for Falls Among Breast Cancer Survivors. Am J Phys Med Rehabil 2016; 95, 8: 561-750.

Hojan K, Manikowska F, Chen BP et al. The influence of an external breast prosthesis on the posture of women after mastectomy. J Back Musculoskelet Rehabil. 2016; 29, 2: 337-342.

Angin S, Karadibak D, Yavuzşen T et al. Unilateral upper extremity lymphedema deteriorates the postural stability in breast cancer survivors. Contemporary Oncology 2014; 18, 4: 279–284.

Wilczyński J, Kabała M, Paprocki M et al. Evaluation of postural stability of people with Parkinson's disease with Biodex Balance System device. Journal of Education, Health and Sport 2016; 6, 10: 365-376.

Wilczyński J, Półrola P. Body posture and postural stability of people practicing qigong. Studia Medyczne 2015; 31, 2: 115 – 121.

Wilczyński J, Pedrycz A, Mucha D et al. Body Posture, Postural Stability, and Metabolic Age in Patients with Parkinson’s Disease. BioMed Research International 2017: 1 – 9.

Wiszomirska I, Kaczmarczyk K, Zdrodowska A et al. Evaluation of static and dynamic postural stability in young, elderly and with vision loss women. Postępy rehabilitacji 2013; 3: 33 – 39.

Karczewska E, Szlachta P, Chamera S i wsp. Ocena równowagi dynamicznej kobiet po mastektomii jednostronnej i protezowaniu zewnętrznym piersi – badania pilotażowe. Aktualne problemy biomechaniki 2017; 13: 29 – 36.

Pavlou M, Quinn C, Murray K et al. The effect of repeated visual motion stimuli on visual dependence and postural control in normal subjects. Gait Posture 2011; 33, 1: 113-118.

Lê T, Kapoula Z. Role of ocular convergence in the Romberg quotient. Gait Posture 2008; 27, 3: 493–500