Control of static balance among women after mastectomy. Vision impact on the quality of the equilibrium response

Rachwał, Maciej; Drzał–Grabiec, Justyna; Walicka-Cupryś, Katarzyna; Truszczyńska, Aleksandra

doi:10.2478/rehab-2014-0016

Cited by 6 publications

(6 citation statements)

References 26 publications

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“…In addition, adjuvant treatments such as radiation or chemotherapy can contribute to functional defects or muscle atrophy. Breast amputation is also associated with numerous complications, including secondary lymphedema, thoracic hyperkyphosis and scoliosis [3]. Postural defects are the consequence of pathological changes; they can affect all planes of the body, but they are usually manifested by changes in the shape of the spine and the sections associated with it [4].…”

Section: Introductionmentioning

confidence: 99%

Assessment of body posture in women after radical mastectomy using the DIERS formetric III 4D device

Kabała¹,

Jasek²,

Wilczyński³

2020

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Introduction: Body posture is an individual and variable feature determined on a muscular, neurophysiological, osteoarticular or environmental basis. One-sided mastectomy as well as its negative effects and the treatment process are factors causing disturbances in body posture. Aim of the research:To assess the posture of women after mastectomy depending on the side of the procedure. Material and methods:The study group consisted of 30 women after mastectomy (right-sided, left-sided) and 30 healthy women aged 45 to 60 years. All examined patients were right-handed; 13 women underwent left-sided radical mastectomy, and 17 women right-sided. The criterion for including patients in the study was a period of 3-4 years after breast cancer surgery. Body posture was assessed using the DIERS formetric III 4D optoelectronic method. The study was performed at the Posturology Laboratory of Collegium Medicum, Jan Kochanowski University in Kielce. Results and conclusions:The Mann-Whitney U test showed a statistically significant difference in the pelvic tilt parameter between the group of women following right-and left-sided mastectomy (p = 0.034). In women following mastectomy, a greater number of abnormal postures was noted, especially with a tendency towards deepened thoracic kyphosis and lumbar lordosis compared to the control group. Statistical significance was demonstrated in relation to the lordosis angle of the lumbar spine between groups (p = 0.047). Women after left-sided mastectomy exhibited higher scoliosis angle, vertical deviation, lateral deviation and surface rotation relative to women after right mastectomy. StreszczenieWprowadzenie: Postawa ciała jest cechą indywidualną i zmienną, kształtującą się na podłożu mięśniowym, neurofizjologicznym, kostno-stawowym i środowiskowym. Mastektomia jednostronna i jej negatywne skutki oraz proces leczenia należą do czynników zaburzających postawę ciała. Cel pracy: Ocena postawy ciała kobiet po mastektomii w zależności od strony, po której wykonano zabieg. Materiał i metody: Grupę badaną stanowiło 30 kobiet po mastektomii (prawostronnej, lewostronnej) oraz 30 kobiet zdrowych w wieku od 45 do 60 lat. Wszystkie pacjentki były praworęczne, u 13 kobiet wykonano radykalną mastektomię lewostronną, natomiast u 17 kobiet mastektomię prawostronną. Kryterium włączenia pacjentek do badań był czas 3-4 lat od zabiegu chirurgicznego raka piersi. Postawę ciała oceniono metodą optoelektroniczną DIERS formetric III 4D. Badania wykonano w Laboratorium Posturologii Collegium Medicum Uniwersytetu Jana Kochanowskiego w Kielcach. Wyniki i wnioski: Test U Manna-Whitneya wykazał istotną statystycznie różnicę w parametrze skośności miednicy pomiędzy grupą kobiet po mastektomii prawostronnej i lewostronnej (p = 0,034). U kobiet po mastektomii częściej występowała sylwetka kifotyczna w odcinku piersiowym z pogłębieniem lordozy w odcinku lędźwiowym w porównaniu z grupą kontrolną. Stwierdzono istotność statystyczną w odniesieniu do kąta lordozy odcinka lędźwiowego pomiędzy grupami (p = 0,047). U kobiet...

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Section: Introductionmentioning

confidence: 99%

Assessment of body posture in women after radical mastectomy using the DIERS formetric III 4D device

Kabała¹,

Jasek²,

Wilczyński³

2020

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“…However, in the case of hard and foam platform surfaces, for the examination with open eyes, the centre of gravity speed and the total tilt distance did not differ significantly in both groups [30]. Rachwał et al [31], to assess the importance of visual control in maintaining static balance, examined 150 people by means of a tensometric platform, including 75 amazons and 75 women with similar anthropometric parameters. The study consisted of two trials: with eyes open and closed.…”

Section: Discussionmentioning

confidence: 99%

“…The results of the test showed that the equivalent reactions of amazons were dependent on the organ of sight, while the postural stability of patients after mastectomy was better in comparison to the control group. This difference could be related to the women's applied rehabilitation programme after oncological treatment in order to maintain stable posture [31].…”

Section: Discussionmentioning

confidence: 99%

Obesity and postural stability in women after mastectomy

Kabała¹,

Wilczyński²

2019

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Introduction: Obesity may result in increased instability of posture in the case of external disturbances. The consequences of mastectomy may be a disturbance in statics and body balance. Disturbances in postural coordination may be associated with unevenly distributed postural muscle tension or abnormal body mass. Aim of the research: To assess the impact of body mass index on postural stability of post-mastectomy women based on posturographic examination. Material and methods: The study involved 40 women after mastectomy belonging to the "Amazonki" (Amazons) Club of the Świętokrzyskie Province at the Świętokrzyskie Oncology Centre in Kielce. The age range of patients was from 52 to 87 years. Patients were divided into three groups according to body mass index (BMI) criteria, i.e. normal body mass, overweight, or obese. To assess equivalent reactions, the Postural Stability Test and the Clinical Test of Sensory Interaction and Balance (CTSIB) were used on the Biodex Balance System platform. The research was carried out at the Posturology Laboratory at Jan Kochanowski University in Kielce. Results: In the case of the Postural Stability Test in static mode, obese patients demonstrated better postural stability. Comparing the same test in dynamic mode, women after mastectomy with normal BMI maintained body balance better in comparison to obese women. The CTSIB showed lower values regarding all four criteria in obese women compared to women with normal BMI. Upright position of the subjects was characterised by higher sways in the sagittal plane than the frontal one (A/P > M/L). Conclusions: Impairment of the postural control mechanism may result from both the aging process and comorbidities-among others, obesity and medication. Streszczenie Wprowadzenie: Otyłość może prowadzić do zwiększonej niestabilności postawy w sytuacji zaburzeń zewnętrznych. Zaburzenia statyki i równowagi ciała stanowią jedną z licznych konsekwencji radykalnej mastektomii. Nierównomiernie rozłożone napięcie mięśni posturalnych u kobiet po mastektomii lub nadmierna masa ciała może zakłócać koordynację postawy ciała. Cel pracy: Ocena wpływu wskaźnika masy ciała na stabilność posturalną kobiet po mastektomii na podstawie badania posturograficznego. Materiał i metody: Badaniami objęto 40 kobiet po mastektomii w wieku od 52 do 87 lat, które należą do Świętokrzyskiego Klubu "Amazonki" przy Świętokrzyskim Centrum Onkologii w Kielcach. Pacjentki podzielono na trzy grupy ze względu na wskaźnik masy ciała (BMI)-z prawidłową masą ciała, z nadwagą i z otyłością. Do oceny reakcji równoważnych zastosowano Test stabilności posturalnej oraz Test integracji sensorycznej i równowagi (CTSiB) na platformie Biodex Balance System. Badania wykonano w Laboratorium Posturologii Instytutu Fizjoterapii Uniwersytetu Jana Kochanowskiego w Kielcach. Wyniki: W przypadku Testu stabilności posturalnej w trybie statycznym lepszą stabilność posturalną miały pacjentki z otyłością. W tym samym teście w trybie dynamicznym kobiety po mastektomii z prawidłowym BMI stabilniej utrzymy...

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“…Among the recently discussed breast cancer issues is the postural control assessment in women after mastectomy [ 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ]. A review of the above-mentioned publications indicated that the undertaken research was concerned with the impact of mastectomy on body static conditions [ 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 ] and body posture of women who had received mastectomies [ 7 , 10 , 18 , 19 ,…”

Section: Introductionmentioning

confidence: 99%

The Influence of External Breast Prostheses on the Body Postures of Women Who Have Undergone Mastectomies

Koralewska

Domagalska-Szopa

Siwiec³

et al. 2023

JCM

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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.

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Control of static balance among women after mastectomy. Vision impact on the quality of the equilibrium response

Cited by 6 publications

References 26 publications

Assessment of body posture in women after radical mastectomy using the DIERS formetric III 4D device

Assessment of body posture in women after radical mastectomy using the DIERS formetric III 4D device

Obesity and postural stability in women after mastectomy

The Influence of External Breast Prostheses on the Body Postures of Women Who Have Undergone Mastectomies

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