Evaluation of changes to foot shape in females 5 years after mastectomy: a case–control study

Głowacka-Mrotek, Iwona; Sowa, Magdalena; Siedlecki, Zygmunt; Nowikiewicz, Tomasz; Hagner, Wojciech; Zegarski, Wojciech

doi:10.1007/s10549-017-4183-y

Cited by 9 publications

(14 citation statements)

References 28 publications

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“…As shown by Canseco et al, foot posture is better in individuals who are in good physical shape and lead an active lifestyle [ 22 ]. As shown in previous studies, mastectomy was associated with changes in foot posture [ 13 , 23 ].…”

Section: Discussionsupporting

confidence: 59%

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Foot posture in female patients 5 years after breast-conserving surgery: a case–control study

et al. 2018

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PurposeAlong with the improvement in the outcomes of breast cancer treatment being observed in the recent years, long-term studies to assess distant adverse effects of the treatment have become increasingly important. The objective of this study was to assess the foot posture in patients subjected to breast-conserving therapy. The assessment was made 5 years after the surgical procedure.Methods116 female patients (mean age of 58.75 years) were qualified into a case–control study. Foot posture on the operated breast side (F1) as well as on the contralateral side (F2) was evaluated using a computer-based foot analysis tool as an extension of projection moiré-based podoscopic examination. Comparisons were made for the following parameters: limb load, L—foot length, W—foot width, L/W—Wejsflog index, ALPHA—hallux valgus angle, BETA—little toe varus angle, GAMMA—heel angle, KY—Sztriter–Godunov index, CL—Clarke’s angle, HW—heel width.ResultsFive years after BCT, patients placed higher load on the foot on the side of the healthy breast (p = 0.0011). No statistically significant differences were observed between F1 and F2 with respect to other foot posture parameters (p > 0.05). No statistically significant differences were observed in foot posture parameters in patients having undergone BCT + ALND (axillary lymph node dissection) procedure as compared to patients subjected to BCT + SLNB (sentinel lymph node biopsy) procedure (p > 0.05).ConclusionsNo changes in foot posture were observed in patients 5 years after the BCT procedure. The type of the surgical procedure related to the lymph nodes within the axillary fossa has no effect on changes in foot posture.

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Section: Discussionsupporting

confidence: 59%

“…Deformation of feet and the associated pain may result in postural instability and falls. As shown in our previous studies, differences in foot posture may be observed in patients undergoing mastectomy due to breast cancer between the operated and the contralateral side [ 13 ].…”

Section: Introductionmentioning

confidence: 96%

Foot posture in female patients 5 years after breast-conserving surgery: a case–control study

et al. 2018

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“…The literature describes the following side effects that may occur in women after breast amputation: impaired mobility in the shoulder joint, lymphedema on the operated side, changes in body posture and shape of the feet [ 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Postural Balance in Women Treated for Breast Cancer

et al. 2020

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Background and objectives: 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. Materials and methods: 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. Results: 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) (p < 0.05) as well as with closed eyes (maximum backward deviation, maximum forward deviation, mean Y deviation and path length) (p < 0.05). Conclusions: Our study demonstrated that women 5–6 years after surgery for breast cancer have impaired balance compared to healthy women, despite physiotherapy.

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“…Various indexes have left clinicians, and researchers confounded to no conclusive evidence to recognize the most practical footprint index in determining the foot arches [9]. As a result, they simultaneously used several indexes in most research studies on footprint for evaluating FF [11][12][13]. Therefore, part of investigations in the field of flat foot relates to selecting a proper index for using in footprint method [9,[14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Comparing Three Footprint Grades to Evaluate Footprint Indexes for Flat Foot Diagnosis

Ghazaleh

Saleh-Sedghpour

Mohajerinejad

et al. 2019

PTJ

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The present study investigated the most appropriate footprint index and its related parameters for the diagnosis of flatfoot, especially in cases with mild deformity. Methods: In total, 148 footprints were recorded from 77 young women with flatfoot. Footprints were classified into three groups of mild, moderate, and sever. Footprint indexes included Sztriter-Godunov (KY), Clarke's Angle (CA), Chippaux-Smirak Index (CSI), and Staheli (ST) indexes. The mentioned indexes and their relevant parameters were calculated on the footprints in the aforementioned groups. Exploratory factor analysis was used to identify proper components for the diagnosis of flatfoot. By multivariate analysis of variance, between-group differences were assessed. A Chi-squared test was used to identify the most accurate index for the diagnosis of mild flatfoot. Results: Exploratory factor analysis based on the parameters of footprint indexes identified three essential components. Two identified components were based on the 6 parameters of CSI, KY, and ST indexes in moderate and sever footprints. The third component was related to footprints with mild grading and was composed of three extracted parameters from midfoot region. Moreover, the linear combination of the three last parameters suggested a significant difference between three groups (P<0.01). Eventually, KY index could identify the highest number of flatfoots in the mild group (P=0.000). Conclusion: Study findings revealed that indexes in which parameters were extracted from midfoot region could be suitable for the diagnosis of mild flatfoot. KY index's parameters were extracted from midfoot. Considering that KY could identify several remarkable mild flatfoots in comparison with other indexes, we can introduce it as a proper index.

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Evaluation of changes to foot shape in females 5 years after mastectomy: a case–control study

Cited by 9 publications

References 28 publications

Foot posture in female patients 5 years after breast-conserving surgery: a case–control study

Foot posture in female patients 5 years after breast-conserving surgery: a case–control study

Assessment of Postural Balance in Women Treated for Breast Cancer

Comparing Three Footprint Grades to Evaluate Footprint Indexes for Flat Foot Diagnosis

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