The Effect of Breast Reconstruction on Maintaining a Proper Body Posture in Patients After Mastectomy

Cieśla, Sławomir; Bąk, Małgorzata

doi:10.5772/29373

Cited by 3 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patient experiences a curvature of the spine and shoulders due to the imbalance caused by the tendency to hide this part of her body. In addition, the person has muscle contractions, discomfort in the neck, back pain, a loss of tissue; her gait also becomes slower and less controlled, and her steps longer [5][6][7][8][9]. Psychologically, patients subjected to a mastectomy can experience a variety of ailments such as depression and anxiety, since the fear of social discrimination is one of the greatest problems after the surgery [10].…”

Section: Introductionmentioning

confidence: 99%

A Biomimetic Approach for Designing a Full External Breast Prosthesis: Post-Mastectomy

et al. 2018

View full text Add to dashboard Cite

This work presents the design of a new breast prosthesis using the biomimetic technique for cases of complete mastectomy to address the problem of the increasing number of women diagnosed with breast cancer in Mexico who are candidates for a mastectomy. The designed prosthesis considers the morphology of a real breast regarding its internal structure to obtain authentic mobility and feel. In order to accomplish this, a model was obtained in 3D CAD using a coordinate measuring machine (CMM) that can be scalable without losing its qualities, and which can be used in any type of patient; afterwards, a finite element model was developed and a static analysis performed with suggested load cases to evaluate the sensitivity and naturalness of the prosthesis; and finally, a modal analysis was conducted. The results obtained in displacements and in distribution of stress for the load cases assessed are consistent with those of a real breast: there were smooth contours and there was natural mobility in the prosthesis designed by means of the biomimetic technique.

show abstract

Section: Introductionmentioning

confidence: 99%

A Biomimetic Approach for Designing a Full External Breast Prosthesis: Post-Mastectomy

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Following mastectomy, the LD is dissected along with a skin paddle and overlying fat (de Oliveira, Pinto e Silva, Gurgel, Pastori-Filho, & Sarian, 2010;Kim et al, 2013;Smith, 2014). The LD is the largest muscle in the human body (Ciesla & Bak, 2012;Forthomme et al, 2010) and acts on the shoulder during adduction, medial rotation, extension and assists the scapula in depression (Bhatt et al, 2013;Forthomme et al, 2010;Giordano, Kaariainen, Alavaikko, Kaistila, & Kuokkanen, 2011;Sowa et al, 2016;Spear & Hess, 2005). The LD is a large flat muscle and is therefore often further augmented with implants or fat grafting to provide adequate symmetry and cosmesis (Fraser et al, 2013;Smith, 2014;Teymouri et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

“…The primary aim of breast cancer treatment is to reduce the risk of premature death by removing the tumour and administering any other adjuvant treatment necessary (Senkus et al, 2013). Surgery is usually the initial stage of treatment, either by lumpectomy or mastectomy, both of which can alter body image and significantly change breast aesthetics (Ciesla & Bak, 2012;Thiruchelvam et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…The LD is a large flat muscle and is therefore often further augmented with implants or fat grafting to provide adequate symmetry and cosmesis (Fraser et al, 2013;Smith, 2014;Teymouri et al, 2006). The LD is the largest muscle in the human body (Ciesla & Bak, 2012;Forthomme et al, 2010) and acts on the shoulder during adduction, medial rotation, extension and assists the scapula in depression (Bhatt et al, 2013;Forthomme et al, 2010;Giordano, Kaariainen, Alavaikko, Kaistila, & Kuokkanen, 2011;Sowa et al, 2016;Spear & Hess, 2005). The LD is thus involved in shoulder motion and plays an important role in shoulder joint biomechanics; the removal or replacement of this versatile muscle would be expected to affect shoulder movement, however, the extent to which this occurs is unknown.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The musculoskeletal consequences of breast reconstruction using the latissimus dorsi muscle for women following mastectomy for breast cancer: A critical review

et al. 2017

View full text Add to dashboard Cite

Breast reconstruction using the latissimus dorsi (LD) flap following mastectomy is an important management option in breast cancer. However, one common, but often ignored, complication following LD flap is shoulder dysfunction. The aim of this critical review was to comprehensively assess the musculoskeletal impact of LD breast reconstruction and evaluate the functional outcome following surgery. Five electronic databases were searched including; Medline, Embase, CINAHL Plus (Cumulative Index to Nursing and Allied Health), PubMed and Web of Science. Databases were searched from 2006 to 2016, and only full text, English language articles were included. Twenty-two observational studies and two surveys were reviewed with sample sizes ranging from six to 206 participants. The majority of studies had small sample sizes and were retrospective in nature. Nevertheless, there is evidence to suggest that there is some degree of weakness and reduced mobility at the shoulder following LD muscle transfer. The literature demonstrates that there is considerable morbidity in the immediate post-operative period with functional recovery varying between studies. The majority of work tends to be limited and often gives conflicting results; therefore, further investigation is required in order to determine underlying factors that contribute to a reduction in function and activities of daily living.

show abstract

The effect of upper limb lymphedema in posture of patients after breast cancer surgery

Sürmeli

Özdemir

2022

BMR

View full text Add to dashboard Cite

BACKGROUND: Upper limb lymphedema is one of the complications following breast cancer-related surgery. It is a fact that there are alterations in posture of the trunk following surgery, however, there is not much data on whether upper limb lymphedema has any effect on body posture. OBJECTIVES: The main purpose of the study was to investigate the effect of upper limb lymphedema in the trunk posture and spine mobility of patients following breast cancer surgery. METHODS: Twenty-seven women with lymphedema and 29 women without lymphedema with mastectomy or breast-conserving surgery participated in the study. Posture was evaluated by the New York Posture Rating Chart and spinal stability and thoracic mobility were evaluated by the Spinal Mouse device. RESULTS: Posture and spine posture scores were significantly higher in the without lymphedema group (p= 0.004; 0.041; respectively). There was a significant difference between the groups in terms of lateral (p< 0.001) and posterior (p< 0.001) view of shoulders, spine (p= 0.027), upper (p< 0.001) and lower back (p= 0.009), and trunk postures (p= 0.001). CONCLUSIONS: Body posture and spine are more affected due to upper limb lymphedema following breast cancer surgery. Alterations of posture mainly occur on shoulders, spine, upper and lower back, and trunk, but not on head and neck postures.

show abstract

The Effect of Breast Reconstruction on Maintaining a Proper Body Posture in Patients After Mastectomy

Cited by 3 publications

References 25 publications

A Biomimetic Approach for Designing a Full External Breast Prosthesis: Post-Mastectomy

A Biomimetic Approach for Designing a Full External Breast Prosthesis: Post-Mastectomy

The musculoskeletal consequences of breast reconstruction using the latissimus dorsi muscle for women following mastectomy for breast cancer: A critical review

The effect of upper limb lymphedema in posture of patients after breast cancer surgery

Contact Info

Product

Resources

About