The relationship between lymphedema, posture, respiratory functions, exercise capacity, and the quality of life after breast cancer treatment

Abstract

Introduction. To evaluate the relationship between lymphedema, posture, respiratory functions, exercise capacity, and the quality of life after breast cancer treatment. Methods. This cross-sectional study consisted of 38 women who had unilateral breast cancer treatment. Pulmonary function with a spirometer, functional exercise capacity via 6-minute walking test, postural alignment changes, and quality of life were evaluated. Circumferential measurements were used to determine the severity of lymphedema. Results. The median age of female participants was 53 years (range, 40-64). The mean body mass index was 26.66 ± 2.96 kg/m 2 , of which 76% had lymphedema. The expected changes in posture were moderate. The mean of the 6-minute walking distance decreased, which corresponded to 58.55% of normative values. MIP and MEP values were significantly lower than expected values. An intermediate negative correlation was observed between postural changes and body mass index (r = -0.348; p = 0.05). Moreover, there was a positive correlation between forced expiration volume and forced vital capacity values and walking distance (p < 0.05). Conclusion. After breast cancer treatment, 76% of female patients had lymphedema, the functional exercise capacity, MIP and MEP were below the expected values in all of them, and as functional capacity decreases, respiratory parameters affected negatively.

Utilizing Pilates to Improve Respiratory Function in Breast Cancer Survivors

“…These breathing techniques also generate intra-abdominal pressure that significantly influences spinal stability, creating an extensor moment that supports both the pelvic floor and the diaphragm. This coordinated approach can engage various respiratory muscle groups and facilitate the active participation of the transverse abdominis and pelvic floor muscles, leading to improved posture, reduced chronic muscle tension, and increased strength, supporting the recovery process for breast cancer survivors33 . Incorporating systematic Pilates into the treatment plans for breast cancer survivors is crucial for addressing the multifaceted issues arising from cancer therapies.…”