Evaluation of Late Postural Complications in Breast Cancer Patients Undergoing Breast-Conserving Therapy in Relation to the Type of Axillary Intervention-Cross-Sectional Study

Głowacka-Mrotek, Iwona; Tarkowska, Magdalena; Leksowski, Łukasz; Nowikiewicz, Tomasz; Zegarski, Wojciech

doi:10.3390/jcm10071432

Cited by 3 publications

(4 citation statements)

References 38 publications

(41 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moiré topography is a method that allows for the precise analysis of the locations of individual body segments (e.g., spine, shoulder girdle, and hip girdle) in relation to the body’s main axis in three planes. Because of its high accuracy, MT has been widely recognized as a gold-standard research tool to study the body postures of women who have had mastectomies [ 19 , 20 , 21 , 23 , 24 , 29 , 33 , 35 , 36 , 38 , 39 ]. The results of the above studies report the occurrence of body posture disorders in women following mastectomies, particularly in the sagittal plane [ 10 , 19 , 24 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…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 results of several scientific reports indicate that mastectomies may cause body posture disorders such as asymmetry in the trunk in the frontal plane [ 18 , 21 , 42 , 43 , 44 , 45 , 46 , 47 ], asymmetry in the shoulder girdle [ 23 , 42 , 43 , 44 , 45 , 46 ], the curvature of the spine [ 18 , 30 , 34 , 48 ], anterior–posterior [ 10 , 19 , 24 , 27 , 41 ] deepening of thoracic kyphosis [ 11 , 23 , 34 , 41 , 47 ], deepening of lumbar lordosis [ 47 ], and pelvic abnormalities [ 10 ]. Researchers are currently trying to answer questions surrounding whether the body postures of women after mastectomy depend on which side of the body was operated on [ 7 , 19 , 20 , 32 , 34 , 47 ], the type of procedure performed [ 20 , 21 , 24 , 34 , 39 ], lymphedema [ 26 , 27 , 31 ], the time elapsed since the procedure [ 21 ], breast reconstruction [ 22 , 25 , 28 , 30 , 33 , 40 ], and type reconstruction [ 25 ] as well as the ...…”

Section: Introductionmentioning

confidence: 99%

“…The obtained results encouraged us to extend the scope of our research by assessing the impacts of external breast prostheses on the body postures of women following unilateral mastectomy. Although results in the literature show that unilateral mastectomy causes body posture disorders [ 7 , 10 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 26 , 28 , 33 , 34 , 39 , 41 , 42 , 43 , 44 , 45 , 46 , 47 ], a small number of reports do not confirm the influences of external breast prostheses [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Koralewska

Domagalska-Szopa

Siwiec³

et al. 2023

JCM

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Koralewska

Domagalska-Szopa

Siwiec³

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

Physical well-being recovery trajectories by reconstruction modality in women undergoing mastectomy and breast reconstruction: Significant predictors and health-related quality of life outcomes

Cai

Pfob

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Objectives We sought to identify trajectories of patient-reported outcomes, specifically physical well-being of the chest (PWBC), in patients who underwent postmastectomy breast reconstruction, and further assessed its significant predictors, and its relationship with health-related quality of life (HRQOL). Methods We used data collected as part of the Mastectomy Reconstruction Outcomes Consortium study within a 2-year follow-up in 2012–2017, with 1422, 1218,1199, and 1417 repeated measures at assessment timepoints of 0,3,12, and 24 months, respectively. We performed latent class growth analysis (LCGA) in the implant group (IMPG) and autologous group (AUTOG) to identify longitudinal change trajectories, and then assessed its significant predictors, and its relationship with HRQOL by conducting multinomial logistic regression. Results Of the included 1424 patients, 843 were in IMPG, and 581 were in AUTOG. Both groups experienced reduced PWBC at follow-up. LCGA identified four distinct PWBC trajectories (χ2 = 1019.91, p<0.001): low vs medium high vs medium low vs high baseline PWBC that was restored vs. not-restored after 2 years. In 76.63%(n = 646) of patients in IMPG and 62.99% (n = 366) in AUTOG, PWBC was restored after two years. Patients in IMPG exhibited worse PWBC at 3 months post-surgery than that in AUTOG. Patients with low baseline PWBC that did not improve at 2-year follow up (n = 28, 4.82% for AUTOG) were characterized by radiation following reconstruction and non-white ethnicity. In IMPG, patients with medium low-restored trajectory were more likely to experience improved breast satisfaction, while patients developing high-restored trajectories were less likely to have worsened psychosocial well-being. Conclusion Although more women in IMPG experienced restored PWBC after 2 years, those in AUTOG exhibited a more favorable postoperative trajectory of change in PWBC. This finding can inform clinical treatment decisions, help manage patient expectations for recovery, and develop rehabilitation interventions contributing to enhancing the postoperative quality of life for breast cancer patients.

show abstract

Postural alterations in breast cancer survivors: proposal of the PABS evaluation protocol based on a systematic review

Doro

Azzollini

Ghilli

et al. 2023

Eur J Phys Rehabil Med

View full text Add to dashboard Cite

INTRODUCTION The constant improvement of the diagnostic process and the crescent efficacy of treatment options for Breast Cancer have led to an increase in the survival rate of patients. Thereby, it has become fundamental for Breast Care Units to deal with short-, medium-, and long-term sequelae of the disease and its treatment. Among these, changes in posture seem to have a crucial role. This review aims to collect and summarize the current knowledge on postural disorders in Breast Cancer Survivors, focusing on evaluation methods and rehabilitation protocols. EVIDENCE ACQUISITION A systematic research was conducted on PubMed, Scopus and World of Science databases, considering all the studies published up to 2021. Case reports, case series, cross-sectional, retrospective and prospective studies were included. Narrative and Systematic reviews were excluded. EVIDENCE SYNTHESIS After applying the eligibility criteria and bibliographic expansion, 55 articles were selected. Forty-four studies focused on the analysis and the quantification of postural abnormalities, showing a huge variability in population characteristics, valuative methods and outcome measures. Most of them are cross-sectional studies. Rehabilitation treatments have been considered in only 12 studies: all the rehabilitative treatments proved to be effective but, the heterogeneity among the evaluation methods has made a comparison impossible. Hence, we designed a complete evaluation protocol for the assessment of postural abnormalities in Breast Cancer Survivors. Our protocol has been drawn following the structure of International Classification of Functioning, Disability and Health. CONCLUSIONS Our review pointed out the crescent interest of the current Literature on analysis and treatment of postural alterations in breast cancer survivors. Since the extreme variety of outcome measures made it impossible to give a clear indication for evaluation and treatment of this disorder, we designed a complete evaluation protocol for the assessment of postural abnormalities in breast cancer survivors, with the goal of guiding the design of new clinical trials on these subjects.

show abstract

Evaluation of Late Postural Complications in Breast Cancer Patients Undergoing Breast-Conserving Therapy in Relation to the Type of Axillary Intervention-Cross-Sectional Study

Cited by 3 publications

References 38 publications

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

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

Physical well-being recovery trajectories by reconstruction modality in women undergoing mastectomy and breast reconstruction: Significant predictors and health-related quality of life outcomes

Postural alterations in breast cancer survivors: proposal of the PABS evaluation protocol based on a systematic review

Contact Info

Product

Resources

About