The Assessment of the Magnitude of Frontal Plane Postural Changes in Breast Cancer Patients After Breast-Conserving Therapy or Mastectomy – Follow-up Results 1 Year After the Surgical Procedure

Abstract

Breast cancer is the most common malignancy in Polish women. Management of breast cancer includes surgical treatment as well as adjuvant chemotherapy, radiotherapy, hormonal therapy, and combination regimens. One of the adverse consequences of oncological management of breast cancer may involve changes in frontal plane body posture. The objective of the study was to assess the frontal plane body posture changes in women treated for breast cancer. A prospective study including 101 of female breast cancer patients subjected to surgical treatment in the period from October 2011 to October 2012 (mastectomy was performed in 51 cases while breast conserving therapy was administered in the remaining 50 cases). The body posture in the frontal plane was assessed using the computer-assisted postural assessment system with Moiré fringe analysis. No statistically significant differences were observed in pre-operational postural parameters of interest. Exam II revealed highly significant differences in SLA values; results suggesting more pronounced dysfunction were observed in the MAS group. Exam III revealed highly significant differences in PIA, SH, SD and SLA values; results suggesting more pronounced dysfunction were observed in the MAS group. Undesirable postural changes occur both in women who were treated with radical mastectomy and in those who underwent breast-conserving surgery; breast-conserving surgery is associated with decreased severity in postural abnormalities.

Can the Weight of an External Breast Prosthesis Influence Trunk Biomechanics during Functional Movement in Postmastectomy Women?

“…Only studies on posture after mastectomy were conducted [27–30] but these did not include dynamic measurement. In Hooper et al trial [31], the authors presented evidence on the mechanical consequences of reduction mammoplasty on the low back.…”

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

“…As demonstrated in previous analyses performed at our site, a risk of adverse events exists also in the case of breast-saving surgical procedures. The adverse effects include limited range of motion within the shoulder joint, lymphedema, and postural defects within the sagittal and frontal planes [ 8 , 9 , 14 ]. We were also able to demonstrate a correlation between the number of dissected nodes and the reduction in the range of motion within the shoulder joint as confirmed by other studies [ 15 , 16 ].…”

“…When the intervention within the axillary fossa is limited to the removal of the sentinel node, the incidence of adverse events is lower in a statistically significant manner. Long-term adverse effects of BCT-related surgery with axillary lymph node dissection include lymphedema of the upper limb, limited range of motion of the upper limb on the operated breast side, winged scapula, paresthesias, and postural defects [ 8 , 9 ].…”

Influência da dor miofascial sobre a qualidade de vida e a postura em mulheres submetidas ao tratamento do câncer de mama

“…Com relação à postura em mulheres tratadas por câncer de mama, é possível predizer que a cirurgia leva a alterações posturais. Rostkowska et al (2006) (Głowacka et al, 2016).…”

“…A assimetria da escápula e do ombro são as alterações mais evidentes e que perduram mesmo após um longo período de finalização do tratamento(Barbosa et al, 2013). Estas alterações posturais podem ser observadas em mulheres que foram submetidas à mastectomia, cirurgia conservadora, e nas que foram submetidas à reconstrução mamária (Atanes MendesPeres et al, 2015;Głowacka et al, 2016). Em relação ao efeito do tratamento adjuvante,…”