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.
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.
Clinic and Chair of Rehabilitation, Medical College of the Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland. iwona.glowacka@cm.umk.pl.
Iwona
I
Głowacka
Clinical Department of Breast Cancers and Breast Reconstruction Surgery, Bydgoszcz Oncology Center, Bydgoszcz, Poland.
Tomasz
T
Nowikiewicz
Clinic and Chair of Neurosurgery, Medical College of the Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.
Zygmunt
Z
Siedlecki
Clinic and Chair of Rehabilitation, Medical College of the Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.
Wojciech
W
Hagner
Clinic and Chair of Rehabilitation, Medical College of the Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.
Krystyna
K
Nowacka
Clinic and Chair of Oncological Surgery, Medical College of the Nicolaus Copernicus University in Toruń, Oncology Center, Bydgoszcz, Poland.
Wojciech
W
Zegarski
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008408:Mastectomy; D015412:Mastectomy, Segmental; D008875:Middle Aged; D009367:Neoplasm Staging; D004856:Postural Balance / Q000502:physiology*; D011379:Prognosis; D011446:Prospective Studies; D013997:Time Factors
Body posture; Breast conserving therapy; Computed-assisted postural assessment; Frontal plane; Mastectomy