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首页> 外文期刊>BioResearch open access. >Changes in Spine Alignment and Postural Balance After Breast Cancer Surgery: A Rehabilitative Point of View
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Changes in Spine Alignment and Postural Balance After Breast Cancer Surgery: A Rehabilitative Point of View

机译：乳腺癌手术后脊柱排列和姿势平衡的变化：修复性观点

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Breast cancer is the most common malignant tumor in female patients in developed countries. Recent articles indicate that one-sided mastectomy or minor breast surgery to treat breast cancer can have deleterious effects on posture and the musculoskeletal system. The purpose of this study was to investigate the alterations post-breast cancer surgery of the spine alignment associated to the balance not reported by the noninvasive instrumentation. We enrolled 30 women who had undergone treatment for breast cancer (BG) and were on a waiting-list for rehabilitation treatment and a control group of 30 healthy volunteer women (CG), matched by age and body mass index. The stabilometry was performed using a force platform (Kistler Instruments, Winterthur, Switzerland) test during quiet standing with closed-eyes (EC) and open-eyes (EO), recording the position of the center of pressure (CoP) for 51.2?sec. The stabilogram or the time plot of the two coordinates, X and Y, of the CoP was obtained, which represent anteroposterior and midlateral balance. Spinal posture was measured using the Formetric-4D rasterstereographic system (DIERS, International GmbH, Schlangenbad, Germany), and thoracic kyphotic angle, lumbar lordotic angle, and surface trunk rotation were evaluated. Sixty participants were analyzed (CG:30; BG:30). For the spine rasterstereography a statistically significant difference was shown with regard to anterior–posterior flexion of the trunk major in BG; pelvic inclination and twist of half-pelvis decreased in BG; normalized lumbosacral inversion point decreased in BG; surface rotation major in BG; and lateral deviation major in BG. Compared with the values for the stabilometry test with EO and EC, a statistically significant difference was observed, respectively, for ellipse length (mm; p =?0.04) and ellipse area (mm2; p =?0.04) with EO and in ellipse area (mm2) with EC ( p =?0.05), increased in BG for both conditions. No difference was shown for CoP velocity and oscillations between the groups. Breast cancer survivors after prostheses or tissue expanders for mastectomy showed a spine's misalignment present both on the sagittal plane, both on the coronal and frontal plane, increased in BG regard to anterior–posterior flexion of the trunk, surface rotation, and lateral deviation. It is associated with greater energy expenditure for the postural balance control increased in BG with a major ellipse area in EO and EC conditions and major ellipse length in EC condition.
机译：乳腺癌是发达国家女性患者中最常见的恶性肿瘤。最近的文章表明，单侧乳房切除术或轻微乳腺癌手术可治疗乳腺癌，对姿势和肌肉骨骼系统产生有害影响。这项研究的目的是调查乳腺癌手术后脊柱排列的变化与无创仪器未报告的平衡有关。我们招募了30位接受过乳腺癌（BG）治疗并正在等待康复治疗的女性，并纳入了30名健康志愿者女性（CG）的对照组，按年龄和体重指数进行匹配。在闭眼（EC）和睁眼（EO）安静站立的过程中，使用测力平台（Kistler Instruments，Winterthur，瑞士）进行稳定度测试，记录压力中心（CoP）的位置51.2？sec。 。获得CoP的两个坐标X和Y的稳定图或时间图，它们代表前后和中外侧平衡。使用Formetric-4D光栅系统（DIERS，International GmbH，Schlangenbad，德国）测量脊柱姿势，并评估胸椎后凸角，腰椎前凸角和表面躯干旋转。分析了六十名参与者（CG：30; BG：30）。对于脊柱光栅，BG主干的前后弯曲在统计学上有显着差异。 BG的骨盆倾斜度和半骨盆扭曲度降低;正常腰lum反转点BG降低; BG表面旋转专业;和横向偏差主要在BG。与使用EO和EC进行的稳定度测试的值相比，分别在椭圆长度（mm; p =？0.04）和椭圆面积（mm2; p =？0.04）与EO和椭圆面积上观察到统计学显着差异。两种情况下，EC的最大平方毫米（mm2）（p =？0.05）均增加。组间CoP速度和振荡没有差异。乳房假体或组织扩张器进行乳房切除术后的乳腺癌幸存者显示，在矢状面，冠状面和额面均存在脊柱错位，这与躯干的前后弯曲，表面旋转和侧向偏移有关。它与更大的能量消耗相关联，因为BG的姿势平衡控制增加，在EO和EC条件下具有较大的椭圆面积，在EC条件下具有较大的椭圆长度。

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