About
Scope & Aims
Editorial office
Editorial board
Ethical standards and procedures
Abstracting and indexing
Contact
Articles & Issues
Current issue
Articles in press
Archive
For Authors
General rules
Ethics in publishing
Guide for authors
Templates
Publication charge
For Reviewers
Our reviewers
Ethics in publishing
Guide for reviewers
Books and Events
Books
Events
ORIGINAL PAPER
The relationship between lymphedema, posture, respiratory functions,
exercise capacity, and the quality of life after breast cancer treatment
1
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Cyprus Health and Social Sciences University, Northern Cyprus, TR-10 Mersin, Turkey
2
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Bakircay University, İzmir, Turkey
3
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, European University of Lefke, Northern Cyprus, TR-10 Mersin, Turkey
4
School of Physical Therapy and Rehabilitation, Dokuz Eylul University, İzmir, Turkey
Submission date: 2020-11-30
Acceptance date: 2021-03-01
Publication date: 2022-02-07
Physiother Quart. 2023;31(2):14-20
KEYWORDS
TOPICS
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/m2, 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.
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/m2, 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.
REFERENCES (35)
1.
Yuste Sánchez MJ, Lacomba MT, Sánchez BS, Merino DP, da Costa SP, Téllez EC, et al. Health related quality of life improvement in breast cancer patients: Secondary outcome from a simple blinded, randomised clinical trial. Breast. 2015;24(1):75–81; doi: 10.1016/j.breast.2014.11.012.
2.
Waks AG, Winer EP. Breast cancer treatment. A review. JAMA. 2019;321(3):288–300; doi: 10.1001/jama.2018.19323.
3.
Khan JS, Ladha KS, Abdallah F, Clarke H. Treating persistent pain after breast cancer surgery. Drugs. 2020;80(1):23–31; doi: 10.1007/s40265-019-01227-5.
4.
Ribeiro AP, Maniaes T, Hamamoto AN. The effects of mastectomy and breast reconstruction on body posture and biomechanical aspects. In: Brandão S, Da T, Ramos RI, Mascarenhas T. (eds.). Women’s Health and Biomechanics. Where Medicine and Engineering Meet. Springer International Publishing, 2018:57–70. Available 19.04.2023 from: https://doi.org/10.1007/978-3-....
5.
Avis NE, Levine B, Goyal N, Crawford SL, Hess R, Colvin A, et al. Health-related quality of life among breast cancer survivors and noncancer controls over 10 years: Pink SWAN. Cancer. 2020;126(10):2296–2304; doi: 10.1002/cncr.32757.
6.
Executive Committee. The diagnosis and treatment of peripheral lymphedema: 2016 consensus document of the International Society of Lymphology. Lymphology. 2016;49(4):170–184.
7.
Mangone M, Bernetti A, Agostini F, Paoloni M, De Cicco FA, Capobianco SV, et al. Changes in Spine Alignment and Postural Balance After Breast Cancer surgery: a rehabilitative point of view. Biores Open Access. 2019;8(1):121–128; doi: 10.1089/biores.2018.0045.
8.
Espinosa-López AM, Daza-Arana JE, Pinzón-Sanabria LM, Perdomo-Quiroga Y, Ruiz-Jiménez JP. Effects of muscle energy technique for quadratus lumborum on respiratory muscle strength in patients with breast cancer. Rev Fac Med. 2019;67(4):469–475; doi: 10.15446/revfacmed.v67n4.68950.
9.
Odynets T, Briskin Y, Ikkert O, Todorova V, Yefremova A. Cardiopulmonary function in breast cancer patients versus healthy control women. Physiother Quart. 2020;28(1):6–10; doi: 10.5114/pq.2020.89810.
10.
Pasyar N, Barshan Tashnizi N, Mansouri P, Tahmasebi S. Effect of yoga exercise on the quality of life and upper extremity volume among women with breast cancer related lymphedema: a pilot study. Eur J Oncol Nurs. 2019;42:103–109; doi: 10.1016/j.ejon.2019.08.008.
11.
Sitzia J. Volume measurement in lymphoedema treatment: examination of formulae. Eur J Cancer Care (Engl). 1995;4(1):11–16; doi: 10.1111/j.1365-2354.1995.tb00047.x.
12.
McRoberts LB, Cloud RM, Black CM. Evaluation of the New York Posture Rating Chart for assessing changes in postural alignment in a garment study. Cloth Text Res J. 2013;31(2):81–96; doi:10.1177/0887302X13480558.
13.
Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, et al. General considerations for lung function testing. Eur Respir J. 2005;26(1):153–161; doi: 10.1183/09031936.05.00034505.
14.
Black LF, Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis. 1969;99(5):696–702; doi: 10.1164/arrd.1969.99.5.696.
15.
American Thoracic Society, American College of Chest Physicians. ATS/ACCP Statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med. 2003;167(2):211–277; doi: 10.1164/rccm.167.2.211.
16.
Borg GA V. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377–381; doi: 10.1249/00005768-198205000-00012.
17.
Jay SJ. Reference equations for the six-minute walk in healthy adults [1] (multiple letters). Am J Respir Crit Care Med. 2000;161(4 I):1396; doi: 10.1164/ajrccm.161.4.16147a.
18.
Perry S, Kowalski TL, Chang C-H. Quality of life assessment in women with breast cancer: Benefits, acceptability and utilization. Health Qual Life Outcomes. 2007;5:24; doi: 10.1186/1477-7525-5-24.
19.
Gökçora N, İnce FG, Hocaoğlu MB, Akçay Nİ, Eker ÖC. TRNC 2012 Cancer Statistics Report [in Turkish]. 2018. Available 02.02.2021 from: https://medicine.emu.edu.tr/Do....
20.
Fleiss JL, Levin B, Paik MC. The measurement of interrater agreement. In: Shewart WA, Wilks SS, Fleiss JL, Levin B, Paik MC (eds.) Statistical Methods for Rates and Proportions. 3rd ed. Hoboken: John Wiley & Sons; 2003:598–626; doi: 10.1002/0471445428.ch18.
21.
Quirion E. Recognizing and treating upper extremity lymphedema in postmastectomy/lumpectomy patients: a guide for primary care providers. J Am Acad Nurse Pract. 2010 3;22(9):450–459; doi: 10.1111/j.1745-7599.2010.00542.x.
22.
Sagen Å, Kåresen R, Risberg MA. Physical activity for the affected limb and arm lymphedema after breast cancer surgery. A prospective, randomized controlled trial with two years follow-up. Acta Oncol. 2009;48(8):1102–1110; doi: 10.3109/02841860903061683.
23.
Imamoğlu N, Karadibak D, Ergin G, Yavuzşen T. The effect of education on upper extremity function in patients with lymphedema after breast cancer treatments. Lymphat Res Biol. 2016;14(3):142–147; doi: 10.1089/lrb.2015.0010.
24.
Paskett ED, Stark N. Lymphedema: knowledge, treatment, and impact among breast cancer survivors. Breast J. 2000;6(6):373–378; doi:10.1046/j.1524-4741.2000.99072.x.
25.
Yıldız A, Karayurt Ö. Difficulties experienced by the women with breast cancer experience due to lymphedema. J Breast Heal. 2011;7(3):154–162.
26.
Malicka I, Hanuszkiewicz J, Stefańska M, Barczyk K, Woźniewski M. Relation between trunk muscle activity and posture type in women following treatment for breast cancer. J Back Musculoskelet Rehabil. 2010;23(1):11–19; doi: 10.3233/BMR-2010-0242.
27.
Stout NL, Binkley JM, Schmitz KH, Andrews K, Hayes SC, Campbell KL, et al. A prospective surveillance model for rehabilitation for women with breast cancer. Cancer. 2012;118(Suppl. 8):2191–2200; doi: 10.1002/cncr.27476.
28.
Kabała MM, Jasek P, Wilczyński J. Assessment of body posture in women after radical mastectomy using the DIERS formetric III 4D device. Med Stud. 2020;36(2):103–109; doi: 10.5114/ms.2020.96789.
29.
O’Donnell DE, Webb KA, Langer D, Elbehairy AF, Neder JA, Dudgeon DJ. Respiratory factors contributing to exercise intolerance in breast cancer survivors: a case-control study. J Pain Symptom Manage. 2016;52(1):54–63; doi: 10.1016/j.jpainsymman.2016.01.004.
30.
Rasekaba T, Lee AL, Naughton MT, Williams TJ, Holland AE. The six-minute walk test: a useful metric for the cardiopulmonary patient. Intern Med J. 2009;39(8):495–501; doi: 10.1111/j.1445-5994.2008.01880.x.
31.
Monteiro Abreu AP, Endres D, Bortoluzzi Costa A, Cecagno Zanini SC, Ribeiro Martini R, Pereira Leguisamo C. Pulmonary function and respiratory muscle strength in patients undergoing oncologic breast surgery [in Portuguese]. Rev Bras Cancerol. 2014;60(2):151–157.
32.
Ulubay G. Respiratory mass physiology and muscle power measurement [in Turkish]. Toraks Cerrahisi Bul. 2017;10(1):37–46.
33.
Bouya S, Koochakzai M, Rafiemanesh H, Balouchi A, Taheri S, Badakhsh M, et al. Health-related quality of life of Iranian breast cancer patients: a meta-analysis and systematic review. Breast Cancer Res Treat. 2018;170(2):205–212; doi: 10.1007/s10549-018-4750-x.
34.
Ho PJ, Gernaat SAM, Hartman M, Verkooijen HM. Health-related quality of life in Asian patients with breast cancer: a systematic review. BMJ Open. 2018;8(4):e020512; doi: 10.1136/bmjopen-2017-020512.
35.
Taghian NR, Miller CL, Jammallo LS, O’Toole J, Skolny MN. Lymphedema following breast cancer treatment and impact on quality of life: a review. Crit Rev Oncol Hematol. 2014;92(3):227–234; doi: 10.1016/j.critrevonc.2014.06.004.
Share
RELATED ARTICLE
| eISSN: | 2544-4395 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
