Research Article
BibTex RIS Cite

Meme Kanseri Sonrası Lenfödem Gelişen ve Gelişmeyen Kadınlarda Üst Ekstremite Fonksiyonu, Postür ve Yaşam Kalitesi Arasındaki İlişkinin İncelenmesi

Year 2019, Volume: 11 Issue: 3, 432 - 439, 23.10.2019

Abstract

Amaç: Bu çalışma, meme kanseri ilişkili cerrahi sonrası lenfödem gelişen ve gelişmeyen kadınlar arasında üst ekstremite fonksiyonu, postür ve yaşam kalitesini karşılaştırmak ve aralarında ilişki olup olmadığını incelemek amacıyla gerçekleştirildi.

Gereç ve Yöntem: Çalışmaya 18-70 yaş arasında unilateral meme kanseri ilişkili cerrahi geçiren, 27 üst ekstremite lenfödemli ve 29 lenfödemi olmayan kadın dahil edildi. Üst ekstremite fonksiyonu için Minnesota Manuel Beceriklilik Testi, postür için New York Postür Analiz Yöntemi ve yaşam kalitesi için Avrupa Kanser Araştırma ve Tedavi Organizasyonu Yasam Kalitesi Anketi kullanıldı.

Bulgular: Lenfödemli kadınların postür, üst ekstremite fonksiyonu ve yaşam kalitesi skorları lenfödem gelişmeyenlere göre daha düşük olacak şekilde bulundu (p<0.05). Ayrıca, postür ile yaşam kalitesi genel sağlık durumu arasında her iki grupta da pozitif yönde orta düzeyde ilişki bulundu (r=0.516, p=0.007, lenfödemli; r=0.486, p=0.008, lenfödemi olmayan). Ancak, üst ekstremite fonksiyonu ile postür ve yaşam kalitesi arasında bir ilişki saptanmadı (p>0.05).

Sonuç: Bu çalışma meme kanseri cerrahisi sonrası lenfödemi gelişen kadınların postür, üst ekstremite fonksiyonu ve yaşam kalitelerinin lenfödem olmayanlara göre daha kötü olduğunu gösterdi. Ayrıca, postür bozukluğunun daha kötü yaşam kalitesi ile ilişkili olduğu, ancak üst ekstremite fonksiyonu ile yaşam kalitesi ve postürün ilişkili olmadığı görüldü.

References

  • REFERENCES1. Ferlay J, Héry C, Autier P, Sankaranarayanan R. Global burden of breast cancer. Breast cancer epidemiology: Springer; 2010. p. 1-19.
  • 2. Şencan İ, Keskinkılıç B. Türkiye Kanser İstatistikleri. TC Sağlık Bakanlığı, Türkiye Halk Sağlığı Kurumu. 2015.
  • 3. Verkooijen HM, Fioretta GM, Rapiti E, Bonnefoi H, Vlastos G, Kurtz J, et al. Patients’ refusal of surgery strongly impairs breast cancer survival. Annals of Surgery. 2005;242(2):276.
  • 4. Kuehn T, Klauss W, Darsow M, Regele S, Flock F, Maiterth C, et al. Long-term morbidity following axillary dissection in breast cancer patients–clinical assessment, significance for life quality and the impact of demographic, oncologic and therapeutic factors. Breast Cancer Research and Treatment. 2000;64(3):275-86.
  • 5. Ebaugh D, Spinelli B, Schmitz KH. Shoulder impairments and their association with symptomatic rotator cuff disease in breast cancer survivors. Medical Hypotheses. 2011;77(4):481-7.
  • 6. Büyükakıncak Ö, Akyol Y, Özen N, Ulus Y, Cantürk F, Tander B, et al. Quality of Life in Patients with Breast Cancer at Early Postoperative Period: Relationship to Shoulder Pain, Handgrip Strength, Disability, and Emotional Status. Turkish Journal of Physical Medicine and Rehabilitation. 2014;60(1).
  • 7. Koehler LA, Hunter DW, Blaes AH, Haddad TC. Function, Shoulder Motion, Pain, and Lymphedema in Breast Cancer with and Without Axillary Web Syndrome: An 18-Month Follow-Up. Physical Therapy. 2018; 98(6):518-527.
  • 8. DiSipio T, Rye S, Newman B, Hayes S. Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncology. 2013;14:500–515
  • 9. Leidenius M, Leppänen E, Krogerus L, von Smitten K. Motion restriction and axillary web syndrome after sentinel node biopsy and axillary clearance in breast cancer. The American Journal of Surgery. 2003;185(2):127-30
  • 10. Norman SA, Localio AR, Potashnik SL, Torpey HAS, Kallan MJ, Weber AL, et al. Lymphedema in breast cancer survivors: incidence, degree, time course, treatment, and symptoms. Journal of Clinical Oncology. 2009;27(3):390.
  • 11. McLaughlin SA, Wright MJ, Morris KT, Giron GL, Sampson MR, Brockway JP, et al. Prevalence of lymphedema in women with breast cancer 5 years after sentinel lymph node biopsy or axillary dissection: objective measurements. Journal of Clinical Oncology. 2008;26(32):5213.
  • 12. Karadibak D, Yavuzsen T. Evaluation of kinesthetic sense and hand function in women with breast cancer-related lymphedema. Journal of Physical Therapy Science. 2015;27(6):1671-5.
  • 13. Smoot B, Wong J, Cooper B, Wanek L, Topp K, Byl N, et al. Upper limb impairments in women with or without lymphedema following breast cancer treatment. Journal of Cancer Survivorship. 2010;4(2):167-78.
  • 14. Hopwood P, Haviland JS, Sumo G, Mills J, Bliss JM, Yarnold JR. Comparison of patient-reported breast, arm, and shoulder symptoms and body image after radiotherapy for early breast cancer: 5-year follow-up in the randomised Standardisation of Breast Radiotherapy (START) trials. The Lancet Oncology. 2010;11(3):231-40.
  • 15. Crosbie J, Kilbreath SL, Dylke E, Refshauge KM, Nicholson LL, Beith JM, et al. Effects of mastectomy on shoulder and spinal kinematics during bilateral upper-limb movement. Physical Therapy. 2010;90(5):679-92.
  • 16. Kisner C, Colby LA. Exercícios terapêuticos: fundamentos e técnicas. Exercícios Terapêuticos: fundamentos e técnicas2009. p. 1000-.
  • 17. Bąk M, Cieśla S. Assessment of postural disorders in women after radical mastectomy followed by immediate breast reconstruction. Physiotherapy. 2009;17(1):30-7.
  • 18. Collins LG, Nash R, Round T, Newman B. Perceptions of upper-body problems during recovery from breast cancer treatment. Supportive Care in Cancer. 2004;12(2):106-13.
  • 19. Haddad CAS, Saad M, Perez MdCJ, Miranda Júnior F. Assessment of posture and joint movements of the upper limbs of patients after mastectomy and lymphadenectomy. Einstein (Sao Paulo). 2013;11(4):426-34.
  • 20. Ahmed RL, Prizment A, Lazovich D, Schmitz KH, Folsom AR. Lymphedema and quality of life in breast cancer survivors: the Iowa Women's Health Study. Journal of Clinical Oncology. 2008;26(35):5689.
  • 21. Klassen AF, Pusic AL, Scott A, Klok J, Cano SJ. Satisfaction and quality of life in women who undergo breast surgery: a qualitative study. BMC Momen's Health. 2009;9(1):11.
  • 22. Nesvold IL, Reinertsen KV, Fosså SD, Dahl AA. The relation between arm/shoulder problems and HRQL in breast cancer survivors: a cross-sectional and longitudinal study. Journal of Cancer Survivorship. 2011;5: 62–72.
  • 23. McRoberts LB, Cloud RM, Black CM. Evaluation of the New York Posture Rating Chart for assessing changes in postural alignment in a garment study. Clothing and Textiles Research Journal. 2013;31(2):81-96.
  • 24. Instrument L. The Minnesota Dexterity Test Examiner's Manual. USA, Lafeyette Company. 1998.
  • 25. Fayers PM, Aaronson NK, Bjordal K, Curran D, Grønvold M. EORTC QLQ-C30 scoring manual. 1999.
  • 26. Hunt KK, Meric-Bernstam F. Surgical options for breast cancer. Breast Cancer 2nd edition: Springer; 2008:197-234.
  • 27. Thompson A, Air M, Jack W, Kerr G, Rodger A, Chetty U. Arm morbidity after breast conservation and axillary therapy. The Breast. 1995;4(4):273-6.
  • 28. Belmonte R, Messaggi-Sartor M, Ferrer M, Pont A, Escalada F. Prospective study of shoulder strength, shoulder range of motion, and lymphedema in breast cancer patients from pre-surgery to 5 years after ALND or SLNB. Supportive Care in Cancer. 2018; 26 (9): 3277–3287.
  • 29. Johansson K, Holmström H, Nilsson I, Ingvar C, Albertsson M, Ekdahl C. Breast cancer patients' experiences of lymphoedema. Scandinavian Journal of Caring Sciences. 2003;17(1):35-42.
  • 30. Dawes DJ, Meterissian S, Goldberg M, Mayo NE. Impact of lymphoedema on arm function and health-related quality of life in women following breast cancer surgery. Journal of Rehabilitation Medicine. 2008; 40(8): 651-8
  • 31. Cheville AL, Tchou J. Barriers to rehabilitation following surgery for primary breast cancer. Journal of Surgical Oncology. 2007;95:409–418.
  • 32. Klernas P, Johnsson A, Horstmann V, Johansson K. Health-related quality of life in patients with lymphoedema – a cross-sectional study. Scandinavian Journal of Caring Sciences. 2018;32(2):634-644
  • 33. Ridner SH, Dietrich MS, Kidd N. Breast cancer treatment-related lymphedema self-care: education, practices, symptoms, and quality of life. Supportive Care in Cancer 2011;19:631–7.34.

Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients with and without Lymphedema After Breast Cancer Surgery

Year 2019, Volume: 11 Issue: 3, 432 - 439, 23.10.2019

Abstract

Objective:
The aim of this study was to compare the upper
limb function, posture and quality of life between women with and without lymphedema
after breast cancer-related surgery and to investigate whether there is a
relationship between them.

Methods: The study included 27 women with upper limb
lymphedema and 29 women without lymphedema, aged between 18 and 70 years and undergone
unilateral breast cancer-related surgery. Minnesota Manual Dexterity Test was
used to evaluate upper limb function, New York Posture Rating Chart for posture
and European Organization for Research and Treatment of Cancer Core QoL
Questionnaire for quality of life.

Results: Women with lymphedema had lower posture,
upper limb function and quality of life scores than those without lymphedema (p
<0.05). In addition, a moderate positive correlation was found between
posture and quality of life general health status in both groups (r=0.516,
p=0.007, lymphedema; r=0.486, p=0.008, without lymphedema). However, there was
no correlation between upper limb function to posture and quality of life
(p> 0.05).







Conclusion:
This study demonstrated that women with
lymphedema after breast cancer surgery had worse posture, upper limb function
and quality of life than those without lymphedema. In addition, it was found
that posture disorder was associated with poorer quality of life, but upper limb
function was not associated with quality of life and posture.

References

  • REFERENCES1. Ferlay J, Héry C, Autier P, Sankaranarayanan R. Global burden of breast cancer. Breast cancer epidemiology: Springer; 2010. p. 1-19.
  • 2. Şencan İ, Keskinkılıç B. Türkiye Kanser İstatistikleri. TC Sağlık Bakanlığı, Türkiye Halk Sağlığı Kurumu. 2015.
  • 3. Verkooijen HM, Fioretta GM, Rapiti E, Bonnefoi H, Vlastos G, Kurtz J, et al. Patients’ refusal of surgery strongly impairs breast cancer survival. Annals of Surgery. 2005;242(2):276.
  • 4. Kuehn T, Klauss W, Darsow M, Regele S, Flock F, Maiterth C, et al. Long-term morbidity following axillary dissection in breast cancer patients–clinical assessment, significance for life quality and the impact of demographic, oncologic and therapeutic factors. Breast Cancer Research and Treatment. 2000;64(3):275-86.
  • 5. Ebaugh D, Spinelli B, Schmitz KH. Shoulder impairments and their association with symptomatic rotator cuff disease in breast cancer survivors. Medical Hypotheses. 2011;77(4):481-7.
  • 6. Büyükakıncak Ö, Akyol Y, Özen N, Ulus Y, Cantürk F, Tander B, et al. Quality of Life in Patients with Breast Cancer at Early Postoperative Period: Relationship to Shoulder Pain, Handgrip Strength, Disability, and Emotional Status. Turkish Journal of Physical Medicine and Rehabilitation. 2014;60(1).
  • 7. Koehler LA, Hunter DW, Blaes AH, Haddad TC. Function, Shoulder Motion, Pain, and Lymphedema in Breast Cancer with and Without Axillary Web Syndrome: An 18-Month Follow-Up. Physical Therapy. 2018; 98(6):518-527.
  • 8. DiSipio T, Rye S, Newman B, Hayes S. Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncology. 2013;14:500–515
  • 9. Leidenius M, Leppänen E, Krogerus L, von Smitten K. Motion restriction and axillary web syndrome after sentinel node biopsy and axillary clearance in breast cancer. The American Journal of Surgery. 2003;185(2):127-30
  • 10. Norman SA, Localio AR, Potashnik SL, Torpey HAS, Kallan MJ, Weber AL, et al. Lymphedema in breast cancer survivors: incidence, degree, time course, treatment, and symptoms. Journal of Clinical Oncology. 2009;27(3):390.
  • 11. McLaughlin SA, Wright MJ, Morris KT, Giron GL, Sampson MR, Brockway JP, et al. Prevalence of lymphedema in women with breast cancer 5 years after sentinel lymph node biopsy or axillary dissection: objective measurements. Journal of Clinical Oncology. 2008;26(32):5213.
  • 12. Karadibak D, Yavuzsen T. Evaluation of kinesthetic sense and hand function in women with breast cancer-related lymphedema. Journal of Physical Therapy Science. 2015;27(6):1671-5.
  • 13. Smoot B, Wong J, Cooper B, Wanek L, Topp K, Byl N, et al. Upper limb impairments in women with or without lymphedema following breast cancer treatment. Journal of Cancer Survivorship. 2010;4(2):167-78.
  • 14. Hopwood P, Haviland JS, Sumo G, Mills J, Bliss JM, Yarnold JR. Comparison of patient-reported breast, arm, and shoulder symptoms and body image after radiotherapy for early breast cancer: 5-year follow-up in the randomised Standardisation of Breast Radiotherapy (START) trials. The Lancet Oncology. 2010;11(3):231-40.
  • 15. Crosbie J, Kilbreath SL, Dylke E, Refshauge KM, Nicholson LL, Beith JM, et al. Effects of mastectomy on shoulder and spinal kinematics during bilateral upper-limb movement. Physical Therapy. 2010;90(5):679-92.
  • 16. Kisner C, Colby LA. Exercícios terapêuticos: fundamentos e técnicas. Exercícios Terapêuticos: fundamentos e técnicas2009. p. 1000-.
  • 17. Bąk M, Cieśla S. Assessment of postural disorders in women after radical mastectomy followed by immediate breast reconstruction. Physiotherapy. 2009;17(1):30-7.
  • 18. Collins LG, Nash R, Round T, Newman B. Perceptions of upper-body problems during recovery from breast cancer treatment. Supportive Care in Cancer. 2004;12(2):106-13.
  • 19. Haddad CAS, Saad M, Perez MdCJ, Miranda Júnior F. Assessment of posture and joint movements of the upper limbs of patients after mastectomy and lymphadenectomy. Einstein (Sao Paulo). 2013;11(4):426-34.
  • 20. Ahmed RL, Prizment A, Lazovich D, Schmitz KH, Folsom AR. Lymphedema and quality of life in breast cancer survivors: the Iowa Women's Health Study. Journal of Clinical Oncology. 2008;26(35):5689.
  • 21. Klassen AF, Pusic AL, Scott A, Klok J, Cano SJ. Satisfaction and quality of life in women who undergo breast surgery: a qualitative study. BMC Momen's Health. 2009;9(1):11.
  • 22. Nesvold IL, Reinertsen KV, Fosså SD, Dahl AA. The relation between arm/shoulder problems and HRQL in breast cancer survivors: a cross-sectional and longitudinal study. Journal of Cancer Survivorship. 2011;5: 62–72.
  • 23. McRoberts LB, Cloud RM, Black CM. Evaluation of the New York Posture Rating Chart for assessing changes in postural alignment in a garment study. Clothing and Textiles Research Journal. 2013;31(2):81-96.
  • 24. Instrument L. The Minnesota Dexterity Test Examiner's Manual. USA, Lafeyette Company. 1998.
  • 25. Fayers PM, Aaronson NK, Bjordal K, Curran D, Grønvold M. EORTC QLQ-C30 scoring manual. 1999.
  • 26. Hunt KK, Meric-Bernstam F. Surgical options for breast cancer. Breast Cancer 2nd edition: Springer; 2008:197-234.
  • 27. Thompson A, Air M, Jack W, Kerr G, Rodger A, Chetty U. Arm morbidity after breast conservation and axillary therapy. The Breast. 1995;4(4):273-6.
  • 28. Belmonte R, Messaggi-Sartor M, Ferrer M, Pont A, Escalada F. Prospective study of shoulder strength, shoulder range of motion, and lymphedema in breast cancer patients from pre-surgery to 5 years after ALND or SLNB. Supportive Care in Cancer. 2018; 26 (9): 3277–3287.
  • 29. Johansson K, Holmström H, Nilsson I, Ingvar C, Albertsson M, Ekdahl C. Breast cancer patients' experiences of lymphoedema. Scandinavian Journal of Caring Sciences. 2003;17(1):35-42.
  • 30. Dawes DJ, Meterissian S, Goldberg M, Mayo NE. Impact of lymphoedema on arm function and health-related quality of life in women following breast cancer surgery. Journal of Rehabilitation Medicine. 2008; 40(8): 651-8
  • 31. Cheville AL, Tchou J. Barriers to rehabilitation following surgery for primary breast cancer. Journal of Surgical Oncology. 2007;95:409–418.
  • 32. Klernas P, Johnsson A, Horstmann V, Johansson K. Health-related quality of life in patients with lymphoedema – a cross-sectional study. Scandinavian Journal of Caring Sciences. 2018;32(2):634-644
  • 33. Ridner SH, Dietrich MS, Kidd N. Breast cancer treatment-related lymphedema self-care: education, practices, symptoms, and quality of life. Supportive Care in Cancer 2011;19:631–7.34.
There are 33 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Mahmut Surmeli This is me 0000-0002-5661-922X

Ozlem Cinar Ozdemir

Publication Date October 23, 2019
Acceptance Date October 4, 2019
Published in Issue Year 2019 Volume: 11 Issue: 3

Cite

APA Surmeli, M., & Cinar Ozdemir, O. (2019). Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients with and without Lymphedema After Breast Cancer Surgery. Konuralp Medical Journal, 11(3), 432-439.
AMA Surmeli M, Cinar Ozdemir O. Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients with and without Lymphedema After Breast Cancer Surgery. Konuralp Medical Journal. October 2019;11(3):432-439.
Chicago Surmeli, Mahmut, and Ozlem Cinar Ozdemir. “Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients With and Without Lymphedema After Breast Cancer Surgery”. Konuralp Medical Journal 11, no. 3 (October 2019): 432-39.
EndNote Surmeli M, Cinar Ozdemir O (October 1, 2019) Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients with and without Lymphedema After Breast Cancer Surgery. Konuralp Medical Journal 11 3 432–439.
IEEE M. Surmeli and O. Cinar Ozdemir, “Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients with and without Lymphedema After Breast Cancer Surgery”, Konuralp Medical Journal, vol. 11, no. 3, pp. 432–439, 2019.
ISNAD Surmeli, Mahmut - Cinar Ozdemir, Ozlem. “Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients With and Without Lymphedema After Breast Cancer Surgery”. Konuralp Medical Journal 11/3 (October 2019), 432-439.
JAMA Surmeli M, Cinar Ozdemir O. Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients with and without Lymphedema After Breast Cancer Surgery. Konuralp Medical Journal. 2019;11:432–439.
MLA Surmeli, Mahmut and Ozlem Cinar Ozdemir. “Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients With and Without Lymphedema After Breast Cancer Surgery”. Konuralp Medical Journal, vol. 11, no. 3, 2019, pp. 432-9.
Vancouver Surmeli M, Cinar Ozdemir O. Examination of The Relationship Between Upper Limb Function, Posture and Quality of Life in Patients with and without Lymphedema After Breast Cancer Surgery. Konuralp Medical Journal. 2019;11(3):432-9.