Postoperative physical activity limitations and balance changes on patients who have been operated for breast cancer

OBJECTIVE: The purpose of this study is to assess the postoperative physical activity limitations and balance changes in patients who have been operated on for breast cancer. Some physical activity limitations and balance disorders can be expected after breast cancer surgery.
METHODS: From 2008 to 2016, 112 patients who underwent breast cancer surgery were included in this study. The patients who have some neurological, physical, pulmonary or cardiac diseases were not included. Patients were invited to the hospital. Lack of balance and physical activity limitations were evaluated with a questionnaire including 17 questions.
RESULTS: On the postoperative frequency distribution of physical activities criteria out of 112 patients %33.1 (n=37) people got 4 points and over while %66.9 (n=75) people got less than 4 points. After the operation, since more than 75 people got less than 4 points, it is accepted as inadequate in terms of physical activity. Looking at balance changes, in patients with breast-conserving surgery (BCS)were approximately 5.94–0.82 where as average modified radical mastectomy (MRM)was 5.94–0.41. According to criteria on postoperated patients’ balance changes, the value of f was 3.162, contrary to this, as the value of p was found 0.078. Differences between operation and balance changes were not significant.
CONCLUSION: The patients who have had breast cancer surgery, physical activities were limited and life quality was down after the operation. On the other hand, there was no significant difference on balance changes depending on the operations.

Meme kanseri nedeniyle ameliyat olan hastalarda fiziksel aktivite ve denge deðiþiklikleri

GÝRÝÞ: Meme kanseri ameliyatýndan sonra bazý fiziksel aktivite kýsýtlýlýklarý ve denge bozukluklarý beklenebilir. Bu çalýþmanýn amacý meme kanseri nedeniyle opere edilmiþ hastalarda postoperatif fiziksel aktivite kýsýtlýlýklarý ve denge deðiþikliklerinin deðerlendirilmesidir.
YÖNTEM: 2008-2016 yýllarý arasýnda meme kanseri ameliyatý geçirmiþ 112 hasta bu çalýþmaya dahil edildi. Bazý nörolojik, fiziksel, pulmoner veya kardiyak hastalýðý olan hastalar dahil edilmedi. Hastalar hastaneye davet edildi. Dengesizlik ve fiziksel aktivite kýsýtlýlýklarý 17 sorudan oluþan bir anket ile deðerlendirildi.
BULGULAR: 112 hastanýn ameliyat sonrasý fiziksel aktivite kriterlerine göre daðýlýmýnda %33.1 (n=37) 4 puan ve üzeri, %66.9 (n=75) kiþi 4 puanýn altýnda puan aldý. Ameliyattan sonra 75'den fazla kiþi 4'ün altýnda puan aldýðý için fiziksel aktivite açýsýndan yetersiz kabul edildi. Denge deðiþikliklerine bakýldýðýnda, MKC'li hastalarda yaklaþýk 5,94-0,82, MRM’de ise ortalama 5,94-0,41'dir. Ameliyat sonrasý hastalarýn denge deðiþiklikleri kriterlerine göre f deðeri 3,162 iken p deðeri 0,078 bulundu. Operasyon ve denge deðiþiklikleri arasýndaki farklar önemli deðildi.
SONUÇ: Meme kanseri ameliyatý olan hastalarýn ameliyat sonrasý fiziksel aktivitelerinde kýsýtlanma ve yaþam kalitelerinde düþme görüldü. Diðer yandan meme ameliyatlarýna baðlý olarak denge deðiþimlerinde ise anlamlý bir farklýlýk görülmedi. (NCI-2023-3-13)