Analysis of pain and quality of life in women after radical and sparing mastectomy

Kinga Czaja, Zbigniew Śliwiński, Edyta Dziewisz-Markowska, Kamil Markowski

Kinga Czaja, Zbigniew Śliwiński, Edyta Dziewisz-Markowska, Kamil Markowski – Analysis of pain and quality of life in women after radical and sparing mastectomy. Fizjoterapia Polska 2021; 21(3); 214-225

Abstract
Objective. The objective of the study was to analyse pain and quality of life in women after radical and sparing mastectomy. The quality of life after radical mastectomy compared to sparing mastectomy was characterized, assessing difficulties in everyday life and work, as well as limitations in undertaking various activities caused by pain after the procedure. The study verified whether the type of mastectomy significantly impacted selected aspects of life.
Material and method. The questionnaire-based study was carried out among 100 patients of Holy Cross Cancer Centre, aged 29 to 88 years, after radical and sparing breast cancer treatment. In order to compare the values of quantitative and qualitative variables between the groups, Student’s t-test, chi-square test, Mann-Whitney test and Shapiro-Wilk test were used. A significance level of p <0.05 was adopted in the course of the analysis. Statistical analysis was performed using Statistica 13.1 by StatSoft; the data was collected in Excel 2016.
Results. The analysis showed no statistically significant differences in the level of pain intensity in each analysed area between the groups of women, however, it confirmed a statistically significant correlation between the type of surgery performed and the onset of pain as well as limitations in everyday functioning. The analysis showed no statistically significant differences in pain intensity depending on the treatment period.
Conclusions. The level of pain after radical and sparing mastectomy was similar. After radical mastectomy, the patients’ quality of life was lower than after sparing mastectomy. Rehabilitation reduced pain intensity and improved the patients’ quality of life.
Key words:
radical mastectomy, sparing mastectomy, rehabilitation, quality of life
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Influence of selected anthropometric features on outcomes of motor rehabilitation of women following radical mastectomy – evaluation of changes in muscle strength

Zbigniew Kopański, Joanna Zyznawska, Robert Suszko, Renata Pięta, Magdalena Michalin

Zbigniew Kopański, Joanna Zyznawska, Robert Suszko, Renata Pięta, Magdalena Michalin – Influence of selected anthropometric features on outcomes of motor rehabilitation of women following radical mastectomy – evaluation of changes in muscle strength. Fizjoterapia Polska 2007; 7(1); 29-37

Abstract

Background. The aim of the study was to determine the usefulness of selected anthropometric features in predicting the development of impairment of the strength of thumb & finger flexors after radical mastectomy. Material and methods. The analysis included 126 women who had undergone a radical operation for breast cancer. The strength of flexors of the fingers & thumb was evaluated before surgery and during 12-month follow-up. The results of muscle strength tests were referred to 15 anthropometric traits. Results. 23.8% of the women did not regain pre-surgery muscle strength, as attested by the results of all muscle strength measurements. There were statistically significant differences in mean body mass and the BM and Quetelet’s indices between women with persistent post-operative impairment of muscle strength and those who regained muscle strength following a radical mastectomy. Conclusions. Impairment of muscle strength below reference values in the finger & thumb flexors was seen in 23.8% of the mastectomy patients. Grasp strength decreases were most strongly correlated with body mass (correlation index 0.67). Post-operative weakening of the hand was significantly correlated with high body mass (>71.1 kg) and high values of the following indices: BMI (>29.8) and Quetelet’s index (>412).

Key words:
radical mastectomy, anthropometric features, muscle strength, rehabilitation
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