MASTEKTOMİ YAPILMIŞ MEME KANSERLİ KADINLAR İLE SAĞLIKLI KADINLAR ARASINDA DENGE FONKSİYONLARI AÇISINDAN FARK VAR MIDIR?

Amaç: Meme kanseri sağkalanlarında mastektomi cerrahisi sonrasında çeşitli fiziksel problemler ve denge kayıpları meydana gelmektedir. Çalışmanın amacı mastektomi yapılmış meme kanserli kadınlar ile sağlıklı kadınların denge fonksiyonlarının karşılaştırılmasıdır. Yöntem: Çalışmaya 66 birey, mastektomi yapılmış meme kanserli kadın (BCS grubu, n=33) ve sağlıklı kadın (kontrol grubu, n=33) dâhil edildi. Çalışma ve kontrol gruplarının subjektif denge problemleri ve düşme özellikleri, statik denge (Tandem Romberg Testi - TRT) ve dinamik denge (Y Denge Testi- YDT ve bilgisayar destekli dinamik denge platformu -Technobody-PK 200 WL) fonksiyonları açısından karşılaştırıldı. Sonuçlar: BCS grubunda yer alan bireylerin (%48,48) kontrol grubundan (%6,06) daha fazla denge kaybı yaşadıkları fakat düşme özellikleri açısından iki grup arasında fark olmadığı görüldü. Statik denge (TRT) gözler kapalı ölçüm sonuçlarının BCS grubunda kontrol grubuna göre daha düşük düzeyde olduğu (t= -2,21, p=0,03) fakat gözler açık ölçüm sonuçları açısından iki grup arasında fark olmadığı tespit edildi. Dinamik denge ölçüm sonuçları incelendiğinde YDT ve Technobody ölçümlerinde iki grup arasında hiçbir alt parametrede fark olmadığı bulundu. Tartışma: Meme kanseri sağkalanlarında subjektif denge problemi ve statik denge fonksiyonları sağlıklı kişilere göre daha fazla etkilenebilmektedir. Bu nedenle bu hasta grubunda denge fonksiyonlarının değerlendirilmesi ve uygun tedavi yöntemleri ile takip edilmesi tavsiye edilmektedir.

Anahtar Kelimeler:

Meme kanseri, Düşme, Mastektomi, Postüral denge

IS THERE A DIFFERENCE IN BALANCE FUNCTIONS BETWEEN BREAST CANCER SURVIVOR WOMEN AND HEALTHY WOMEN?

Purpose: Breast cancer survivors have various physical problems and balance disorders after mastectomy surgery (BCS). The study aimed to compare the balance functions in BCS women who had a mastectomy with healthy women. Methods: Sixty-six individuals, BCS women who had a mastectomy (BCS group, n=33) and healthy women (control group, n=33), were included in the study. In this study, subjective balance problems and falling characteristics, static balance (Tandem Romberg Test - TRT) and dynamic balance (Y Balance Test- (YBT) and computer-based dynamic balance platform - Technobody-PK 200 WL) functions of the study and control groups were compared. Results: The individuals in the BCS group (48.48%) experienced more balance problems than the control group (6.06%), but there was no difference between the two groups in terms of falling characteristics. Static balance (TRT) eyes-closed results were lower in the BCS group than the control group (t=-2.21, p=0.03), but there was no difference between the groups in TRT eyes-open results. There was no difference in any sub-parameter in dynamic balance measurements between the groups. Conclusion: Subjective balance problems and static balance functions are affected more in BCS than in healthy individuals. It is recommended that balance functions should be evaluated and followed up with appropriate treatment methods in BCS women who had a mastectomy.

Keywords:

Breast cancer, Falling, Mastectomy, Postural Balance,

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