Abstract
The purpose of the paper is a functional assessment of post-mastectomy patients who underwent latissimus dorsi breast reconstruction (LDBR), and of healthy women, through an analysis of selected muscle function parameters, including motor control assessment. Twenty participants were included in the study (ten LDBR-procedure individuals and ten healthy controls). The research consisted of a DASH (The Disabilities of the Arm, Shoulder and Hand) questionnaire assessment, shoulder area static assessment, shoulder mobility assessment, latissimus dorsi flexibility assessment and shoulder motor control assessment. LDBR-procedure individuals—when compared to healthy controls—exhibited a decrease in physical aspects of quality of life, shoulder area postural alterations, limitations in shoulder mobility and decrease in shoulder motor control. LDBR procedure may have an influence on limiting shoulder active mobility, as well as on decrease of shoulder motor and postural control. Standard functional assessment diversified on motor control assessment of post-mastectomy patients qualified for the LDBR procedure seems to be necessary.
Highlights
Breast cancer is the most prominent oncological issue in the highly developed countries and is further becoming one in the developing countries
The purpose of the paper is a functional assessment of post-mastectomy patients who underwent latissimus dorsi breast reconstruction (LDBR) and of healthy women, through an analysis of selected muscle function parameters, including motor control assessment
Breast cancer is a disease from which millions of women suffer, many of them at a relatively young age
Summary
Breast cancer is the most prominent oncological issue in the highly developed countries and is further becoming one in the developing countries. Surgical breast removal caused by cancer in a large number of patients can be followed by reconstruction provided there are no contraindications [2]. Union (2002/2279[INI]) states that: “whenever possible, the breast should be reconstructed using autologous tissue and the procedure should be conducted as soon as possible” [3]. Available options include various techniques and if at all possible, the reconstruction should be conducted simultaneously with the mastectomy to limit the change of body perception or in a delayed mode a minimum six months after the amputation and after ruling out any active cancer process. The reconstruction procedure may be conducted using autologous tissue in the form of musculocutaneous flaps either pedunculated on microsurgical attachments or, which is less strenuous for the body, using tissue
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