JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
Functional balance and quality of life in breast cancer survivors
Abstract
Aims: Breast cancer is an important health problem with the second mortality rate in cancer-related deaths in women. After mastectomy and radiotherapy, shoulder and upper extremity mobility may decrease, trunk and upper extremity muscles may weaken, and biomechanical and functional balance may be impaired in women who have survived breast cancer. In addition, increased limb volume due to breast cancer-related lymphedema (BCRL) may impair static and dynamic balance. To date, studies investigating the effect of lymphedema on balance in BCRL are limited. We aimed to examine the impact of lymphedema on balance and quality of life in breast cancer survivors.
Methods: In this prospective study, age, education, marital status, body mass index (BMI) (kg/m2), affected lymphedema limb (right-left), and extremity volume difference were evaluated. Fullerton Advanced Balance Scale (FAB-Scale) was applied to the patients to measure their level of balance. The Lymphedema Quality of Life Questionnaire (LYMQOL-Arm) was applied.
Results: The mean age of the 40 patients included in the study was 59.02±7.50 years. The proportion of patients with a Fab-scale ?25 who were at risk of falls was 55%. There was no statistical difference between patients with Fab-scale ?25 and patients with Fab-scale 25 in terms of quality of life score (LYMQOL-Arm) (p=0.344). There was a significant negative correlation between age and balance level (p=0.0138). There was no significant correlation between limb volume difference, BMI, quality of life, and balance level (p>0.05).
Conclusion: In our study, balance deteriorated and the risk of falls increased especially in elderly patients. Every woman with BCRL should be informed about balance and gait impairment and encouraged to receive lymphoedema treatment as soon as possible. We think that future studies examining functional stability, quality of life, and fall risk in the treatment of lymphedema and the development of special interventions related to balance will contribute to the oncological rehabilitation protocol.

Keywords : Breast cancer, lymphedema, quality of life, functional balance, fullerton advanced balance scale

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1. <ol> <li style="margin-left: 36pt;"> Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics<em>.</em> <em>CA Cancer J Clin.</em> 2023;73(1): p.17-48. <li style="margin-left: 36pt;"> De Groef A, Van Kampen M, Tieto E, et al. Arm lymphoedema and upper limb impairments in sentinel node-negative breast cancer patients: a one year follow-up study<em>.</em> <em>Breast.</em> 2016;29:p. 102-108. <li style="margin-left: 36pt;"> Schmidt T, Berner J, Jonat W, et al. Influence of arm crank ergometry on development of lymphedema in breast cancer patients after axillary dissection: a randomized controlled trail.<em>J Rehabil Med</em>. 2017;49(1):78-83. doi:10.2340/16501977-2167 <li style="margin-left: 36pt;"> Kalder M, Hadji P. Breast cancer and osteoporosis - management of cancer treatment-induced bone loss in postmenopausal women with breast cancer.<em>Breast Care (Basel)</em>. 2014;9(5):312-317. doi:10.1159/000368843 <li style="margin-left: 36pt;"> Armer JM, Stewart BR. A comparison of four diagnostic criteria for lymphedema in a post-breast cancer population.<em>Lymphat Res Biol</em>. 2005;3(4):208-217. doi:10.1089/lrb.2005.3.208 <li style="margin-left: 36pt;"> Terada M, Yoshimura A, Sawaki M, et al. Patient-reported outcomes and objective assessments with arm measurement and bioimpedance analysis for lymphedema among breast cancer survivors.<em>Breast Cancer Res Treat</em>. 2020;179(1):91-100. doi:10.1007/s10549-019-05443-1 <li style="margin-left: 36pt;"> Iyigun G, Kirmizigil B, Angin E, et al. The reliability and validity of the Turkish version of Fullerton Advanced Balance (FAB-T) scale.<em>Arch Gerontol Geriatr</em>. 2018;78:38-44. doi:10.1016/j.archger. 2018.05.022 <li style="margin-left: 36pt;"> Hernandez D, Rose DJ. Predicting which older adults will or will not fall using the fullerton advanced balance scale<em>.</em> <em>Arch Phys Med Rehabil.</em> 2008;89(12):2309-2315. <li style="margin-left: 36pt;"> Muir-Hunter SW, Clark J, McLean S, et al. Identifying balance and fall risk in community-dwelling older women: the effect of executive function on postural control.<em>Physiother Can</em>. 2014;66 (2):179-186. doi:10.3138/ptc.2013-16 <li style="margin-left: 36pt;"> Rose DJ, Lucchese N, Wiersma LD. Development of a multidimensional balance scale for use with functionally independent older adults.<em>Arch Phys Med Rehabil</em>. 2006;87(11): 1478-1485. doi:10.1016/j.apmr.2006.07.263 <li style="margin-left: 36pt;"> Yoosefinejad AK, Hadadi M, Eslamloo P. Evaluating the responsiveness of the fullerton advanced balance scale in patients with lymphedema secondary to breast cancer surgery.<em>Lymphology</em>. 2019;52(2):61-70. <li style="margin-left: 36pt;"> Selcuk Yilmaz S, Ayhan FF. The randomized controlled study of low-level laser therapy, kinesio-taping and manual lymphatic drainage in patients with stage ii breast cancer-related lymphedema.<em>Eur J Breast Health</em>. 2023;19(1):34-44. doi:10.4274/ejbh.galenos.2022.2022-6-4 <li style="margin-left: 36pt;"> Huang MH, Lytle T, Miller KA, Smith K, Fredrickson K. History of falls, balance performance, and quality of life in older cancer survivors.<em>Gait Posture</em>. 2014;40(3):451-456. doi:10.1016/j.gaitpost. 2014.05.015 <li style="margin-left: 36pt;"> Winters-Stone KM, Dobek J, Bennett JA, Nail LM, Leo MC, Schwartz A. The effect of resistance training on muscle strength and physical function in older, postmenopausal breast cancer survivors: a randomized controlled trial.<em>J Cancer Surviv</em>. 2012; 6(2):189-199. doi:10.1007/s11764-011-0210-x <li style="margin-left: 36pt;"> Foley Michael P, Scott M. Hasson. &ldquo;Effects of a community-based multimodal exercise program on health-related physical fitness and physical function in breast cancer survivors: a pilot study.&rdquo;<em>Integr Cancer Ther.</em>2016;15(4):446-454. <li style="margin-left: 36pt;"> Lee CE, Warden SJ, Szuck B, Lau YJ. A preliminary study on the efficacy of a community-based physical activity intervention on physical function-related risk factors for falls among breast cancer survivors.<em>Am J Physical Med Rehab. </em>2016;<em>95</em>(8):561-570. <li style="margin-left: 36pt;"> Evans ES, Ketcham CJ, Hibberd JC, Cullen ME, Basiliere JG, Murphy DL. Examination of clinical and laboratory measures of static and dynamic balance in breast cancer survivors.<em>Physiother Theory Pract</em>. 2021;37(11):1199-1209. doi:10.1080/09593985.2019.1692391 <li style="margin-left: 36pt;"> Basar S, Bakar Y, Keser I, et al. Does lymphedema affect the postural stability in women after breast cancer<em>?</em> <em>Topics in Geriatr Rehab.</em> 2012; 28(4): p. 287-294. <li style="margin-left: 36pt;"> Angin S, Karadibak D, Yavuzşen T, Demirb&uuml;ken I. Unilateral upper extremity lymphedema deteriorates the postural stability in breast cancer survivors.<em>Contemp Oncol (Pozn)</em>. 2014;18(4):279-284. doi:10.5114/wo.2014. 44120 <li style="margin-left: 36pt;"> Balzarini A, Lualdi P, Lucarini C, et al. Biomechanical evaluation of scapular girdle in patients with chronic arm lymphedema.<em>Lymphology</em>. 2006;39(3):132-140. <li style="margin-left: 36pt;"> Singh D, Park W, Levy MS, Jung ES. The effects of obesity and standing time on postural sway during prolonged quiet standing.<em>Ergonomics</em>. 2009;52(8):977-986. doi:10.1080/ 00140130902777636 <li style="margin-left: 36pt;"> Fabris de Souza SA, Faintuch J, Valezi AC, et al. Postural changes in morbidly obese patients.<em>Obes Surg</em>. 2005;15(7):1013-1016. doi: 10.1381/0960892054621224 <li style="margin-left: 36pt;"> Wang L, Chen H, Li Y, et al. Body mass index increases the risk of breast cancer-related lymphedema at 6-18months after surgery: a retrospective study.<em>Support Care Cancer</em>. 2023;31(5):278. doi:10.1007/s00520-023-07721-7 <li style="margin-left: 36pt;"> Shen A, Lu Q, Fu X, et al. Risk factors of unilateral breast cancer-related lymphedema: an updated systematic review and meta-analysis of 84 cohort studies.<em>Support Care Cancer</em>. 2022;31(1):18. doi:10.1007/s00520-022-07508-2
Article available in :
Volume 5, Issue 5, 2024
Page : 226-230
https://doi.org/10.47582/jompac.1538133
Article Information
Received : 24 Ağu 2024
Accepted : 15 Eyl 2024
Published : 26 Eki 2024
Corresponding Author :

Songül Keskin Kavak: Department of Physical Therapy and Rehabilitation, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkiye

[email protected]
Citation : Keskin Kavak S, Aktekin L. Functional balance and quality of life in breast cancer survivors. J Med Palliat Care. 2024;5(5):226-230.

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