Changes in somatic parameters during rehabilitation of the motor system conducted in women with lymphoedema of the upper limb following radical mastectomy – a longitudinal study
Journal Title: Rehabilitacja Medyczna - Year 2006, Vol 10, Issue 4
Abstract
Introduction: Lymphoedema of the upper limb (ULL) is one of the most unfavorable sequels of radical mastectomy. Mechanism of its formation is not completely elucidated. In some patients, constitutional predispositions of the operated women are considered responsible for lymphoedema formation. The existing somatic parameters may be useful in determining the risk of ULL development, however they are rarely addressed in longitudinal post-operative observations.Purpose of the study: The aim of the study was to observe changes in selected somatic parameters in women with and without ULL during post-operative follow-up after breast amputation.Material and method: The analysis comprised 45women, in whom ULL occurred after radical mastectomy. In this group of patients as well as in the control group (41 women without ULL), changes in body weight, and in the following indices: Rohrer, Quetelet, Pignet-Verweack, and BMI were analysed. These parameters were evaluated before the intervention and during a 5-year post-operative follow-up.Results: We observed that during the whole period of the control longitudinal study, mean values of body weight and of Rohrer, Quetelet and Pignet-Verweack indices statistically significantly differentiated the group of women with ULL from that without ULL. Only were mean BMI values comparable for both groups of women beginning with the 30th month after the intervention.Conclusions: It was shown that, despite the prolongation of the follow-up period, the anthropometric parameters (aside from the BMI) did not lose their pre-operative significance as factors significantly differentiating the groups of women with and without ULL.
Authors and Affiliations
Zbigniew Kopański, Joanna Zyznawska, Renata Pięta
Keywords
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