Examination of clinical and laboratory measures of static and dynamic balance in breast cancer survivors
Examination of clinical and laboratory measures of static and dynamic balance in breast cancer survivors
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DOI：
10.1080/09593985.2019.1692391
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发表时间：
2019-11-20
影响因子：
2
通讯作者：
Murphy, Dorriea L.
中科院分区：
文献类型：
--
作者：
Evans, Elizabeth S.;Ketcham, Caroline J.;Murphy, Dorriea L.
目的：乳腺癌幸存者的平衡研究不足。当身体静止、移动或参与并发认知任务时，对姿势控制如何受到影响的理解增加，可以帮助与这一人群一起工作的临床医生确定姿势控制的改变如何表明潜在的功能下降。因此，本研究的目的是比较有和没有乳腺癌病史的女性在静态和动态平衡的几项评估中的表现，有和没有并发的认知任务。方法：23名无癌症史的妇女（对照组）和20名乳腺癌幸存者参加了这项研究。静态平衡使用单腿站立测试（SLS）和NeuroCom感觉组织测试（SOT）进行评估，后者还包括一系列7认知任务。动态平衡使用定时起身和行走测试（TUG）和富勒顿高级平衡量表（FABS）进行评估。结果：与对照组相比，TUG和FABS组的乳腺癌幸存者表现明显较差（p <0.02）。两组在SLS和SOT上的表现基本相似，包括在SOT上的连续7任务的表现（p > 0.05）。结论：与对照组相比，治疗后0-5年的乳腺癌幸存者似乎表现出相似的静态姿势稳定性，而动态平衡的某些方面似乎发生了改变。在构建旨在改善这些患者治疗后功能的特定干预措施时，评估平衡变化提供了临床有用的信息。
Objectives: Balance in breast cancer survivors is understudied. Increased understanding of how postural control is affected when the body is stationary, moving, or engaged in a concurrent cognitive task, can aid clinicians who work with this population in identifying how altered postural control may indicate a potential functional decline. Therefore, the purpose of this study was to compare performance on several assessments of static and dynamic balance, with and without a concurrent cognitive task, in women with and without a history of breast cancer. Methods: Twenty-three women without a history of cancer (controls), and 20 women who were breast cancer survivors participated in the study. Static balance was assessed using the Single Leg Stance Test (SLS) and the NeuroCom Sensory Organization Test (SOT), the latter of which also included a serial sevens cognitive task. Dynamic balance was assessed using the Timed Up and Go Test (TUG) and the Fullerton Advanced Balance Scale (FABS). Results: Breast cancer survivors performed significantly worse on the TUG and the FABS compared to controls (p < .02). Performance on the SLS and SOT was largely similar between groups, including performance on the SOT with the serial sevens task (p > .05). Conclusion: Breast cancer survivors who were 0-5 years post-treatment appeared to exhibit similar static postural stability compared to controls, while some aspects of dynamic balance appeared altered. Assessing balance changes provides clinically useful information when constructing specific interventions aimed to improve function in these individuals post-treatment.