Scapular Dyskinesia After Modified Radical Mastectomy Surgery and Breast Conserving Surgery.

Year 2020, Volume: 7 Issue: 3, 310 - 323, 31.12.2020

Çetin Sayaca , Mine Simsek

https://doi.org/10.21020/husbfd.810942

Abstract

Objectives: The pectoralis minor muscle is negatively affected by mastectomy surgery, and this negative effect may be broken scapular kinematics. Aimed of this study was to evaluate present of the scapular dyskinesia (SD) in Modified Radical Mastectomy Surgery (MRMS) and Breast Conserving Surgery (BCS). Materials and Methods: Forty patients who had MRMS or BCS participated in the present study. Pain, SD, and upper extremity disabilities were evaluated. Results: There were no differences in age, body mass index, pain, upper extremity disabilities, Lateral Scapular Slide Test (LSST), and Scapular Assistance Test (SAT) between BCS and MRMS (p>0.05). But there was a difference in Scapular Retraction Test (SRT) (p:0.024). The number of patients who had SD was higher in BCS. There was no relationship between SD and other parameters (p>0.05) in both surgeries. There was a moderate negative correlation between pain and SRT/SAT in MRMS (r:-0.564; p:0.01 and r:-0.564; p:0.01, respectively) while there was no correlation between pain and SRT/SAT in BCS (p>0.05). Conclusion: The present study showed that SD should be seen after mastectomy surgery, especially in BCS. Assessment of the presence of SD and training of scapular muscles was thought necessary before/after mastectomy. Although survival is a critical issue, teaching preventive/corrector exercises may be important for patient's quality of life after surgery.

Keywords

Pectoralis Minor, Scapular Dyskinesia, Breast Cancer, Modified Radical Mastectomy Surgery, Breast-Conserving Surgery

Supporting Institution

Authors declare that they have no sponsor in the study design, in the collection, analysis and interpretation of data; in writing of the manuscript; and in the decision to submit the manuscript for publication.

Project Number

No

Thanks

The authors wished to acknowledgment to patients for their patience during assessment.

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