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Updated: Jul 30, 2025
05:44
Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
Published on: January 12, 2017
10.1K
Static and Dynamic Imbalance in Patients with Breast Cancer-Related Lymphedema
Ozlem Karasimav1, Pinar Borman2, Meltem Dalyan2
1Department of Sports Medicine, Sports Health and Rehabilitation Laboratory, Ankara City Hospital, Physical Medicine and Rehabilitation Hospital, Ankara, Turkey.
Lymphatic Research and Biology
|May 17, 2023
Summary
Breast cancer-related lymphedema (BCRL) significantly impairs balance, especially on unstable surfaces. Rehabilitation should include balance exercises and footwear guidance for patients with BCRL.
Area of Science:
- Rehabilitation Medicine
- Biomedical Engineering
- Clinical Oncology
Background:
- Breast cancer-related lymphedema (BCRL) is linked to postural imbalance, but specific balance deficits remain unclear.
- Existing literature shows debate regarding which balance components are affected by BCRL.
Purpose of the Study:
- To compare static and dynamic balance in patients with BCRL versus healthy individuals.
- To identify specific balance impairments associated with BCRL.
Main Methods:
- A case-control study involving 30 BCRL patients and 30 healthy controls.
- Static balance assessed on stable and unstable ground with eyes open and closed.
- Dynamic stability evaluated, along with sway area and center of pressure correction speed.
Main Results:
- BCRL patients showed significantly impaired static balance on unstable ground (eyes open/closed) compared to controls.
- Dynamic stability was significantly disrupted in the BCRL group.
- Increased sway area and center of pressure correction speed were observed in BCRL patients on unstable ground.
Conclusions:
- Postural balance in BCRL patients is significantly affected by unstable ground conditions, not by eye closure.
- Balance exercises and appropriate footwear (shoes, insoles) should be integrated into lymphedema rehabilitation programs.
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