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

Authors : Çetin SAYACA, Mine SİMSEK

Pages : 310-323

Doi:10.21020/husbfd.810942

View : 20 | Download : 14

Publication Date : 2020-12-31

Article Type : Research Paper

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