Evaluation of equivalent reactions in women after mastectomy using biodex balance system

Kabała Magdalena, Wilczyński Jacek. Evaluation of equivalent reactions in women after mastectomy using biodex balance system. Journal of Education, Health and Sport. 2017;7(12):565-578. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1133958 http://ojs.ukw.edu.pl/index.php/johs/article/view/5178 https://pbn.nauka.gov.pl/sedno-webapp/works/843238 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.12.2017. Revised: 15.12.2017. Accepted: 29.12.2017. EVALUATION OF EQUIVALENT REACTIONS IN WOMEN AFTER MASTECTOMY USING BIODEX BALANCE SYSTEM OCENA REAKCJI RÓWNOWAŻNYCH U KOBIET PO MASTEKTOMII ZA POMOCĄ URZĄDZENIA BIODEX BALANCE SYSTEM Magdalena Kabała1, Jacek Wilczyński2 1 Ph.D. student, Institute of Physiotherapy, Faculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland 2 Head of Department Posturology, Hearing and Balance Rehabilitation, Faculty of Medicine and Health Sciences, Jan Kochanowski University in Kielce, Poland Corresponding author: Prof. nadzw. dr hab. Jacek Wilczyński Department of Posturology, Hearning and Balance Rehabilitation, Institute of Physiotherapy, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Al. IX Wieków Kielc 19, 25-317 Kielce, Poland, Tel. 603-703-926, e-mail: jwilczyń[email protected], w.w.w.jacekwilczynski.com.pl Abstract Introduction: Breast cancer is the most commonly diagnosed malignant tumour in women in Poland, as well as in developed countries of the world. The unilateral radical mastectomy may result in disturbance of statics and body balance. Disturbances in body coordination may be associated with unevenly distributed tension of postural muscles between left and right side. Aim of the research: Evaluation of equivalent reactions in women after mastectomy on the basis of posturographic examination. Material and methods: 40 women were provided with the study, including 16 female patients (40%) after right-sided mastectomy and 24 female patients (60%) after left-sided treatment. The average age of respondents was 68.5 years. The Postural Stability Test, as well as Sensor Integration and Balance Test on the Biodex Balance System platform were used to evaluate the equivalent reactions. Research was carried out at the Posturology Laboratory of Physiotherapy Institute of the Jan Kochanowski University in Kielce. Results and conclusions: Mann-Whitney U-test showed a statistically significant relation in the Postural Stability Test in dynamic mode between M/L stability index and the side of carried out mastectomy (p=0.027). Women after right-sided mastectomy mostly had lower parameters in dynamic posture, especially in the frontal plane (M/L). Pearson’s correlation coefficient showed a significant relation between the Postural Stability Test in dynamic mode and the Sensor Integration and Balance Test on a soft open-eye surface (p=0.001). The standing position of examined was characterized by higher leavings in the sagittal plane than in the frontal plane (A/P>M//L). Key words: stability index, mastectomy, Biodex Balance System. Streszczenie Wprowadzenie: Rak piersi jest najczęściej rozpoznawanym nowotworem złośliwym u kobiet w Polsce, jak również w rozwiniętych krajach świata. Konsekwencją zabiegu jednostronnej radykalnej mastektomii może stanowić zaburzenie statyki i równowagi ciała. Zakłócenia koordynacji postawy ciała mogą być związane z nierównomiernie rozłożonym napięciem mięśni posturalnych pomiędzy lewą a prawą stroną. Cel pracy: Ocena reakcji równoważnych u kobiet po mastektomii na postawie badania posturograficznego. Materiał i metody: Badaniami objęto 40 kobiet, w tym 16 pacjentek (40%) po prawostronnej mastektomii i 24 pacjentek (60%) po lewostronnym zabiegu. Średni wiek badanych wynosił 68,5 lat. Do oceny reakcji równoważnych zastosowano Test Stabilności Posturalnej oraz Test Integracji Sensorycznej i Równowagi na platformie Biodex Balance System. Badania wykonano w Laboratorium Posturologii Instytutu Fizjoterapii Uniwersytetu Jana Kochanowskiego w Kielcach. Wyniki i wnioski: Test U Mann-Whitney’a wykazał istotny statystycznie związek w Teście Stabilności Posturalnej w trybie dynamicznym pomiędzy wskaźnikiem stabilności M/L a stroną wykonanej mastektomii (p=0,027). Kobiety po prawostronnej mastektomii posiadały w większości niższe parametry w posturografii dynamicznej, szczególnie w płaszczyźnie czołowej (M/L). Współczynnik korelacji Pearsona wykazał istotną zależność pomiędzy Testem Stabilności Posturalnej w trybie dynamicznym a Testem Integracji Sensorycznej i Równowagi na miękkiej powierzchni przy oczach otwartych (p=0,001). Postawę stojącą badanych charakteryzowały większe wychwiania w płaszczyźnie strzałkowej niż czołowej (A/P>M//L). Słowa kluczowe: wskaźnik stabilności, mastektomia, platforma Biodex Balance System

Analysis of postural stability and body composition of women after unilateral mastectomy

Summary Introduction: The electrical bioimpedance method allows a non-invasive and precise assessment of the content of fat tissue, muscle mass or the amount of fluid in the body depending on the state of health or lifestyle. Changes in anthropometric features may affect postural stability, general physical fitness of women after mastectomy. In addition, changes in the distribution and amount of fat and lean body components may affect the ability to maintain balance. Aim of the study: Analysis of the relationship between postural stability and body composition of women after mastectomy based on posturographic examination. Material and methods: The study involved 40 women after mastectomy aged from 52 to 87 years. Postural Stability Test in static and dynamic mode on the Biodex Balance System platform was used to assess postural stability. The body bioimpedance method (BIA) was used to analyze the body composition. The research tool was the body composition analyzer Tanita MC 780 MA. The research was carried out in the Posturology Laboratory of the Institute of Physiotherapy at the Jan Kochanowski University in Kielce. Results and conclusions: Based on the research, a significant correlation was observed with a negative correlation in the Postural Stability Test, in static mode between fat mass and postural stability indexes. Also significant statistical results with a positive correlation were demonstrated in the same test between the total body water content and the postural stability indexes. Postural Stability Test in dynamic mode showed significant influence of lean and muscle mass in maintaining a stable posture. The standing posture of women after mastectomy was characterized by larger sublimations in the sagittal plane than the frontal plane (A / P> M // L)

SEMG amplitude of the erector spinae in children with scoliotic lesions

The aim of the study was to analyze the amplitude of SEMG rectifier spine in children with scoliotic changes. SEMG amplitude rectifier back of the camera has been studied Noraxon TeleMyo DTS. The shape of the spine was estimated optoelectronic method Diers formetric III 4D. The research was Carried out in the Posturology Laboratory at the Faculty of Medicine and Health Sciences, UJK in Kielce (Poland). In the group of children with scoliosis curvature of the most frequently occurred on the location of the rib. In girls, it represented (62%) in boys (56%). Univariate analysis of variance showed significant differences among boys in intra-amplitude measurements SEMG variable lower limbs up the left side of the lumbar. Means, that the value of the amplitude distribution SEMG rectifier ridge in the study of lower limbs up the left side of the lumbar differed significantly between the groups scoliotic attitudes, scoliosis and normal. The amplitude of SEMG rectifier ridge in the study of lower limbs up the lumbar left was the lowest in the group of scoliosis. Due to the fact that a group of boys with scoliosis had most of the left-hand direction of curvature in the lumbar region, we can conclude that the greater the amplitude of SEMG rectifier occurred at the back of the concave side of the curvature of the lumbar spine

SEMG amplitude of the erector spinae in children with scoliotic lesions

The aim of the study was to analyze the amplitude of SEMG rectifier spine in children with scoliotic changes. SEMG amplitude rectifier back of the camera has been studied Noraxon TeleMyo DTS. The shape of the spine was estimated optoelectronic method Diers formetric III 4D. The research was Carried out in the Posturology Laboratory at the Faculty of Medicine and Health Sciences, UJK in Kielce (Poland). In the group of children with scoliosis curvature of the most frequently occurred on the location of the rib. In girls, it represented (62%) in boys (56%). Univariate analysis of variance showed significant differences among boys in intra-amplitude measurements SEMG variable lower limbs up the left side of the lumbar. Means, that the value of the amplitude distribution SEMG rectifier ridge in the study of lower limbs up the left side of the lumbar differed significantly between the groups scoliotic attitudes, scoliosis and normal. The amplitude of SEMG rectifier ridge in the study of lower limbs up the lumbar left was the lowest in the group of scoliosis. Due to the fact that a group of boys with scoliosis had most of the left-hand direction of curvature in the lumbar region, we can conclude that the greater the amplitude of SEMG rectifier occurred at the back of the concave side of the curvature of the lumbar spine

SEMG frequency of the erector spinae in children with lesions scoliotic

The aim of the study was to analyze the frequency of SEMG rectifier spine in children with scoliosis. Analysis electromyographic rectifier spine was performed using a 12-channel camera Noraxon TeleMyo DTS. The shape of the spine was assessed using optoelectronic Diers formetric III 4D. The research was Carried out in the Posturology Laboratory at the Faculty of Medicine and Health Sciences, UJK in Kielce (Poland). In the group of children with scoliosis curvature of the most frequently occurred on the location of the rib. In girls, it represented (62%) in boys (56%). In boys, thoracic scoliosis twoarched right-handed and left-sided lumbar were 19 (30%). The largest absolute differences in the frequency of EMG rectifier spine in girls with scoliosis group occurred lying ahead for the variable lumbar left (S = 36, 99). In turn, the value of the variable lower limbs up the right side of the lumbar was absolutely the most diverse among boys in the group of scoliosis (S = 40.54). Univariate analysis of variance indicated that there are significant differences in the measurements of intra-frequency variable SMEG rectifier spine torso upright thoracic among boys (p = 0.04). This means that the values of the variables were significantly different between groups attitudes scoliotic, scoliosis and normal boys, and the value of the significance level was less than 0.5 (

Evaluation of equivalent reactions in women after mastectomy using biodex balance system

Abstract Introduction: Breast cancer is the most commonly diagnosed malignant tumour in women in Poland, as well as in developed countries of the world. The unilateral radical mastectomy may result in disturbance of statics and body balance. Disturbances in body coordination may be associated with unevenly distributed tension of postural muscles between left and right side. Aim of the research: Evaluation of equivalent reactions in women after mastectomy on the basis of posturographic examination. Material and methods: 40 women were provided with the study, including 16 female patients (40%) after right-sided mastectomy and 24 female patients (60%) after left-sided treatment. The average age of respondents was 68.5 years. The Postural Stability Test, as well as Sensor Integration and Balance Test on the Biodex Balance System platform were used to evaluate the equivalent reactions. Research was carried out at the Posturology Laboratory of Physiotherapy Institute of the Jan Kochanowski University in Kielce. Results and conclusions: Mann-Whitney U-test showed a statistically significant relation in the Postural Stability Test in dynamic mode between M/L stability index and the side of carried out mastectomy (p=0.027). Women after right-sided mastectomy mostly had lower parameters in dynamic posture, especially in the frontal plane (M/L). Pearson’s correlation coefficient showed a significant relation between the Postural Stability Test in dynamic mode and the Sensor Integration and Balance Test on a soft open-eye surface (p=0.001). The standing position of examined was characterized by higher leavings in the sagittal plane than in the frontal plane (A/P>M//L)

Body Composition in Women after Radical Mastectomy

The aim of the study was to analyse the body composition among women after radical mastectomy. The body compositions of 30 women after radical mastectomy (study group) were compared with those of 30 healthy females (control group). The method of electrical bioimpedance was used to analyse body composition. The significant differences between the groups, unfavourable for women, following mastectomy concerned body mass (p = 0.021), BMI (p = 0.049), fat mass (%) (p = 0.007), fat mass (kg) (p = 0.005), total body water (%) (p = 0.002), left upper limb fat mass (p = 0.013) as well as right upper limb fat mass (p = 0.022). The body composition of women after radical mastectomy was significantly worse compared to the control group. The majority of subjects were overweight and had high levels of body fat. Abnormal body composition is a modifiable risk factor of breast cancer; therefore, improving lifestyle is important in the prevention and treatment of this disease. There is a need for education, dietary supervision and physical activity in women following radical mastectomy. The innovation of our study was the use of the modern bioelectrical impedance analysis (BIA) method, which does not cause ionisation and is a gold standard in the field of body composition analysis. In future research, we plan to broaden the assessment of lifestyle and the significance of diet and physical activity in the prevention and treatment of breast cancer

Regulation of V-ATPase by Jasmonic Acid: Possible Role of Persulfidation

Vacuolar H+-translocating ATPase (V-ATPase) is a proton pump crucial for plant growth and survival. For this reason, its activity is tightly regulated, and various factors, such as signaling molecules and phytohormones, may be involved in this process. The aim of this study was to explain the role of jasmonic acid (JA) in the signaling pathways responsible for the regulation of V-ATPase in cucumber roots and its relationship with other regulators of this pump, i.e., H2S and H2O2. We analyzed several aspects of the JA action on the enzyme, including transcriptional regulation, modulation of protein levels, and persulfidation of selected V-ATPase subunits as an oxidative posttranslational modification induced by H2S. Our results indicated that JA functions as a repressor of V-ATPase, and its action is related to a decrease in the protein amount of the A and B subunits, the induction of oxidative stress, and the downregulation of the E subunit persulfidation. We suggest that both H2S and H2O2 may be downstream components of JA-dependent negative proton pump regulation. The comparison of signaling pathways induced by two negative regulators of the pump, JA and cadmium, revealed that multiple pathways are involved in the V-ATPase downregulation in cucumber roots

Evaluation of postural stability of people with Parkinson's disease with Biodex Balance System device

Wilczyński Jacek, Kabała Magdalena, Paprocki Michał, Rychter Paweł, Wilczyński Igor. Evaluation of postural stability of people with Parkinson's disease with Biodex Balance System device. Journal of Education, Health and Sport. 2016;6(10):365-376. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.163020 http://ojs.ukw.edu.pl/index.php/johs/article/view/3953       The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.10.2016. Revised 02.10.2016. Accepted: 20.10.2016.     Evaluation of postural stability of people with Parkinson's disease with Biodex Balance System device   Jacek Wilczyński1, Magdalena Kabała, Michał Paprocki, Paweł Rychter, Igor Wilczyński   1 Head: Department of Neurology, Neurological Rehabilitation and Kinesitherapy, Institute of Physiotherapy, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Al. IX Wieków Kielc, 25-317 Kielce, 19, Tel. 603-703-926, e-mail: jwilczyń[email protected]     dr hab. n. o k.f. prof. UJK Jacek Wilczyński, licencjat Magdalena Kabała, mgr Michał Paprocki, mgr Paweł Rychter, licencjat Igor Wilczyński   Summary Parkinson's disease is an incurable disease of the CNS of progressive and chronic course. Postural Stability of people with Parkinson's is hindered what predisposes to falls. In a person standing seemingly motionless body performs small oscillatory movements caused by differences in antigravity muscle tension. This mechanism is called postural rocking and mobility associated with it is referred to as postural sway. The parameters of rocking are very sensitive indicator of balance control, and can be used to evaluate and detect pathological changes. The aim of the study was to evaluate the stability of posture of people with Parkinson's disease on the basis of posturographic examination.The age range of the patients was from 52 to 85 years (mean 71.8 years). In terms of age the patients were divided into two groups. The first group consisted of 9 people to 75 years old, while the other of 8 people over 75 years old. The postural stability was assessed with Biodex Balance System. The study was performed at the Laboratory of Posturology at the Institute of Physiotherapy at UJK in Kielce. Although Mann-Whitney U test showed no significant differences in postural stability between the sexes, its lower values are reported for men. A standing position of the subjects was characterized by greater deviation in the sagittal plane than in the frontal plane (A/P>M/L) with a tendency to tilt backwards. There were better postural stability results in the younger group (group 1), up to 75 years old. The subjects in this group obtained significantly lower values of postural stability (t°=2.2744, p<0.05).   Keywords: postural stability, Parkinson's disease, Biodex Balance System Streszczenie Zaburzenia stabilności posturalnej są istotnym objawem choroby Parkinsona jako chronicznej niesprawności neurologicznej. Utrzymanie pionowej postawy ciała oraz jej kontrola są procesami wielopłaszczyznowymi. Postępujące i przewlekłe zmiany zanikowe oraz zwyrodnieniowe zmysłu wzroku, czucia głębokiego i układu przedsionkowego zaburzają stabilność postawy. Decydują o występowaniu skłonności do upadków, szczególnie przy gwałtownych ruchach głową. To z kolei prowadzi do osłabienia aktywności ruchowej oraz innych, związanych z tym konsekwencji. W badaniu wzięło udział 17 chorych w tym 12 (70,59%) kobiet i 5 (29,41%) mężczyzn. Grupa badawcza dobrana została spośród członków Stowarzyszenia Chorych na Parkinsona w Kielcach. Przedział wiekowy chorych wynosił od 52 do 85 lat (średnia 71,8 lat). Celem pracy była ocena stabilności postawy osób chorych na chorobę Parkinsona na postawie badania posturograficznego. Do oceny stabilności posturalnej zastosowano platformę Biodex Balance System. Badania wykonano w Laboratorium Posturologii w Instytucie Fizjoterapii na UJK w Kielcach. Choć test U Mann-Whitney nie wykazał istotnych różnic w stabilności posturalnej pomiędzy płciami to niższe jej wartości wystąpiły u mężczyzn. Postawę stojącą badanych charakteryzowały większe wychwiania w płaszczyźnie strzałkowej niż czołowej (A/P>M/L) z tendencją do odchylania się do tyłu. Zaobserwowano lepsze wyniki stabilności posturalnej w grupie osób młodszych (grupa 1) do 75 roku życia. Badani tej grupy uzyskali istotnie niższe wartości stabilności posturalnej (t°= 2,2744, p<0,05).   Słowa kluczowe: stabilność posturalna, choroba Parkinsona, platforma Biodex Balance Syste