ORIGINAL PAPER
Falls-risk in senior women after radical treatment of breast cancer
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1
Department of Rehabilitation, Holy Cross Cancer Centre, Kielce, Poland
2
Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland
3
Medical Oncology Clinic, Holy Cross Cancer Centre, Kielce, Poland
4
Department of Epidemiology and Fight Against Cancer, Holy Cross Cancer Centre, Kielce, Poland
5
Faculty of Medical Sciences, School of Economics, Law and Medical Sciences, Kielce, Poland
6
Faculty of Physical Education and Tourism, Holy Cross University, Kielce, Poland
7
NZOZ Medicus S.C., Kielce, Poland
8
Chair of Clinical Rehabilitation, University of Physical Education, Krakow, Poland
Submission date: 2017-01-27
Final revision date: 2017-01-30
Acceptance date: 2017-05-16
Publication date: 2017-06-30
Medical Studies 2017;33(2):110-116
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ABSTRACT
Introduction: It is estimated that 35–40% people over the age of 65 experience at least one fall per year; for those over the age of 80 this increases to 50%, and for residents of institutional care facilities, to 60%.
Aim of the research: To evaluate the functional capacity and susceptibility to falling among women over 60 years of age, who had been treated for breast cancer.
Material and methods: The study group comprised 173 women aged 61–85 years (mean: 68.75 years), all breast cancer survivors treated at the Holy Cross Cancer Centre in Kielce. Functional efficiency was measured using the Senior Fitness Test (SFT), and the falls-risk assessment was carried out using the POMA Tinetti test. An additional questionnaire was used to assess the anxiety associated with falls. The relationship between functional capacity and the falls-risk, and between the amount of medication used and the falls-risk, were also assessed.
Results: In all SFT tests, the women had lower scores compared to the recommended standards. Medium and high falls-risk were reported in 27% of patients. Apart from an increase in falls-risk, the women reported poorer results in all physical fitness tests. An increase in the number of medications taken was associated with lower Tinetti test results.
Conclusions: Women treated for breast cancer were exposed to a high falls-risk. The treatment management applied to women with breast cancer adversely affected their functional capacities. Furthermore, an increase in the amount of medication taken by post-mastectomy women resulted in a still higher exposure to falls-risk. Task-oriented, physical rehabilitation programmes should therefore promptly be introduced to address the problem of falls and resultant fractures among senior post-mastectomy women.
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