Medical Resort Treatment Extended with Modern Feedback Exercises Using Virtual Reality Improve Postural Control in Breast Cancer Survivors. Preliminary Study

Introduction: Women with breast cancer have an increasing chance of survival for many years. Multimodal, extremely effective but also aggressive treatment, often leads to disorders of neuromuscular excitability and physical fitness of the patients. Therefore, when planning the physiotherapy process of women treated for breast cancer, one should look for the most effective methods of improvement with broad neurostimulatory and neuromodulatory effects. In recent years, more and more attention has been paid to the possibilities of using virtual reality exercises in therapy. Aim: The study was to understand the impact of medical resort treatment extended with modern feedback exercises using virtual reality to improve postural control in breast cancer survivors. M aterial and Methods: A clinical, pilot, non-controlled study was conducted at the Solanki Medical Resort in Inowroclaw. 46 women aged 36 to 63 completed the study (mean 51.67 ± 6.62 years). The patients participated in spa therapy for 3 weeks. For basic medical treatment, to improve postural control, physical exercises using feedback based on virtual reality were introduced. Postural control tests performed on the stabilometric platform were used to assess the progress of therapy. Results: In the assessment of dynamic postural control, the length of the center of foot pressure (COP) movement path before the treatment was on average 278.28 cm (± 147.13) and after treatment shortened to 209.60 cm (± 86.49) which was statistically significant (p = 0.0083). In the assessment of static postural control, no statistically significant differences were found between the length of the COP pathway before treatment compared to the condition before treatment (p> 0.05). Conclusions: Medical treatment enriched with physical exercises using feedback based on virtual reality did not affect static postural control but contributed to the improvement of dynamic postural control. The results of the study should be confirmed in high-quality therapeutic experiments, including control groups.

[1]  P. Hoskin Radiotherapy in symptom management , 2021, Oxford Textbook of Palliative Medicine.

[2]  T. Paolucci,et al.  Changes in Spine Alignment and Postural Balance After Breast Cancer Surgery: A Rehabilitative Point of View , 2019, BioResearch open access.

[3]  Krzysztof Cygoń,et al.  Treatment Resort Extended with Modern Feedback Exercises Using Virtual Reality to Improve Postural Control in Patients Aged 65+ with an Increased Risk of Falls. Preliminary Study , 2019, Acta Balneologica.

[4]  R. Oliveira,et al.  Effects of Breast Cancer Treatment on Shoulder Function: What to Expect and How to Treat? , 2018, International Journal of Physical Therapy & Rehabilitation.

[5]  A. Gulati,et al.  The effect of preoperative exercise on upper extremity recovery following breast cancer surgery: a systematic review , 2018, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[6]  C. Röcken,et al.  Evaluation of the effects of sensorimotor exercise on physical and psychological parameters in breast cancer patients undergoing neurotoxic chemotherapy , 2018, Journal of Cancer Research and Clinical Oncology.

[7]  J. Chang,et al.  Effects of Exercise Training on Physical Fitness and Biomarker Levels in Breast Cancer Survivors , 2017, Journal of lifestyle medicine.

[8]  G. Burdea,et al.  A feasibility study to determine the benefits of upper extremity virtual rehabilitation therapy for coping with chronic pain post-cancer surgery , 2016, British journal of pain.

[9]  S. Warden,et al.  A Preliminary Study on the Efficacy of a Community-Based Physical Activity Intervention on Physical Function-Related Risk Factors for Falls Among Breast Cancer Survivors , 2016, American journal of physical medicine & rehabilitation.

[10]  S. Hasson,et al.  Effects of a Community-Based Multimodal Exercise Program on Health-Related Physical Fitness and Physical Function in Breast Cancer Survivors , 2016, Integrative cancer therapies.

[11]  Michael Schwenk,et al.  Interactive Sensor-Based Balance Training in Older Cancer Patients with Chemotherapy-Induced Peripheral Neuropathy: A Randomized Controlled Trial , 2015, Gerontology.

[12]  A. Bayat,et al.  Functional histopathology of keloid disease. , 2015, Histology and histopathology.

[13]  E. Guirro,et al.  Changes in Postural Control in Mastectomized Women , 2014 .

[14]  R. Oskrochi,et al.  Clinical anatomy of the shoulder after treatment for breast cancer , 2014, Clinical anatomy.

[15]  M. Molińska-Glura,et al.  The Impact of an External Breast Prosthesis on the Gait Parameters of Women After Mastectomy , 2014, Cancer nursing.

[16]  J. Borstad,et al.  Three-dimensional scapula kinematics and shoulder function examined before and after surgical treatment for breast cancer. , 2012, Human movement science.

[17]  E. Maverakis,et al.  Eruptive keloids associated with breast cancer: a paraneoplastic phenomenon? , 2011, Acta dermato-venereologica.

[18]  Susan M. Schneider,et al.  Effect of virtual reality on time perception in patients receiving chemotherapy , 2011, Supportive Care in Cancer.

[19]  L. DiPietro,et al.  Exercise Improves Body Fat, Lean Mass, and Bone Mass in Breast Cancer Survivors , 2009, Obesity.

[20]  K. Courneya,et al.  Impact of a Combined Resistance and Aerobic Exercise Program on Motivational Variables in Breast Cancer Survivors: A Randomized Controlled Trial , 2008, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[21]  Susan M Schneider,et al.  Virtual reality: a distraction intervention for chemotherapy. , 2007, Oncology nursing forum.

[22]  Susan M. Schneider,et al.  Virtual Reality Intervention for Older Women with Breast Cancer , 2003, Cyberpsychology Behav. Soc. Netw..

[23]  W. Zegarski,et al.  The Assessment of the Magnitude of Frontal Plane Postural Changes in Breast Cancer Patients After Breast-Conserving Therapy or Mastectomy – Follow-up Results 1 Year After the Surgical Procedure , 2015, Pathology & Oncology Research.

[24]  E. McAuley,et al.  Effects of the BEAT Cancer physical activity behavior change intervention on physical activity, aerobic fitness, and quality of life in breast cancer survivors: a multicenter randomized controlled trial , 2014, Breast Cancer Research and Treatment.

[25]  P. Hoskin 9.2 Radiotherapy in symptom management , 2009 .

[26]  E. Rostkowska,et al.  Body posture in women after mastectomy and its changes as a result of rehabilitation. , 2006, Advances in medical sciences.

[27]  Susan M Schneider,et al.  Virtual reality as a distraction intervention for women receiving chemotherapy. , 2004, Oncology nursing forum.