Breast, Mammaplasty, Posture, Sleep Quality
Conditions
Keywords
mammaplasty, pain, posture, breast, sleep quality
Brief summary
Background and Purpose: Breast reduction surgery is a major procedure that can lead to post-operative pain, postural deviations, and a temporary decline in quality of life.This clinical study aims to investigate the efficacy of early-phase physical therapy on pain management, postural alignment, and overall quality of life in female patients following breast reduction surgery. Study Design and Participants: This is a controlled clinical trial involving 40 female participants aged 18 to 50 who have undergone their first breast reduction surgery. Participants are divided into two groups: an intervention group (n=20) and a control group (n=20). The study follows a pre-test and post-test design to evaluate outcomes before and after a three-week intervention period. Intervention Protocol: The intervention group receives a comprehensive physical therapy program starting one week post-operation. The program is conducted three days a week for three weeks, with sessions lasting 40 to 60 minutes The protocol includes: Postural and cervical exercises Scapular stabilization and manual therapy Scar massage and Transcutaneous Electrical Nerve Stimulation (TENS) as needed A structured home exercise program. Outcome Measures: Primary and secondary outcomes are assessed through various clinical tools: Pain:Visual Analog Scale (VAS) Posture: New York Posture Test, measurements of scapular protraction and cervical anterior tilt Mobility:Shoulder and cervical Range of Motion (ROM) Quality of Life and Health: SF-12, BREAST-Q, and Pittsburgh Sleep Quality Index (PSQI) Expected Results: The study anticipates that the early-phase physical therapy group will demonstrate a significant reduction in pain, improved postural alignment, and a higher quality of life compared to the control group.
Interventions
OTHERPhysiotherapy
The participants will attend a physiotherapy programme. The programme includes some exercises.
Sponsors
Istanbul Rumeli University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Being between 18 and 50 years of age * Having undergone aesthetic breast reduction surgery * Having a complication-free postoperative period * Agreeing to participate in the study voluntarily and having signed the informed consent form
Exclusion criteria
1. Oncological History: Those who have been diagnosed with breast cancer in the pre-operative or per-operative period, or those with a history of radiotherapy/chemotherapy to the breast area, 2. Lymphovenous Disorders: Those with lymphedema in the upper extremity or vascular insufficiency that may severely affect lymphatic drainage, 3. Musculoskeletal and Nervous System Pathologies: Those with orthopedic diseases such as severe scoliosis, ankylosing spondylitis, or neurological diseases such as brachial plexus lesions that may affect posture analysis and shoulder mobility, 4. Systemic Diseases: Those with uncontrolled Diabetes Mellitus, which directly negatively affects wound healing, or those with active autoimmune connective tissue diseases, 5. Exercise Contraindications: Patients with cardiopulmonary failure or severe cognitive impairment that would prevent participation in the physiotherapy protocol.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Breast-Q Reduction Module Score | Baseline (preoperative) and 4 weeks after treatment | Breast-related satisfaction will be assessed using the BREAST-Q Reduction Module. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Posture Evaluation | Baseline and 4 weeks after treatment | New York Posture Rating Test score will be assessed. |
| Pain Intensity (VAS) | Baseline (preoperative) and 4 weeks after treatment | Pain intensity will be assessed using a 10-cm Visual Analog Scale (VAS). The scale ranges from 0 (no pain) to 10 (unbearable pain). Participants will mark their pain level on the scale, and the distance in centimeters will be recorded. |
| Quality of Life (SF-12) | Baseline and 4 weeks after treatment | Health-related quality of life will be assessed using the SF-12 questionnaire. |
| Pittsburgh Sleep Quality Index Total Score | Baseline and 4 weeks after treatment | Total PSQI score will be assessed. |
Countries
Turkey (Türkiye)
Outcome results
None listed