Exploring Respiratory, Musculoskeletal, and Vocal Changes Following Double Mastectomy: Patient-Reported Outcomes

Faculty Mentor

Catherine Crowley

Area of Research

Speech Language Pathology, Voice Science

Major

Speech Language Pathology (M.A.)

Description

INTRODUCTION: This project explores the impact of surgery on respiration, tension, and voice use post double mastectomy. The study seeks to address a gap in existing research regarding the intersection of breast surgery, physical recovery, and vocal use. Early findings highlighted the need for more structured, evidence-based guidance for patients navigating post-surgical recovery.

METHOD: The initial phase of the project involved brief interviews with singers who had undergone breast surgery, focusing on their personal experiences returning to vocal performance. Supplementary input was gathered from breast surgeons, physical therapists, and specialists in voice and body work to provide education and information for those undergoing the surgery. The PI plans to employ a more structured approach to this research as the PI's master's thesis. A survey is being developed and administered to a broader population of patients 3 weeks prior to their mastectomy, 3 weeks post-mastectomy and 3 months post mastectomy to collect data on recovery timelines, physical limitations, respiration impacts, vocal changes, and rehabilitative strategies.

RESULTS: Preliminary findings include the following: Participants reported changes in respiratory capacity in the weeks immediately following surgery. Chest tightness and restricted range of motion in the upper body were also noted. Multiple participants mentioned a specific tightness/pain in the area of the pectoralis muscles. Many participants noted a lack of guidance from their medical teams regarding potential vocal or respiratory effects, and reported difficulty finding resources to support their recovery.

DISCUSSION/CONCLUSION: This evolving research aims to produce clearer, scientifically grounded insights into the effects of double mastectomy on respiration, tension, and general voice use. By combining lived experiences with clinical and pedagogical perspectives, the study seeks to inform best practices and develop accessible resources for others undergoing similar procedures. Ultimately, the project aspires to support patients in achieving safe, effective, and a confident return to life post-surgery.

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Exploring Respiratory, Musculoskeletal, and Vocal Changes Following Double Mastectomy: Patient-Reported Outcomes

INTRODUCTION: This project explores the impact of surgery on respiration, tension, and voice use post double mastectomy. The study seeks to address a gap in existing research regarding the intersection of breast surgery, physical recovery, and vocal use. Early findings highlighted the need for more structured, evidence-based guidance for patients navigating post-surgical recovery.

METHOD: The initial phase of the project involved brief interviews with singers who had undergone breast surgery, focusing on their personal experiences returning to vocal performance. Supplementary input was gathered from breast surgeons, physical therapists, and specialists in voice and body work to provide education and information for those undergoing the surgery. The PI plans to employ a more structured approach to this research as the PI's master's thesis. A survey is being developed and administered to a broader population of patients 3 weeks prior to their mastectomy, 3 weeks post-mastectomy and 3 months post mastectomy to collect data on recovery timelines, physical limitations, respiration impacts, vocal changes, and rehabilitative strategies.

RESULTS: Preliminary findings include the following: Participants reported changes in respiratory capacity in the weeks immediately following surgery. Chest tightness and restricted range of motion in the upper body were also noted. Multiple participants mentioned a specific tightness/pain in the area of the pectoralis muscles. Many participants noted a lack of guidance from their medical teams regarding potential vocal or respiratory effects, and reported difficulty finding resources to support their recovery.

DISCUSSION/CONCLUSION: This evolving research aims to produce clearer, scientifically grounded insights into the effects of double mastectomy on respiration, tension, and general voice use. By combining lived experiences with clinical and pedagogical perspectives, the study seeks to inform best practices and develop accessible resources for others undergoing similar procedures. Ultimately, the project aspires to support patients in achieving safe, effective, and a confident return to life post-surgery.