Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study)

Bertoli, Josefina; Bezerra, Ewertton de Souza; Winters-Stone, Kerri M.; Gobbo, Luís Alberto; Freitas, Ismael Forte

doi:10.1080/09638288.2022.2032410

Cited by 5 publications

(7 citation statements)

References 49 publications

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“…Flexibility is an important component of physical fitness for everyone's daily living, as it is required during various tasks, such as dressing and undressing, reaching for objects under challenging positions that require static and dynamic flexibility and mobility, such as bending down to clean the floor of the house or picking objects with efficiency, safety and without undue fatigue [55] . In addition, preserving flexibility during treatment and recovery helps the patients to maintain satisfactory autonomy and QoL throughout the rehabilitation process, making it less stressful [56] .…”

Section: Discussionmentioning

confidence: 99%

36 weeks of Multicomponent Training Reverse Strength Sequels in Mastectomy Arm, Improves Functional Fitness and Quality of Life of Breast Cancer Survivors: A Machine Learning-Assisted Experimental Trial

Encarnação,

Rodrigues,

Teixeira

et al. 2024

Preprint

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Purpose: In addition, the study aimed to explore the predictive factors influencing improvements in mastectomy arm's strength over the follow-up time. Methods: It was a single-arm trial, with 8 female breast cancer survivors aged 64 (± 8.6) years old. Results: There were statistically significant results along the three moments for reductions in body mass index (BMI) (-2.55 % change from baseline, p = 0.001, large ES) and in fat mass percentage (FM%) (-10.9% change from baseline, p < 0.001, large ES), increases in upper limb strength (ULS) (105% change, p < 0.001, large ES), in upper limb strength in the arm that underwent surgery intervention (ULSint) (192.8% change from baseline, p < 0.001, large ES), lower limb strength (LLS) (45% change from baseline, p < 0.001, large ES), upper limb flexibility (ULF) (50% change from baseline, p < 0.013, moderate ES, lower limb flexibility (LLF) (102% change from baseline, p < 0.001, large ES), aerobic resistance (AR) (263.5% change from baseline, p < 0.001, large ES), and from second to third moment in dynamic balance (DB) (-20.4% change from 6 months, p = 0.003, large ES). For the QoL, there were improvements along three moments in activities of daily (AD) functionality (50% change from baseline, p = 0.004), emotional function (33% change from baseline, p = 0.01, moderate ES), reduction in pain perception from second to third moment (-66.8% change from baseline, p = 0.002, small ES), and reduction in the perception of fatigue (-75% change from baseline, p = 0.03, large ES), and improvement in global health and QoL (57% change from baseline, p = 0.003, moderate ES). The feature selection analysis identified that AF was the best variable to predict improvements in the mastectomy arm’s strength of the participants (r = 0.60, predicted mastectomy arm’s strength = 18 repetitions, RMSE = 2.53, R2 = 0.74). Conclusion: In summary, 36 weeks of MCT was a powerful intervention to reduce BMI and FM%, improved the FF and the QoL aspects, emotional aspects, perception of fatigue, and the perception of global health and QoL of BC survivors, with good adherence and without prejudicial effects. AF forecasted good values of the participant’s mastectomy arm’s strength over the follow-up.

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Section: Discussionmentioning

confidence: 99%

36 weeks of Multicomponent Training Reverse Strength Sequels in Mastectomy Arm, Improves Functional Fitness and Quality of Life of Breast Cancer Survivors: A Machine Learning-Assisted Experimental Trial

Encarnação,

Rodrigues,

Teixeira

et al. 2024

Preprint

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“…The aim of this study was to analyze the influence of mat Pilates training adherence on muscle strength and flexibility, which was a secondary analysis of the HAPiMat study ( Bertoli et al, 2020 ; Bertoli et al, 2022a ). The results showed that the group with lower training adherence presented increased hip torque variables and left handgrip strength, while the group with higher training adherence presented improved left shoulder abductor TF max and RFI, and left and right upper and lower body flexibility after 24 weeks of intervention.…”

Section: Discussionmentioning

confidence: 99%

“…In cases where the participant was not able to progress, she continued in the same level of exercise. The mat Pilates general planning and exercises ( Table 2 ) were based on the Bertoli et al (2020 , 2022a) study, which focused on exercise load progression according to the participants’ characteristics. This protocol is appropriate for breast cancer survivors since the exercise focuses on joint mobility, muscle strength, and flexibility, which are compromised in the short and long-term in this population due to breast cancer treatments, such as breast cancer surgery, radiotherapy, chemotherapy, and hormone therapy.…”

Section: Methodsmentioning

confidence: 99%

“…Hip flexor and extensor muscles were assessed with an isokinetic dynamometer (BIODEX Medical Systems 4, Shirley, NY, USA). The same protocol as adopted in Bertoli et al (2022a) was used to position the participants. Once the participant was positioned in the dynamometer, a warm up was performed with ten repetitions of the flexor-extensor muscle concentric contractions at 120°/sec.…”

Section: Methodsmentioning

confidence: 99%

“…In this context, to date there are no studies about the influence of adherence to mat Pilates training on physical performance demands in breast cancer survivors undergoing hormone therapy (AIs and SMREs). Therefore, as a secondary analysis of this investigation ( Bertoli et al, 2020 ; Bertoli et al, 2022a ), the aim of this study was to analyze the influence of adherence to mat Pilates training on lower and upper body muscle strength and flexibility in breast cancer survivors undergoing hormone therapy. It was hypothesized that breast cancer survivors with higher training adherence would obtain better results than those with lower attendance.…”

Section: Introductionmentioning

confidence: 99%

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The influence of mat Pilates training adherence on strength and flexibility parameters in breast cancer survivors undergoing hormone therapy

Bertoli¹,

Bezerra²,

Santos³

et al. 2022

J Exerc Rehabil

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The aim of this study was to evaluate the influence of adherence to mat Pilates training on lower and upper body strength and flexibility in breast cancer survivors. Breast cancer survivors ( ≥ 40 years) with cancer stages 0–III undergoing hormone therapy participated in this study. For this secondary investigation only the intervention group was analyzed, divided into low and high training adherence. Participants performed a 60-min session of mat Pilates, 3 times/wk, for 24 weeks. Concentric, eccentric, and isometric hip flexor-extensor muscle peak torque, and isometric maximal strength parameters of the shoulder abductors, trunk extensors, and handgrip were assessed. Physical activity level was analyzed as a control variable. The results showed that high training adherence improved (P< 0.05) left shoulder abductor strength parameters and lower and upper body flexibility compared to baseline. The low training adherence group improved (P< 0.05) trunk extensors, right and left shoulder abductor strength parameters, handgrip strength, and extensor-flexor peak torque compared to baseline. There were no differences (P> 0.05) between high and low adherence for physical activity level before and after the intervention. Therefore, it appears that higher training adherence most influences some strength parameters and flexibility, while fewer sessions enable the achievement of significant results for shoulder abductor and hip extensor-flexor muscle strength parameters.

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A Comparison of Yoga and Clinical Pilates Exercise Methods in Women with Breast Cancer-Related Lymphedema: A Randomized Controlled Trial

Zabit,

Iyigun,

Malkoc

2024

Preprint

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Purpose: This study conducted a comparison of the benefits of yoga and clinical Pilates exercise methods, both administered with compression stockings, on lymphedema, muscle strength, upper extremity functions, and quality of life in women with BCRL Methods: 28 individuals with breast cancer-related lymphedema were included in the study. The upper extremity lymphedema severity of the individuals was evaluated by circumference and volumeter measurement. Upper extremity muscle strength was measured with an isokinetic dynamometer (HUMAC/NORM Testing & Rehabilitation System, CSMD). The disabilities of the arm, shoulder, and hand (DASH) questionnaire was used to evaluate upper extremity functions, and the Breast Cancer-Specific Quality of Life Questionnaire (QLQ-BR23) was used to evaluate the quality of life. Results: In our study, it was determined that compared to pre-treatment, the severity of lymphedema decreased more in the yoga and clinical Pilates groups than in the control group (P4 = .034). In extremity with lymphedema (EwLE), the clinical Pilates group had the greatest improvement in muscular strength for internal rotation (IR) (P3=.016, P4=.037), while the upper extremity functions were shown to be higher in the yoga and clinical Pilates groups compared to the control group (P3=.008, P4=.004). It was found that the quality of life subscale symptom scores, breast symptom (P3=.006, P4=.028) and arm symptom (P2=.004, P3=.008, P4=.002) scores in the yoga group, and arm symptom (P3=.012, P4=.002) scores in the clinical Pilates group showed a positive increase compared to the control group. Conclusion: Both yoga and clinical Pilates exercises, with the use of compression stockings, have demonstrated favorable results in women with BCRL, showing great potential for treatment. Clinical Pilates exercises have been determined to be useful in several physical aspects, including the reduction of lymphedema, and the improvement of muscle strength and upper extremity functions. On the other hand, the emotional components of quality of life can be effectively improved by yoga exercises. Trial Registration Number: NCT04824807 ,October 29, 2021

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Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study)

Cited by 5 publications

References 49 publications

36 weeks of Multicomponent Training Reverse Strength Sequels in Mastectomy Arm, Improves Functional Fitness and Quality of Life of Breast Cancer Survivors: A Machine Learning-Assisted Experimental Trial

36 weeks of Multicomponent Training Reverse Strength Sequels in Mastectomy Arm, Improves Functional Fitness and Quality of Life of Breast Cancer Survivors: A Machine Learning-Assisted Experimental Trial

The influence of mat Pilates training adherence on strength and flexibility parameters in breast cancer survivors undergoing hormone therapy

A Comparison of Yoga and Clinical Pilates Exercise Methods in Women with Breast Cancer-Related Lymphedema: A Randomized Controlled Trial

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