Pilates and dance to patients with breast cancer undergoing treatment: study protocol for a randomized clinical trial – MoveMama study

Abstract

Background: Breast cancer is a global public health issue. The side effects of the clinical treatment can decrease the quality of life of these women. Therefore, a healthy lifestyle is essential to minimize the physical and psychological side effects of treatment. Physical activity has several benefits for women with breast cancer, and Pilates solo and belly dancing can be an enjoyable type of physical activity for women with breast cancer undergoing clinical treatment. The purpose of this study is to provide a Pilates solo and a belly dance protocol (three times per week/16 weeks) for women undergoing breast cancer treatment and compare its effectiveness with that in the control group. Methods: The participants will be allocated to either the intervention arm (Pilates solo or belly dance classes three times per week for 16 weeks) or a control group (receipt of a booklet on physical activity for patients with breast cancer and maintenance of habitual physical activity routine). The Pilates solo and belly dance classes will be divided into three stages: warmup and stretching, the main stage, and relaxation. Measurements of the study outcomes will take place at baseline; postintervention; and 6, 12, and 24 months after the end of the intervention (maintenance period). The data collection for both groups will occur with a paper questionnaire and tests covering general and clinical information. The primary outcome will be quality of life (EORT QLQ-C30 and EORT QLQ-BR23), and secondary outcomes will be physical aspects such as cardiorespiratory fitness (6-min walk test and cycle ergometer), lymphedema (sum of arm circumference), physical activity (IPAQ short version), disabilities of the arm (DASH), range of motion (goniometer test), muscular strength (dynamometer test) and flexibility (sit and reach test), and psychological aspects such as depressive symptoms (Beck Depression Inventory), body image (Body Image After Breast Cancer Questionnaire), selfesteem (Rosenberg), fatigue (FACT-F), pain (VAS), sexual function (FSFI), and sleep quality (Pittsburgh Sleep Quality Index).

Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review

“…Breast cancer (BC) is one of the most common neoplasms in women, accounting for 16% of all female cancers and with over 1.2 million cases diagnosed each year worldwide [ 1 ], considered a global public health problem [ 2 , 3 ]. Due to improvements in diagnosis and treatment of the disease, BC has a survival rate of 90% in 5 years, and about 80% in 10 years, although survivors have faced multiple mental and physical health challenges [ 4 , 5 , 6 ].…”

Improved self-esteem after mat Pilates method intervention in breast cancer women undergoing hormone therapy: randomized clinical trial pilot study

“…This is a randomized clinical trial with two-arm trial (intervention with Mat Pilates methods and control group) conducted in Brazil. It follows two arms from the three arms protocol from Boing et al 15…”

“…The randomization was stratified by age, dividing the participants between those younger and those over 60 years, according to the Brazilian Statute of the Elderly, established by Law N° 10.741. dated October 1, 2003. More detailed information about the randomization process can be found in the protocol study 15 .…”

Physical Activity as an Imperative Support in Breast Cancer Management

“…Perhaps a combined individual and additional group training could maximize the benefits of PA. Multiple types of social PA like Pilates, dancing, or football have reported potential benefits in BC management during and after therapy [ 111 , 112 , 113 ], thus these programs could be equally helpful as additional sport training in women with BC.…”