PILATES METHOD IN MUSCULOSKELETAL AND PSYCHOSOMATIC DISORDERS IN INDIVIDUALS WITH BREAST CANCER: SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CLINICAL TRIALS
Keywords:
Breast Neoplasms, Exercise Movement Techniques, Physical therapy specialty, Lymphedema, AnxietyAbstract
Introduction: Breast cancer is one of the most common types and its conventional treatment can cause important musculoskeletal and psychosomatic complications. The Pilates Method is shown as a strategy capable of mitigating adverse health symptoms and producing benefits on these aspects in this population. Objective: Systematically review the effects of the Pilates Method on musculoskeletal and psychosomatic disorders in individuals with breast cancer. Method: Systematic review and meta-analysis of randomized clinical trials carried out in the databases Embase, Scopus, LILACS, Web of Science, Cochrane Library, Medline, PEDro and SciELO, using the descriptors “Breast Neoplasms” and “Pilates Method”. Of the 202 articles found, 10 were included in this study and six were analyzed in the metanalysis for the outcomes pain, lymphedema of the affected limb, range of motion of the affected shoulder, handgrip strength, functionality and anxiety symptoms. The methodological quality of the studies was analyzed by the PEDro Scale and the metanalysis performed by the Review Manager software version 5.4 (Cochrane Collaboration). Results: The Pilates Method group showed superiority over the control group or minimal intervention in the lymphedema of the affected limb, in the flexion movements, external rotation and total amplitude of the affected shoulder and in the symptoms of anxiety (p≤0.05). This difference was not observed in pain, handgrip strength and functionality (p>0.05). Conclusion: The Pilates Method has better effects on lymphedema of the affected limb, range of motion of the affected shoulder and anxiety symptoms compared to control or minimal intervention in individuals with breast cancer.
Downloads
References
Ministério da Saúde. O que é câncer? [Internet]. Instituto Nacional de Câncer José Alencar Gomes da Silva. 2019 [cited 2020 Dez 10]. p. 1. Available from: https://www.inca.gov.br/o-que-e-cancer
Ministério da Saúde. Estimativa 2020: Incidência de Câncer no Brasil [Internet]. Instituto Nacional de Câncer José Alencar Gomes da Silva. 2019 [cited 2020 Dez 10]. p. 120. Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf
Soriano-Maldonado A, Carrera-Ruiz Á, Díez-Fernández DM, Esteban-Simón A, Maldonado-Qesada M, Moreno-Poza N, et al. Effects of a 12-week resistance and aerobic exercise program on muscular strength and quality of life in breast cancer survivors. Medicine (Baltimore). 2019;98(44):e17625. doi: https://doi.org/10.1097/MD.0000000000017625
Bueno JN, Haddad CAS, Rizzi SKLDA, Giron PS, Facina G, Nazário ACP. Evaluation of body image, quality of life, tactile sensitivity and pain in women with breast cancer submitted to surgical intervention. Rev Assoc Med Bras. 2018;64(6):530–6. doi: https://doi.org/10.1590/1806-9282.64.06.530
Lipsett A, Barrett S, Haruna F, Mustian K, O’Donovan A. The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: A systematic review and meta-analysis. The Breast. 2017;32(1):144–55. doi: https://doi.org/10.1016/j.breast.2017.02.002
Patsou ED, Alexias GD, Anagnostopoulos FG, Karamouzis M V. Effects of physical activity on depressive symptoms during breast cancer survivorship: a meta-analysis of randomised control trials. ESMO Open. 2017;2(5):e000271. doi: https://doi.org/10.1136/esmoopen-2017-000271
Cruz JC, Liberali R, Cruz TMF da, Netto MIA. The Pilates method in the rehabilitation of musculoskeletal disorders: a systematic review. Fisioter em Mov. 2016;29(3):609–22. doi: https://doi.org/10.1590/1980-5918.029.003.AO19
Boing L, do Bem Fretta T, de Carvalho Souza Vieira M, Pereira GS, Moratelli J, Sperandio FF, et al. Pilates and dance to patients with breast cancer undergoing treatment: study protocol for a randomized clinical trial – MoveMama study. Trials. 2020 Dec 7;21(1):35. doi: https://doi.org/10.1186/s13063-019-3874-6
Espíndula RC, Nadas GB, Rosa MI da, Foster C, Araújo FC de, Grande AJ. Pilates for breast cancer: A systematic review and meta-analysis. Rev Assoc Med Bras. 2017;63(11):1006–12. doi: https://doi.org/10.1590/1806-9282.63.11.1006
Galvão TF, Pansani T de SA. Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiol e Serviços Saúde. 2015;24(2):335–42. doi: https://doi.org/10.5123/S1679-49742015000200017
PEDro. Escala PEDro [Internet]. PEDro. 2020 [cited 2020 Nov 10]. p. 1. Available from: https://pedro.org.au/portuguese/resources/pedro-scale/
Odynets T, Briskin Y, Perederiy A, Pityn M, Svistelnyk I. Effect of water physical therapy on quality of life in breast cancer survivors. Physiother Q. 2018;26(4):11–6. doi: https://doi.org/10.5114/pq.2018.79741
Odynets T, Briskin Y, Yefremova A, Goncharenko I. The effectiveness of two individualized physical interventions on the upper limb condition after radical mastectomy. Physiother Q. 2019;27(1):12–7. doi: https://doi.org/10.5114/pq.2019.83056
Odynets T, Briskin Y, Todorova V. Effects of Different Exercise Interventions on Quality of Life in Breast Cancer Patients: A Randomized Controlled Trial. Integr Cancer Ther. 2019;18(1):153473541988059. doi: https://doi.org/10.1177/1534735419880598
Odynets T, Briskin Y, Todorova V, Bondarenko O. Impact of different exercise interventions on anxiety and depression in breast cancer patients. Physiother Q. 2019;27(4):31–6. doi: https://doi.org/10.5114/pq.2019.87737
Zengin Alpozgen A, Razak Ozdincler A, Karanlik H, Yaman Agaoglu F, Narin AN. Effectiveness of Pilates-based exercises on upper extremity disorders related with breast cancer treatment. Eur J Cancer Care (Engl). 2017;26(6):e12532. doi: https://doi.org/10.1111/ecc.12532
Eyigor S, Karapolat H, Yesil H, Uslu R, Durmaz B. Effects of pilates exercises on functional capacity, flexibility, fatigue, depression and quality of life in female breast cancer patients: a randomized controlled study. Eur J Phys Rehabil Med. 2010;46(4):481–7.
Sener HO, Malkoc M, Karadibak D, Ergin G, Yavuzsen T. Klinik pilates egzersizlerinin meme kanseri tedavi yaklasimlari sonrasinda gelisen lenfodeme etkisi. Fiz Rehabil. 2015;26(2):161–2.
Sener HO, Malkoc M, Ergin G, Karadibak D, Yavuzsen T. Effects of Clinical Pilates Exercises on Patients Developing Lymphedema after Breast Cancer Treatment: A Randomized Clinical Trial. J Breast Heal. 2017;13(1):16–22. doi: https://doi.org/10.5152/tjbh.2016.3136
Ghorbani M, Sokhangouei Y, Sadeghi H. Effect of Pilates Exercise on Range of Motion and Edema of Upper Limb in Mastectomy Side. J Ardabil Univ Med Sci. 2013;13(3):297–304.
Martin E, Battaglini C, Groff D, Naumann F. Improving muscular endurance with the MVe Fitness ChairTM in breast cancer survivors: A feasibility and efficacy study. J Sci Med Sport. 2013;16(4):372–6. doi: https://doi.org/10.1016/j.jsams.2012.08.012
Mazzarino M, Kerr D, Wajswelner H, Morris ME. Pilates Method for Women’s Health: Systematic Review of Randomized Controlled Trials. Arch Phys Med Rehabil. 2015;96(12):2231–42. doi: https://doi.org/10.1016/j.apmr.2015.04.005
Miranda S, Marques A. Pilates in noncommunicable diseases: A systematic review of its effects. Complement Ther Med. 2018;39(1):114–30. doi: https://doi.org/10.1016/j.ctim.2018.05.018
Chavira LA, Pérez-Zumano SE, Hernández-Corral S. Complicaciones postoperatorias en mujeres con cirugía por cáncer de mama. Enfermería Univ. 2019;16(2):149–56. doi: https://doi.org/10.22201/eneo.23958421e.2019.2.633
Pinto-Carral A, Molina AJ, de Pedro Á, Ayán C. Pilates for women with breast cancer: A systematic review and meta-analysis. Complement Ther Med. 2018;41(1):130–40. doi: https://doi.org/10.1016/j.ctim.2018.09.011
Leysen L, Beckwée D, Nijs J, Pas R, Bilterys T, Vermeir S, et al. Risk factors of pain in breast cancer survivors: a systematic review and meta-analysis. Support Care Cancer. 2017;25(12):3607–43. doi: https://doi.org/10.1007/s00520-017-3824-3
Feeney LR, Tormey SM, Harmon DC. Breast cancer and chronic pain: a mixed methods review. Irish J Med Sci (1971 -). 2018;187(4):877–85. doi: https://doi.org/10.1007/s11845-018-1760-y
Panchik D, Masco S, Zinnikas P, Hillriegel B, Lauder T, Suttmann E, et al. Effect of Exercise on Breast Cancer–Related Lymphedema: What the Lymphatic Surgeon Needs to Know. J Reconstr Microsurg. 2019;35(1):37–45. doi: https://doi.org/10.1055/s-0038-1660832
Rett MT, Oliveira ÍA de, Mendonça ACR, Biana CB, Moccellin AS, DeSantana JM. Physiotherapeutic approach and functional performance after breast cancer surgery. Fisioter em Mov. 2017;30(3):493–500. doi: https://doi.org/10.1590/1980-5918.030.003.ao07
Stan DL, Rausch SM, Sundt K, Cheville AL, Youdas JW, Krause DA, et al. Pilates for Breast Cancer Survivors. Clin J Oncol Nurs. 2012;16(2):131–41. doi: https://doi.org/10.1188/12.CJON.131-141
Keays KS, Harris SR, Lucyshyn JM, MacIntyre DL. Effects of Pilates Exercises on Shoulder Range of Motion, Pain, Mood, and Upper-Extremity Function in Women Living With Breast Cancer: A Pilot Study. Phys Ther. 2008;88(4):494–510. doi: https://doi.org/10.2522/ptj.20070099
Testa A, Iannace C, Di Libero L. Strengths of early physical rehabilitation programs in surgical breast cancer patients: results of a randomized controlled study. Eur J Phys Rehabil Med. 2014;50(3):275–84
Owusu C, Schluchter M, Koroukian SM, Mazhuvanchery S, Berger NA. Racial disparities in functional disability among older women with newly diagnosed nonmetastatic breast cancer. Cancer. 2013;119(21):3839–46. doi: https://doi.org/10.1002/cncr.28232
Owusu C, Margevicius S, Schluchter M, Koroukian SM, Berger NA. Short Physical Performance Battery, usual gait speed, grip strength and Vulnerable Elders Survey each predict functional decline among older women with breast cancer. J Geriatr Oncol. 2017;8(5):356–62. doi: https://doi.org/10.1016/j.jgo.2017.07.004
Gomes PRL, Freitas Junior IF, Silva CB da, Gomes IC, Rocha APR, Salgado ASI, et al. Short-term changes in handgrip strength, body composition, and lymphedema induced by breast cancer surgery. Rev Bras Ginecol e Obs. 2014;36(6):244–50. doi: https://doi.org/10.1590/S0100-720320140005004
Celis-Morales CA, Welsh P, Lyall DM, Steell L, Petermann F, Anderson J, et al. Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all cause mortality: Prospective cohort study of half a million UK Biobank participants. BMJ. 2018;361(1):3–12. doi: https://doi.org/10.1136/bmj.k1651
Perez CS, das Neves LMS, Vacari AL, de Cássia Registro Fonseca M, de Jesus Guirro RR, de Oliveira Guirro EC. Reduction in handgrip strength and electromyographic activity in women with breast cancer. J Back Musculoskelet Rehabil. 2018;31(3):447–52. doi: https://doi.org/10.3233/BMR-170848
Yi JC, Syrjala KL. Anxiety and Depression in Cancer Survivors. Med Clin North Am. 2017;101(6):1099–113. doi: https://doi.org/10.1016/j.mcna.2017.06.005
Knobf MT. Clinical Update: Psychosocial Responses in Breast Cancer Survivors. Semin Oncol Nurs. 2011;27(3):1–14. doi: https://doi.org/10.1016/j.soncn.2011.05.001
Villar RR, Fernández SP, Garea CC, Pillado MTS, Barreiro VB, Martín CG. Quality of life and anxiety in women with breast cancer before and after treatment. Rev Lat Am Enfermagem. 2017 Dec;25(1):e2958. doi: https://doi.org/10.1590/1518-8345.2258.2958
Marrs JA. Stress, Fears, and Phobias: The Impact of Anxiety. Clin J Oncol Nurs. 2006;10(3):319–22. doi: https://doi.org/10.1188/06.CJON.319-322
Tsaras K, Papathanasiou I V., Mitsi D, Veneti A, Kelesi M, Zyga S, et al. Assessment of depression and anxiety in breast cancer patients: Prevalence and associated factors. Asian Pacific J Cancer Prev. 2018;19(6):1661–9. doi: https://doi.org/10.22034/APJCP.2018.19.6.1661
Aibar-Almazán A, Hita-Contreras F, Cruz-Díaz D, de la Torre-Cruz M, Jiménez-García JD, Martínez-Amat A. Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial. Maturitas. 2019;124(1):62–7. doi: https://doi.org/10.1016/j.maturitas.2019.03.019
Fleming KM, Herring MP. The effects of pilates on mental health outcomes: A meta-analysis of controlled trials. Complement Ther Med. 2018;37(1):80–95. doi: https://doi.org/10.1016/j.ctim.2018.02.003
Downloads
Published
How to Cite
Issue
Section
License
Copyright
Submission of originals to Práticas e Cuidado: Revista de Saúde Coletiva (Practices and Care: Journal of Public Health - PC-RESC) implies the transfer of publication rights by the authors. The copyright for manuscripts published in this journal belongs to the authors, with PC-RESC retaining rights over the first publication. The authors may only use the same results in other publications if they explicitly indicate PC-RESC as the original publication medium.
Creative Commons License
Except where otherwise specified, the terms of a Creative Commons Attribution-ShareAlike 4.0 International License apply to the material published in this journal, which permits unrestricted use, distribution, and reproduction in any medium, provided the original publication is correctly cited.
This magazine is licensed under a License 