Systematic review of the effect of aquatic therapeutic exercise in breast cancer survivors
Metadatos
Afficher la notice complèteEditorial
John Wiley & Sons
Materia
Aquatic therapeutic exercise Breast cancer survivors Side effects
Date
2021-11-03Referencia bibliográfica
Mur-Gimeno, E... [et al.] (2021). Systematic review of the effect of aquatic therapeutic exercise in breast cancer survivors. European Journal of Cancer Care, 1– 16. [https://doi.org/10.1111/ecc.13535]
Patrocinador
Spanish Ministry of Education Culture and Sport FPU17/00939; Universidad de Granada/CBUARésumé
Background: Aquatic therapeutic exercise can be equally effective or even superior
to land-based exercise in improving several clinical variables. However, there is still a
lack of knowledge on the effects compared to land-based interventions particularly
in breast cancer (BC) patients.
Objective: The objective of this study is to examine the effects of aquatic therapeutic
exercise on pain, shoulder mobility, lymphedema, cardiorespiratory fitness, muscle
strength, body composition, pulmonary function, cancer-related fatigue (CRF) and
health-related quality of life (HRQoL) and which parameters are effective compared
to similar land-based interventions.
Methods: The databases used were PubMed, Scopus, Web of Science, Cochrane
Library and CINAHL, retrieving 145 articles.
Results: Eleven studies were included. Aquatic therapeutic exercise is feasible, safe,
well tolerated and achieved high percentages of adherence. As for the assessed outcomes,
moderate to large improvements were found compared to usual care or to
land-based physical exercise interventions in pain, shoulder range of motion, pulmonary
function, HRQoL, cardiorespiratory fitness and muscle strength. Inconclusive
results were found for lymphedema, body composition and CRF.
Conclusions: Aquatic therapeutic exercise interventions using a combination of
endurance, strength, mobility, stretching and breathing exercises resulted in improvements
in common side effects of BC and its treatments. More studies on CRF, body
composition and lymphedema need to be done to further evaluate the impact of the
intervention on these outcomes.