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

Detalhes bibliográficos
Autor(a) principal: Bertoli, Josefina [UNESP]
Data de Publicação: 2022
Outros Autores: Bezerra, Ewertton de Souza, Winters-Stone, Kerri M., Alberto Gobbo, Luis [UNESP], Freitas, Ismael Forte [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1080/09638288.2022.2032410
http://hdl.handle.net/11449/223428
Resumo: Purpose: To evaluate the effects of 24 weeks of Mat Pilates in breast cancer survivors (BCS) undergoing hormone therapy on lower and upper body muscle strength parameters and flexibility. Materials and methods: Forty-three BCS (≥40 years) with confirmed breast cancer stage 0–III undergoing hormone therapy were included. Participants were randomized into Mat Pilates (three times/week, 60 min session) or control group (relaxation activities every two weeks). The difficulty and number of exercise repetitions were increased over the weeks. Assessments were performed at three times points (baseline, 12 weeks, and 24 weeks). The generalized estimating equations (GEE) model was used to compare each outcome measure during the analysis of intention to treat (ITT) and “Per protocol analysis” (PPA). Results: The Pilates group presented significantly increased (p < 0.05) isometric flexor–extensor PT, and concentric and eccentric flexor PT and mechanical work (MW) after the intervention. Most of the upper body strength parameters, time to achieve maximal force (TFmax), maximal force (F max), and rapid force index (RFI) and right-left upper and lower body flexibility (p < 0.05) also improved. Conclusions: From our findings, we conclude that 24 and 12-weeks of Mat Pilates induced strength and flexibility gains for lower and upper body, respectively.Implications for rehabilitation Mat Pilates can be adapted to the fitness level of breast cancer survivors, with a great variety of exercises that can be performed using a mat only or a few pieces of equipment. Patients can practice at home to gain different health benefits (i.e., increasing strength, flexibility, and functional capacity level), which could positively impact on quality of life. Mat Pilates performed three times per week with systematized increments in exercise level, load, and volume throughout the intervention was effective to improve hip extensor–flexor muscles peak torque and mechanical work at different muscle contractions, as well as upper and lower body flexibility. Mat Pilates was also able to improve right-left shoulder abductor and trunk extensor muscles strength parameters after 12 weeks of intervention, as well as both surgery and non-surgery sides of the upper body.
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spelling Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study)Breast neoplasmsendocrine therapyexercisemuscle strengthrange of motionPurpose: To evaluate the effects of 24 weeks of Mat Pilates in breast cancer survivors (BCS) undergoing hormone therapy on lower and upper body muscle strength parameters and flexibility. Materials and methods: Forty-three BCS (≥40 years) with confirmed breast cancer stage 0–III undergoing hormone therapy were included. Participants were randomized into Mat Pilates (three times/week, 60 min session) or control group (relaxation activities every two weeks). The difficulty and number of exercise repetitions were increased over the weeks. Assessments were performed at three times points (baseline, 12 weeks, and 24 weeks). The generalized estimating equations (GEE) model was used to compare each outcome measure during the analysis of intention to treat (ITT) and “Per protocol analysis” (PPA). Results: The Pilates group presented significantly increased (p < 0.05) isometric flexor–extensor PT, and concentric and eccentric flexor PT and mechanical work (MW) after the intervention. Most of the upper body strength parameters, time to achieve maximal force (TFmax), maximal force (F max), and rapid force index (RFI) and right-left upper and lower body flexibility (p < 0.05) also improved. Conclusions: From our findings, we conclude that 24 and 12-weeks of Mat Pilates induced strength and flexibility gains for lower and upper body, respectively.Implications for rehabilitation Mat Pilates can be adapted to the fitness level of breast cancer survivors, with a great variety of exercises that can be performed using a mat only or a few pieces of equipment. Patients can practice at home to gain different health benefits (i.e., increasing strength, flexibility, and functional capacity level), which could positively impact on quality of life. Mat Pilates performed three times per week with systematized increments in exercise level, load, and volume throughout the intervention was effective to improve hip extensor–flexor muscles peak torque and mechanical work at different muscle contractions, as well as upper and lower body flexibility. Mat Pilates was also able to improve right-left shoulder abductor and trunk extensor muscles strength parameters after 12 weeks of intervention, as well as both surgery and non-surgery sides of the upper body.Faculdade de Ciência e Tecnologia Universidade Estadual PaulistaFaculdade de Educação Física e Fisioterapia Universidade Federal do AmazonasSchool of Nursing Knight Cancer Institute Oregon Health & Science UniversityFaculdade de Ciência e Tecnologia Universidade Estadual PaulistaUniversidade Estadual Paulista (UNESP)Universidade Federal do AmazonasOregon Health & Science UniversityBertoli, Josefina [UNESP]Bezerra, Ewertton de SouzaWinters-Stone, Kerri M.Alberto Gobbo, Luis [UNESP]Freitas, Ismael Forte [UNESP]2022-04-28T19:50:40Z2022-04-28T19:50:40Z2022-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1080/09638288.2022.2032410Disability and Rehabilitation.1464-51650963-8288http://hdl.handle.net/11449/22342810.1080/09638288.2022.20324102-s2.0-85124268597Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengDisability and Rehabilitationinfo:eu-repo/semantics/openAccess2022-04-28T19:50:40Zoai:repositorio.unesp.br:11449/223428Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T14:34:55.389879Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study)
title Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study)
spellingShingle 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 [UNESP]
Breast neoplasms
endocrine therapy
exercise
muscle strength
range of motion
title_short Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study)
title_full Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study)
title_fullStr Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study)
title_full_unstemmed Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study)
title_sort Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study)
author Bertoli, Josefina [UNESP]
author_facet Bertoli, Josefina [UNESP]
Bezerra, Ewertton de Souza
Winters-Stone, Kerri M.
Alberto Gobbo, Luis [UNESP]
Freitas, Ismael Forte [UNESP]
author_role author
author2 Bezerra, Ewertton de Souza
Winters-Stone, Kerri M.
Alberto Gobbo, Luis [UNESP]
Freitas, Ismael Forte [UNESP]
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
Universidade Federal do Amazonas
Oregon Health & Science University
dc.contributor.author.fl_str_mv Bertoli, Josefina [UNESP]
Bezerra, Ewertton de Souza
Winters-Stone, Kerri M.
Alberto Gobbo, Luis [UNESP]
Freitas, Ismael Forte [UNESP]
dc.subject.por.fl_str_mv Breast neoplasms
endocrine therapy
exercise
muscle strength
range of motion
topic Breast neoplasms
endocrine therapy
exercise
muscle strength
range of motion
description Purpose: To evaluate the effects of 24 weeks of Mat Pilates in breast cancer survivors (BCS) undergoing hormone therapy on lower and upper body muscle strength parameters and flexibility. Materials and methods: Forty-three BCS (≥40 years) with confirmed breast cancer stage 0–III undergoing hormone therapy were included. Participants were randomized into Mat Pilates (three times/week, 60 min session) or control group (relaxation activities every two weeks). The difficulty and number of exercise repetitions were increased over the weeks. Assessments were performed at three times points (baseline, 12 weeks, and 24 weeks). The generalized estimating equations (GEE) model was used to compare each outcome measure during the analysis of intention to treat (ITT) and “Per protocol analysis” (PPA). Results: The Pilates group presented significantly increased (p < 0.05) isometric flexor–extensor PT, and concentric and eccentric flexor PT and mechanical work (MW) after the intervention. Most of the upper body strength parameters, time to achieve maximal force (TFmax), maximal force (F max), and rapid force index (RFI) and right-left upper and lower body flexibility (p < 0.05) also improved. Conclusions: From our findings, we conclude that 24 and 12-weeks of Mat Pilates induced strength and flexibility gains for lower and upper body, respectively.Implications for rehabilitation Mat Pilates can be adapted to the fitness level of breast cancer survivors, with a great variety of exercises that can be performed using a mat only or a few pieces of equipment. Patients can practice at home to gain different health benefits (i.e., increasing strength, flexibility, and functional capacity level), which could positively impact on quality of life. Mat Pilates performed three times per week with systematized increments in exercise level, load, and volume throughout the intervention was effective to improve hip extensor–flexor muscles peak torque and mechanical work at different muscle contractions, as well as upper and lower body flexibility. Mat Pilates was also able to improve right-left shoulder abductor and trunk extensor muscles strength parameters after 12 weeks of intervention, as well as both surgery and non-surgery sides of the upper body.
publishDate 2022
dc.date.none.fl_str_mv 2022-04-28T19:50:40Z
2022-04-28T19:50:40Z
2022-01-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1080/09638288.2022.2032410
Disability and Rehabilitation.
1464-5165
0963-8288
http://hdl.handle.net/11449/223428
10.1080/09638288.2022.2032410
2-s2.0-85124268597
url http://dx.doi.org/10.1080/09638288.2022.2032410
http://hdl.handle.net/11449/223428
identifier_str_mv Disability and Rehabilitation.
1464-5165
0963-8288
10.1080/09638288.2022.2032410
2-s2.0-85124268597
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Disability and Rehabilitation
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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