Evidence for adapted physical activity as an effective intervention for upper limb mobility and quality of life in breast cancer survivors

J Phys Act Health. 2014 May;11(4):814-22. doi: 10.1123/jpah.2012-0119. Epub 2013 Apr 5.

Abstract

Background: Physical activity interventions are known to be effective in improving the physical and psychological complaints of breast cancer survivors.

Purpose: To investigate the impact of a specific exercise training program on upper limb mobility and quality of life in breast cancer survivors.

Methods: The study included 55 women recruited at the Cancer Rehabilitation Centre in Florence after the completion of breast cancer treatment and rehabilitative physiotherapy. All participants underwent an 8-week specific exercise training to improve upper limb mobility function and quality of life. Anthropometric parameters were measured, and each subject underwent a battery of fitness tests to assess shoulder-arm mobility, range of motion, and back flexibility before and after specific exercise program. All participants filled out the Short Form-12 and numerical rating scale questionnaires to assess the quality of life and to quantify back and shoulder pain intensity.

Results: The evaluation of shoulder-arm mobility and self-reported questionnaire data revealed a statistically significant improvement after completion of our specific exercise program.

Conclusion: An organized specific program of adapted physical activity can be effective in reducing the main adverse effects of surgery and oncological therapy, and may significantly improve shoulder-arm mobility and quality of life in breast cancer survivors.

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / complications*
  • Breast Neoplasms / psychology
  • Breast Neoplasms / surgery
  • Breast Neoplasms / therapy
  • Chemoradiotherapy, Adjuvant / adverse effects
  • Exercise Therapy / methods*
  • Exercise Therapy / psychology
  • Female
  • Humans
  • Italy
  • Lymphedema / etiology
  • Lymphedema / psychology
  • Lymphedema / rehabilitation
  • Middle Aged
  • Postoperative Complications / physiopathology
  • Postoperative Complications / psychology
  • Postoperative Complications / rehabilitation*
  • Quality of Life*
  • Range of Motion, Articular*
  • Regression Analysis
  • Surveys and Questionnaires
  • Survivors / psychology
  • Upper Extremity / physiopathology*