Effect of Physical Activity on Static and Dynamic Postural Balance in Women Treated for Breast Cancer: A Systematic Review.
breast cancer
physical activity
physical exercise
postural balance
stability training
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
20 02 2023
20 02 2023
Historique:
received:
02
01
2023
revised:
12
02
2023
accepted:
16
02
2023
entrez:
25
2
2023
pubmed:
26
2
2023
medline:
3
3
2023
Statut:
epublish
Résumé
Therapies against breast cancer (BC) frequently involve complications that impair patients' daily function and quality of life, the most common of which are motor coordination and balance disorders, increasing the risk of falls and injuries. In such cases, physical activity is recommended. Designed following the PRISMA guidelines, this study presents a systematic review of randomised and pilot clinical trials investigating the effect of physical exercises on postural balance in women treated for BC. Scientific databases (PubMed, EBSCO) and the online resources of grey publications were searched for trial reports published between January 2002 and February 2022. The inclusion criteria necessitated full-text, English-language reports from randomised clinical trials (RCTs) or pilot clinical trials (pilot CTs), whose authors used physical exercises to treat women with BC and the experimental and control groups consisted of at least 10 women. The methodological quality of the RCTs and pilot CTs were measured using the Physiotherapy Evidence Database (PEDro) scale and the Methodological Index for Non-Randomized Studies (MINORS), respectively. Data were extracted on the effect of exercise on the women's static and dynamic balance. Seven reports, five RCTs and two pilot CTs involving a total of 575 women (aged 18-83 years) were included in the systematic review. Their training protocols utilised a variety of aerobic, strength, endurance, sensorimotor, Pilates exercises, and fitness exercises with elements of soccer. The experimental groups usually worked out in fitness or rehabilitation centres under the supervision of physiotherapists or trainers. Training sessions of 30-150 min were held 2 or 3 times a week for 1.5-24 months. Most trials reported that static and dynamic balance in the experimental groups improved significantly more compared with the control groups. Physical exercises are able to improve static and dynamic postural balance in women treated for BC. However, as all evidence in support of this conclusion comes from only two pilot CT and five RCTs whose methodologies varied widely, more high quality research is needed to validate their findings and determine which exercise protocols are the most effective in improving postural control in women with BC.
Sections du résumé
BACKGROUND
Therapies against breast cancer (BC) frequently involve complications that impair patients' daily function and quality of life, the most common of which are motor coordination and balance disorders, increasing the risk of falls and injuries. In such cases, physical activity is recommended. Designed following the PRISMA guidelines, this study presents a systematic review of randomised and pilot clinical trials investigating the effect of physical exercises on postural balance in women treated for BC.
METHODS
Scientific databases (PubMed, EBSCO) and the online resources of grey publications were searched for trial reports published between January 2002 and February 2022. The inclusion criteria necessitated full-text, English-language reports from randomised clinical trials (RCTs) or pilot clinical trials (pilot CTs), whose authors used physical exercises to treat women with BC and the experimental and control groups consisted of at least 10 women. The methodological quality of the RCTs and pilot CTs were measured using the Physiotherapy Evidence Database (PEDro) scale and the Methodological Index for Non-Randomized Studies (MINORS), respectively. Data were extracted on the effect of exercise on the women's static and dynamic balance.
RESULTS
Seven reports, five RCTs and two pilot CTs involving a total of 575 women (aged 18-83 years) were included in the systematic review. Their training protocols utilised a variety of aerobic, strength, endurance, sensorimotor, Pilates exercises, and fitness exercises with elements of soccer. The experimental groups usually worked out in fitness or rehabilitation centres under the supervision of physiotherapists or trainers. Training sessions of 30-150 min were held 2 or 3 times a week for 1.5-24 months. Most trials reported that static and dynamic balance in the experimental groups improved significantly more compared with the control groups.
CONCLUSIONS
Physical exercises are able to improve static and dynamic postural balance in women treated for BC. However, as all evidence in support of this conclusion comes from only two pilot CT and five RCTs whose methodologies varied widely, more high quality research is needed to validate their findings and determine which exercise protocols are the most effective in improving postural control in women with BC.
Identifiants
pubmed: 36834417
pii: ijerph20043722
doi: 10.3390/ijerph20043722
pmc: PMC9961643
pii:
doi:
Types de publication
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Références
ANZ J Surg. 2003 Sep;73(9):712-6
pubmed: 12956787
Arch Phys Med Rehabil. 2004 Jun;85(6):896-901
pubmed: 15179642
CA Cancer J Clin. 2012 Jan-Feb;62(1):10-29
pubmed: 22237781
Cancer. 2012 Apr 15;118(8 Suppl):2237-49
pubmed: 22488698
J Mot Behav. 2008 Sep;40(5):400-8
pubmed: 18782715
Gait Posture. 2010 Oct;32(4):436-45
pubmed: 20947353
Breast Cancer (Dove Med Press). 2022 Jul 14;14:163-173
pubmed: 35860287
Nat Rev Dis Primers. 2019 Sep 23;5(1):66
pubmed: 31548545
Psychiatry Res. 2019 Jan;271:208-213
pubmed: 30502556
Arch Phys Med Rehabil. 2000 May;81(5):587-91
pubmed: 10807096
Ann Oncol. 2014 Feb;25(2):493-9
pubmed: 24478323
Expert Rev Anticancer Ther. 2017 Nov;17(11):1045-1060
pubmed: 28868935
Breast Care (Basel). 2014 Oct;9(5):312-7
pubmed: 25759610
Am J Phys Med Rehabil. 2016 Aug;95(8):561-70
pubmed: 26829081
J Steroid Biochem Mol Biol. 2005 Oct;97(1-2):13-9
pubmed: 16026981
Percept Mot Skills. 2002 Dec;95(3 Pt 2):1295-300
pubmed: 12578274
Scand J Med Sci Sports. 2021 Jul;31(7):1545-1557
pubmed: 33794005
PLoS Med. 2009 Jul 21;6(7):e1000100
pubmed: 19621070
J Geriatr Phys Ther. 2007;30(1):8-15
pubmed: 19839175
BMC Geriatr. 2017 Jun 9;17(1):124
pubmed: 28599623
Age Ageing. 2012 Nov;41(6):712-21
pubmed: 22885845
J Cancer Res Clin Oncol. 2018 Sep;144(9):1785-1792
pubmed: 29943097
Support Care Cancer. 2018 Apr;26(4):1019-1028
pubmed: 29243164
Phys Ther. 2002 Feb;82(2):128-37
pubmed: 11856064
J Cancer Surviv. 2012 Jun;6(2):189-99
pubmed: 22193780
J Nurs Scholarsh. 2009 Mar;41(1):20-7
pubmed: 19335674
Breast Cancer Res Treat. 2013 Jan;137(1):175-86
pubmed: 23139058
J Rehabil Med. 2017 Jan 19;49(1):78-83
pubmed: 28101567
CA Cancer J Clin. 2017 Nov;67(6):439-448
pubmed: 28972651
Gait Posture. 2013 Jun;38(2):226-30
pubmed: 23245642
Arch Phys Med Rehabil. 2007 Aug;88(8):1002-8
pubmed: 17678662
Sci Rep. 2021 Aug 26;11(1):17212
pubmed: 34446786
Phys Ther. 2009 May;89(5):484-98
pubmed: 19329772
J Gerontol Nurs. 1999 Jul;25(7):40-5
pubmed: 10476130
J Appl Biomech. 2018 Jul 10;35(1):11–18
pubmed: 29989455
J Cancer Res Ther. 2014 Jul-Sep;10(3):506-11
pubmed: 25313729
South Med J. 2013 Oct;106(10):565-9
pubmed: 24096950
JAMA. 1994 Dec 28;272(24):1909-14
pubmed: 7990242
Acta Neurobiol Exp (Wars). 2008;68(1):51-7
pubmed: 18389015
J Natl Compr Canc Netw. 2009 Sep;7 Suppl 5:S1-S26; quiz S27-8
pubmed: 19755042
Lancet Oncol. 2009 Jun;10(6):598-605
pubmed: 19482248
Arch Phys Med Rehabil. 2011 Apr;92(4):646-52
pubmed: 21367394
Aust J Physiother. 2009;55(2):129-33
pubmed: 19463084
Int J Environ Res Public Health. 2020 Jul 29;17(15):
pubmed: 32751279
Phys Ther. 1994 Sep;74(9):861-71
pubmed: 8066113
J Clin Med. 2021 Jan 03;10(1):
pubmed: 33401541
Arch Phys Med Rehabil. 2016 Dec;97(12):2166-2173.e1
pubmed: 27497826
J Gerontol. 1992 May;47(3):M93-8
pubmed: 1573190
Disabil Rehabil. 2016 Oct;38(20):2047-51
pubmed: 26727888
Breast Care (Basel). 2013 Oct;8(5):330-4
pubmed: 24415985
Eur J Phys Rehabil Med. 2017 Oct;53(5):685-693
pubmed: 28178773
Integr Cancer Ther. 2016 Dec;15(4):446-454
pubmed: 27151593
J Gerontol. 1990 Nov;45(6):M192-7
pubmed: 2229941
Complement Ther Clin Pract. 2021 Aug;44:101424
pubmed: 34130213
Arch Phys Med Rehabil. 2001 Feb;82(2):198-204
pubmed: 11239310
Phys Ther. 2000 Sep;80(9):896-903
pubmed: 10960937
Crit Rev Oncol Hematol. 2021 Jun;162:103354
pubmed: 34029683
Gait Posture. 2014;39(1):501-5
pubmed: 24074730
Support Care Cancer. 2018 Feb;26(2):615-624
pubmed: 28963591