Physical Therapy Department, University of Granada, Granada, Spain.
Arch Phys Med Rehabil. 2013 Feb;94(2):221-30. doi: 10.1016/j.apmr.2012.09.008. Epub 2012 Sep 24.
To investigate the effectiveness of an 8-week aquatic program on cancer-related fatigue, as well as physical and psychological outcomes in breast cancer survivors.
A randomized controlled trial.
Outpatient clinic, urban, academic medical center, and a sport university swimming pool.
Breast cancer survivors (N=68) were randomly assigned to either an experimental (aquatic exercise group in deep water pool) group or a control (usual care) group.
The intervention group attended aquatic exercise sessions 3 times per week for 8 weeks in a heated deep swimming pool. Sessions lasted 60 minutes in duration: 10 minutes of warm-up, 40 minutes of aerobic and endurance exercises, and 10 minutes of cool-down exercises. Patients allocated to the usual care group followed the oncologist's recommendations in relation to a healthy lifestyle.
Values for fatigue (Piper Fatigue Scale), mood state (Profile of Mood States), and abdominal (trunk curl static endurance test) and leg (multiple sit-to-stand test) strength were collected at baseline, after the last treatment session, and at a 6-month follow-up.
Immediately after discharge, the aquatic exercise group showed a large effect size in total fatigue score (d=.87; 95% confidence interval, .48-1.26), trunk curl endurance (d=.92; 95% confidence interval, 1.97-3.83), and leg strength (d=1.10; .55-2.76), but negligible effects in vigor, confusion, and disturbance of mood (d<.25). At the 6-month follow-up period, the aquatic exercise group maintained large to small effect sizes in fatigue scores, multiple sit-to-stand test, and trunk curl static endurance (.25>d>.90) and negligible effects for the fatigue-severity dimension and different scales of the Profile of Mood States (d<.25).
An aquatic exercise program conducted in deep water was effective for improving cancer-related fatigue and strength in breast cancer survivors.
探究为期 8 周的水上运动项目对乳腺癌幸存者相关疲劳、身体和心理结果的影响。
随机对照试验。
门诊、城市、学术医疗中心和体育大学游泳池。
乳腺癌幸存者（N=68）被随机分配至实验组（在温水游泳池中进行水上运动）或对照组（常规护理）。
干预组每周在温水游泳池中进行 3 次水上运动，共 8 周。每次运动持续 60 分钟：热身 10 分钟、有氧和耐力运动 40 分钟、放松 10 分钟。分配至常规护理组的患者遵循肿瘤医生的建议保持健康的生活方式。
疲劳（派珀疲劳量表）、情绪状态（心境状态问卷）以及腹部（躯干卷曲静态耐力测试）和腿部（多次坐站测试）力量值在基线、最后一次治疗后和 6 个月随访时进行评估。
出院后即刻，水上运动组的总疲劳评分（d=0.87；95%置信区间，0.48-1.26）、躯干卷曲耐力（d=0.92；95%置信区间，1.97-3.83）和腿部力量（d=1.10；95%置信区间，0.55-2.76）均显示出较大的效应量，但活力、困惑和情绪紊乱的效应量较小（d<.25）。在 6 个月的随访期间，水上运动组在疲劳评分、多次坐站测试和躯干卷曲静态耐力方面保持较大到较小的效应量（0.25>d>.90），而疲劳严重程度维度和心境状态问卷的不同量表的效应量较小（d<.25）。
在温水环境中进行的水上运动项目对改善乳腺癌幸存者的相关疲劳和力量是有效的。
