Espíndula Roberta Costa, Nadas Gabriella Barbosa, Rosa Maria Inês da, Foster Charlie, Araújo Florentino Cardoso de, Grande Antonio Jose
Universidade do Extremo Sul Catarinense, Criciúma, SC, Brazil.
Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
Rev Assoc Med Bras (1992). 2017 Nov;63(11):1006-1012. doi: 10.1590/1806-9282.63.11.1006.
Breast cancer is the leading type of cancer causing death in women worldwide. The incidence of the disease is expected to grow worldwide due to the aging of the population and risk factors related to lifestyle behaviors. Considering the lifestyle of women with breast cancer before or after surgery, pilates exercise may be a complementary intervention additionally to standard treatment.
To analyze the efficacy of pilates compared to other exercises and to no exercise for women with breast cancer diagnosis.
We searched Medline via Pubmed, Embase via Ovid, Amed via EBSCO, Biosis via Ovid, Lilacs and the Cochrane Library for relevant publications until March 2017. The keywords used were pilates and "breast cancer," and only randomized controlled trials were included. Critical appraisal was done using Risk of Bias Tool and GRADE score for assessing the quality of evidence.
A total of five studies were included in our review. Our results demonstrate that pilates or home-based exercises are better than no exercise in each individual study. We observed significant improvements in the pilates groups compared to home-based exercises. Additionally, in the individual studies, we observed improvements in range of motion, pain and fatigue.
The evidence shows that pilates or home-based exercise should be encouraged to women with breast cancer.
乳腺癌是全球女性中导致死亡的主要癌症类型。由于人口老龄化和与生活方式行为相关的风险因素，预计该疾病在全球的发病率将会上升。考虑到乳腺癌女性在手术前后的生活方式，普拉提运动可能是标准治疗之外的一种辅助干预措施。
分析普拉提运动与其他运动以及不运动相比，对被诊断为乳腺癌的女性的疗效。
我们通过PubMed检索了Medline，通过Ovid检索了Embase，通过EBSCO检索了Amed，通过Ovid检索了Biosis，检索了Lilacs和Cochrane图书馆，以获取截至2017年3月的相关出版物。使用的关键词是普拉提和“乳腺癌”，仅纳入随机对照试验。使用偏倚风险工具和GRADE评分进行关键评估，以评估证据质量。
我们的综述共纳入五项研究。我们的结果表明，在每项单独研究中，普拉提运动或居家运动都比不运动更好。与居家运动相比，我们观察到普拉提运动组有显著改善。此外，在各项单独研究中，我们观察到运动范围、疼痛和疲劳方面有所改善。
证据表明，对于患有乳腺癌的女性，应鼓励她们进行普拉提运动或居家运动。
