Bertoli Josefina, de Souza Bezerra Ewertton, Dos Santos Sueyla Ferreira da Silva, Gobbo Luis Alberto, Júnior Ismael Forte Freitas
Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista, Presidente Prudente-SP, Brazil.
Faculdade de Educação Física e Fisioterapia, Universidade Federal do Amazonas, Manaus, Brazil.
J Exerc Rehabil. 2022 Aug 26;18(4):272-283. doi: 10.12965/jer.2244298.149. eCollection 2022 Aug.
The aim of this study was to evaluate the influence of adherence to mat Pilates training on lower and upper body strength and flexibility in breast cancer survivors. Breast cancer survivors (≥40 years) with cancer stages 0-III undergoing hormone therapy participated in this study. For this secondary investigation only the intervention group was analyzed, divided into low and high training adherence. Participants performed a 60-min session of mat Pilates, 3 times/wk, for 24 weeks. Concentric, eccentric, and isometric hip flexor-extensor muscle peak torque, and isometric maximal strength parameters of the shoulder abductors, trunk extensors, and handgrip were assessed. Physical activity level was analyzed as a control variable. The results showed that high training adherence improved (<0.05) left shoulder abductor strength parameters and lower and upper body flexibility compared to baseline. The low training adherence group improved (<0.05) trunk extensors, right and left shoulder abductor strength parameters, handgrip strength, and extensor-flexor peak torque compared to baseline. There were no differences (>0.05) between high and low adherence for physical activity level before and after the intervention. Therefore, it appears that higher training adherence most influences some strength parameters and flexibility, while fewer sessions enable the achievement of significant results for shoulder abductor and hip extensor-flexor muscle strength parameters.
本研究的目的是评估坚持垫上普拉提训练对乳腺癌幸存者上下肢力量和柔韧性的影响。处于0-III期且正在接受激素治疗的40岁及以上乳腺癌幸存者参与了本研究。在这项二次调查中，仅对干预组进行了分析，将其分为训练依从性低和高两组。参与者每周进行3次、每次60分钟的垫上普拉提训练，共持续24周。评估了髋关节屈伸肌的向心、离心和等长肌肉峰值扭矩，以及肩部外展肌、躯干伸肌和握力的等长最大力量参数。将身体活动水平作为控制变量进行分析。结果显示，与基线相比，训练依从性高的组改善了（<0.05）左肩部外展肌力量参数以及上下肢柔韧性。与基线相比，训练依从性低的组改善了（<0.05）躯干伸肌、左右肩部外展肌力量参数、握力以及屈伸肌峰值扭矩。干预前后，高依从性和低依从性在身体活动水平方面没有差异（>0.05）。因此，似乎更高的训练依从性对某些力量参数和柔韧性影响最大，而训练次数较少也能使肩部外展肌和髋部伸屈肌力量参数取得显著效果。
