Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag Street, 5, 46010, Valencia, Spain.
Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), University of Valencia, Gascó Oliag Street, 5, 46010, Valencia, Spain.
Support Care Cancer. 2022 Dec 16;31(1):44. doi: 10.1007/s00520-022-07460-1.
The aim of this review is to establish the efficacy of aquatic therapeutic exercise in female breast cancer survivors for improving fatigue, pain, lymphedema, and quality of life.
A systematic literature review was conducted in PubMed, Web of Science, and Cochrane Library databases for articles published in the last 10 years. The review focuses on aquatic exercise-based rehabilitation in female breast cancer survivors, according to the PRISMA statement and using the PEDRO and Jadad scales.
Ten randomized controlled trials with 606 participants were included. Two studies showed aquatic therapeutic exercise to be effective in reducing fatigue, three in reducing pain, and four in improving quality of life after intervention. Three of five studies obtained significant immediate changes in lymphedema volume, although this improvement was only maintained at 3 months in a single study. The methodological quality of all the studies was ≥ 7 on the PEDro scale and ≥ 3 on the Jadad scale.
Aquatic therapeutic exercise is an effective strategy for improving fatigue, pain, and quality of life in breast cancer survivors, although the effects on lymphedema remain uncertain. Participants showed high adherence to treatment and no adverse effects after intervention were reported.
本综述旨在确定水中治疗性运动对女性乳腺癌幸存者的疗效，以改善疲劳、疼痛、淋巴水肿和生活质量。
根据 PRISMA 声明，并使用 PEDRO 和 Jadad 量表，在 PubMed、Web of Science 和 Cochrane Library 数据库中对过去 10 年发表的文章进行了系统的文献回顾。综述重点关注基于水上运动的女性乳腺癌幸存者康复。
纳入了 10 项随机对照试验，共 606 名参与者。两项研究表明水中治疗性运动可有效减轻疲劳，三项研究可减轻疼痛，四项研究可改善干预后的生活质量。五项研究中有三项显示淋巴水肿体积有显著的即时变化，尽管仅有一项研究在 3 个月时仍保持这种改善。所有研究的方法学质量均在 PEDro 量表上≥7 分，在 Jadad 量表上≥3 分。
水中治疗性运动是改善乳腺癌幸存者疲劳、疼痛和生活质量的有效策略，尽管对淋巴水肿的影响仍不确定。参与者对治疗的依从性很高，且干预后无不良反应报告。
