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The Effectiveness Of A Deep Water Aquatic Exercise Program In Cancer-Related Fatigue In Breast Cancer Survivors: A Randomized Clinical Trial Deep water aquatic exercise in cancer survivors.
MedLine Citation:
PMID:  23017985     Owner:  NLM     Status:  Publisher    
OBJECTIVE: The aim of the current randomized clinical trial was 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. DESIGN: A randomized clinical trial. SETTING: Outpatient clinic, urban, academic medical center and a sport university swimming pool. PARTICIPANTS: Sixty-eight breast cancer survivors were randomly assigned to either an experimental (aquatic exercise group in deep water pool) or control (usual care) group. InterventionsThe intervention group attended aquatic exercise sessions 3 times per week for 8 weeks in a heated deep swimming pool. Sessions lasted 60minutes in duration: 10min of warm-up, 40 min of aerobic and endurance exercises and 10min cool-down. Patients allocated to the usual care group followed the oncologist recommendations in relation to a healthy lifestyle. Outcome MeasuresFatigue (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. RESULTS: Immediately after discharge, the aquatic exercise group showed a large effect size in totalfatigue score (d: 0.87, 95%CI 0.48-1.26), trunk curl endurance (d: 0.92, 95%CI 1.97-3.83), leg strength (d: 1.10, 0.55-2.76), but negligible effects in vigor, confusion and disturbance of mood (d<0.25). 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 (0.25 > d>0.90) and negligible effects for fatigue-severity dimension and different scales of the profile of mood state (d<0.25).3 CONCLUSION: An aquatic exercise program conducted in deep water was effective for improving cancer-related fatigue and strength in breast cancer survivors.
Irene Cantarero-Villanueva; Carolina Fernández-Lao; Antonio I Cuesta-Vargas; Rosario Del Moral-Avila; César Fernández-de-Las-Peñas C; Manuel Arroyo-Morales
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-24
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  -     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012. Published by Elsevier Inc.
Physical Therapy Department, University of Granada, Spain.
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