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01-02-2018 | Commentary

Longitudinal assessment of the impact of adapted physical activity on upper limb disability and quality of life in breast cancer survivors from an Italian cohort

Authors: Daniela Mirandola, Guido Miccinesi, Maria Grazia Muraca, Stefania Belardi, Roberta Giuggioli, Eleonora Sgambati, Mirko Manetti, Marco Monaci, Mirca Marini

Published in: Supportive Care in Cancer | Issue 2/2018

Abstract

Purpose

The purpose of this study was to evaluate the effectiveness of a specific adapted physical activity (APA) protocol on upper limb disability and quality of life in breast cancer survivors and to assess longitudinally the possible role of APA on long-term benefits.

Methods

Breast cancer survivors from an Italian cohort were assessed by fitness tests (shoulder-arm mobility, range of motion, and back flexibility) before and after 8-week APA. Quality of life and back and surgical shoulder pain intensity were evaluated by Short Form-12 and numerical rating scale questionnaires, respectively. At 1.5-year post-APA follow-up, survivors were evaluated as at baseline/post-APA to assess long-term effects.

Results

A statistically significant improvement in shoulder-arm mobility, pain perception, and quality of life was observed in breast cancer survivors after APA intervention. Longitudinal analyses indicated an overall decrease in the achieved benefits at 1.5-year post-APA.

Conclusions

The survivorship phase of breast cancer requires a multidisciplinary collaboration involving either the cancer-care medical team or APA professionals to manage psychophysical outcomes. A specific APA protocol may represent an effective countermeasure to reduce post-treatment upper limb disability and improve the quality of life in breast cancer survivors. Participation in structured APA protocols should be maintained over time to preserve the achieved benefits.

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Title: Longitudinal assessment of the impact of adapted physical activity on upper limb disability and quality of life in breast cancer survivors from an Italian cohort
Authors: Daniela Mirandola
Guido Miccinesi
Maria Grazia Muraca
Stefania Belardi
Roberta Giuggioli
Eleonora Sgambati
Mirko Manetti
Marco Monaci
Mirca Marini
Publication date: 01-02-2018
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 2/2018
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-017-3930-2

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