Comparative effectiveness of Yoga and Pilates intervention on respiratory function of patients with breast cancer / Efectividad de la intervención de Yoga vs Pilates en la función respiratoria de pacientes con cáncer de mama

Objective:Most modern breast cancer treatments are shown to be effective in terms of survival but lead to side effects such as dysfunction of the upperlimb, lymphedema, pain syndrome, plexitis, ardiotoxicity, fatigue, and pulmonary complications. Applied radiotherapy enhances the number of sideсardiotoxicity, fatigue, and pulmonary complications. Applied radiotherapy enhances the number of sideeffects that patients with breast cancer experience over a long period. The aim of this study was to compare effectiveness of Hatha Yoga and Pilatesinterventions on respiratory function in patients with breast cancer.Methods:95 women completed the interventions and were included in the final analysis. The participants, staged I-II, were randomly assigned to 2groups. Group A (n = 48, 57.53 ± 1.92 years) received Hatha Yoga intervention and group B (n = 47, 58.00 ± 1.27 years) received Pilates intervention.Both programs were conducted for 12 weeks, with three 60-min sessions per week. Spirometry was used to measure pre- and post-interventionfunctional capacity of the respiratory system.Results:Significant differences (p<0.05) were found in Vital Capacity, Forced Vital Capacity, Peak Expiratory Flow, Maximum Expiratory Flow25,Expiratory Reserve Volume and Maximal Voluntary Ventilation in Hatha Yoga group compared with Pilates group. There was no significant differencebetween both groups in Force Expiratory Volume and Maximum Expiratory Flow50 (p>0,05) Conclusions: Hatha Yoga and Pilates interventions are both effective in respiratory function, but Hatha Yoga turns out more beneficial.(AU)

Objetivo: La mayoría de los tratamientos modernos contra el cáncer de mama han demostrado ser efectivos en términos de supervivencia, pero provocanefectos secundarios como disfunción del miembro superior, linfedema, síndrome de dolor, plexitis, cardiotoxicidad, fatiga y complicaciones pulmonares.La radioterapia aplicada aumenta la cantidad de efectos secundarios que experimentan los pacientes con cáncer de mama durante un períodoprolongado. El objetivo de este estudio fue comparar la efectividad de las intervenciones de Hatha Yoga y Pilates sobre la función respiratoria enpacientes con cáncer de mama.Métodos: 95 mujeres completaron las intervenciones y fueron incluidas en el análisis final. Los participantes, estadios I-II, fueron asignadosaleatoriamente a 2 grupos. El grupo A (n = 48, 57.53 ± 1.92 años) recibió intervención de Hatha Yoga y el grupo B (n = 47, 58.00 ± 1.27 años) recibióintervención de Pilates. Ambos programas se realizaron durante 12 semanas, con tres sesiones de 60 min por semana. La espirometría se utilizó paramedir la capacidad funcional del sistema respiratorio antes y después de la intervención.Resultados: Se encontraron diferencias significativas (p<0.05) en Capacidad Vital, Capacidad Vital Forzada, Flujo Espiratorio Pico, Flujo EspiratorioMáximo25, Volumen de Reserva Espiratorio y Ventilación Voluntaria Máxima en el grupo de Hatha Yoga comparado con el grupo de Pilates. No hubodiferencia significativa entre ambos grupos en Volumen Espiratorio Forzado y Flujo Espiratorio Máximo50 (p>0.05).Conclusiones: Las intervenciones de Hatha Yoga y Pilates son efectivas en la función respiratoria, pero Hatha Yoga resulta más beneficiosa.(AU)

Creatinine is a biochemical marker for assessing how untrained people adapt to fitness training loads.

BACKGROUND: To study the peculiarities of changes in creatinine concentration in blood serum of untrained men during the prolonged usage of training loads different in volume and intensity, and to determine the value of this biochemical marker for the assessment of adaptive body changes during fitness training. METHODS: We examined 50 untrained men aged 18-20 years who had no contraindications for practicing fitness. Taking into account the aim of the research, we divided these people into two groups: group A and group B. The research participants used training load regimes different in volume and intensity: representatives of group Aused low intensity training load regime (Ra = 0.53) and representatives of group B used high intensity training load regime (Ra = 0.72). To assess the adaptive body changes in the examined contingent, we used the anthropometry method (circumference body size) and bioimpedansometry (body composition indicators). We also determined the features of adaptation-compensatory body reactions to different training loads by means of biochemical control of creatinine concentration in blood serum. RESULTS: The obtained results showed a significant increase in basal level of creatinine concentration in blood serum (by 17.6%) of group B representatives fixed after 3 months of practicing fitness in high intensity training load regime (R a  = 0.72). This group representative also revealed the most pronounced manifestation of adaptive body changes confirmed by the results of the maximal muscle strength growth (1RM) and circumference body size, which was almost 2.5 times higher than the results of group A representatives for the same period of time. The parameters indicating the load volume in a set (Wn) were almost 62.0 % higher in group A representatives in comparison with group B during all stages of control. Nonetheless, the highest creatinine concentration in blood serum (by 11.1 % (p < 0.05) was fixed in group A representatives in response to training load after 3 months of practicing. This fact testifies to the important role of the creatine phosphokinase mechanism of energy supply of muscular activity in the conditions of high volume and low intensity training load regime (R a  = 0.53). CONCLUSION: The analysis of the results obtained during a series of experimental studies indicates the need and feasibility of using the indicator of basal level of creatinine concentration in blood during fitness training, especially in the conditions of high intensity and low volume training load regime (R a  = 0.72), as an informative marker for assessing the process of long-term adaptation.

Effectiveness of individualized physical rehabilitation programs for upper extremity disorders in women with post-mastectomy syndrome / Efectividad de los programas de rehabilitación física individualizados para los trastornos de las extremidades superiores en mujeres con síndrome post-mastectomía / Efetividade de programas de reabilitação física individualizados para distúrbios de extremidade superior em mulheres com síndrome pós-mastectomia

OBJECTIVE: The aim of this study was to determine the effectiveness of individualized physical rehabilitation programs targeted at improving functional state of upper extremity in women with post-mastectomy syndrome. METHOD: Eighty five women with late symptoms of post-mastectomy syndrome were enrolled in the study. The participants were randomly enrolled for the first individualized program (Main Group, n=45) and for the second individualized program (Comparison Group, n=40). The first program included aqua aerobics (aqua jogging, aqua building, aqua stretching), conditional swimming, and recreational aerobics; the second program included conditional swimming and Pilates exercises. RESULTS: It was found that most of the investigated anthropometry and goniometry parameters in both groups steadily improved during the year of rehabilitation. After 6 months of rehabilitation the average values of active range of flexion and abduction were statistically higher in women Main Group compared with Comparison Group by 10 degrees (p < 0.001) and 6.43 degrees (p < 0.01), respectively. The severity of lymphedema in the Main Group was significantly lower at the area of forearm by 0.39 cm (p < 0.05) compared with Comparison Group. CONCLUSIONS: Findings have suggested that developed individualized physical rehabilitation programs could be considered as effective methods for improvement of the shoulder range of motion and decrease breast cancer-related lymphedema in patients with post-mastectomy syndrome

OBJETIVO: El objetivo de este estudio fue determinar la efectividad de los programas de rehabilitación física individualizados dirigidos a mejorar el estado funcional de la extremidad superior en mujeres con síndrome post-mastectomía. MÉTODO: Ochenta y cinco mujeres con síntomas tardíos de síndrome post-mastectomía participaron en el estudio. Los participantes se inscribieron aleatoriamente para el primer programa individualizado (Grupo Principal, n = 45) y para el segundo programa orientado a la personalidad (Grupo de Comparación, n = 40). El primer programa incluyó ejercicios acuáticos (carrera, pesas y estiramientos), natación condicional y ejercicio aeróbico recreativo; el segundo programa incluyó natación condicional y ejercicios de Pilates. RESULTADOS: Se encontró que la mayoría de los parámetros de antropometría y goniometría investigados en ambos grupos mejoraron constantemente durante el año de rehabilitación. Después de 6 meses de rehabilitación, los valores promedio del rango activo de flexión y abducción fueron estadísticamente más altos en mujeres del Grupo Principal en comparación con las del Grupo de Comparación en 10 grados (p < 0.001) y 6.43 grados (p < 0.01), respectivamente. La gravedad del linfedema del Grupo Principal fue significativamente menor en el área del antebrazo en 0.39 cm (p <0.05) en comparación con la del Grupo de Comparación. CONCLUSIONES: Los hallazgos sufieren que los programas de rehabilitación física individualizados podrían considerarse como métodos efectivos para mejorar el rango de movimiento del hombro y disminuir el linfedema relacionado con el cáncer de mama en pacientes con síndrome postmastectomía

OBJETIVO: O objetivo deste estudo foi determinar a eficácia de programas de reabilitação física individualizada destinados a melhorar o estado funcional da extremidade superior em mulheres com síndrome pós-mastectomia. MÉTODOS: Oitenta e cinco mulheres com sintomas tardios da síndrome pós-mastectomia foram incluídas no estudo. As participantes foram aleatoriamente inscritas para o primeiro programa individualizado (Grupo Principal, n = 45) e para o segundo programa individualizado (Grupo de Comparação, n = 40). O primeiro programa incluiu hidroginástica (corridas, pesos e alongamentos), natação condicional e aeróbica recreativa; o segundo programa incluiu natação condicional e exercícios de Pilates. RESULTADOS: Verificou-se que a maioria dos parâmetros de antropometria e goniometria investigados em ambos os grupos melhorou constantemente durante o ano de reabilitação. Após 6 meses de reabilitação, os valores médios da amplitude ativa de flexão e abdução foram estatisticamente maiores nas mulheres do Grupo Principal comparados ao Grupo de Comparação em 10 graus (p <0.001) e 6,43 graus (p <0.01), respectivamente. A gravidade do linfedema no Grupo Principal foi significativamente menor na área do antebraço em 0,39 cm (p <0.05) comparada ao Grupo de Comparação. CONCLUSÃO: Os achados sugeriram que programas individualizados de reabilitação física poderiam ser considerados como métodos eficazes para melhorar a amplitude de movimento do ombro e diminuir o linfedema relacionado ao câncer de mama em pacientes com síndrome pós-mastectomia

Effects of Different Exercise Interventions on Quality of Life in Breast Cancer Patients: A Randomized Controlled Trial.

Purpose: The aim of the present study was to evaluate the effects of different exercise interventions on quality of life parameters in breast cancer patients during 1 year of outpatient rehabilitation. Material and Methods: A total of 115 breast cancer patients met the eligibility criteria and completed the study. Participants were randomly allocated for the water exercise interventions (group A, n = 45), for the Pilates exercise interventions (group B, n = 40), and yoga exercise interventions (group C, n = 30). The 3 groups attended relevant programs for 1 year and received 144 rehabilitation sessions. Quality of life parameters were assessed using the Functional Assessment of Cancer Therapy questionnaire with a specific module for breast cancer patients (FACT-B). Quality of life data were recorded at baseline and after 6 and 12 months of exercise interventions. Results: A significant increase in quality of life indicators was observed in participants of all groups. Based on the results of the 12-month monitoring, patients of group A scored significantly more points for emotional well-being compared with group B and group C by 1.40 points (P < .05) and 1.69 points (P < .01), respectively, as well as by breast cancer subscale by 2.15 points (P < .05) compared with group B. Patients in group C scored significantly better compared with group A in social/family well-being by 2.80 points (P < .01). Conclusions: It was found that using water exercise intervention is more effective for improving emotional well-being and decreasing negative symptoms associated with breast cancer treatment compared with Pilates and yoga interventions, while yoga was more effective in improving social/family well-being. Further research on water interventions for different populations is warranted.

Effect of individualized physical rehabilitation programs on respiratory function in women with post-mastectomy syndrome.

PURPOSE: The purpose of this study was to determine the effectiveness of an individualized physical rehabilitation programs aimed at improving respiratory function in women with post-mastectomy syndrome. METHODS: In a randomized controlled trial 50 women with post-mastectomy syndrome were enrolled in the experimental group (EG, n = 25) or the comparison group (CG, n = 25). The program for the EG included: aqua aerobics (i.e. aqua jogging, aqua building, and aqua stretching); conditional swimming; and recreational aerobics. The program for the CG included: conditional swimming and Pilates exercises. Both intervention groups attended individualized physical rehabilitation programs three times per week for 48 weeks. The primary outcome measure was spirometry of the patients measured before, 6 and 12 months after the intervention. RESULTS: This study demonstrated that most of the respiratory function parameters increased significantly in both groups over the year of exercise training. After the year of training the individualized physical rehabilitation program for the EG was significantly better (p < 0.01) as compared with the CG, except for inspiratory reserve volume and maximal voluntary ventilation, which were not statistically different. CONCLUSIONS: The results of the study suggest that individual programs of physical rehabilitation could be considered effective for the improvement of respiratory function of the patients with post-mastectomy syndrome. The results obtained could serve as a basis for more widespread clinical program development.