Article

OBJECTIVE: 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 controlled trial. SETTING: Outpatient
clinic, urban, academic medical center, and a sport university swimming pool.
PARTICIPANTS: Breast cancer survivors (N=68) were randomly assigned to either an
experimental (aquatic exercise group in deep water pool) group or a control
(usual care) group. INTERVENTIONS: The intervention group attended aquatic
exercise sessions 3 times per week for 8 weeks in a heated deep swimming pool.
Sessions lasted 60 minutes in duration: 10 minutes of warm-up, 40 minutes of
aerobic and endurance exercises, and 10 minutes of cool-down exercises. Patients
allocated to the usual care group followed the oncologist's recommendations in
relation to a healthy lifestyle. MAIN OUTCOME MEASURES: Values for fatigue (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 total fatigue score (d=.87; 95% confidence
interval, .48-1.26), trunk curl endurance (d=.92; 95% confidence interval,
1.97-3.83), and leg strength (d=1.10; .55-2.76), but negligible effects in vigor,
confusion, and disturbance of mood (d<.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 (.25>d>.90) and
negligible effects for the fatigue-severity dimension and different scales of the
Profile of Mood States (d<.25). CONCLUSION: An aquatic exercise program conducted
in deep water was effective for improving cancer-related fatigue and strength in
breast cancer survivors.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS