Healthcare (Jan 2024)

Flexibility and Strength Effects of Adapted Nordic Walking and Myofascial Exercises Practice in Breast Cancer Survivors and Analysis of Differences

  • Teresa Morano,
  • Federica Lancia,
  • Alessandra Di Marco,
  • Gianluca Viscioni,
  • Ines Bucci,
  • Simona Grossi,
  • Raffaello Pellegrino,
  • Lucia Cugusi,
  • Antonino Grassadonia,
  • Andrea Manca,
  • Valentina Bullo,
  • Riccardo Di Giminiani,
  • Pascal Izzicupo,
  • Angela Di Baldassarre,
  • Andrea Fusco,
  • Cristina Cortis,
  • Giorgio Napolitano,
  • Andrea Di Blasio

DOI
https://doi.org/10.3390/healthcare12020222
Journal volume & issue
Vol. 12, no. 2
p. 222

Abstract

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Breast cancer treatments can elicit negative kinesiological side effects concerning both the posture and functional status of breast cancer survivors. As our body is functionally organized in myofascial meridians, physical exercise practice should favor a whole-body approach rather than a local one. The aim of the study was to investigate and compare the effects of two whole-body disciplines, i.e., adapted Nordic Walking and myofascial exercise, on the flexibility and strength performances in BCS. One hundred and sixty breast cancer survivors were trained three times per week for 12 weeks through adapted Nordic Walking or myofascial exercise. Handgrip, sit and reach, back scratch, and single leg back bridge tests and body composition were assessed at the beginning and completion of the training period. Linear mixed models showed no significant changes in body composition, whereas flexibility (p p p = 0.003) changed independently from the treatment. When data modification has been analyzed according to sub-sample membership, no significant differences have been observed. Age, radiation therapy, and chemotherapy seem to have independent effects on several investigated variables. Twelve weeks of adapted myofascial exercise and Nordic Walking led to significant changes in flexibility, strength, and muscle quality in breast cancer survivors, with no apparent superiority of one approach over the other.

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