Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice Guidelines

Advances achieved in diagnosis and improvements in treatment for breast cancer have resulted in a favourable survival rate. Therapeutic physical exercise (TPE) is presented as an intervention strategy that seeks to improve the functional capabilities of the subject. To analyse if clinical practice g...

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Main Authors: Alicia del-Rosal-Jurado, Rita Romero-Galisteo, Manuel Trinidad-Fernández, Manuel González-Sánchez, Antonio Cuesta-Vargas, Maria Ruiz-Muñoz
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/4/1239
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author Alicia del-Rosal-Jurado
Rita Romero-Galisteo
Manuel Trinidad-Fernández
Manuel González-Sánchez
Antonio Cuesta-Vargas
Maria Ruiz-Muñoz
author_facet Alicia del-Rosal-Jurado
Rita Romero-Galisteo
Manuel Trinidad-Fernández
Manuel González-Sánchez
Antonio Cuesta-Vargas
Maria Ruiz-Muñoz
author_sort Alicia del-Rosal-Jurado
collection DOAJ
description Advances achieved in diagnosis and improvements in treatment for breast cancer have resulted in a favourable survival rate. Therapeutic physical exercise (TPE) is presented as an intervention strategy that seeks to improve the functional capabilities of the subject. To analyse if clinical practice guidelines recommend therapeutic physical exercise to reduce the adverse effects of treatment in breast cancer survivors, and on what level of scientific evidence are these recommendations based. This systematic review was prepared by searching nine electronic databases to identify eligible studies. Thirteen met the criteria for inclusion. The Appraisal of Guidelines for Research and Evaluation (AGREE II) scale was used to analyse the quality of Clinical Practice Guideline (CPGs). The percentages obtained ranged between 30.07% and 75.70%. Specifically, the highest degree of evidence could be found in the application of TPE to offset adverse effects leading to effects such as: an increase in the quality of life, fatigue reduction, and reduction in body weight alterations. TPE is presented as an optimal intervention strategy to alleviate the negative effects that patients with breast cancer suffer as a result of the treatments received. The level of evidence that supports this claim is very strong for the majority of the side effects analysed. However, this evidence is not always included in the clinical practice guidelines.
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spelling doaj.art-55719e57641944a5ad427c9ed46f6b472023-11-19T22:37:53ZengMDPI AGJournal of Clinical Medicine2077-03832020-04-0194123910.3390/jcm9041239Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice GuidelinesAlicia del-Rosal-Jurado0Rita Romero-Galisteo1Manuel Trinidad-Fernández2Manuel González-Sánchez3Antonio Cuesta-Vargas4Maria Ruiz-Muñoz5Department of Physiotherapy, Institute of Biomedicine of Málaga (IBIMA), Clinimetric Group (F-14), Chair of Physiotherapy and Disability, Faculty of Health Sciences, Andalucía Tech, University of Málaga, 29071 Málaga, SpainDepartment of Physiotherapy, Faculty of Health Sciences, Andalucía Tech, University of Málaga, 29071 Málaga, SpainDepartment of Physiotherapy, Institute of Biomedicine of Málaga (IBIMA), Clinimetric Group (F-14), Chair of Physiotherapy and Disability, Faculty of Health Sciences, Andalucía Tech, University of Málaga, 29071 Málaga, SpainDepartment of Physiotherapy, Institute of Biomedicine of Málaga (IBIMA), Clinimetric Group (F-14), Chair of Physiotherapy and Disability, Faculty of Health Sciences, Andalucía Tech, University of Málaga, 29071 Málaga, SpainDepartment of Physiotherapy, Institute of Biomedicine of Málaga (IBIMA), Clinimetric Group (F-14), Chair of Physiotherapy and Disability, Faculty of Health Sciences, Andalucía Tech, University of Málaga, 29071 Málaga, SpainDepartment of Nursing, Institute of Biomedicine of Málaga (IBIMA), Clinimetric Group (F-14), Chair of Physiotherapy and Disability, Faculty of Health Sciences, Andalucía Tech, University of Málaga, 29071 Málaga, SpainAdvances achieved in diagnosis and improvements in treatment for breast cancer have resulted in a favourable survival rate. Therapeutic physical exercise (TPE) is presented as an intervention strategy that seeks to improve the functional capabilities of the subject. To analyse if clinical practice guidelines recommend therapeutic physical exercise to reduce the adverse effects of treatment in breast cancer survivors, and on what level of scientific evidence are these recommendations based. This systematic review was prepared by searching nine electronic databases to identify eligible studies. Thirteen met the criteria for inclusion. The Appraisal of Guidelines for Research and Evaluation (AGREE II) scale was used to analyse the quality of Clinical Practice Guideline (CPGs). The percentages obtained ranged between 30.07% and 75.70%. Specifically, the highest degree of evidence could be found in the application of TPE to offset adverse effects leading to effects such as: an increase in the quality of life, fatigue reduction, and reduction in body weight alterations. TPE is presented as an optimal intervention strategy to alleviate the negative effects that patients with breast cancer suffer as a result of the treatments received. The level of evidence that supports this claim is very strong for the majority of the side effects analysed. However, this evidence is not always included in the clinical practice guidelines.https://www.mdpi.com/2077-0383/9/4/1239breast cancerphysical exercisesystematic reviewclinical practice guideline
spellingShingle Alicia del-Rosal-Jurado
Rita Romero-Galisteo
Manuel Trinidad-Fernández
Manuel González-Sánchez
Antonio Cuesta-Vargas
Maria Ruiz-Muñoz
Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice Guidelines
Journal of Clinical Medicine
breast cancer
physical exercise
systematic review
clinical practice guideline
title Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice Guidelines
title_full Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice Guidelines
title_fullStr Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice Guidelines
title_full_unstemmed Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice Guidelines
title_short Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice Guidelines
title_sort therapeutic physical exercise post treatment in breast cancer a systematic review of clinical practice guidelines
topic breast cancer
physical exercise
systematic review
clinical practice guideline
url https://www.mdpi.com/2077-0383/9/4/1239
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