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

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....

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Main Authors: 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
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/12/2/222
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author 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
author_facet 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
author_sort Teresa Morano
collection DOAJ
description 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 (<i>p</i> < 0.001), strength (<i>p</i> < 0.001), and muscle quality index (<i>p</i> = 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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spelling doaj.art-d13db309b0e04fa9a6c9ee8fa48799ff2024-01-26T16:47:16ZengMDPI AGHealthcare2227-90322024-01-0112222210.3390/healthcare12020222Flexibility and Strength Effects of Adapted Nordic Walking and Myofascial Exercises Practice in Breast Cancer Survivors and Analysis of DifferencesTeresa Morano0Federica Lancia1Alessandra Di Marco2Gianluca Viscioni3Ines Bucci4Simona Grossi5Raffaello Pellegrino6Lucia Cugusi7Antonino Grassadonia8Andrea Manca9Valentina Bullo10Riccardo Di Giminiani11Pascal Izzicupo12Angela Di Baldassarre13Andrea Fusco14Cristina Cortis15Giorgio Napolitano16Andrea Di Blasio17Department of Medicine and Aging Sciences, “G. d’Annunzio” University of Chieti-Pescara, Via Polacchi L. 11, 66100 Chieti, ItalyDepartment of Medicine and Aging Sciences, “G. d’Annunzio” University of Chieti-Pescara, Via Polacchi L. 11, 66100 Chieti, ItalyDepartment of Medicine and Aging Sciences, “G. d’Annunzio” University of Chieti-Pescara, Via Polacchi L. 11, 66100 Chieti, ItalyDepartment of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Piazzale Scuro L.A. 10, 37124 Verona, ItalyDepartment of Medicine and Aging Sciences, “G. d’Annunzio” University of Chieti-Pescara, Via Polacchi L. 11, 66100 Chieti, ItalyEusoma Breast Center, “G. Bernabeo” Hospital, ASL02 Lanciano-Vasto-Chieti, c.da S. Liberata, 66026 Ortona, ItalyDepartment of Scientific Research, Campus Ludes, Off-Campus Semmelweis University, 6912 Lugano, SwitzerlandDepartment of Biomedical Sciences, University of Sassari, Viale San Pietro 43/B, 07100 Sassari, ItalyDepartment of Innovative Technologies in Medicine and Dentistry, “G. d’Annunzio” University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, ItalyDepartment of Biomedical Sciences, University of Sassari, Viale San Pietro 43/B, 07100 Sassari, ItalyDepartment of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, ItalyDepartment of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Via Vetoio, 67100 L’Aquila, ItalyDepartment of Medicine and Aging Sciences, “G. d’Annunzio” University of Chieti-Pescara, Via Polacchi L. 11, 66100 Chieti, ItalyDepartment of Medicine and Aging Sciences, “G. d’Annunzio” University of Chieti-Pescara, Via Polacchi L. 11, 66100 Chieti, ItalyDepartment of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, Via S. Angelo, 03043 Cassino, ItalyDepartment of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, Via S. Angelo, 03043 Cassino, ItalyDepartment of Medicine and Aging Sciences, “G. d’Annunzio” University of Chieti-Pescara, Via Polacchi L. 11, 66100 Chieti, ItalyDepartment of Medicine and Aging Sciences, “G. d’Annunzio” University of Chieti-Pescara, Via Polacchi L. 11, 66100 Chieti, ItalyBreast 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 (<i>p</i> < 0.001), strength (<i>p</i> < 0.001), and muscle quality index (<i>p</i> = 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.https://www.mdpi.com/2227-9032/12/2/222handgrip testsit and reach testworkouts
spellingShingle 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
Flexibility and Strength Effects of Adapted Nordic Walking and Myofascial Exercises Practice in Breast Cancer Survivors and Analysis of Differences
Healthcare
handgrip test
sit and reach test
workouts
title Flexibility and Strength Effects of Adapted Nordic Walking and Myofascial Exercises Practice in Breast Cancer Survivors and Analysis of Differences
title_full Flexibility and Strength Effects of Adapted Nordic Walking and Myofascial Exercises Practice in Breast Cancer Survivors and Analysis of Differences
title_fullStr Flexibility and Strength Effects of Adapted Nordic Walking and Myofascial Exercises Practice in Breast Cancer Survivors and Analysis of Differences
title_full_unstemmed Flexibility and Strength Effects of Adapted Nordic Walking and Myofascial Exercises Practice in Breast Cancer Survivors and Analysis of Differences
title_short Flexibility and Strength Effects of Adapted Nordic Walking and Myofascial Exercises Practice in Breast Cancer Survivors and Analysis of Differences
title_sort flexibility and strength effects of adapted nordic walking and myofascial exercises practice in breast cancer survivors and analysis of differences
topic handgrip test
sit and reach test
workouts
url https://www.mdpi.com/2227-9032/12/2/222
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