Complement Ther Med. 2018 Dec ;41:130-140. Epub 2018 Sep 15. PMID: 30477829
Pilates for women with breast cancer: A systematic review and meta-analysis.
OBJECTIVES: To identify and evaluate the characteristics and methodological quality of the studies that have proposed Pilates as a rehabilitation strategy for women with breast cancer and to determine its benefits on health outcomes in this population.METHODS: A systematic review and meta-analysis were conducted. Medline/PubMed, Pedro, SPORTDiscuss, Scopus and Web of Science were systematically searched up to January 2017. The methodological quality was evaluated by means of the Jadad Scale and the Quality Assessment Tool for Before-After Studies with No Control Group. Risk of bias was assessed by means of the Cochrane Collaboration's tool.RESULTS: Five randomized controlled trials and two un-controlled studies were selected. Four of the randomized controlled trials were pooled in the meta-analysis for effects of Pilates on shoulder range of motion, quality of life, pain, and self-reported upper extremity function. According to the findings reported in the studies analysed in the review, Pilates had a positive and significant effect on the aforementioned variables, as well as on functional status, mood, fitness and upper extremity circumference. The meta-analysis carried out showed that the effects that Pilates had on shoulder range of motion and quality of life, was not significantly greater than those resulting from other exercise programs.CONCLUSIONS: Pilates relieves the impact of breast cancer-related symptoms. These effects are not significantly greater than those derived from the performance of other therapies, with the exception of pain and self-reported upper extremity function. Systematic review registration number: PROSPERO CRD42018076852.