Mat Pilates and belly dance: Effects on patient-reported outcomes among breast cancer survivors receiving hormone therapy and adherence to exercise.

BACKGROUND: Breast cancer treatment leads to several side effects. Exercise can help to reduce these side effects. However, it is unknown whether a mat Pilates or a belly dance intervention can improve the patient-reported outcomes of these women. OBJECTIVE: Examine the effects of a 16-week exercise intervention (mat Pilates or belly dance) on patient reported outcomes (PROs) among breast cancer survivors, at 16 weeks, six months, and 12 months; and investigate sociodemographic and clinical predictors of intervention adherence. METHODS: Seventy-four breast cancer survivors who were receiving hormone therapy were randomly allocated into mat Pilates (n = 25), belly dance (n = 25) or control group (educational sessions) (n = 24). Mat Pilates and belly dance groups received a 16-week intervention, delivered three days a week and 60 min a session. The control group received three education sessions and continue usual care. The patient reported outcomes assessed were depressive symptoms (Beck Depression Inventory), stress (Perceived Stress Scale), optimism (Life Orientation Test), fatigue (FACT-F), sleep quality (Pittsburgh Sleep Quality Index) and pain (VAS), clinical and sociodemographic characteristics, and habitual physical activity (IPAQ short). RESULTS: All three groups showed a significant improvement in fatigue, and this effect was maintained during follow-up. No significant effects were found for depressive symptoms, optimism, stress, or pain. A history of exercise prior to breast cancer and be inactive after diagnosis were significant predictors of adherence to interventions. CONCLUSION: Mat Pilates, belly dance and a few educational sessions can be effective in improving fatigue after 16 weeks of intervention. REGISTRATION: ClinicalTrials.gov (NCT03194997).

The Effect of Body Practices and Physical Exercise on Sexual Function of Menopausal Women. A Systematic Review with Meta-Analysis.

Objective: To review randomized clinical trials on Body Practices (BP) and Physical Exercise (PE) in menopausal women and describe their effect on sexual function. Methods: Searches carried out electronically in five databases, with a temporal criterion of 10 years of publication, from August to September 2022. Methodological quality and risk of bias were assessed using the Cochrane collaboration scale and PEDro (Physiotherapy Evidence Database Physiotherapy Evidence Database) scale score. Results: The majority of the studies presented a "'low" or "'uncertain" risk of bias. The instruments for assessing sexual function were heterogeneous. Interventions included mindfulness, relaxation hypnosis, Kegel exercises, yoga, and aerobic exercise, and generally lasted 12 weeks. Seven studies were included, of which six made up the meta-analysis, showing high heterogeneity (I2 = 94.2%; p < 0.0001). The analysis of subgroups with BP showed high heterogeneity (I2 = 94.2%; p < 0.01); interventions with PE presented more favorable results (I2 = 0%; 0; p = 0.90); the sexual function instruments showed high heterogeneity (I2 = 90%; p < 0.01); and instruments of quality of life and menopausal symptoms with domains of sexual function presented favorable results for BP and PE (I2 = 0%; p = 0.63). The funnel chart presents the studies in a dispersed manner, which implies publication bias. Conclusions: Interventions with PE proved to be more efficient compared to BP, however, there are a low number of studies with PE, and those found are limited to aerobic training, without sufficient data on intensity, volume, and frequency. Further studies with PE are needed for the treatment of sexual function symptoms in order to more comprehensively describe their effect.

Dance therapy and free dance with a focus on the psychological aspects of patients in adjuvant treatment of breast cancer - study protocol for randomized clinical trial

Abstract Aim: To propose a dance therapy and free dance protocol for women undergoing adjuvant treatment of breast cancer and to compare its effectiveness with the control group and the healthy group. Method: Protocol for a 12-week randomized clinical trial with a frequency of 2 times at progressive intensity, in which the participants will be allocated into 4 groups: (a) dance therapy intervention; (b) free dance intervention; (c) control group and (d) healthy group. Information related to personal and clinical characteristics as well as psychological aspects will be collected. The primary outcome will be analyzed through depressive symptoms while secondary outcomes include the variables: body image, anxiety, mood, perceived stress, and optimism. Assessments will be carried out in the pre-intervention period (baseline) and after 12 weeks of intervention in all groups. Discussion: As a hypothesis, there are improvements in psychological aspects after dance therapy interventions and free dance, reaching the level of healthy women, given the benefits of that protocol.

Como as Práticas Corporais Afetam os Aspectos Psicológicos de Mulheres Sobreviventes e em Tratamento para o Câncer de Mama? Revisão Sistemática da Literatura / How do Body Practices Affect the Psychological Aspects of Survivors Women Undergoing Treatment for Breast Cancer? Systematic Literature Review / ¿Cómo Inciden las Prácticas Corporales en los Aspectos Psicológicos de las Mujeres Sobrevivientes y en Tratamiento por Cáncer de Mama? Revisión Sistemática de la Literatura

Introduction: Body practices can bring physical, psychological benefits and social rehabilitation and may be an alternative treatment for breast cancer. Objective: To analyze the evidence of the results of body practices over the psychological aspects of survivors women undergoing treatment for breast cancer. Method: Systematic blind and independent review from September to December 2021 following the PRISMA guidelines, carried out in the databases: Embase Elsevier; PubMed Central; ScienceDirect; Scopus Elsevier and Web of Science ­ Core Collection. Results: Of 1,372 studies identified, 22 were included in this systematic review. Among the practices that stood out are meditation and Yoga, with anxiety being the most investigated variable by the studies. It is clear that body practices are options for non-pharmacological clinical treatments utilized in clinical practice by different health professionals in women who have survived breast cancer. Conclusion: Body practices proved to be beneficial in the treatment and psychological health of women who survived breast cancer. This evidence may help to implement body practices as a therapeutic resource to be used in the clinical practice of health professionals. However, more randomized clinical trials that follow study protocols more rigorously are suggested, so that the effectiveness of this approach can be evaluated in different clinical outcomes.

Introdução: As práticas corporais podem trazer benefícios na área de reabilitação física, psicológica e social e ser uma alternativa de tratamento para o câncer de mama. Objetivo: Analisar as evidências dos resultados das práticas corporais nos aspectos psicológicos de mulheres que sobreviveram e estavam em tratamento para câncer de mama. Método: Revisão sistemática desenvolvida de forma cega e independente, de setembro a dezembro de 2021, seguindo as diretrizes PRISMA, realizada nas bases de dados: Embase Elsevier; PubMed Central; ScienceDirect; Scopus Elsevier e Web of Science ­ Core Collection. Resultados: Dos 1.372 estudos identificados, 22 foram incluídos nesta revisão sistemática. Entre as práticas que mais se destacaram, estão a meditação e a Yoga, sendo a ansiedade a variável mais investigada pelos estudos. Fica claro que as práticas corporais são opções de tratamentos clínicos não farmacológicos utilizados na prática clínica por diferentes profissionais de saúde em mulheres que sobreviveram ao câncer de mama. Conclusão: As práticas corporais mostraram-se benéficas no tratamento e na saúde psicológica de mulheres que sobreviveram ao câncer de mama. Essas evidências podem auxiliar na implementação das práticas corporais como recurso terapêutico a ser utilizado na prática clínica dos profissionais de saúde. No entanto, são sugeridos mais ensaios clínicos randomizados que sigam os protocolos de estudo com mais rigor, para que a eficácia dessa abordagem possa ser avaliada em diferentes desfechos clínicos.

Introducción: Las prácticas corporales pueden traer beneficios en el área de rehabilitación física, psicológica y social y ser una alternativa de tratamiento para el cáncer de mama. Objetivo: Analizar las evidencias de los resultados de prácticas corporales en los aspectos psicológicos de mujeres sobrevivientes y en tratamiento por cáncer de mama. Método: Revisión sistemática desarrollada de forma ciega e independiente, de septiembre a diciembre de 2021 siguiendo los lineamientos PRISMA, realizada en las bases de datos: Embase Elsevier; PubMed Central; ScienceDirect; Scopus Elsevier e Web of Science ­ Core Collection. Resultados: De 1.372 estudios identificados, 22 se incluyeron en esta revisión sistemática. Entre las prácticas que más se destacaron están la meditación y el Yoga, siendo la ansiedad la variable más investigada entre los estudios. Es claro que las prácticas corporales son opciones de tratamientos clínicos no farmacológicos, utilizados en la práctica clínica por diferentes profesionales de la salud en mujeres que han sobrevivido al cáncer de mama. Conclusión: Las prácticas corporales demostraron ser beneficiosas en el tratamiento y la salud psicológica de las mujeres que sobrevivieron al cáncer de mama. Esta evidencia puede ayudar en la implementación de las prácticas corporales como recurso terapéutico para ser utilizado en la práctica clínica de los profesionales de la salud. Sin embargo, se sugieren más ensayos clínicos aleatorizados que sigan los protocolos de estudio de manera más rigurosa, de modo que la efectividad de este enfoque pueda evaluarse en diferentes resultados clínicos

Binary dance rhythm or Quaternary dance rhythm which has the greatest effect on non-motor symptoms of individuals with Parkinson's disease?

This study aimed to compare the effect of a binary and quaternary rhythm protocol on cognition, mental activity, daily life, and quality of life among individuals with Parkinson's Disease. A two-arm randomized clinical trial with 31 individuals diagnosed with Parkinson's disease, who were allocated to the binary group or quaternary group. Both groups underwent a 12-week intervention. The following variables were analyzed: personal and clinical information; MoCA; UPDRSI and II; PDQ-39. Both intervention groups improved cognition, mental activity, activities of daily living, and quality of life. In addition, there were intergroup differences in total UPDRSII, writing, and hygiene where the quaternary group was superior to the binary group. It concludes that the binary and quaternary rhythm positively influenced and presented similar effects on the complementary treatment of individuals with Parkinson's disease on the studied variables. Thus, it is believed that both interventions are possible and feasible for the health professionals involved in the area.

A 6-month, double-blind, placebo-controlled, randomized trial to evaluate the effect of Eurycoma longifolia (Tongkat Ali) and concurrent training on erectile function and testosterone levels in androgen deficiency of aging males (ADAM).

BACKGROUND: Androgen deficiency of aging males (ADAM) largely manifests as sexual symptoms. Erectile dysfunction is one of the most common symptoms of ADAM. AIM: To ascertain the effect of concurrent training and supplementation with Eurycoma longifolia on erectile function and testosterone levels in men with ADAM, and the association of erectile function with levels of total testosterone. METHODS: 6-month, randomized, double-blind, placebo-controlled four-arm clinical. 45 men (47.38 ± 5.03 years) were randomized into 4 groups (G1: control + placebo; G2: control + Eurycoma longifolia; G3: concurrent training + placebo; G4: concurrent training + Eurycoma longifolia). 22 received a 200 mg supplement of Eurycoma longifolia and 23 underwent the intervention with concurrent training, 3 times a week for 60 min at progressive intensity. OUTCOMES: International Index of Erectile Function (IIEF-5), Aging Male Scale (AMS) and total testosterone. RESULTS: Erectile function demonstrated improvements in both interventions; however, the most significant results were obtained by men allocated to concurrent training + Eurycoma longifolia. CLINICAL IMPLICATIONS: A 200 mg supplement of Eurycoma longifolia and the practice of concurrent training for 6 months significantly improved the erectile function of men with ADAM. STRENGTHS & LIMITATIONS: The study's design stands out as a strength, in addition to the six-month intervention. The main limitation is the study not having groups that used only Eurycoma longifolia and only concurrent training. CONCLUSION: The combination of Eurycoma longifolia and concurrent training improved erectile function and increased total testosterone levels in men with ADAM.

Exercise associated or not to the intake of Eurycoma longifolia improves strength and cardiorespiratory fitness in men with androgen deficiency.

This study aims to analyze the effects of a concurrent training (CT) associated with Eurycoma longifolia (EL) supplementation on the muscle strength, cardiorespiratory fitness, and symptomatology score of men with the androgen deficiency of aging male (ADAM). Forty-five subjects (47.6 ± 5.2 years) were included in the study. The randomized, double-blinded, placebo controlled clinical trial lasted for 6 months. Participants were randomized into four groups, control (C; n = 12); EL (n = 11); CT (n = 11); and CT + EL (n = 11). Along this period, the isokinetic peak torque of the knee extensors increased in the CT (14%) and CT + EL (17%) groups (p = 0.040; p = 0.006, respectively), while the isokinetic peak torque of knee flexion increased in the CT + EL group only (p < 0.05). For all participants, testosterone levels were correlated with isokinetic peak torque of knee extension (r = 0.517, p = 0.001) and flexion (r = 0.362, p = 0.028). Subjects of the CT (27.3%) and CT + EL (36.1%) groups decreased the symptomatology of ADAM (p = 0.005). This study demonstrated the benefits of CT and EL consumption as a non-pharmacological treatment for ADAM.

Percepções de Mulheres em Tratamento do Câncer de Mama acerca do Impacto da Dança do Ventre no Otimismo e na Autoestima: Estudo MoveMama / Perceptions of Women Undergoing Breast Cancer Treatment about the Impact of Belly Dancing on Optimism and Self-Esteem: MoveMama Study / Percepciones de las Mujeres que se Someten a un Tratamiento contra el Cáncer de Mama Sobre el Impacto de la Danza del Vientre en el Optimismo y la Autoestima: Estudio MoveMama

Introdução:Há uma crescente profusão de estudos que buscam relacionar ganhos trazidos pela atividade física ao tratamento adjuvante do câncer de mama.Objetivo: Investigar as percepções de otimismo e autoestima de mulheres em tratamento adjuvante de hormonioterapia do câncer de mama após intervenções de dança do ventre. Método: Ensaio clínico randomizado, de abordagem mista (quali-quantitativo), com delineamento descritivo e exploratório, no qual foram randomizadas 14 mulheres para o grupo de intervenção da dança do ventre, com idade entre 40 e 71 anos, em tratamento clínico adjuvante de hormonioterapia no Centro de Pesquisas Oncológicas em uma cidade ao Sul do Brasil. Fez-se uso de um questionário aplicado em forma de entrevista individual, dividido em três partes: a) variáveis socioeconômicas; b) otimismo; c) autoestima. Também foram realizadas observações sistemáticas e participativas durante a intervenção de dança do ventre, registradas em diário de campo e analisadas por meio da análise de discurso. Resultados: Constatou-se aumento na autoestima das mulheres no período pós-intervenção (p<0,001). Por sua vez, nas cinco mulheres que, além de finalizar a intervenção, participaram também da entrevista (pré e pós), os resultados quantitativos pouco alteraram. O estudo apresenta uma melhora clínica no otimismo com desvio-padrão de 4,6 após a intervenção, que pode ser interpretado como expressivo, ainda que não tenha impacto estatístico, considerando a utilização de uma metodologia mista no presente estudo. Conclusão: As percepções das mulheres deste estudo são positivas em relação à autoestima, confirmadas quali e quantitativamente, porém, apesar disso, o otimismo encontrou uma confirmação discreta nos resultados quantitativos.

Introduction: There is a growing profusion of studies attempting to relate gains brought by physical activity to the adjuvant treatment of breast cancer. Objective: To investigate perceptions of optimism and self-esteem of women undergoing hormone therapy adjunctive treatment for breast cancer after belly dance interventions. Method: Randomized descriptive and exploratory design mixed approach (quali-quantitative) clinical trial where 14 women aged 40 to 71 years were randomized to belly dance intervention group in hormone therapy adjuvant clinical treatment at the Oncological Research Center in a Brazilian southern city. A questionnaire applied as individual interview divided in three parts was used: a) socioeconomic variables; b) optimism and c) self-esteem. Systematic and participatory observations during the belly dance intervention were completed and logged in a field diary and reviewed through discourse analysis. Results: It was possible to see an increase in women's self-esteem in the post-intervention period (p<0.001). On the other hand, for the five women who, in addition to finalizing the intervention, also participated of the interview (pre and post) the quantitative results have barely changed. The study shows a clinical improvement in optimism with standard deviation of 4.6 after the intervention, which can be interpreted as expressive, even though it has no statistical impact considering the use of a mixed methodology in the present study. Conclusion: Regarding self-esteem, women's perceptions confirmed qualitatively and quantitatively in this study are positive, however, despite this, the confirmation of quantitative results for optimism was modest.

Introducción: Existe una profusión creciente de estudios que buscan relacionar los beneficios aportados por la actividad física con el tratamiento adyuvante del cáncer de mama. Objetivo: Investigar cómo las percepciones de optimismo y autoestima de mujeres sometidas a un tratamiento adyuvante de la terapia hormonal del cáncer de mama después de las intervenciones de danza del vientre. Método: Ensayo clínico aleatorizado, de abordaje mixto (cuali-cuantitativo), con diseño descriptivo y exploratorio, en el que se aleatorizaron 14 mujeres al grupo de intervención de danza del vientre de 40 a 71 años, en tratamiento clínico adyuvante de hormonoterapia en el Centro de Investigaciones Oncológicas, en una ciudad del Sur de Brasil. Se utilizó un cuestionario aplicado en forma de entrevista individual, dividido en tres partes: a) variables socioeconómicas; b) optimismo; c) autoestima. De forma sistemática y participativa durante la intervención de la danza del vientre, también se revisaron y analizaron las funciones en un diario de campo a través del análisis del discurso. Resultados: Fue posible ver un aumento en la autoestima de las mujeres en el período pos-intervención (p<0,001). A su vez, en las cinco mujeres que, además de finalizar la intervención, también participaron de la entrevista (pre y post); los resultados cuantitativos han cambiado poco. El estudio muestra una mejoría clínica del optimismo con desviación estándar de 4,6 tras la intervención, lo que puede interpretarse como expresiva, aunque no tiene impacto estadístico considerando el uso de una metodología mixta en el presente estudio. Conclusión: Las percepciones de las mujeres en este estudio son positivas con relación a la autoestima, confirmadas cualitativa y cuantitativamente, sin embargo, a pesar de esto, el optimismo encontró una leve confirmación en los resultados cuantitativos.

Feasibility of a Brazilian samba protocol for patients with Parkinson's disease: a clinical non-randomized study.

OBJECTIVE: To investigate the feasibility of a Brazilian samba protocol in individuals with Parkinson's disease. METHODS: Twenty participants, mean age of 66.4±10.7 years, diagnosed with idiopathic Parkinson 's disease, divided into: experimental group that received the intervention of Brazilian samba dance classes (10 individuals); and control group that maintained their routine activities (10 individuals). For data collection, a divided questionnaire was used: General Information; Disability stages scale; Balance and Quality of Life. RESULTS: During class implementation, there were no falls, as all dance activities adhered to the details of the protocol steps without any changes. On average, patients completed 82.7% of activities. After 12 weeks, the experimental group had improvements in the UPDRS global score, in daily activities, and on motor examination. There was also improvement in balance scores and in the mobility domain of the quality of life in the experimental group. CONCLUSION: The samba protocol seems to be feasible and safe for patients with PD. Moreover, it has pleasant characteristics and offers sufficient physical benefits for combination with drug treatment. There were also benefits in social relationships and as a possible rehabilitation tool in individuals with Parkinson's disease.

Feasibility of a Brazilian samba protocol for patients with Parkinson's disease: a clinical non-randomized study / Viabilidade de um protocolo de samba brasileiro em pacientes com doença de Parkinson: ensaio clínico não-randomizado

Abstract Background: New protocols applied in the rehabilitation of Parkinson's disease enable different action strategies for health professionals, as well as a new range of activities for these individuals. However, no valid samba protocol with activity prescription for this population was found in the literature. Objective: To investigate the feasibility of a Brazilian samba protocol in individuals with Parkinson's disease. Methods: Twenty participants, mean age of 66.4±10.7 years, diagnosed with idiopathic Parkinson 's disease, divided into: experimental group that received the intervention of Brazilian samba dance classes (10 individuals); and control group that maintained their routine activities (10 individuals). For data collection, a divided questionnaire was used: General Information; Disability stages scale; Balance and Quality of Life. Results: During class implementation, there were no falls, as all dance activities adhered to the details of the protocol steps without any changes. On average, patients completed 82.7% of activities. After 12 weeks, the experimental group had improvements in the UPDRS global score, in daily activities, and on motor examination. There was also improvement in balance scores and in the mobility domain of the quality of life in the experimental group. Conclusion: The samba protocol seems to be feasible and safe for patients with PD. Moreover, it has pleasant characteristics and offers sufficient physical benefits for combination with drug treatment. There were also benefits in social relationships and as a possible rehabilitation tool in individuals with Parkinson's disease.

Resumo Fundamentos: Novos protocolos aplicados na reabilitação da doença de Parkinson possibilitam diferentes estratégias de atuação para profissionais de saúde, além de um novo leque de atividades para estes indivíduos. Entretanto, não se encontrou na literatura qualquer protocolo de samba com prescrição de atividades validado para esta população. Objetivo: O objetivo foi verificar a viabilidade de um protocolo de samba brasileiro em indivíduos com doença de Parkinson. Métodos: Vinte participantes, com idade média de 66,4±10,7 anos, com diagnóstico de doença de Parkinson idiopática divididos em: grupo experimental que recebeu a intervenção das aulas de dança - samba brasileiro (10 indivíduos); e grupo controle que manteve as suas atividades rotineiras (10 indivíduos). Para a coleta dos dados foi utilizado um questionário dividido: Informações Gerais; Escala de estágios de Incapacidade; Equilíbrio e Qualidade de Vida. Resultados: Durante a realização das aulas, não houve quedas, todas as atividades de dança aderiram aos detalhes das etapas do protocolo, sem quaisquer alterações, e os pacientes completaram, em média, 82,7% das atividades. Após 12 semanas, o grupo experimental apresentou melhoras no escore global da escala UPDRS, em atividades de vida diária e no exame motor. Houve também melhora nos escores de equilíbrio e no domínio de mobilidade da qualidade de vida do grupo experimental. Conclusão: A utilização de um protocolo de samba para indivíduos com doença de Parkinson mostrou-se viável, por sua característica segura e prazerosa, e por apresentar benefícios físicos suficientes para combinação com o tratamento medicamentoso. Houve também benefícios nas relações sociais e como uma possível ferramenta de reabilitação em indivíduos com a doença de Parkinson.

Nível de flexibilidade de adolescentes praticantes de jiu-jitsu e judô: um estudo comparativo / Level of flexibility of jiu-jitsu and judo practicing adolescents: a comparative study

Objetivo: O estudo de delineamento transversal objetivou in-vestigar a flexibilidade de adolescentes praticantes de jiu-jitsu e judô participantes de projetos sociais. Metodologia: Partici-param 74 adolescentes de ambos os sexos, com idade entre 10 e 17 anos, que responderam um questionário em forma de entrevista: a) informações gerais e b) flexibilidade. Resultados:A frequência de treino de 3 a 4 vezes por semana teve diferença significativa sendo os praticantes de judô com maior porcen-tagem (82%) quando comparados com os de jiu-jitsu (30%). A maioria dos adolescentes encontram-se em condição de risco para a flexibilidade de quadril. Conclusão: Concluiu-se que em ambas as modalidades os adolescentes encontram-se em condições atléticas para flexibilidade de ombros, no entanto, para a flexibilidade de quadril parece haver a necessidade de uma maior prática nas aulas para o aumento da mesma. (AU)

Objective: The cross-sectional study aimed at investigating the flexibility of jiu-jitsu and judo students participating in social projects. Methods: Participants were 74 adolescents of both sexes, aged between 10 and 17 years. They answered a ques-tionnaire in the form of an interview: a) general information and b) flexibility. Results: The training frequency of 3 to 4 times a week had a significant difference in relation to judo practitioners with a greater percentage (82%) when compared to jiu-jitsu (30%). Most children are at risk for hip flexibility. Conclusion: It was concluded that in both modalities the adolescents found the conditions for shoulder flexibility, but for hip flexibility there seems to be a need for greater practice in the classes for its increase. (AU)

Dance as treatment therapy in breast cancer patients ­ a systematic review / Dança como tratamento terapêutico em pacientes com câncer de mama ­ uma revisão sistemática

This systematic review aimed to identify and analyse original articles which investigated the influence of dance as adjuvant therapy in breast cancer. The selected databases were PsycInfo, PubMed, The Cochrane Library, ScienceDirect and the Virtual Health Library (VHL). The following descriptors were considered for the selection of articles: [dance therapy] OR [movement therapy] OR [complementary therapies] AND [breast cancer] OR [cancer neoplasms] OR [breast tumor] OR [breast carcinoma] present in the titles or abstracts of the articles. The quality of the data was evaluated by means of the methodological criteria proposed by Downs and Black. We identified 69 articles initially, of which only 11 were selected and analyzed. The approach followed in methodologies were dance therapy movement, Greek dance, Sacred dance, ballroom dance, classical ballet and jazz. Favorable results were found for self-image, femininity, mood, self-esteem, physical well-being, perceived stress, pain, consciousness, depression, couples trust, anxiety and fear. It was observed better range of motion and strength in upper limp, and also improvement in functional capacity. The authors pointed dance as an effective alternative adjuvant treatment in breast cancer. Dance promotes psychological benefits in women in breast cancer, as well as improvements strength and range of motion in upper limbs. Future studies are recommended with best scientific evidence, in order to investigate interventions with dance during other treatment and disease stage and with other forms of dance.

Esta revisão sistemática teve como objetivo identificar e analisar os artigos originais que investigaram a influência da dança como terapia adjuvante no câncer de mama. Foram determinadas como bases de dados para as buscas: PsycInfo, PubMed, The Cochrane Library, ScienceDirect e a Biblioteca Virtual da Saúde (BVS). Os seguintes descritores foram utilizados [dance therapy] OR [movement therapy] OR [complementary therapies] AND [breast cancer] OR [cancer neoplasms] OR [breast tumor] OR [breast carcinoma] presentes nos títulos ou resumos dos trabalhos. A qualidade dos trabalhos foi investigada pela Escala metodológica Downs e Black. Foram identificados 69 artigos inicialmente, destes apenas 11 foram selecionados e analisados. As abordagens pautaram-se em metodologias da dança terapia, da dança grega, dança sagrada, dança de salão, do ballet e do jazz. Foram observados benefícios psicológicos na imagem corporal, feminilidade, humor, autoestima, bem estar físico, stress percebido, dor, consciência, depressão, confiança entre casais, ansiedade e medo. Observou-se também melhoras nos aspectos da amplitude de movimento e força dos membros superiores, bem como na capacidade funcional. Os autores apontam a dança como um tratamento adjuvante alternativo viável para mulheres com câncer de mama. A dança pode promover benefícios psicológicos em mulheres após o câncer de mama, assim como, melhora na força e amplitude de movimento dos membros superiores. Recomenda-se futuros estudos como melhor evidência científica, a fim de investigar a dança em outros momentos do tratamento e da doença e com outras modalidades de dança.