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Updated: May 28, 2026

Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
Published on: January 12, 2017
The Impact of Pilates Exercise on the Overall Health of Patients With Breast Cancer: A Systematic Review and
Seulgi Ryu1, Ahram Im2, Soyeon Kim3
1Seulgi Ryu.
Problem Identification:
A systematic literature review and meta-analysis investigated the impact of Pilates on pain, fatigue, sleep quality, and depression among patients with breast cancer.
Literature Search:
Eight databases were searched for studies with randomized controlled trials published between January 2017 and May 2024.
Data Evaluation:
Six studies (N = 531) were identified and reviewed.
Synthesis:
Pilates significantly improved pain (Hedges's g = -0.634, 95% confidence interval [CI] [-1.2, -0.07], p = 0.027), indicating a medium effect size. Pilates also showed a tendency to improve fatigue (Hedges's g = -0.182, 95% CI [-0.47, 0.1], p = 0.208), with a small effect size, and sleep quality (Hedges's g = 0.335, 95% CI [-0.2, 0.87], p = 0.216), with a small to medium effect size, although these effects were not statistically significant. Results regarding the effect of Pilates on depression were mixed.
Implications For Practice:
Nurses can incorporate Pilates into pain management for patients with breast cancer, providing resources and guidelines for safely practicing this type of exercise.
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