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Feasibility and Impact of 6-Month Rowing on Arm Lymphedema, Flexibility, and Fatigue in Breast Cancer Survivors

Ester Tommasini, Paolo Bruseghini, Francesca Angela Rovera, Anna Maria Grande and Christel Galvani ()
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Ester Tommasini: Exercise & Sport Science Laboratory, Department of Psychology, Università Cattolica del Sacro Cuore, 20162 Milan, Italy
Paolo Bruseghini: Exercise & Sport Science Laboratory, Department of Psychology, Università Cattolica del Sacro Cuore, 20162 Milan, Italy
Francesca Angela Rovera: Senology Research Center, Department of Medicine and Innovation Technology (DiMIT), University of Insubria, 21100 Varese, Italy
Anna Maria Grande: Breast Unit, Azienda Socio Sanitaria Territoriale (ASST) Sette Laghi Hospital and University of Insubria, 21100 Varese, Italy
Christel Galvani: Exercise & Sport Science Laboratory, Department of Psychology, Università Cattolica del Sacro Cuore, 20162 Milan, Italy

IJERPH, 2025, vol. 22, issue 7, 1-16

Abstract: Dragon boating and rowing are reported to be safe and provide physical benefits for women with breast cancer. Sculling, characterized by a distinct biomechanical technique, may serve as a potential tool to mitigate the adverse side effects of cancer treatments. This study investigated the feasibility and impact of a 6-month integrated physical activity program in breast cancer survivors. A longitudinal intervention study was conducted involving 20 women with breast cancer (age: 55.8 ± 6.1 yrs; BMI: 24.6 ± 3.3 kg/m 2 , stages I-III; surgery performed 6 months to 20 years prior) who participated in a 6-month exercise program consisting of three weekly one-hour sessions of adapted physical activity, walking, and sculling, with assessments conducted at baseline, 3 months, and 6 months. Physical activity, arm lymphedema, flexibility, and fatigue were tested. The program did not lead to the development or worsening of pre-existing lymphedema. A reduction of 78.9 cm 3 was observed in the operated limb over 6 months ( p = 0.005). An improvement in flexibility was also observed with a 2.7 cm increase in the back scratch test for the operated limb ( p < 0.001). However, no significant change in fatigue-related variables was recorded. This is a novel study, as sculling has not previously been investigated in the context of breast cancer rehabilitation. The findings suggested that, when integrated into a structured exercise program, sculling is not only a safe and accessible activity but also effective in promoting physical and health-related improvements, with no adverse events reported. Therefore, it should be considered as part of a comprehensive rehabilitation plan for breast cancer survivors.

Keywords: breast cancer; sculling; physical activity; lymphedema; flexibility; fatigue (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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