Pilates is a well-rounded exercise method that has been around for decades. According to Doreen Puglisi, founder of the Pink Ribbon Program, Pilates can improve many physical side effects of breast cancer treatment, including problems with mobility and strength. Puglisi's program trains instructors throughout the United States specifically in Pilates for the breast cancer survivor. If performed properly, it is safe and effective.
History
While Pilates has gained popularity only recently, it has been around since Joseph Pilates moved to New York City from Germany in 1926. A pacifist fleeing pressure to teach his exercise regimen to the German Army, he brought his novel exercise techniques to the United States. It was well received in his new studio, next door to the New York City Ballet. And why not? Alycea Ungaro, physical therapist, author and instructor, compares Pilates to an art form imploring daily practice.
Significance
Breast cancer treatment can leave the survivor stiff, weak, imbalanced and deconditioned. Pilates is an antidote. Routines incorporate breathing techniques similar to yoga, while exercises strengthen areas affected by radiation and surgery.
Benefits
Where cancer treatment tears down, Pilates rebuilds. Radiation and surgery also create tightness throughout the chest region. Utilizing deep breathing and stretching of your upper body, Pilates loosens soft tissue. While treatment aims to take out cancer cells, it can also take a woman's strength, specifically in the chest, shoulder and upper back. Pilates strengthens each of these areas. Survivors who have endured breast reconstruction involving the abdominals will no doubt benefit from Pilates' focus on core musculature. Finally, surgery can leave a woman feeling lopsided; Pilates, on the other hand, promotes symmetry.
Find a Progam
Traditionally, Pilates has been taught in a one-on-one setting--but it's not necessary. It's more important to find a teacher who has experience with breast cancer survivors. The Pink Ribbon Program is dedicated to training Pilates instructors specifically to work with breast cancer survivors. Its website lists trained instructors by state.
Misconceptions
Recently, exercise has been touted as combating everything from fatigue to muscle weakness in breast cancer survivors. But historically, women were told to rest the side that was operated on. This has left a generation of survivors weak and enduring a variety of painful shoulder injuries. Research by Kim Keays published in the April 2008 issue of "Physical Therapy" concludes that Pilates is a safe and effective exercise for breast cancer survivors.
Warning
Clear any exercise program with the medical team first. Each breast cancer treatment is uniquely prescribed for the patient, and every woman reacts differently to its side effects. For this reason, the oncologist should be on board with any new regimen. Consult a physical therapist trained in oncology rehabilitation if pain becomes a problem. Some physical therapists may have experience in both oncology and Pilates and can customize a safe routine for any level.
References
- "Physical Therapy"; Effects of Pilates Exerices on Shoulder Range of Motion, Pain, Mood and Upper-Extremity Function in Women Living with Breast Cancer: a Pilot Study; Keays KS, Harris SR, Lucyshyn JM, et al; April 2008
- "Pilates: Body in Motion"; Alycea Ungaro; 2002.
