{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T08:42:01Z","timestamp":1762072921861,"version":"build-2065373602"},"reference-count":61,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:00:00Z","timestamp":1667433600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>In this randomized controlled study, we aimed to assess the effects of US-guided injections of the subacromial bursa followed by a personalized rehabilitation program for breast cancer (BC) survivors. We assessed patients with subacromial pain syndrome without tendon lesions and with a history of post-surgical non-metastatic BC. Thirty-seven patients were enrolled and randomly assigned 1:1 to receive US-guided corticosteroid injections combined with a personalized rehabilitation program (Group A; n: 19) or US-guided corticosteroid injections alone (Group B; n: 18). The primary outcome was pain relief, assessed using a numerical pain rating scale (NPRS). The secondary outcomes were muscle strength, shoulder function, and quality of life. No major or minor late effects were reported after the multidisciplinary intervention. Statistically significant within-group differences were found in terms of NPRS (p \u2264 0.05) in both groups. No significant between-group differences were reported after one week. However, the between-group analysis showed significant differences (p \u2264 0.05) after three months of follow-up in terms of pain intensity, muscle strength, shoulder function, and quality of life. Our findings suggested positive effects of a multidisciplinary approach including US-guided corticosteroid injections combined with a personalized rehabilitation program in improving pain intensity and quality of life of BC survivors with subacromial pain syndrome.<\/jats:p>","DOI":"10.3390\/jpm12111833","type":"journal-article","created":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T03:28:10Z","timestamp":1667532490000},"page":"1833","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effects of Ultrasound-Guided Injection Combined with a Targeted Therapeutic Exercise in Breast Cancer Women with Subacromial Pain Syndrome: A Randomized Clinical Study"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9035-1485","authenticated-orcid":false,"given":"Lorenzo","family":"Lippi","sequence":"first","affiliation":[{"name":"Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont \u201cA. Avogadro\u201d, 28100 Novara, Italy"},{"name":"Dipartimento Attivit\u00e0 Integrate Ricerca e Innovazione (DAIRI), Translational Medicine, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5541-8346","authenticated-orcid":false,"given":"Alessandro","family":"de Sire","sequence":"additional","affiliation":[{"name":"Physical and Rehabilitative Medicine Unit, Department of Medical and Surgical Sciences, University of Catanzaro \u201cMagna Graecia\u201d, Viale Europa, 88100 Catanzaro, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arianna","family":"Folli","sequence":"additional","affiliation":[{"name":"Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont \u201cA. Avogadro\u201d, 28100 Novara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1904-7277","authenticated-orcid":false,"given":"Antonio","family":"Maconi","sequence":"additional","affiliation":[{"name":"Dipartimento Attivit\u00e0 Integrate Ricerca e Innovazione (DAIRI), Translational Medicine, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Polverelli","sequence":"additional","affiliation":[{"name":"Rehabilitation Unit, Department of Rehabilitation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Vecchio","sequence":"additional","affiliation":[{"name":"Breast Surgery Unit, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9101-9131","authenticated-orcid":false,"given":"Nicola","family":"Fusco","sequence":"additional","affiliation":[{"name":"Division of Pathology, IEO, European Institute of Oncology IRCCS, Via Giuseppe Ripamonti 435, 20141 Milan, Italy"},{"name":"Department of Oncology and Hemato-Oncology, University of Milan, Via Festa del Perdono 7, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5141-0681","authenticated-orcid":false,"given":"Marco","family":"Invernizzi","sequence":"additional","affiliation":[{"name":"Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont \u201cA. 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Life Res."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Burguin, A., Diorio, C., and Durocher, F. (2021). Breast Cancer Treatments: Updates and New Challenges. J. Pers. Med., 11.","DOI":"10.3390\/jpm11080808"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"4501","DOI":"10.1007\/s00520-020-05304-4","article-title":"Kinesiophobia contributes to pain-related disability in breast cancer survivors: A cross-sectional study","volume":"28","author":"Dams","year":"2020","journal-title":"Support Care Cancer"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"556718","DOI":"10.3389\/fonc.2020.556718","article-title":"Impact of Rehabilitation on Breast Cancer Related Fatigue: A Pilot Study","volume":"10","author":"Invernizzi","year":"2020","journal-title":"Front. Oncol."},{"key":"ref_6","first-page":"829875","article-title":"Efficacy of Antiresorptive Drugs on Bone Mineral Density in Post-Menopausal Women with Early Breast Cancer Receiving Adjuvant Aromatase Inhibitors: A Systematic Review of Randomized Controlled Trials","volume":"11","author":"Lippi","year":"2021","journal-title":"Front. Oncol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1080\/14737175.2022.2018300","article-title":"Optimal outcome measures for assessing exercise and rehabilitation approaches in chemotherapy-induced peripheral-neurotoxicity: Systematic review and consensus expert opinion","volume":"22","author":"Park","year":"2022","journal-title":"Expert. Rev. Neurother."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"de Sire, A., Fusco, N., Sajjadi, E., Lippi, L., Cisari, C., and Invernizzi, M. (2021). Lymphedema Rehabilitation Using Self-Adaptive Inelastic Compression in Breast Cancer: A Proof-of-Principle Study. Appl. Sci., 11.","DOI":"10.3390\/app11041901"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1016\/S0002-9610(01)00602-X","article-title":"Axillary web syndrome after axillary dissection","volume":"181","author":"Moskovitz","year":"2001","journal-title":"Am. J. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Yang, S., Chu, S., Gao, Y., Ai, Q., Liu, Y., Li, X., and Chen, N. (2019). A Narrative Review of Cancer-Related Fatigue (CRF) and Its Possible Pathogenesis. Cells, 8.","DOI":"10.3390\/cells8070738"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"930361","DOI":"10.3389\/fmolb.2022.930361","article-title":"Integrating molecular biomarkers in breast cancer rehabilitation. What is the current evidence? A systematic review of randomized controlled trials","volume":"8","author":"Invernizzi","year":"2022","journal-title":"Front. Mol. Biosci."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2237","DOI":"10.1002\/cncr.27467","article-title":"Upper-body morbidity after breast cancer: Incidence and evidence for evaluation, prevention, and management within a prospective surveillance model of care","volume":"118","author":"Hayes","year":"2012","journal-title":"Cancer"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Min, J., Kim, J.Y., Yeon, S., Ryu, J., Min, J.J., Park, S., Kim, S.I., and Jeon, J.Y. (2021). Change in Shoulder Function in the Early Recovery Phase after Breast Cancer Surgery: A Prospective Observational Study. J. Clin. Med., 10.","DOI":"10.3390\/jcm10153416"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/s00520-014-2338-5","article-title":"Long thoracic nerve injury in breast cancer patients treated with axillary lymph node dissection","volume":"23","author":"Belmonte","year":"2015","journal-title":"Support Care Cancer"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.clinbiomech.2019.10.001","article-title":"Impingement pain affects kinematics of breast cancer survivors in work-related functional tasks","volume":"70","author":"Lang","year":"2019","journal-title":"Clin. Biomech."},{"key":"ref_16","first-page":"156","article-title":"Integrating Augmented Reality Tools in Breast Cancer Related Lymphedema Prognostication and Diagnosis","volume":"6","author":"Invernizzi","year":"2020","journal-title":"J. Vis. Exp."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1093\/ptj\/pzy010","article-title":"Function, Shoulder Motion, Pain, and Lymphedema in Breast Cancer With and Without Axillary Web Syndrome: An 18-Month Follow-Up","volume":"98","author":"Koehler","year":"2018","journal-title":"Physical therapy."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1016\/j.apmr.2015.01.006","article-title":"Effectiveness of postoperative physical therapy for upper-limb impairments after breast cancer treatment: A systematic review","volume":"96","author":"Dieltjens","year":"2015","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e10979","DOI":"10.1097\/MD.0000000000010979","article-title":"Quantitative analysis of shoulder function and strength after breast reconstruction: A retrospective cohort study","volume":"97","author":"Myung","year":"2018","journal-title":"Medicine"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Chang, P.J., Asher, A., and Smith, S.R. (2021). A Targeted Approach to Post-Mastectomy Pain and Persistent Pain following Breast Cancer Treatment. Cancers, 13.","DOI":"10.3390\/cancers13205191"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"661","DOI":"10.3349\/ymj.2011.52.4.661","article-title":"Causes of Shoulder Pain in Women with Breast Cancer-Related Lymphedema: A Pilot Study","volume":"52","author":"Jeong","year":"2011","journal-title":"Yonsei Med. J."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/j.mehy.2011.06.015","article-title":"Shoulder impairments and their association with symptomatic rotator cuff disease in breast cancer survivors","volume":"77","author":"Ebaugh","year":"2011","journal-title":"Med. Hypotheses"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"314","DOI":"10.3109\/17453674.2014.920991","article-title":"Guideline for diagnosis and treatment of subacromial pain syndrome","volume":"85","author":"Diercks","year":"2014","journal-title":"Acta Orthop."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1177\/02692155211007799","article-title":"Comparison of the corticosteroid injection and hyaluronate in the treatment of chronic subacromial bursitis: A randomized controlled trial","volume":"35","author":"Hsieh","year":"2021","journal-title":"Clin. Rehabil."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Soh, E., Li, W., Ong, K.O., Chen, W., and Bautista, D. (2011). Image-guided versus blind corticosteroid injections in adults with shoulder pain: A systematic review. BMC Musculoskelet. Disord., 12.","DOI":"10.1186\/1471-2474-12-137"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"De Sire, A., Lippi, L., Ammendolia, A., Cisari, C., Venetis, K., Sajjadi, E., Fusco, N., and Invernizzi, M. (2021). Physical Exercise with or without Whole-Body Vibration in Breast Cancer Patients Suffering from Aromatase Inhibitor\u2014Induced Musculoskeletal Symptoms: A Pilot Randomized Clinical Study. J. Pers. Med., 11.","DOI":"10.3390\/jpm11121369"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.1016\/j.jse.2012.06.010","article-title":"Motor control retraining exercises for shoulder impingement: Effects on function, muscle activation, and biomechanics in young adults","volume":"22","author":"Worsley","year":"2013","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"de Sire, A., Moggio, L., Marotta, N., Fortunato, F., Spalek, R., Inzitari, M.T., Paolucci, T., and Ammendolia, A. (2022). Ultrasound-Guided Injections and Proprioceptive Neuromuscular Facilitation as Shoulder Rehabilitation for Multiple Sclerosis and Neuropathic Pain. Healthcare, 10.","DOI":"10.3390\/healthcare10101869"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"8241","DOI":"10.1007\/s00520-022-07263-4","article-title":"A randomized controlled trial of scapular exercises with electromyography biofeedback in oral cancer patients with accessory nerve dysfunction","volume":"30","author":"Chen","year":"2022","journal-title":"Support Care Cancer"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Schulz, K.F., Altman, D.G., and Moher, D. (2010). CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. BMC Med., 8.","DOI":"10.1186\/1741-7015-8-18"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jus.2011.12.003","article-title":"US guided corticosteroid injection into the subacromial-subdeltoid bursa: Technique and approach","volume":"15","author":"Molini","year":"2012","journal-title":"J. Ultrasound"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"a3112","DOI":"10.1136\/bmj.a3112","article-title":"Subacromial ultrasound guided or systemic steroid injection for rotator cuff disease: Randomised double blind study","volume":"338","author":"Ekeberg","year":"2009","journal-title":"BMJ"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Richmond, H., Lait, C., Srikesavan, C., Williamson, E., Moser, J., Newman, M., Betteley, L., Fordham, B., Rees, S., and Lamb, S.E. (2018). Development of an exercise intervention for the prevention of musculoskeletal shoulder problems after breast cancer treatment: The prevention of shoulder problems trial (UK PROSPER). BMC Health Serv. Res., 18.","DOI":"10.1186\/s12913-018-3280-x"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"214","DOI":"10.12965\/jer.2142222.111","article-title":"The effect of scapular strengthening exercise using elastic band on balance and quality of life in the old people","volume":"17","author":"Ha","year":"2021","journal-title":"J. Exerc. Rehabil."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"637","DOI":"10.5014\/ajot.49.7.637","article-title":"Normative data for grip strength of elderly men and women","volume":"49","author":"Desrosiers","year":"1995","journal-title":"Am. J. Occup. Ther."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/s00402-007-0549-7","article-title":"The Oxford shoulder score revisited","volume":"129","author":"Dawson","year":"2009","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1308\/003588411X13165261994193","article-title":"The range of the Oxford Shoulder Score in the asymptomatic population: A marker for post-operative improvement","volume":"93","author":"Younis","year":"2011","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e610","DOI":"10.1634\/theoncologist.2019-0749","article-title":"The EORTC QLQ-C30 Summary Score as a Prognostic Factor for Survival of Patients with Cancer: A Commentary","volume":"25","author":"Kasper","year":"2020","journal-title":"Oncologist"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1093\/jnci\/85.5.365","article-title":"The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology","volume":"85","author":"Aaronson","year":"1993","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/j.physio.2017.01.007","article-title":"Predictors for global perceived effect after physiotherapy in patients with neck pain: An observational study","volume":"104","author":"Meisingset","year":"2018","journal-title":"Physiotherapy"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"165","DOI":"10.5312\/wjo.v9.i9.165","article-title":"Corticosteroid injection alone vs. additional physiotherapy treatment in early stage frozen shoulders","volume":"9","author":"Kraal","year":"2018","journal-title":"World J. Orthop."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s12306-012-0191-6","article-title":"Effectiveness of ultrasound-guided injections combined with shoulder exercises in the treatment of subacromial adhesive bursitis","volume":"96","author":"Gasparre","year":"2012","journal-title":"Musculoskelet. Surg."},{"key":"ref_43","first-page":"1","article-title":"A comprehensive approach to rehabilitation interventions following breast cancer treatment - a systematic review of systematic reviews","volume":"19","author":"Beck","year":"2019","journal-title":"BMC Cancer"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1186\/s13075-016-1002-5","article-title":"Exercise therapy after ultrasound-guided corticosteroid injections in patients with subacromial pain syndrome: A randomized controlled trial","volume":"18","author":"Ellegaard","year":"2016","journal-title":"Arthritis Res. Ther."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"c2756","DOI":"10.1136\/bmj.c2756","article-title":"Efficacy of standardised manual therapy and home exercise programme for chronic rotator cuff disease: Randomised placebo controlled trial","volume":"340","author":"Bennell","year":"2010","journal-title":"BMJ"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1456","DOI":"10.1136\/bjsports-2014-e787rep","article-title":"Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: Randomised controlled study","volume":"48","author":"Holmgren","year":"2014","journal-title":"Br. J. Sports Med."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"734","DOI":"10.2519\/jospt.2011.3440","article-title":"The effect of therapeutic exercise and mobilization on patients with shoulder dysfunction: A systematic review with meta-analysis","volume":"41","author":"Brudvig","year":"2011","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S0004-9514(14)60238-5","article-title":"A trial into the effectiveness of soft tissue massage in the treatment of shoulder pain","volume":"49","author":"Roberts","year":"2003","journal-title":"Aust. J. Physiother."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Yang, J.L., Chen, S.Y., Hsieh, C.L., and Lin, J.J. (2012). Effects and predictors of shoulder muscle massage for patients with posterior shoulder tightness. BMC Musculoskelet Disord., 13.","DOI":"10.1186\/1471-2474-13-46"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.breast.2018.12.009","article-title":"Tackling the diversity of breast cancer related lymphedema: Perspectives on diagnosis, risk assessment, and clinical management","volume":"44","author":"Michelotti","year":"2019","journal-title":"Breast"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.rehab.2019.04.007","article-title":"Blurred lines between axillary web syndrome and Mondor\u2019s disease after breast cancer surgery: A case report","volume":"63","author":"Invernizzi","year":"2020","journal-title":"Ann. Phys. Rehabil. Med."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Invernizzi, M., Michelotti, A., Noale, M., Lopez, G., Runza, L., Giroda, M., Despini, L., Blundo, C., Maggi, S., and Gambini, D. (2019). Breast Cancer Systemic Treatments and Upper Limb Lymphedema: A Risk-Assessment Platform Encompassing Tumor-Specific Pathological Features Reveals the Potential Role of Trastuzumab. J. Clin. Med., 8.","DOI":"10.3390\/jcm8020138"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Invernizzi, M., Corti, C., Lopez, G., Michelotti, A., Despini, L., Gambini, D., Lorenzini, D., Guerini-Rocco, E., Maggi, S., and Noale, M. (2018). Lymphovascular invasion and extranodal tumour extension are risk indicators of breast cancer related lymphoedema: An observational retrospective study with long-term follow-up. BMC Cancer, 18.","DOI":"10.1186\/s12885-018-4851-2"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"959","DOI":"10.3389\/fphys.2017.00959","article-title":"Synergistic Effects of Proprioceptive Neuromuscular Facilitation and Manual Lymphatic Drainage in Patients with Mastectomy-Related Lymphedema","volume":"8","author":"Ha","year":"2017","journal-title":"Front. Physiol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.clinbiomech.2018.04.010","article-title":"Examining upper limb kinematics and dysfunction of breast cancer survivors in functional dynamic tasks","volume":"55","author":"Brookham","year":"2018","journal-title":"Clin. Biomech."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Bernetti, A., Agostini, F., de Sire, A., Mangone, M., Tognolo, L., Di Cesare, A., Ruiu, P., Paolucci, T., Invernizzi, M., and Paoloni, M. (2021). Neuropathic Pain and Rehabilitation: A Systematic Review of International Guidelines. Diagnostics, 11.","DOI":"10.3390\/diagnostics11010074"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1249\/MSS.0b013e3181e0c112","article-title":"American College of Sports Medicine roundtable on exercise guidelines for cancer survivors","volume":"42","author":"Schmitz","year":"2010","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"2479","DOI":"10.1001\/jama.293.20.2479","article-title":"Physical activity and survival after breast cancer diagnosis","volume":"293","author":"Holmes","year":"2005","journal-title":"JAMA"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1136\/bjsports-2018-099191","article-title":"Effects and moderators of exercise on muscle strength, muscle function and aerobic fitness in patients with cancer: A meta-analysis of individual patient data","volume":"53","author":"Sweegers","year":"2019","journal-title":"Br. J. Sports Med."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Ortega, M.A., Fraile-Mart\u00ednez, O., Garc\u00eda-Montero, C., Pekarek, L., Guijarro, L.G., Castellanos, A.J., Sanchez-Trujillo, L., Garc\u00eda-Honduvilla, N., \u00c1lvarez-Mon, M., and Buj\u00e1n, J. (2020). Physical Activity as an Imperative Support in Breast Cancer Management. Cancers, 13.","DOI":"10.3390\/cancers13010055"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"3059","DOI":"10.1002\/cncr.32173","article-title":"Impact of exercise on psychological burden in adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study","volume":"125","author":"Tonorezos","year":"2019","journal-title":"Cancer"}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/12\/11\/1833\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:10:02Z","timestamp":1760145002000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/12\/11\/1833"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,3]]},"references-count":61,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["jpm12111833"],"URL":"https:\/\/doi.org\/10.3390\/jpm12111833","relation":{},"ISSN":["2075-4426"],"issn-type":[{"type":"electronic","value":"2075-4426"}],"subject":[],"published":{"date-parts":[[2022,11,3]]}}}