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PURPOSE: Cancer-related fatigue is a persistent and subjective physical or emotional feeling that interferes with the life quality in breast cancer survivors. Thus, it can lead to a vicious circle of inactivity, which leads to deconditioning, emotional stress and sleep disorders, which interferes with the daily activities and self-esteem. Pilates method is a good exercise program for the breast cancer survivor because includes resistance and stretching exercises synchronized with breathing. The main purpose was to evaluate the effectiveness of Pilates exercises on muscle fatigue in patients with breast cancer in the behavioral, affective and sensory domains. METHODS: A longitudinal study was carried out, in which 34 women with fatigue were recruited in the late postoperative of breast cancer. The evaluations were executed using the Revised Piper Fatigue Scale. Statistical analysis was performed using SigmaPlot 14.0 Program. Statistical significance was set as P0.05 and the responsiveness was calculated using effect size by Cohen. Parameters for 3 time points (admission, 30 days and 90 days) were compared using the Friedman test. RESULTS: In general there was a statistically significant difference between the admission group and 30 days with a moderate effect size. After 90 days of exercise only the comportamental and affective domains presented statistically significant difference with a moderate effect size. CONCLUSION: Thus, it was possible to demonstrate that Pilates exercises significantly improve muscle fatigue in women in the late postoperative period of breast cancer after 30 days of exercises and the behavioral and affective domain after 90 days.

O efeito do método Pilates na fadiga em pacientes com câncer de mama / The effect of Pilates Method on fatigue in breast cancer patients