Evidence map›Paper›PMID 40141719›Full record

ArticleLife (Basel, Switzerland)2025

Cardio-Respiratory, Functional and Antalgic Effects of the Integrated Thermal Care Protocol After Breast Cancer Surgery.

Giovanni Barassi, Stefania Spina, Francesco D'Alessandro, Loris Prosperi, Celeste Marinucci, Massimo Lombardi, Maurizio Panunzio, Andrea Santamato

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Giovanni BarassiCastelnuovo della Daunia Thermal Medicine Center, 71034 Castelnuovo della Daunia, Italy.ORCID 0000-0001-6788-5665
Stefania SpinaSpasticity and Movement Disorders "ReSTaRt", Physical Medicine and Rehabilitation Section, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy.
Francesco D'AlessandroCastelnuovo della Daunia Thermal Medicine Center, 71034 Castelnuovo della Daunia, Italy.
Loris ProsperiCenter for Physiotherapy, Rehabilitation and Re-Education (Ce.Fi.R.R.) Venue "G. d'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.
Celeste MarinucciCenter for Physiotherapy, Rehabilitation and Re-Education (Ce.Fi.R.R.) Venue "G. d'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.
Massimo LombardiOncology Sector, "Teresa Masselli Mascia" Hospital, 71016 San Severo, Italy.
Maurizio PanunzioResponsible Research Hospital, 86100 Campobasso, Italy.
Andrea SantamatoSpasticity and Movement Disorders "ReSTaRt", Physical Medicine and Rehabilitation Section, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0002-1452-8485

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the cardio-respiratory rehabilitation field, thermal medicine represents an interesting complementary therapy approach. It can aid in complex medical contexts characterized by cardio-respiratory deficiency, functional limitation, and pain determined by the invasiveness of pharmacological and surgical treatments in combination with limited post-surgical physical activity.

methodsWe investigated the evolution of cardio-respiratory and functional performances following the application of the Integrated Thermal Care (ITC) protocol in 11 mastectomized/quadrantectomized women (mean age of 54 years). The ITC protocol consisted of hydroponic treatments, steam inhalations treatment, hydrokinesitherapy, and manual treatments. Patients were assessed before and after a cycle of 1 h long treatment sessions, which were performed 5 days a week for 4 weeks. The outcomes were measured through the following scales and tests: Piper Fatigue Scale (PIPER), 6-Minute Walking Test (6MWT), Five Times Sit-to-Stand (5STS), Range of Arm Motion (ROM), Disability of the Arm-Shoulder-Hand Scale (DASH), and Numeric Pain Rating Scale (NPRS).

resultsWe found appreciable improvements in cardio-respiratory efficiency and in pain perception exemplified by a reduction of PIPER, 5STS, DASH, and NPRS values together with an increase in 6MWT and ROM values.

conclusionsWe conclude that ITC is a promising rehabilitative tool to enhance cardio-respiratory and functional performance and reduce pain after mastectomy/quadrantectomy.

Indexed as

balneotherapybreast cancerfatiguehydrotherapymanual therapymastectomymineral waterspainphysical therapyrehabilitation

Identifiers

PMID40141719
PMCPMC11944069

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.