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Research needed before implementation on a larger sample group. This group would need to include younger women, people who have had different experiences such as women with bilateral mastectomy, metastases, stage III tumor as their experience with exercise would need to be considered before implementing into practice, males would also need to be considered as they may not attend due to embarassment of having breast cancer so this would need to be taken into consideration.

But once this research had been done with a positive outcome we would implement into practice.

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Both papers answered our question but we would like more research done on this question before any implementation was done within practice as there is not enough evidence to support implementation at present.

Paper 1 stated in the results It has been established that complementary exercise intervention does improve QoL for women with breast cancer of all stages and receiving all types of treatment. However, with only one-third of the findings from the research studies collectively producing statistically significant results, this is not yet a strong enough evidence base to integrate complementary exercise into health care or to inform best practice. It is a strong enough base, however, to warrant further research, especially given the lack of UK studies.

Paper 2 stated Results from this research indicate that implementation of different exercise interventions had a substantial influence on life quality in women after breast cancer surgery. Based on the results of the 12-month monitoring, it was found that using water exercise intervention is more effective for improving emotional well-being and decreasing negative symptoms associated with breast cancer treatment compared with Pilates and yoga interventions. The yoga intervention was more effective than the water and Pilates exercise in improving social/family well-being.

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Effects of Different Exercise Interventions on Quality of Life in Breast Cancer Patients: A Randomized Controlled Trial by Tetiana Odynets, Yuriy Briskin and Valentina Todorova, 

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Effects of Different Exercise Interventions on Quality of Life in Breast Cancer Patients: A Randomized Controlled Trial by Tetiana Odynets, Yuriy Briskin and Valentina Todorova, 

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Good Points:
* Explained what the study was effectively
* Randomised to stop selection bias through using sequentially numbered, opaque sealed envelopes. Randomization was done by an independent person via random numbers generated in Microsoft Excel. An independent person who was separate from the assessment and recruitment of the patients opened the envelope. This stopped preformance bias & recording bias
*Recruitment done through  direct referrals from oncologists at the Zaporizhzhya Regional Cancer Center.
*Population they based their study off women aged 50-60 as these are the individuals most likely to get breast cancer.
*Stats analysed on computer so therefore could not be altered by researcher
* It was found that using water exercise intervention is more effective for improving emotional well-being and decreasing negative symptoms associated with breast cancer treat- ment compared with Pilates and yoga interventions.
* P Value: > 0.05 Therefore the result is significant and was not caused by chance.

Bad Points:
*Relying on people actually doing the exercise by there took an attendance rate in each group
*Relying on people answering honestly in questioner
*Very small sample of people and excluded women with bilateral mastectomy, metastases, stage III tumor, or any contraindications limiting activity.
* Research was based on all female group and breast cancer can effect males too so including a few male participants may make the population group more reliable

Overall this paper was very good and very reliable in my opinion

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Paper One: Complementary exercise and qualityof life in patients with breast cancer by Abigail Sawyer

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Paper One: Complementary exercise and qualityof life in patients with breast cancer by Abigail Sawyer

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Good Points:
* Systematic Review so therefore is a good form of evidence as it is bringing alot of evidence all together. So it is a quick easy way of displaying information.
* QoL was assessed using assessment tools. The ones that weren't effective were not used within the study therefore eleminating recording bias.
* The study found that complementary exercise improved QoL

Bad Points:
* Did not define what complementary exercise was.
*Did not use the Cochrane Library
*We would have liked results to have been on a table so it was easier found within the document.

In my opinon this is a good paper but not as good as paper 2

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PubMed
Cochrane Library
Turning research into practice

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Key Words: Breast Cancer, Exercise, Quality of Life.

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Population: Patients with breast cancer
Intervention: Exercise
Comparison: Without Exercise
Outcome: Improve Quality of Life