Resilience and renewal: the personal impact of physical activity in breast cancer survivors

This study investigates the multifaceted impact of physical activity on the holistic recovery of breast cancer survivors, emphasizing psychological, social, and physical dimensions. Beyond medical treatments, reclaiming identity and autonomy post-breast cancer is a complex process involving physical and emotional well-being. The research utilized a qualitative approach, conducting in-depth interviews with five female survivors aged 41 to 57, as well as a group interview with the three pysical activity instructors who led the participants´exercise sessions. Participants completed a 12-week resistance training protocol title EFICAN (Exercise and Cancer), a structured intervention specifically designed by the research team for this study, combining individual and small-group sessions. Survivors shared personal experiences of how physical activity influenced their post-treatment recovery, while the instructors provided complementary insights into the participants´observed changes. Thematic analysis was applied to identify patterns and core themes. Three primary themes emerged: (1) physical activity as a catalyst for empowerment and recovery, (2) the significance of social bonds formed during group activities, and (3) transformative changes in body perception and self-acceptance. Participants highlighted that exercise helped regain control over their bodies, mitigate side effects, and foster resilience. Group activities provided emotional support, reducing isolation and promoting psychological well-being. Instructors echoed these findings, describing visible improvements in participants’ confidence, emotional expression, and social engagement. The study findings align with existing literature, while the inclusion of instructors’ perspectives adds a novel contribution to the understanding of how physical activity supports psycho-social recovery. Integrating structured physical activity into post-treatment care can support emotional healing and strengthen social bonds. Clinical programs should celebrate individual achievements and include group-based exercises to enhance adherence and overall well-being. The study's small sample size may limit generalizability. Future research should explore diverse populations and incorporate quantitative methods to complement qualitative findings. Physical activity plays a crucial role in transitioning from surviving to thriving post-cancer. It supports not only physical health but also psychological resilience and social connection, reinforcing that survivors’ voices are essential in shaping recovery programs.