The effect of a multidimensional exercise intervention on physical capacity, well-being and quality of life in cancer patients undergoing chemotherapy

Adamsen, Lis; Quist, Morten; Midtgaard, Julie; Andersen, Christina; Møller, Tom; Knutsen, L.; Tveterås, Anders; Rørth, Mikael

doi:10.1007/s00520-005-0864-x

Cited by 118 publications

(132 citation statements)

References 60 publications

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“…Physical activity has become an important part of postcancer treatment as a rehabilitation tool for improving general well-being and increasing physical fitness through a significant reduction of treatment-related symptoms [2]. Especially physical fitness, psychological, and social well-being enable young athletic patients with cancer to regain control and form a strong cancer identity [1].…”

Section: Introductionmentioning

confidence: 99%

What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

Lang

Hobusch

Funovics

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Advances in multimodal treatment have improved survival of patients with nonmetastatic osteosarcoma. At the same time, implant design has improved the outcomes of limb salvage with modular endoprostheses. However, little is known about sports activity in longterm survivors with osteosarcoma. Questions/purposes We wanted to evaluate (1) sports activity levels in long-term survivors of osteosarcoma about the knee who received a modular tumor endoprosthesis; (2) to determine if activity level changed over time from initial reconstruction or (3) was predicted from sports activity level before diagnosis; and (4) if complications that occurred affected sports or contributed to prosthetic failures. Methods Between 1995 and 2005, we treated 120 patients for osteosarcoma about the knee with resection and modular endoprosthetic reconstruction; of those, 25 (21%) have died, six (5%) had an amputation, 39 (32%) did not speak German and so were ineligible, and 14 (12%) were either lost to followup or refused to participate, leaving 27 patients (14 females, 13 males; median age 19 years [range, 12-60 years); average followup 11 ± 4 years) (54% of the living, German-speaking cohort) for this analysis. Tumors were located in the distal femur (n = 16) and the proximal tibia (n = 11). Sports participation as well as the UCLA Activity Score and the modified Weighted Activity Score were assessed retrospectively. Moreover, postoperative complications were evaluated. Results Before the diagnosis of osteosarcoma and 1, 3, and 5 years and at the latest followup, respectively, after their reconstructions, 24 (89%), nine (33%), 20 (74%), and 24 patients (89%) were able to perform sports activities. There was a reduction in high-impact activities. Those patients with followup longer than 5 years had no changes in sports activity at their latest followup. Patients who had higher levels of sports activity levels before surgery generally had higher levels of activity at last followup (UCLA Activity Score: r = 0.62, p \ 0.0005; modified Weighted Activity Score r = 0.49, p \ 0.01). Fourteen patients (51%) underwent revision surgery. With the numbers available, complications had no effect on sports activity. No sports activity-related complications were found. Conclusions Some long-term survivors of osteosarcoma can achieve high levels of sports activity. Preoperative activity levels seem to influence the postoperative activity levels. This information is important to give realistic expectations for long-term survivors of osteosarcoma of the knee.

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Section: Introductionmentioning

confidence: 99%

What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

Lang

Hobusch

Funovics

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…Also in the second outcome Physical Performance Test used for measuring physical performance showed significant improvement in the experimental group, this can be supported by the study of Adamsen et al (2006) where they observed highly significant improvements in physical functioning (p<0.001) and role functioning (p<0.001) after a multidimensional exercise intervention on physical capacity, well-being and quality of life in cancer patients undergoing chemotherapy. Regarding the exercises along with relaxation techniques has significant effect as because after chemo there are many side effects like severe fatigue and reduced strength etc.…”

Section: Resultsmentioning

confidence: 58%

Effect of Exercise Program and Relaxation Techniques on Fatigue and Physical Performance in Cancer (Haematology) Patients Undergoing Chemotherapy

Biswas¹,

Bhattacharya²,

Biswas³

2017

Int. J. Curr. Res. Biosci. Plant Biol.

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A b s t r a c t A r t i c l e I n f oA total number of 30 Haematology cancer subjects with 15 each in control and experimental group from Day Care Centre of Department of Haematology, N R S Medical College and Hospital, Kolkata was sampled by convenient sampling method for a period of 12 months. Exercise program along with relaxation techniques were provided to experimental group and no intervention was provided to control group. Fatigue Severity Scale (FSS) and Physical Performance Test (PPT) were the two outcome measures used. Exercise program along with the relaxation techniques yielded significant results i.e., FSS<0.002 and PPT<0.002, which shows that this exercise program along with relaxation techniques helps in decrease the fatigue level and improvement in physical performance in cancer (Haematology) undergoing chemotherapy. The current study has shown that exercise program along with the relaxation technique decrease fatigue and improve physical performance in cancer patients which proves our hypothesis.

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“…The diagnosis of CA is a strong impact, reduces life expectancy and increases depression level in about 25% of the patients, being depression also related to the use of corticosteroids used in the treatment (2) . During the course of the treatment, the patients experience review article EXERCISE AND SPORTS MEDICINE CLINIC many collateral effects, which include: astenia, ataxia, anemia, anxiety, nausea, vomiting, diarrhea, sarcopenia, osteopenia, mood swings, neutropenia, body composition and perceotion alteration, thrombopenia, decrease in flexibility, sleep disorders, self-esteem reduction, depression, cardiopulmonary and vascular function reduction, pain and fatigue (5)(6)(7) , and these effects can persist for months or even years after the end of the treatment (5,8) .…”

Section: Resultsmentioning

confidence: 99%

“…Due to the exercise particularity and complexity, a multidimensional approach which included resistance and aerobic exercises, relaxation, body awareness, massage and flexibility would be broader, since it would provide a more holisti approach (6,17,18) . Although it is not known yet which approaches are more efficient over others (19) , the massive majority of the investigations use aerobic exercises of moderate intensity as a therapeutic method (3)(4)(5)10,16,18,20) .…”

Section: Exercise Typesmentioning

confidence: 99%

Parâmetros, considerações e modulação de programas de exercício físico para pacientes oncológicos: uma revisão sistemática

Soares

2011

Rev Bras Med Esporte

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Introduction: This investigation searched for data that would describe the use of physical exercise, not as preventive method, but as a supporting therapeutic modality in the coping of the cancer (CA) and its treatment from diagnosis to recovery, since there is massive harm and side effects experienced by the patients that can be modified through the practice of physical exercises. Objective: To identify and select references which demonstrate necessary parameters for prescription of physical exercise programs to oncologic patients. Method: The systematic model of research was used in the Medline, Liliacs and Pubmed databases, using the terms: cancer, physical exercise, physical activity, exercise, being considered articles published between 1997 and 2008, in the Portuguese, English, Spanish and German languages. The articles that presented data which supported the use of physical exercise as a therapeutic method, as well as its modulation, indication, contraindication and interaction with other treatments were selected. Results: In the revised literature, subsidies that ground the use of physical exercise in its supporting role in the coping of CA and its treatment, as well as, benefits, indications, contraindications and precaution in the use of physical exercise were found. Conclusions: In spite of being a broad field where there is still a lot to be researched, if the contraindications and precautions are respected, physical exercise becomes safe, viable and effective for patients and survivors, giving them support to face the treatment and accelerate recovery.

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The effect of a multidimensional exercise intervention on physical capacity, well-being and quality of life in cancer patients undergoing chemotherapy

Cited by 118 publications

References 60 publications

What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

Effect of Exercise Program and Relaxation Techniques on Fatigue and Physical Performance in Cancer (Haematology) Patients Undergoing Chemotherapy

Parâmetros, considerações e modulação de programas de exercício físico para pacientes oncológicos: uma revisão sistemática

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