Development of an exercise intervention as part of rehabilitation in a glioblastoma multiforme survivor during irradiation treatment: a case report

Hansen, Anders; Søgaard, Karen; Minet, Lisbeth Kirstine Rosenbek

doi:10.1080/09638288.2018.1432707

Cited by 18 publications

(19 citation statements)

References 49 publications

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“…1). Sixteen manuscripts (presenting findings from 15 studies) of varying quality (Supplementary Table 2) were identified as eligible [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] (Fig. 1), consisting of two randomised controlled trials (RCT; findings from one of these trials were presented in two manuscripts) [20,29,31], seven prospective cohorts [16,18,19,24,[26][27][28], two cross-sectional [22,23] studies, one case-control study [17] and three case-reports [21,25,30].…”

Section: Study Selectionmentioning

confidence: 99%

“…Sample sizes ranged from 1 (case-reports) to 243 (a prospective cohort study [28]), and included participants with an age range of 20-82 years. Seven studies almost exclusively included patients with high-grade glioma (HGG) (WHO grade III/IV) [19,21,22,[25][26][27][28]30]. Other studies included mixed samples of low-grade glioma (LGG; WHO grade I/II) and HGG [16-18, 20, 23, 24, 29, 31], involving newly diagnosed brain cancer [19,21,[24][25][26][27]30] or recurrent brain cancer [22,25,28] (three articles did not specify [20,29,31]).…”

Section: Sample Characteristicsmentioning

confidence: 99%

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Physical activity and exercise in adults diagnosed with primary brain cancer: a systematic review

et al. 2021

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Purpose The aims of this systematic review were to: (1) describe physical activity (PA) levels following diagnosis of primary brain cancer, (2) determine the relationship between PA levels and health outcomes, and (3) assess the effect of participating in an exercise intervention on health outcomes following a diagnosis of brain cancer. Methods PubMed, EMBASE, Scopus and CINAHL were searched for relevant articles published prior to May 1, 2020. Studies reporting levels of PA, the relationship between PA and health outcomes, and exercise interventions conducted in adults with brain cancer were eligible. The search strategy included terms relating to primary brain cancer, physical activity, and exercise. Two independent reviewers assessed articles for eligibility and methodological quality (according to Joanna Briggs Institute Critical Appraisal Tools). Descriptive statistics were used to present relevant data and outcomes. Results 15 studies were eligible for inclusion. Most adults with brain cancer were insufficiently active from diagnosis through to post-treatment. Higher levels of PA were associated with lower severity of brain cancer specific concerns and higher quality of life. Preliminary evidence suggests that exercise is safe, feasible and potentially beneficial to brain cancer symptom severity and interference, aerobic capacity, body composition and PA levels. However, the level of evidence to support these findings is graded as weak. Conclusions Evidence suggests that it is likely appropriate to promote those with brain cancer to be as physically active as possible. The need or ability of those with brain cancer to meet current PA guidelines promoted to all people with cancer remains unclear. Supplementary Information The online version contains supplementary material available at 10.1007/s11060-021-03745-3.

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Section: Study Selectionmentioning

confidence: 99%

Section: Sample Characteristicsmentioning

confidence: 99%

Physical activity and exercise in adults diagnosed with primary brain cancer: a systematic review

et al. 2021

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“…In fact, there is an increasing number of studies supporting that exercise might be feasible in brain tumor patients: A 12-week exercise program was implemented in 24 brain tumor patients, with 14 completing the entire program and no adverse events were noted [12]. A six-week program was attended by a single case, who subsequently improved in balance, walking, and QOL, again with no adverse events [14]. Another 12-week program in two cases was again well-tolerated and improved QOL [13].…”

Section: Feasibility Safety and Adverse Eventsmentioning

confidence: 99%

“…The German GBM guidelines explicitly discourage exercise in this patient cohort [11]. Only recently, some case series and case reports indicated that exercise is tolerable in brain tumor patients [12][13][14]. Our group reported a case of a GBM patient who participated in a twoyear training program and completed two marathon runs under multimodal therapy with no adverse events [15].…”

Section: Introductionmentioning

confidence: 99%

Feasibility, Safety and Effects of a One-Week, Ski-Based Exercise Intervention in Brain Tumor Patients and Their Relatives: A Pilot Study

Troschel

Ramroth

Lemcke

et al. 2020

JCM

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A brain tumor diagnosis poses a significant psychological burden and it severely impacts quality of life (QOL), both in patients and relatives. However, comprehensive strategies addressing QOL in this setting remain rare. Here, we aim to share our findings of a one-week ski exercise intervention, with emphasis on feasibility, safety, QOL, and physical exercise. The intervention consisted of week-long daily ski sessions with professional ski guides as well as dedicated physicians present. The participants were handed questionnaires, including distress and QOL items before, during, and after the intervention. Using fitness watches, exercise intensity was also tracked at these timepoints. During the intervention, patients were checked for adverse events daily. Fifteen participants, nine patients after multidisciplinary treatment, and six relatives were included in the study. Additionally, 13 children participated in the exercise, but not in the study. All of the participants completed the entire program. No severe adverse events were documented during daily checks. There was a strong increase in quantified activity and QOL with a corresponding decrease in distress during the intervention, and, partly, afterwards. This prospective brain tumor rehabilitation study demonstrates the feasibility and safety of challenging ski exercise in brain tumor patients. The findings also underline the exercise-mediated QOL benefits, emphasizing the need for more comprehensive brain tumor rehabilitation programs.

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“…Activities can further be used in companionship with others to bring someone back from a negative moment, as shown in breast cancer dragon boat participants (McDonough et al, 2019). An Australian study shows how physical exercise improved both somatic and mental health among cancer survivors (Frensham et al, 2018) and a case study with exercise rehabilitation in a glioblastoma patient shows quality of life improvements (Hansen et al, 2019). To many people cancer becomes a lifelong experience.…”

Section: From Patientification To Participation and Co-creation Of Carementioning

confidence: 99%

Breaking the patientification process - through co-creation of care, using old arctic survival knowledge

Sandén

Harrysson

Thulesius

et al. 2021

International Journal of Qualitative Studies on Health and Well

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Purpose: Cancer research and connected innovation processes often lack a major component; patient participation. We revisit three studies (a-c) in order to explore how Momentary contentment theory may be used to improve patient participation and psychosocial health. Method: We revisited data from the initial (a) classic grounded theory study on Momentary contentment, based on four years of observation and 14 interviews. It explains a way of dealing with life close to death and morbidity. In the imminence of danger the studied culture resembles the context of cancer patients. The two following studies used focus group interviews with (b) 19 cancer patients and (c) 17 relatives of cancer patients in southern Sweden. Results: We suggest a process where cancer patients are taught to be submissive and that the support they receive from health providers may be counterproductive to contentment; a patientification process. We present alternative ways for people to handle issues such as hope, waiting, knowledge gaps and healthcare navigation while living with cancer. We introduce an alternative to patientification and passive patients where active patients create their own safety and truly participates in their care.Conclusions: We propose clinical studies to introduce such a shift from patentification to co-creation of care.

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Development of an exercise intervention as part of rehabilitation in a glioblastoma multiforme survivor during irradiation treatment: a case report

Cited by 18 publications

References 49 publications

Physical activity and exercise in adults diagnosed with primary brain cancer: a systematic review

Physical activity and exercise in adults diagnosed with primary brain cancer: a systematic review

Feasibility, Safety and Effects of a One-Week, Ski-Based Exercise Intervention in Brain Tumor Patients and Their Relatives: A Pilot Study

Breaking the patientification process - through co-creation of care, using old arctic survival knowledge

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