Effectiveness of Lumbopelvic Exercise in Colon Cancer Survivors

Cantarero‐Villanueva, Irene; Sánchez-Jiménez, Antonio; Galiano‐Castillo, Noelia; Díaz‐Rodríguez, Lourdes; Martín-Martín, Lydia; Arroyo-Morales, Manuel

doi:10.1249/mss.0000000000000917

Cited by 22 publications

(33 citation statements)

References 33 publications

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“…Only one trial (5%, [ 47 ]) included patients with metastatic (stage IV) disease. Four trials (21%) evaluated the role of exercise pre-surgery [ 38 , 40 , 42 , 44 ], five (26%) were during chemotherapy [ 37 , 41 , 43 , 47 , 54 ] and 10 (53%) were post-treatment [ 36 , 39 , 45 , 46 , 48 – 53 ].…”

Section: Resultsmentioning

confidence: 99%

“…Home-based, unsupervised exercise was prescribed for 10 (53%) of the interventions [ 36 , 40 – 42 , 44 – 46 , 48 , 49 , 53 ]. Eight trials ( n = 8 [42%]) involved supervised interventions (i.e., over half of the exercise sessions involved face-to-face supervision [ 38 , 39 , 43 , 47 , 50 – 52 , 54 ], and one trial ( n = 1, 5%) involved a supervised and an unsupervised intervention group [ 37 ]. Supervised interventions were conducted at a range of facilities including hospital, clinical, university or rehabilitation settings.…”

Section: Resultsmentioning

confidence: 99%

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Exercise and colorectal cancer: a systematic review and meta-analysis of exercise safety, feasibility and effectiveness

Singh

Hayes

Spence

et al. 2020

Int J Behav Nutr Phys Act

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Background This meta-analysis evaluated the safety, feasibility and effect of exercise among individuals with colorectal cancer. Methods A database search (CINAHL, Ebscohost, MEDLINE, Pubmed, ProQuest Health and Medical Complete, ProQuest Nursing, Science Direct) for randomised, controlled, exercise trials involving individuals with colorectal cancer, published before January 1, 2020 was undertaken. Safety (adverse events), feasibility (withdrawal and adherence rates) and effect data (health outcomes including quality of life, QoL) were abstracted. Risk difference (RD) and standardised mean differences (SMD) were calculated to compare safety and effects between exercise and usual care (UC). Subgroup analyses were conducted to assess whether outcomes differed by exercise mode, duration, supervision and treatment. Risk of bias was assessed using the Physiotherapy Evidence Database tool. Results For the 19 trials included, there was no difference in adverse event risk between exercise and UC (RD = 0.00; 95% CI:–0.01, 0.01, p = 0.92). Median withdrawal rate was 12% (0–22%) and adherence was 86% (42–91%). Significant effects of exercise compared to UC were observed for QoL, fatigue, aerobic fitness, upper-body strength, depression, sleep and reduced body fat (SMD = 0.21–0.66, p < 0.05). Subgroup analyses suggested larger benefits (p < 0.05) for QoL and fatigue for supervised interventions; for QoL, aerobic fitness and reduced body fat for ≥12-week interventions; and for aerobic fitness when interventions were during chemotherapy. Conclusion Although reporting of safety and compliance data was lacking in most trials, findings support that exercise is safe and feasible in colorectal cancer. Further, participation in mixed-mode exercise, including unsupervised exercise, leads to improvements in various health-related outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Exercise and colorectal cancer: a systematic review and meta-analysis of exercise safety, feasibility and effectiveness

Singh

Hayes

Spence

et al. 2020

Int J Behav Nutr Phys Act

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“…In addition, most studies in cancer patients have been conducted with a rehabilitation team comprising nurses, psychologists and physiotherapists [8, 27]. For this reason, we chose to use a supervised face-to-face rehabilitation program conducted by an occupational therapist, due to the holistic and integrative approach of the discipline.…”

Section: Discussionmentioning

confidence: 99%

“…There is strong evidence about the efficacy and safety of exercise and healthy diet to improve the patients’ quality of life (QoL) [8, 9] and reduce the effects of cancer [10, 11]. Recent research reveals that even when patients know the benefits of interventions aimed at promoting energy balance among cancer survivors (in terms of intake and physical activity), it is unrealistic to expect that most of them, who have a strong sedentary habit, will comply with the current good practice guidelines [10, 12].…”

Section: Introductionmentioning

confidence: 99%

Integral strategy to supportive care in breast cancer survivors through occupational therapy and a m-health system: design of a randomized clinical trial

Lozano‐Lozano

Martín-Martín

Galiano‐Castillo

et al. 2016

BMC Med Inform Decis Mak

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BackgroundTechnological support using e-health mobile applications (m-health) is a promising strategy to improve the adherence to healthy lifestyles in breast cancer survivors (excess in energy intake or low physical activity are determinants of the risk of recurrence, second cancers and cancer mortality). Moreover, cancer rehabilitation programs supervised by health professionals are needed due to the inherent characteristics of these breast cancer patients. Our main objective is to compare the clinical efficacy of a m-health lifestyle intervention system alone versus an integral strategy to improve Quality of Life in breast cancer survivors.MethodsThis therapeutic superiority study will use a two-arm, assessor blinded parallel RCT design. Women will be eligible if: they are diagnosed of stage I, II or III-A breast cancer; are between 25 and 75 years old; have a Body Mass Index > 25 kg/m2; they have basic ability to use mobile apps; they had completed adjuvant therapy except for hormone therapy; and they have some functional shoulder limitations. Participants will be randomized to one of the following groups: integral group will use a mobile application (BENECA APP) and will receive a face-to-face rehabilitation (8-weeks); m-health group will use the BENECA app for 2-months and will received usual care information. Study endpoints will be assessed after 8 weeks and 6 months. The primary outcome will be Quality of Life measured by The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core and breast module. The secondary outcomes: body composition; upper-body functionality (handgrip, Disability of the Arm, Shoulder and Hand questionnaire, goniometry); cognitive function (Wechsler Adult Intelligence Scale, Trail Making Test); anxiety and depression (Hospital Anxiety and Depression Scale); physical fitness (Short version of the Minnesota Leisure Time Physical Activity Questionnaire, Self-Efficacy Scale for Physical Activity); accelerometry and lymphedema.DiscussionThis study has been designed to seek to address the new needs for support and treatment of breast cancer survivors, reflecting the emerging need to merge new low cost treatment options with much-needed involvement of health professionals in this type of patients.Trial registrationClinicalTrials.gov Identifier: NCT02817724 (date of registration: 22/06/2016).

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“…Lumbopelvik stabilitenin zayıfladığı durumlarda statik ve dinamik postüral dengenin kötüleştiği, şiddetli pertürbasyonların önlenmesinde yetersiz kalındığı, nötral pozisyonun ve postürün korunmasında daha fazla efor sarf edildiği ve bu durumun yaralanma riskini artırdığı bilinmektedir (13,15,16). Denge bozukluklarına ek olarak lumbopelvik kaslardaki zayıflık, fiziksel aktivite sırasında erken yorulmaya, enduransta azalmaya ve sıklıkla yaralanmalara sebep olmaktadır (17,18). Lumbopelvik kasların ekstremiteler için oluşturduğu destekleyici güç kapasitesi, şok absorbsiyonundaki etkinliği, anormal hareketlerin minimize edilmesindeki işlevi bu durumun oluşmasında önemli rol oynamaktadır (17).…”

Section: Introductionunclassified

Lumbopelvi̇k Motor Kontrol, Postüral Denge Ve Fi̇zi̇ksel Performans Arasindaki̇ İli̇şki̇

Kararti

Bilgin

Büyükturan

et al. 2019

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Amaç: Lumbopelvik stabilitenin zayıfladığı durumlarda postüral dengenin kötüleştiği, nötral pozisyonun ve postürün korunması için daha fazla efor sarf edildiği, bireylerin daha erken yorulduğu ve yaralanma sıklığının arttığı bilinmektedir. Literatürde lumbopelvik stabilitenin denge ve fiziksel performans için önemli olduğu vurgulanmasına rağmen, M. Transversus abdominus (mTrA) ve M. Lumbar multifidus (mLM)'nin kas kalınlıkları ile bu parametrelerin ilişkisi incelenmemiştir. Amacımız, mTrA ve mLM kas kalınlıkları ile postüral denge ile fiziksel performans arasındaki ilişkinin incelenmesiydi.Yöntem: Çalışmaya 18 ile 25 yaş arası 64 genç yetişkin birey dahil edildi. mTrA ve mLM'nin kalınlıklarının belirlenmesi amacıyla ultrasonografik görüntüleme kullanıldı. Statik ve dinamik postüral dengenin objektif değerlendirilmesinde Biodex Denge Sistemi kullanıldı. Fiziksel performans, dikey sıçrama testi, yana adım alma testi ve mekik koşu testleri ile değerlendirildi.Sonuçlar: mTrA kas kalınlığı ile genel stabilite indeksi (GSİ), anteroposterior stabilite indeksi (APSİ) ve yana adım alma testi arasında istatistiksel olarak anlamlı ilişki bulundu (p<0,05). mLM kas kalınlığı ile GSİ, APSİ, yana adım alma testi ve mekik koşu testi ile arasında istatistiksel olarak anlamlı ilişki saptandı (p<0,05).Tartışma: Lumbopelvik motor kontroldeki azalma, denge ve fiziksel performanstaki kötüleşmeler ile ilişkili olduğu için, lumbopelvik motor kontrol değerlendirilmesinin akılda tutulması gereken parametreleri olduğu düşünülmektedir. Anahtar Kelimeler: Fiziksel Uygunluk; Lumbopelvik Stabilite; Postüral Denge. RELATIONSHIP BETWEEN LUMBOPELVIC MOTOR CONTROL AND POSTURAL BALANCE AND PHYSICAL PERFORMANCE ORIGINAL ARTICLEABSTRACT Purpose: It is known that in conditions where lumbopelvic stability is decreased, postural balance is worsened, the effort required for the neutral position and protecting posture is increased, individuals tire earlier, and the frequency of injury increases. Although it has been highlighted that lumbopelvic stability is important for balance and physical performance, the relationship between M. Transversus abdominus (mTrA) and M. Lumbar multifidus (mLM) and balance and physical performance have not been investigated. We aimed to examine the relationship between postural balance and physical performance and mTrA and mLM muscle thicknesses.Methods: A total of 64 healthy young adults aged 18-25 years were included in the study. Ultrasonographic imaging was used to determine the thicknesses of mTrA and mLM. Biodex Balance System was used for the objective evaluation of static and dynamic postural balance. Physical performance was assessed using the vertical jump test, sidestep test, and shuttle run test. Results:There was a statistically significant correlation between mTrA muscle thickness and general stability index (GSI), anteroposterior stability index (APSI), and side step test (p<0.05). A statistically significant correlation was found between mLM muscle thickness and GSI, APSI, side step test, and shuttle run test ...

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Effectiveness of Lumbopelvic Exercise in Colon Cancer Survivors

Cited by 22 publications

References 33 publications

Exercise and colorectal cancer: a systematic review and meta-analysis of exercise safety, feasibility and effectiveness

Exercise and colorectal cancer: a systematic review and meta-analysis of exercise safety, feasibility and effectiveness

Integral strategy to supportive care in breast cancer survivors through occupational therapy and a m-health system: design of a randomized clinical trial

Lumbopelvi̇k Motor Kontrol, Postüral Denge Ve Fi̇zi̇ksel Performans Arasindaki̇ İli̇şki̇

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