Exercise as rehabilitation for cancer patients.

Friendenreich, C M; Courneya, KS

doi:10.1097/01893697-199715030-00019

Cited by 9 publications

(12 citation statements)

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“…Improved cancer survival is welcomed; however, the untoward short and long-term treatment side effects commonly experienced by cancer survivors lead to decreased quality of life and increased costs of cancer care [4][5][6]. The short-term side effects include low blood counts, nausea and vomiting, fatigue, cognitive dysfunction, pain, and others [7][8][9]. Cancer and its treatments are also associated with muscle wasting and cachexia and reduced physical function [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…The short-term side effects include low blood counts, nausea and vomiting, fatigue, cognitive dysfunction, pain, and others [7][8][9]. Cancer and its treatments are also associated with muscle wasting and cachexia and reduced physical function [7][8][9][10][11]. Long-term side effects include increased BMI, ongoing cognitive deficits, persistent fatigue, cardiomyopathies, neuropathies, mood disturbances, bone loss, and pulmonary damage [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

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CanWell: meeting the psychosocial and exercise needs of cancer survivors by translating evidence into practice

et al. 2013

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Background: As more evidence emerges to support the incorporation of exercise for cancer survivors to positively affect physical, emotional, and social health, it is imperative that health-care providers use current knowledge to develop evidence-based exercise programs for these patients. Our purpose is to describe the development, implementation, and effectiveness of the CanWell program, an evidence-based, community and partnership-based, exercise, and education program for all people with cancer.Methods: Exercise and cancer research was reviewed, summarized, and utilized to develop CanWell. A 12-week, supervised, community-based, exercise, and education program established in collaboration between an acute care hospital, academic center, and a not-for-profit YMCA facility. CanWell participants completed physical and health-related quality of life measures prior to initiating the program and repeated them at 6 and 12 weeks.Results: Following the exercise program, participants reported significant improvements in healthrelated quality of life, recorded distance ambulated during a 6-min walk test, and total minutes on a treadmill recorded using the standardized exponential exercise protocol treadmill test. Furthermore, no increases in disease burden were identified using the Edmonton Symptom Assessment System. In addition, no exercise related injuries were reported by CanWell participants.Conclusions: As the body of evidence supporting the incorporation of exercise as a standard of care for cancer survivors, it is imperative that care providers use current knowledge to provide opportunities for their patients to exercise in effective exercise programs. CanWell is an example on how collaboration between hospital, university, and community institutions can be used to move research into practice and meet the needs of cancer survivors.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

CanWell: meeting the psychosocial and exercise needs of cancer survivors by translating evidence into practice

et al. 2013

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“…Physical symptoms commonly include fatigue, nausea, pain, and decreased strength and endurance [1][2][3][4] . The importance of appreciating the consequences of cancer-related side effects is magnified as the number of people living with cancer continues to increase 5 .…”

Section: Introductionmentioning

confidence: 99%

Rasch analysis of the Edmonton Symptom Assessment System and research implications

2014

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Background: Reliable and valid assessment of the disease burden across all forms of cancer is critical to the evaluation of treatment effectiveness and patient progress. The Edmonton Symptom Assessment System (esas) is used for routine evaluation of people attending for cancer care. In the present study, we used Rasch analysis to explore the measurement properties of the esas and to determine the effect of using Raschproposed interval-level esas scoring compared with traditional scoring when evaluating the effects of an exercise program for cancer survivors. Methods: Polytomous Rasch analysis (Andrich’s rating-scale model) was applied to data from 26,645 esas questionnaires completed at the Juravinski Cancer Centre. The fit of the esas to the polytomous Rasch model was investigated, including evaluations of differential item functioning for sex, age, and disease group. The research implication was investigated by comparing the results of an observational research study previously analysed using a traditional approach with the results obtained by Rasch-proposed interval-level esas scoring. Results: The Rasch reliability index was 0.73, falling short of the desired 0.80–0.90 level. However, the esas was found to fit the Rasch model, including the criteria for uni-dimensional data. The analysis suggests that the current esas scoring system of 0–10 could be collapsed to a 6-point scale. Use of the Rasch-proposed interval-level scoring yielded results that were different from those calculated using summarized ordinallevel esas scores. Differential item functioning was not found for sex, age, or diagnosis groups. Conclusions: The esas is a moderately reliable uni-dimensional measure of cancer disease burden and can provide interval-level scaling with Rasch-based scoring. Further, our study indicates that, compared with the traditional scoring metric, Rasch-based scoring could result in substantive changes to conclusions.

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“…Several excellent systematic reviews and one meta-analysis have summarized this literature (Jones and DemarkWahnefried 2006;McNeely et al 2006;Markes et al 2006;Schmitz et al 2005;Friendenreich and Courneya 1996;Stevinson et al 2004) These reviews conclude that exercise therapy is associated with consistent and positive effects on measures of cardiorespiratory fitness, QOL, depression, anxiety, and fatigue (McNeely et al 2006;Markes et al 2006;Schmitz et al 2005;Friendenreich and Courneya 1996;Stevinson et al 2004), although all reviews state that the current putative literature provides promising preliminary evidence and additional large-scale, well-controlled intervention studies are required (McNeely et al 2006;Schmitz et al 2005).…”

Section: Exercise Therapy Following a Cancer Diagnosismentioning

confidence: 95%

Physical Activity and Lung Cancer Survivorship

Jones

2010

Recent Results in Cancer Research

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A lung cancer diagnosis and associated therapeutic management is associated with unique and varying degrees of adverse physical/functional impairments that dramatically reduce a patient's ability to tolerate exercise. Poor exercise tolerance predisposes to increased susceptibility to other common age-related diseases, poor quality of life (QOL), and likely premature death. Here we review the putative literature investigating the role of exercise as an adjunct therapy across the lung cancer continuum (i.e., diagnosis to palliation). The current evidence suggests that exercise training is a safe and feasible adjunct therapy for operable lung cancer patients both before and after pulmonary resection. Among patients with inoperable disease, feasibility and safety studies of carefully prescribed exercise training are warranted. Preliminary evidence in this area supports that exercise therapy may be an important consideration in multidisciplinary management of patients diagnosed with lung cancer.

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Exercise as rehabilitation for cancer patients.

Cited by 9 publications

References 0 publications

CanWell: meeting the psychosocial and exercise needs of cancer survivors by translating evidence into practice

CanWell: meeting the psychosocial and exercise needs of cancer survivors by translating evidence into practice

Rasch analysis of the Edmonton Symptom Assessment System and research implications

Physical Activity and Lung Cancer Survivorship

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