JOSHA is a service that helps scholars, researchers, and students descover, use, and build upon a wide range of content Exercise, concomitant to therapy, has a positive influence on therapyinduced side-effects in patients with haematological malignancies discussions. Special thanks also goes to Katja Zirlik, Christiane Guderian, Barbara Nuber and the team on ward Romberg for the many enlighting lunch breaks and skiing trips that were incredibly valuable during rougher times of work, but also for their academic support and advice. Furthermore, I am very grateful to the team of sport therapists, sport students and physiotherapists that worked on the training cite for oncological patients and supported me in the implementation of the exercise intervention. Especially to Svenja Simon-Hein, from whom I was able to learn a great deal. I also greatly appreciate the support of the research assistants, the recruiting doctors, the nurses, technical lab assistants as well as the IT support in the University Hospital of Freiburg as well as my colleagues in the University of Freiburg.A special thank you goes to all the patients who participated in the study and therefore made an essential contribution to this work as well as future research.
ABSTRACTExercise interventions as a supportive measure in cancer therapy are becoming more and more relevant. With cancer therapy becoming more complex and effective, higher survival rates as well as longer life-spans are being achieved. Consequently, patients' quality of life is becoming increasingly important and the management of therapy-related side-effects therefore essential. An increasing amount of studies are demonstrating, that the previously propagated rest and immobility during cancer therapy is not only counterproductive but that exercise interventions hold enormous potential regarding the management of sideeffects in supportive cancer care and should therefore be taken more seriously.Especially haemato-oncological patients have to cope with many debilitating side-effects due to the disease itself, the long and complex medical therapy as well as the associated immobility. The symptoms cause physiological, psychological and social restraints, leading to acute as well as lasting reductions in patients' quality of life. Poor health and severe side-effects such as chemotherapy-induced peripheral neuropathy (CIPN) are highly relevant, as they can cause dose reductions, disruptions or discontinuation of medical therapy, consequently impacting the clinical outcome.Although the positive effects of exercise interventions are rather well documented in entities such as breast cancer, the amount of research in haematological patients, especially concomitant to therapy, is still relatively low. For instance only one previous randomized, controlled trial (RCT) 1 has evaluated lymphoma patients. Furthermore, the potential role of exercise regarding CIPN has never been investigated previously, although it is highly prevalent in haemato-oncological patients. Previous studies on patients wit...