The effects of inpatient exercise therapy on the length of hospital stay in stages I–III colon cancer patients: randomized controlled trial

Ahn, Kwangwon; Hur, Hyuk; Kim, Dong Hyun; Min, Jihee; Jeong, Da Un; Chu, Sang Hui; Lee, Ji Won; Ligibel, Jennifer A.; Meyerhardt, Jeffrey A.; Jones, Lee W.; Jeon, Justin Y; Kim, Nam Kyu

doi:10.1007/s00384-013-1665-1

Cited by 65 publications

(100 citation statements)

References 15 publications

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“…These precautions, however, should be balanced with evidence‐based mobilization and postoperative activity recommendations, and should be informed by surgical precautions and guidance. Mobility and exercise participation in the acute postoperative stage of treatment may reduce the risk of adverse events [6,7], affect overall length of stay [8], and reduce readmissions and complications in various cancer populations [6,9].…”

Section: Safety Considerations With Antineoplastic Treatment Adverse mentioning

confidence: 99%

A Focused Review of Safety Considerations in Cancer Rehabilitation

Maltser

Cristian

Silver

et al. 2017

PM&R

117

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Cancer and its treatments introduce various adverse effects that may impact survivors’ physical, cognitive and psychological functioning. Frequently both tolerance to activity and exercise are affected as well. Rehabilitation providers should have substantive knowledge about the effect of cancer progression and common side effects associated with anti-neoplastic treatment to safely integrate rehabilitation interventions. Rehabilitation may mitigate loss of function and disability; however, these patients are among the most medically complex that providers treat. This report provides a focused review that synthesizes the current evidence regarding disease progression and oncology-directed treatment side effects within the context of safety considerations for rehabilitation interventions throughout the continuum of cancer care. Descriptive information regarding the evidence for precautions and contraindications is provided so that rehabilitation providers can promote a safe plan of rehabilitation care. It is incumbent upon but also challenging for rehabilitation providers to stay up to date on the many advances in cancer treatment, and there are many gaps in the literature regarding safety issues. Although further research is needed to inform care, this review provides clinicians with a framework to assess patients with the goal of safely initiating rehabilitation interventions.

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Section: Safety Considerations With Antineoplastic Treatment Adverse mentioning

confidence: 99%

A Focused Review of Safety Considerations in Cancer Rehabilitation

Maltser

Cristian

Silver

et al. 2017

PM&R

117

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“…Despite these promising epidemiological data, only 6 randomized controlled exercise intervention trials have so far been conducted in this patient group. [10,11] Their findings include increases in physical fitness and a reduced length of hospital stay. One reason for the small number of studies might be that there is a huge uncertainty with regard to exercisability of CRC patients having an ostomy.…”

Section: Introductionmentioning

confidence: 99%

Exercise and cancer

Wiskemann

Schommer²,

Jaeger³

et al. 2016

Medicine

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Background:Colorectal cancer survivors are deconditioned through anticancer therapy. Furthermore, about 10% of them have a permanent ostomy which is associated with weakened abdominal muscles and an increased risk of a hernia. This case study reports on how a firefighter with rectal carcinoma and ostomy was trained to regain operational fitness.Methods:A 44-year-old firefighter (178 cm, 82 kg) with an adenocarcinoma of the rectum (diagnosed 24 months prior) had been treated with neoadjuvant radiochemotherapy and surgery. After 2 temporary ileostomies, a permanent colostomy was performed 14 weeks before the start of a 9-months training program. The program included sensorimotor, endurance, and strength training of increasing volume and intensity. Endurance, strength, and patient reported outcomes were assessed every 2 to 3 months.Results:Training frequency varied from 1 to 3 sessions/week, although 3 to 5 sessions/week were prescribed. Peak power output was 150, 158, 167, 192, and 175 watts at baseline, 2, 4, 6, and 9 months. Maximal oxygen uptake increased from 1.56 L/min (19.0 mL/min/kg) to 2.39 L/min (28.8 mL/min/kg) after 6 months. Maximal isokinetic peak torque (MIPT) of the knee extensors were 138.0 and 196.5 Nm (Newton meter) at baseline and 6 months. MIPT of the elbow and hip flexors increased from 51.8 to 66.0 Nm and 213.8 to 239.7 Nm, respectively, after 6 months. Physical fatigue decreased by 65% and distress by about 50% after 9 months. The firefighter passed a test for occupational fitness after 6 months and was permitted to work with an exterior crew on a pump truck.Conclusion:It is possible for colorectal cancer survivors with ostomy to regain occupational fitness for physically demanding tasks like firefighting through an individually tailored and supervised training program.

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“…In addition, exercise positively improves physical function and biomarkers related to colorectal cancer, such as insulin resistance, insulin-like growth factor (IGF)-1, tumor necrosis factor (TNF)-alpha, and adiponectin (Cheville et al, 2013;. It has also been found that exercise shortens the length of hospitalization and time to flatus even for inpatients who just underwent colorectal cancer surgery, which may improve long-term colorectal cancer prognosis (Ahn et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Exercise Barriers in Korean Colorectal Cancer Patients

Kang¹,

Chung²,

Lee³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: It has been proved that participating in exercise improves colorectal cancer patients' prognosis. This study is to identify barriers to exercise in Korean colorectal cancer patients and survivors. Materials and Methods: A total of 427 colorectal cancer patients and survivors from different stages and medical status completed a self-administered questionnaire that surveyed their barriers to exercise and exercise participation. Results: The greatest perceived exercise barriers for the sampled population as a whole were fatigue, low level of physical fitness, and poor health. Those under 60-years old reported lack of time (p=0.008), whereas those over 60 reported low level of physical fitness (p=0.014) as greater exercise barriers than their counterparts. Women reported fatigue as a greater barrier than men (p<0.001). Those who were receiving treatment rated poor health (p=0.0005) and cancer-related factors as greater exercise barriers compared to those who were not receiving treatment. A multivariate model found that other demographic and medical status were not potential factors that may affect exercise participation. Further, for those who were not participating in physical activity, tendency to be physically inactive (p<0.001) and lack of exercise skill (p<0.001) were highly significant barriers, compared to those who were participating in physical activity. Also, for those who were not meeting ACSM guidelines, cancer-related exercise barriers were additionally reported (p<0.001), compared to those who were. Conclusions: Our study suggests that fatigue, low level of physical fitness, and poor health are most reported exercise barriers for Korean colorectal cancer survivors and there are differences in exercise barriers by age, sex, treatment status, and physical activity level. Therefore, support for cancer patients should be provided considering these variables to increase exercise participation.

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The effects of inpatient exercise therapy on the length of hospital stay in stages I–III colon cancer patients: randomized controlled trial

Abstract: Low-to-moderate-intensity postsurgical exercise reduces length of hospital stay and improves bowel motility after colectomy procedure in patients with stages I-III colon cancer.

Cited by 65 publications

References 15 publications

A Focused Review of Safety Considerations in Cancer Rehabilitation

A Focused Review of Safety Considerations in Cancer Rehabilitation

Exercise and cancer

Exercise Barriers in Korean Colorectal Cancer Patients

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