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EXERCISE PRESCRIPTION FOR CANCER PATIENTS

Myrna Avila


 Cancer is known as the uncontrolled growth and spread of abnormal tissue within the body.  Carcinomas: develop from epithelial cells for organs (80% of cases)  Leukemias: develop from blood cells  Lymphomas: develop from immune system cells  Sarcomas: develop from connective tissue  Occurs at all ages but more common in older adults

CANCER


EXERCISE TESTING  Guidelines for safety consideration based on existing evidence and clinical experience  Guidelines are VERY conservative  Patients who have been cleared for exercise testing can follow normal standard exercise testing.


EXERCISE PRESCRIPTION  FREQUENCY:  Aerobic exercise 3-5 days per week  Resistance exercise 2-3 days per week with at least 48hrs of recovery

 INTENIST Y:  Aerobic Exercise 40% to < 60% HRR  Resistance 40% to 60% 1-RM

 TIME:  Aerobic exercise 20-60 min per day  Resistance: 1-3 sets of 8 to 12 reps

 T YPE:  Aerobic exercises: walking cycling, swimming  Resistance exercises: resistance machines or weight bearing functional tasks targeting all muscle groups


All cancer patients or cancer survivors should be cleared to exercise before adhering to an exercise routine Heart rate, blood pressure and other relative viral signs should be monitored during exercise session Exercise session should be stopped if any abnormal symptoms appear in participant

DON’T FORGET


SPECIAL CONSIDERATIONS  M ay ex p e r i e n c e f a t i g ue r e l a te d to t h e r a py  Since the bone is a common place for m et a s t a s e s i n m a ny c a n c e r s , h i g h i m p a c t a c t i v i t i e s s h o u l d b e av o i d e d a s w e l l a s c o n t a c t s p o r t s to av o i d i n j ur y a n d f r a c t ur e r i s k  P a t i e n t s w h o h av e h a d a b o n e t r a n s p l a n t s h o u l d av o i d ex e r c i s i n g i n p u b l ic p l a c e s b e c a u s e i t i n c r e a s e s t h e i r r i s k o f c o n t am i n a t io n .  P a t i e n t s t h a t a r e u n d e r g o in g c h e m ot h e r a py m ay ex p e r ie n c e b o u t s o f f a t i g u e . E x e r c is e P r e s c r i p t io n m u s t b e m o d i fi e d a c c o r d in g l y. Fo r ex a m p le , i n te n s i t y o f ex e r c is e c a n b e decreased


T H E G ROUP P SYC H OT H E RAP Y A N D H OM E BA SE D P H YSI CAL E X E RC I SE ( GROUP - H OP E ) T RI AL I N CA N C ER SURVI VORS: P H YSI CA L F I T NE SS A N D QUA LI T Y OF LI F E

 Cancer and the treatment of cancer such as surgery, radiation therapy and chemotherapy produce morbidities that reduce the quality of life among cancer patients.  It takes a toll on a patient’s psychological and physical well being.  Exercise and psychotherapy has shown to improve quality of life among cancer patients  A study was made to see the improvement of quality of life among two groups of cancer patients. Once only received psychotherapy and the other received both psychotherapy and exercise.  All interactions favored the group psychotherapy + exercise condition.


REFERENCES Courneya, K.S., Friedenreich, C.M., Sela, R.A ., Quinney, H.A ., Rhodes, R.E., & Handman, M., (2003) The Group psychotherapy and home based physical exercise ( GroupHope) trial in cancer survivors: Physical fitness and quality of life. Psycho-Oncology, 12, 357-374.


Exercise Perscription for Cancer Patients