EXERCISE PRESCRIPTION FOR CANCER PATIENTS
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
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
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.