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- Title
A review of the effect of exercise on patients with advanced cancer.
- Authors
Bobrowski, David; Bobrowski, Adam; Lim, Fiona; Lam, Henry; Wan, Bo Angela; Diaz, Patrick; Silva, Maurício F.; Malek, Leila
- Abstract
The role of exercise as an intervention for advanced cancer patients remains understudied. The benefit of prescribed exercise programs in early-stage cancer is generally well accepted; however, physical activity regimens are an infrequent component of care in hospice and palliative cancer clinical settings. This chapter is a review of 18 studies, including pilot uncontrolled single-group trials, pilot randomized control trials (RCTs), and single case reports, on exercise as an adjunctive and palliative therapy in augmentting the physical and psychosocial function of patients with advanced cancer. Exercise has been shown to improve pain, fatigue, insomnia, psychological symptoms, quality of life, shortness of breath, functional capacities, and bone density in advanced cancer patients. Overall, the literature has endorsed Winningham's conception of palliation and the prescription of tailored exercise rehabilitation programs that take into consideration indiv-idual cancer-type, health status, treatment, and preferences. However, low adherence rates and significant clinical heterogeneity in both disease profile and exercise modality between studies have frustrated the establishment of standardized clinical guidelines for this patient population. Therefore, additional RCTs of adequate sample size investigating the effects of exercise on the biopsychosocial wellbeing of advanced cancer patients need to be conducted to clarify best practice protocols.
- Subjects
CANCER patients; DYSPNEA; EXERCISE; EXERCISE therapy; FATIGUE (Physiology); INSOMNIA; PALLIATIVE treatment; QUALITY of life; TUMORS; SYSTEMATIC reviews; BONE density; PHYSICAL activity
- Publication
Journal of Pain Management, 2018, Vol 11, Issue 3, p267
- ISSN
1939-5914
- Publication type
Article