scholarly journals Multidisciplinary rehabilitation program after breast cancer: Potential benefits analysis on physical function and quality of life

2014 ◽  
Vol 57 ◽  
pp. e370
Author(s):  
A.F. Leclerc ◽  
M. Foidart-Dessalle ◽  
P. Coucke ◽  
M. Devos ◽  
Y. Henrotay ◽  
...  
Author(s):  
Anne-France Leclerc ◽  
Marguerite Foidart-Dessalle ◽  
Marco Tomasella ◽  
Philippe Coucke ◽  
Martine Devos ◽  
...  

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Anders Olsson ◽  
Katarina Woxnerud ◽  
Gabriel Sandblom ◽  
Otto Stackelberg

Abstract Aim Management of diastasis recti abdominis (DRA) differs regarding core training, surgical repair methods and post-operative rehabilitation. The purpose of this prospective cohort study was to evaluate the effect of a novel concept of treatment for DRA, the TOR-concept (Training, Operation and Rehabilitation). The concept includes preoperative evaluation of symptoms and instructed abdominal core training; tailored surgical repair of the DRA; and an individualized postoperative rehabilitation program. Material and Methods A cohort of seventy-five post-partum women with diagnosed DRA and training resistant core dysfunctions were evaluated and included to the study during 2018-2020. After surgery, all participants underwent an individualized supervised rehabilitation program with progressive increasing load for four months. Physical function was registered preoperatively and one year after surgery with the disability rating index (DRI) questionnaire. Quality of life (QoL) was assessed with the SF-36 questionnaire. The DRA and the surgical result were assessed with ultrasonography before and one year after surgery. Results Sixty-nine participants, 92%, completed the study. There were no DRA-recurrences at the 1-year follow-up. Early results shows that self-reported physical function, (DRI), improved in 88.8 % of patients, with a mean score improvement of 78.5 %. Quality of life, (SF-36), improved significantly compared with the preoperative scores, and reached a level similar to, or higher than, the normative Swedish female population. Conclusions In this cohort of post-partum women with DRA combined with core instability symptoms resistant to training, surgical reconstruction within the TOR-concept resulted in a significant improvement of physical function and QoL.


2001 ◽  
Vol 33 (5) ◽  
pp. S306
Author(s):  
E Orsega-Smith ◽  
A Mastro ◽  
N Williams ◽  
M Perry ◽  
W Kraemer ◽  
...  

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
C C Oliveira ◽  
M Matos ◽  
R Azevedo ◽  
R Flores ◽  
P Medeiros ◽  
...  

Abstract Background Cancer treatment–related cardiotoxicity (CTrCD) is commonly associated with anthracyclines and anti-HER2 agents which are widely used for the treatment of breast cancer. In order to mitgate CTrCD, exercise-based cardio-oncology rehabilitation (COR) involving a structured exercise program has been proposed. Objectives To evaluate the impact of a cardiac-rehabilitation program in breast cancer patients submitted to chemotherapy with known cardiotoxicity. Methods A systematic review was performed. Two databases were searched, PubMed and SCOPUS. All randomized or controlled trials and other prospective studies published between 2000 and March 2020 which evaluate the impact of an aerobic exercise program on cardiorespiratory fitness (CRF), health-related quality of life (QOL), vascular/endothelial function as well as cardiac assessment namely through the evaluation of left ventricular function and cardiac biomarkers in patients undergoing anthracycline and/or anti-HER2 treatments were included. Main results Fourteen studies were included enrolling 578 breast cancer patients with a mean age of 48.80 years. Regarding the impact of exercise in CRF, 5 studies (n=176) reported a significant improvement of VO2 max. and 4 studies of VO2max./kg (n=137). The peak power output was also improved in 4 studies (n=95) in the exercise-group. Considering the assessment of QOL, 3 studies (n=180) revealed significant differences favoring the exercise-group. The results regarding the evaluation of the LVEF were not clear: 2 studies (n=48) reported a significant decrease on LVEF when compared to baseline at the end of the intervention in both groups, despite the exercise program. However, 2 studies (n=97) showed a significant increase on LVEF in the exercise-group. Three studies (n=82) did not found significant differences in global longitudinal strain between groups. Limited evidence was found in vascular and endothelial functon. In 2 studies (n=50), endothelial function measured by brachial artery flow-mediated dilatation significantly improved in the exercise-group. Two studies (n=98) reported no significant impact of exercise on atenuating the increase of cTnI and BNP levels in the course of chemotherapy. On the other hand, when considering NT-proBNP, an increase in its levels was attenuated in the exercise-group. Conclusions This study confirms that exercise-based COR seems to be an effective approach to improve several cardiovascular outcomes and quality of life in breast cancer patients. FUNDunding Acknowledgement Type of funding sources: None.


2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Alvin Wiharja

The prevalence of cancer increases each year, from 4.7‰ in 2007 to 5 ‰ in 2013. InWest Java, the prevalence of cancer is quite high at 1.0 ‰. Obesity becomes a risk factor forcancer. Exercise is aimed to solve the obesity problem, prevent and improve the cancer patientcondition, as well as improve the quality of life of cancer patients. Exercise plays a role in thetreatment of cancer patients. The potential benefits obtained during and after exercise areincrements of strength, speed, muscle mass, physical functions, range of motions, immunefunctions, the average completeness of chemotherapy, improved body shape, moods andconfidence. For patients diagnosed with breast cancer, exercise acts as a therapeutic to preventthe disease and its etiology factors (hormonal theory, the theory of immunity and inflammationtheory). Applying the proper exercise (frequency, intensity, type and time) in cancer patientswould improve the physical performance which is impaired due to cancer. Exercise canimprove levels of fitness, muscle strength, quality of life and fatigue in patients with cancersurvivors. Diagnosis and management of cancer can decrease the system performance organsand it would be upgrade by good exercise.Keywords: breast cancer,exercise


2020 ◽  
Author(s):  
Darpan Patel ◽  
Angela Gonzalez ◽  
Monica Serra ◽  
Joelle Roberts ◽  
Aisling Burns ◽  
...  

UNSTRUCTURED Background: In breast cancer (BCa) survivors, chemotherapy induced muscle loss has been shown to be reserved with structured resistance exercise. Creatine supplementation can increase bioenergetics in skeletal muscle, helping improve overall strength and endurance. Therefore, we hypothesize that adding creatine supplementation can accelerate exercise adaptations in BCa survivors. Methods/Design: We aim to test this hypothesis by conducting an open-label, randomized controlled trial of 30 BCa survivors that have completed chemotherapy within 6 months of enrollment. Eligible participants will be equally randomized (1:1) to either a creatine + exercise group or an exercise only group for this 12-week intervention. Individuals randomized to receive creatine will be initially dosed at 20 g/day for 7 days to boost availability of creatine systemically. Thereafter, the dose will be reduced to 5 g/day for maintenance through the duration of the 12-week protocol. All participants will engage in three center-based exercise sessions completing 3 sets of 8-12 repetitions on the chest press, leg press, seated row, shoulder press, leg extension and leg curl machines. Primary outcomes include changes in strength, body composition, and physical function in BCa survivors. Secondary outcomes are intramuscular concentrations of creatine and ATP in the vastus lateralis, mid-thigh cross sectional area and quality of life. Discussion: Creatine is being studied as a potential agent to improve adaptations to exercise in BCa survivors following chemotherapy. Findings from this trial may have future implications to supporting BCa survivors reverse the muscle loss experienced during chemotherapy and improve their physical function and quality of life.


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