Timing and Sustainability of an Exercise Intervention in Women With Breast Cancer During and After Cancer Treatment

2011 ◽  
Vol 39 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Fang-yu Chou ◽  
Marylin J. Dodd ◽  
Steven M. Paul
Keyword(s):  
Breast Cancer ◽  
Cancer Treatment ◽  
Exercise Intervention ◽  
After Cancer

scholarly journals The effects of an individualized exercise intervention on body composition in breast cancer patients undergoing treatment

2007 ◽  
Vol 125 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Claudio Battaglini ◽  
Martim Bottaro ◽  
Carolyn Dennehy ◽  
Logan Rae ◽  
Edgar Shields ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Composition ◽  
Resistance Training ◽  
Cancer Treatment ◽  
Cancer Patients ◽  
Exercise Intervention ◽  
Exercise Group ◽  
Moderate Intensity ◽  
Control Group ◽  
Breast Cancer Patients

CONTEXT AND OBJECTIVE: Changes in metabolism have been reported in the majority of patients undergoing cancer treatment, and these are usually characterized by progressive change in body composition. The effects of aerobic exercise programs to combat the cancer and cancer treatment-related side effects, which include the negative changes in body composition, have been extensively reported in the literature. However, few resistance exercise intervention studies have hypothesized that breast cancer patients might benefit from this type of exercise. The purpose of this study was to determine whether exercise protocols that emphasize resistance training would change body composition and strength in breast cancer patients undergoing treatment. DESIGN AND SETTING: Randomized controlled trial, at the Campus Recreation Center and Rocky Mountain Cancer Rehabilitation Institute of the University of Northern Colorado, and the North Colorado Medical Center. METHODS: Twenty inactive breast cancer patients were randomly assigned to a 21-week exercise group (n = 10) or a control group (n = 10). The exercise group trained at low to moderate intensity for 60 minutes on two days/week. The primary outcome measurements included body composition (skinfold method) and muscle strength (one repetition maximum). RESULTS: Significant differences in lean body mass, body fat and strength (p = 0.004, p = 0.004, p = 0.025, respectively) were observed between the groups at the end of the study. CONCLUSION: The results suggest that exercise emphasizing resistance training promotes positive changes in body composition and strength in breast cancer patients undergoing treatment.

Continuing to work while receiving cancer treatment: A financial or a symbolic issue?

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 6603-6603 ◽  
Author(s):  
Gerard Ganem ◽  
Herve L. Naman ◽  
Nadine Dohollou ◽  
Thomas Facchini ◽  
Yvan Coscas ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Treatment ◽  
Care Center ◽  
Median Number ◽  
New Drugs ◽  
Health Care Center ◽  
Financial Gain ◽  
After Cancer ◽  
Cure Rates ◽  
Do So

6603 Background: As improved cure rates lead to longer life expectancy, occupational concerns during and after cancer treatment become important. The advent of new drugs with fewer side effects will increase the profile of this issue. We carried out a field survey to explore the question. Methods: We questioned 97 oncologists, and a subgroup of 216 patients treated for breast cancer who were working at the time of diagnosis and who wanted to continue to do so during at least part of the treatment period. Results: Data Collected from Patients: In total, 208 patients (96%) were satisfied or very satisfied with their jobs. Only 68 (31%) were able to achieve the goal of working without interruption while being treated (physicians estimated that figure at only 11%). For the remaining women, who did stop working (69%), the median number of days off work was 59. Data Collected from Physicians: A total of 87 physicians (89%) stated that having information regarding working conditions is very important when counseling patients about whether they could continue to work. Comparison of the answers given by patients and physicians: 36% of physicians thought that the initiative in addressing the work/job issue was taken primarily by themselves, while 53% felt it came from the patient. The patient perspective was different: 61% of patients thought they took the initiative themselves and only 13% of them thought the physician took the lead. The main reason behind the desire to continue working is thought by 56% of physicians to be “Financial gain”; while for patients it is “To feel the same” (42%). A total of 90 (92%) physicians feared that those patients continuing to work would face at least one type of medical difficulty; only 143 (66%) patients shared this fear. Lastly, although 94% of the physicians have access to psychological or psychiatric support workers at the health care center, only 62% have access to a social worker. Conclusions: Of the patients who really wanted to work while being treated for breast cancer, only 31% could achieve that goal without any interruption. There is also a difference of perception regarding patient motivation, with physicians believing that the reasons are mainly financial while the patients see it as more of a symbolic issue.

scholarly journals From Provision of Information, Through Activation, to Changing the Social World. The Amazonki Associations as a Source of Comprehensive Support for Women with Breast Cancer

2019 ◽  
Vol 9 (2) ◽  
pp. 56-72
Author(s):  
Edyta Zierkiewicz
Keyword(s):  
Breast Cancer ◽  
Cancer Treatment ◽  
Social World ◽  
Breast Cancer Treatment ◽  
Women Patients ◽  
Mutual Help ◽  
The Social ◽  
After Cancer ◽  
Social Units

This work presents the phenomenon of mutual help and social support in a group of patients with breast cancer, against the background of transformations of the whole Amazonki (Amazons) movement. Social organizations embracing women after breast cancer treatment have been operating in Poland for over 30 years. In that time, they have proven their usefulness and importance. Since the beginning of their existence, the Amazons clubs were oriented to providing support, widely understood, to women patients in oncological wards and club members; they have been successful in that area so far. What is important is the fact that individual clubs of women after cancer treatment are not separate social units, but form a federation which, since the early 1990s, has been directing the process of rationalizing their operations. This work describes that process in general and presents the stage at which the Amazons movement is at present. What is interesting, the stagnation which has overcome the whole movement seems to have little or no effect at all on the functioning of separate associations, which pursue their statutory goal to support sick women in recovery and improve their quality of life.

Crowdsourcing the collateral damage from breast cancer treatment.

2014 ◽  
Vol 32 (26_suppl) ◽  
pp. 110-110
Author(s):  
Susan M. Love ◽  
Amaka Obidegwu ◽  
Christine A Fischetti
Keyword(s):  
Breast Cancer ◽  
Cancer Treatment ◽  
Questionnaire Development ◽  
Breast Cancer Treatment ◽  
Medical Community ◽  
Collateral Damage ◽  
Advocacy Organizations ◽  
Memory Problems ◽  
After Cancer ◽  
Tract Infections

110 Background: Survivorship research focuses on quality of life after cancer treatment, but is usually initiated by providers and lacks the voice of the patient. In an effort to explore the patient perspective, we convened a collaboration of advocacy groups to “crowdsource” women’s questions regarding collateral damage from breast cancer treatment. These concerns will be incorporated into the Health of Women [HOW] Study, an ongoing, online cohort study open to anyone aged 18 or older. Methods: Emails to current HOW participants were sent out July 2013 to solicit questions. In October 2013, a new webpage was designed to collect responses; we then partnered with other advocacy organizations and began collecting responses, which were then categorized to guide questionnaire development. Results: Sixteen advocacy organizations came together to support this project. Emails to current HOW participants resulted in 1,191 responses. The website landing page resulted in 5,099 responses. Overall, 16.8% of respondents complained of fatigue, 16.3% of memory problems, 15.7% of anxiety and/or depression, and 14.0% of numbness/neuropathy. Other less frequently reported problems included problems with nail growth, vision, hearing, urinary tract infections, and allergy-like symptoms. Conclusions: We received an overwhelming number of responses about collateral damage. Many of the issues are known side effects, while others are less commonly reported. We will next compare responses to previously validated questionnaires, develop a comprehensive collateral damage questionnaire for inclusion in the HOW Study, and generate a report for publication to be distributed to participants and the medical community.

scholarly journals Role of physiotherapy in supporting recovery from breast cancer treatment: a qualitative study embedded within the UK PROSPER trial

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e040116
Author(s):  
Sophie Rees ◽  
Bruno Mazuquin ◽  
Helen Richmond ◽  
Esther Williamson ◽  
Julie Bruce
Keyword(s):  
Breast Cancer ◽  
Cancer Treatment ◽  
Exercise Intervention ◽  
Well Being ◽  
Breast Cancer Treatment ◽  
Breast Cancer Surgery ◽  
Sense Of Control ◽  
Post Surgery ◽  
The Uk ◽  
Behavioural Strategies

ObjectivesTo explore the experiences of women with breast cancer taking part in an early physiotherapy-led exercise intervention compared with the experiences of those receiving usual care. To understand physiotherapists’ experience of delivering the trial intervention. To explore acceptability of the intervention and issues related to the implementation of the Prevention Of Shoulder Problems (PROSPER) programme from participant and physiotherapist perspective.DesignQualitative semistructured interviews with thematic analysis.SettingUK National Health Service.ParticipantsTwenty participants at high risk of shoulder problems after breast cancer surgery recruited to the UK PROSPER trial (10 each from the intervention arm and control arm), and 11 physiotherapists who delivered the intervention. Trial participants were sampled using convenience sampling. Physiotherapists were purposively sampled from high and low recruiting sites.ResultsParticipants described that the PROSPER exercise intervention helped them feel confident in what their body could do and helped them regain a sense of control in the context of cancer treatment, which was largely disempowering. Control arm participants expressed less of a sense of control over their well-being. Physiotherapists found the exercise intervention enjoyable to deliver and felt it was valuable to their patients. The extra time allocated for appointments during intervention delivery made physiotherapists feel they were providing optimal care, being the ‘perfect physio’. Lessons were learnt about the implementation of a complex exercise intervention for women with breast cancer, and the issues raised will inform the development of a future implementation strategy.ConclusionsA physiotherapist-delivered early supported exercise intervention with integrated behavioural strategies helped women at risk of shoulder problems following breast cancer treatment to feel more confident in their ability to mobilise their arm post-surgery. A physiotherapist-delivered early supported exercise intervention with integrated behavioural strategies may address the sense of powerlessness that many women experience during breast cancer treatment.Trial registration numberISRCTN35358984.

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