Study Protocol: A Hybrid Delivery of Home-Based Cluster Set Resistance Training for Individuals Previously Treated for Lung Cancer

Background: Symptom burden remains a critical concern for individuals with non-small cell lung cancer (NSCLC) following the completion of treatment. The most common symptom clusters, dyspnea (shortness of breath) and fatigue,can contribute to physical decline, reductions in quality of life, and a higher risk of comorbidities and mortality. Dyspnea is a primary limiter of exercise capacity in individuals with lung cancer, resulting in exercise avoidance and an accelerated physical decline. As such, designing resistance training with cluster sets to mitigate symptoms of dyspnea and fatigue may result in improved exercise tolerance. Thus, maintainingthe exercise stimulus via cluster sets, combined with improved tolerance of the exercise, could result in maintenance of physical function and quality of life. The purpose of this study is to investigate the feasibility and preliminary efficacy of a hybrid-delivery home-based cluster-set resistance training program in individuals with NSCLC. Methods: Individuals with NSCLC (n=15), within 12-months of completion of treatment will be recruited to participate in this single arm feasibility trial. Participants will complete 8-weeks of home-based resistance training designed to minimizedyspnea and fatigue. The hybrid-delivery of the program will include supervised sessions in the participants’ home, and virtual supervision via video conferencing. The primary outcome of feasibility will be quantifiedby recruitment rates, retention, acceptability, and intervention fidelity. Exploratory outcomes (dyspnea, fatigue, quality of life, physical function, and body composition) will be assessed pre- and post- intervention. Discussion: This study will provide important data on the feasibility of delivering this intervention and inform procedures for a future randomized controlled trial. Trial Registration: Record not yet public

The effect of resistance training set configuration on strength and muscular performance adaptations in male powerlifters

The purpose of this study was to determine the effects of different set configurations on strength and muscular performance adaptations after an 8-week resistance training program. Twenty-four male powerlifters participated in this study and were randomly assigned to one of two resistance training groups: (1) cluster sets (CS: n = 8), (2), traditional sets (TS: n = 8), and a control group (CG: n = 8). All powerlifters were evaluated for thigh and arm circumference, upper and lower body impulsive activities, and 1 repetition maximum (1RM) in the back squat, bench press, and deadlift prior to and after the 8-week training intervention. After training, both the CS and TS groups increased arm and thigh circumferences and decreased body fat. The CS group resulted in greater increases in upper and lower body impulsive activities than the TS group, respectively. In addition, the CS and TS groups indicated similar changes in 1RM bench press, back squat, and deadlift following the 8 weeks training intervention. These results suggest that cluster sets induce adaptive changes that favor impulsive activities in powerlifters.

Potential of using cluster sets in physical rehabilitation of hypertensive patients

This article provides an overview of literature on physical rehabilitation of patients of middle and elderly age with hypertension. Possible approaches to hypertension prevention using different types of physical activity, aerobic exercise and resistance training are considered. Particular attention is paid to the use of cluster sets. This modeling is necessary to create physical rehabilitation techniques for a future randomized study.