Cancer Lecture

Question 1

Fatigue

Answer 1

number 1 side effect for cancer patients
not proportional to the amount of activity the pt is doing

25-99% cancer pts experience fatigue. Depends on type, stage, treatment received

Not relieved by rest, can persist up to 5 years

Question 2

Over rest and cancer

Answer 2

adds deconditioning on top of the fatigue
does not lessen the fatigue
exercise had help to manage the fatigue

Question 3

Exercise and Cancer

Answer 3

Aerobic: 3x/week for 30 min
Resistance: 2x week of 2 sets of 12-15 reps
Combo: add those together

all at moderate intensity, low will not do anything

Question 4

Contraindications to strength training, cancer

Answer 4

pathologic fraction from bone metastases
platelets below 20,000. Hemoglobin <8.0

Question 5

Precautions to strength training, cancer

Answer 5

at risk for fractures
surgical precautions
balance impairments
tachycardia/orthostasis/HTN

Question 6

Severe Fatigue recommendations

Answer 6

you should do daily functional strengthening!
low intensity

Question 7

How would you assess and adjust your exercise program to achieve moderate intensity?

Answer 7

Monitor!
-vitals, RPE, fatigue
Exercise Modification!
-change load to achieve moderate intensity

Question 8

Mild Fatigue Resistance Exercise

Answer 8

F = 2-3 days a week
I = moderate, 60-70% 1 RM, 1-2 sets of 8-12 reps
T = 8-10 exercises for major muscle groups
T = theraband, free weights, weight machines

Question 9

Moderate Fatigue Resistance Exercise

Answer 9

F = 2-3 days a week
I = low-mod, 30-50% 1 RM, progress to 60-70% 1 RM, 1-2 sets of 10-15 reps
T = 8-10 exercises for major muscle groups
T = theraband, free weights, weight machines, lowest weight on rack