Exercise and Cancer Flashcards
List five acute effects of typical cancer treatments
Pain Fatigue Lymphedema Limited ROM Skin Irritation Pulmonary inflammation Nausea Anemia Nerve damage/Neuropathy Weight gain/loss
What are 3 chronic effects of cancer treatment, different from typical acute effects?
Scar tissue buildup at radiation site bone loss Myopathy Lung scarring Fractures
Research results of exercise studies during and following treatment have shown improvements in a number of patient characteristics. Name five effects of exercise training.
Improved shoulder ROM and general flexibility
Improved strength, balance and aerobic capacity.
Decreased incidence/better management of treatment-related side effects.
Improved weight control, body image and sense of control.
Decreased incidence of depression and poor moods, and improved overall QoL.
When testing this population for exercise prescription, ACSM recommends 6 key points to consider. List and describe 3 of these.
> Obtain basic Hx of Dx and Tx.
Assess for adverse acute, chronic and late effects of Tx.
Evaluate co-morbidities that may influence ability and safety to exercise.
Consider affects of cancer and Tx on physical attributes (str, bal, end) and select, modify, and interpret tests accordingly (Subjective).
Determine need for medical clearance.
Consider relative and absolute CIs.
What attributes should be considered for exercise testing?
Aerobic capacity (Ramp protocol - ebbling)
Endurance/Functional capacity (S2S, Stair climbing, 6MWT)
Strength (1RM, 3RM, 10RM)
Flexibility (ROMs)
Neuromuscular control (gait and balance)
Along with the recommendations outlined by ACSM for exercise testing, there are 9 key points to consider when prescribing exercise. What are some of them?
> Ax condition, function and general health before each session.
Consider relative and absolute CIs during each session.
Program should be tailored to the unique changes from cancer and its Tx that may alter physical attributes.
Know where in the Tx schedule the client is adapt each session accordingly.
Recognise when to refer back to a physician for evaluation of new or worsening symptoms.
Know cancer specific emergencies.
Ax risks of adverse late effects of Tx that may increase exercise risk (ie. heart failure).
Adjust the program when present with a central line catheter or port.
Modify program based on current condition and is receiving Tx/ completed Tx.
What are some cancer specific emergencies to consider before/during an exercise session?
> Sudden loss of limb function
Fever, in immune-incompetent patients
Superior vena cava syndrome
spinal cord compression
