Guidelines for Therapeutic Exercise

Question 1

Platelets < 20-25,000

Answer 1

• NO Exercise

Question 2

Platelets < 25-50,000

Answer 2

• AROM
• Few Isometrics
• Light weight Isometrics
• No prolonged stretching, heavy resistive, or isokenteic

Question 3

Platelets > 50,000

Answer 3

• Most programs are fine

Question 4

Hct / Hb < 25/10

Answer 4

• ROM
• Isometic
• NO aerobic, isotonic

Question 5

Hct / Hb 25-35/10-12

Answer 5

• Light aerobic, isotonic

Question 6

Hct / Hb > 35/12

Answer 6

• Most Programs are fine

Question 7

Pulmonary Function < 50% Capacity

Answer 7

• No aerobic

Question 8

Pulmonary Function 50-75% Capacity

Answer 8

• Light aerobic

Question 9

Pulmonary Function 75% + Capacity

Answer 9

• Most Programs are fine

Question 10

Bone Mets > 50% Cortex involved

Answer 10

• No Exercise

- NWB

Question 11

Bone Mets 25-50% Cortex involved

Answer 11

• ROM (no stretching)

- PWB

Question 12

Bone Mets 0-25% Cortex involved

Answer 12

• Few submaximal Isometrics

- FWB

Question 13

Severe Osteoporosis

Answer 13

• Few submaximal isometrics
• Light Weight isotonics
• ROM

Question 14

Moderate Osteoporosis

Answer 14

• Few Submaximal isometics
• Light Weight isotonics
• ROM
  (SAME AS SEVERE)

Question 15

Mild Osteoporosis

Answer 15

• Most exercise are Fine

Question 16

ECG

Answer 16

• Recent PVC’s effusions, pericardial effusions, multiple metastases, ROM,
• Few submaximal isometrics
• CONSULT CARDIOLOGIST

Question 17

NA+ below 130

Answer 17

• No exercise

Question 18

K+ 3.0 or below

Answer 18

• Low serum osmolablity

- CONSULT INTERNIST before Exercise

Question 19

Precaustions to Aerobic Exercise in Chemotherapy

Answer 19

• Platelet count < 50,000/ml
• Hemoglobin < 10 g/ml
• WBC Count < 3000 / ml
• Absolute Granulocytes < 500 / ml

Question 20

WBC contain what important Proteins?

Answer 20

• Neutrophils
• Eosinophils
• Basophils

Question 21

Contraindications

Answer 21

• Most modalities are contraindicated on the premises that increasing circulation or stimulating in any way may increase the rate of growth and the chance of metastasis, but every situation should be evaluated on an individual basis and the doctor consulted.