safely progress with an exercise program from treatment to - - PowerPoint PPT Presentation
Strength after Cancer: How to safely progress with an exercise program from treatment to survivorship Julie Everett DPT, CLT Laurie Fitz PT, CLT 1 Objectives Provide an overview of common physical side effects experienced by cancer
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Julie Everett DPT, CLT Laurie Fitz PT, CLT
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3 ACS Facts and Figures 2014-15
Our goal is to improve quality of life of cancer survivors by managing/reducing physical side effects of treatment
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endurance
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fitness
and weight
reoccurrence
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Disruption to system
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Arteries Veins
Capillaries
Lymph vessels
from axilla, groin, neck
http://en.wikipedia.org/wiki/File:Blausen _0623_LymphaticSystem_Female.png 8
Symptoms
fullness/firmness/heaviness
clothes or jewelry
Reducing Your Risk
– Blood Pressure – Needle Sticks – Tight/restrictive clothing
– Take care of your skin – Exercise
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Therapist (CLT)
Therapy (CDT) – Massage, skin care, compression, education, exercise**
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demonstrates safety
systematic manner
protective benefit
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supervised
weight
2-4 sessions of no negative changes
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exercise if diagnosed with lymphedema
return
women at risk for lymphedema
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– “An unpleasant sensory and emotional experience associated with actual or potential tissue damage” – Survivors can have pain from surgery, chemotherapy, or radiation – 33% of people with cancer will continue to have pain after curative care (National Cancer Institute) – Medication, therapy, exercise and relaxation techniques are useful treatment options
– Using safe and appropriate exercises to help increase the healthy movement – Move the sensation of pain further away from painful activities Healthy Movement Pain Injury
– Most common side-effect complaint – “Physical, emotional, or cognitive tiredness
recent activities and interferes with
better with rest.” – 14-96% of people during treatment and 19- 82% of people after treatment (National Cancer Institute)
– Anemia – Medications – Poor nutrition – Emotions
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home and take care of my family.”
WHAT?!?”
– Improved energy level – Appetite stimulation – Increased blood flow to tissues – Decreased pain – Improved quality of life – Increased strength and flexibility – Mood stimulation – Improved outlook on cancer challenges
(not household activities) had decreased fatigue and pain
starting an exercise program!
– Physical Therapists – Occupational Therapists – Personal Trainers
– Stay between 50-80% of maximal heart rate – Maximal Heart rate: 220 minus age (ex: 220- 32= 188) – 188 X .5 = 94 188 x .8= 154
– You should be able to have a conversation while working out.
diagnosis/treatment
– Sedentary lifestyle and/or low level of exercise – Able to complete household chores and family
– 2-4 x a week to the gym – Exercises classes and/or “weekend warrior”
– 4-5 x week at the gym – Competitive athlete and/or active lifestyle
building up the time (45 minutes)
– Walking, swimming, biking, hiking
– cardio, stretching, and weight training
– Lie on your back – Hold a broom or umbrella in both hands – Reach overhead until you feel the stretch – Hold for 15 seconds
– Standing with arms bent and at side – Rotate arms outward with elbows still at side – Slowly return to standing position
– Start with arms at your side – Keep elbows straight and raise arms to shoulder height – Can do with palm down (as shown) or thumbs up – Slowly lower arms to starting position
– Lay on your back with knees bent – Slight press your low back into the floor – Keeping back flat, slowly raise one knee to chest – Maintaining control in the back, slowly return
– Lay on your back with knees bent – Squeeze buttock – Lift buttock off the floor – Slowly return back to floor
– Lay on side with knees bent, keeping feet together – Lift top knee up, not allowing body to roll backwards – Slowly lower to starting position – Repeat on other side
previous activities during treatment- YOU WILL GET BACK!
motivated
goals – Cancer Exercise Specialist
– Walking – Stationary bike
– Work large muscle groups
– Stretching
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er/centers/cancer_rehab
ehabilitation/index.html
symptoms, and physical health related quality of life among breast cancer survivors: a prospective analysis. J Cancer Surviv 1 (2):116-28, 2007
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activity, long-term symptoms, and physical health related quality of life among breast cancer survivors: a prospective analysis. J Cancer Surviv 1 (2):116-28, 2007
Cancer Survivorship. Nutrition in Clin Practice 29 (6): 768-779, 2014
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http://bit.ly/JHBreastCaSurvivorship
http://bit.ly/JHBreastCaSurvivorshipWebinars
ebantug1@jhmi.edu
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