Exercise at-rde

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"Local initiatives developing"Local initiatives developing
exercise programmes forexercise programmes for
cancer patients"...

Aims
 To establish exercise programmes forTo establish exercise programmes for
patients receiving treatment for cancerpat...

Common Symptoms ofCommon Symptoms of
cancer treatmentcancer treatment
 Fatigue / decreased energy levelsFatigue / decreas...

Positive effects of exercisePositive effects of exercise
 Reduces stress on the heart andReduces stress on the heart and
...

Benefits of exercise for cancerBenefits of exercise for cancer
patientspatients

““Evidence is accumulating that exerciseEvidence is accumulating that exercise
is beneficial for cancer sufferersis benefi...

Research - Fatigue
 Speck et al (2010)Speck et al (2010)

Meta analysis – Concluded that physicalMeta analysis – Conclud...

ResearchResearch
Quality of LifeQuality of Life
 Courneya et al (2005)Courneya et al (2005)

studies concluded that exer...

ResearchResearch
Neutropenia / thrombocytopeniaNeutropenia / thrombocytopenia
 Dimeo et al (1997)Dimeo et al (1997)

RCT...

If there is oneIf there is one
message from themessage from the
evidence it is:evidence it is:
Rest is NOT alwaysNOT alway...

What has been happening at theWhat has been happening at the
RD&E !RD&E !

Problems facing haematologyProblems facing haematology
patientspatients
 Intensive and lengthyIntensive and lengthy
chemo...

RD&E Haematology UnitRD&E Haematology Unit
PastPast
PresentPresent

The Wii!
““ There is growing evidenceThere is growing evidence
of the benefits of the Wii,of the benefits of the Wii,
and ...

The introduction of the Wii
 ELF donationELF donation
 Wii sport and Wii fitWii sport and Wii fit
 Study Jan 09- July 0...

The ResultsThe Results
Wii Study 2009Wii Study 2009

Initial AssessmentInitial Assessment
Type ofType of
exerciseexercise
% of patients% of patients
No exerciseNo exercise 40 ...

0
0.5
1
1.5
2
2.5
3
Patients
1 2 3 4 5 6 7 8 9 10
1=Very Happy 10=Very Depressed
Mood
Start Patients Follow up Patients

0
1
2
3
4
5
1 2 3 4 5 6 7 8 9 10
1=VeryMotivate 10=V.De-motivated
Motivation
Start Patients Follow up Patients

0
1
2
3
4
1 2 3 4 5 6 7 8 9 10
1=VeryActive 10=VeryInactive
Physical Activity
Start Patients Follow up Patients

Results
 85% study reported85% study reported
average of 30 minsaverage of 30 mins
accumulated exerciseaccumulated exerci...

What happened next!What happened next!
• Proposal for fundingProposal for funding
of Physiotherapyof Physiotherapy
Technic...

Evaluation of PilotEvaluation of Pilot
 Patients identified byPatients identified by
MDTMDT
 New diagnosis, newNew diagn...

““Was it useful having a Technical InstructorWas it useful having a Technical Instructor
monitor your exercise programme?”...

0
20
40
60
80
100
Mood
Motivation
Energy Levels
Physical
Activity
Overall Well
Being
ResultsResults

How would you rate theHow would you rate the
improvement ?improvement ?
0
2
4
6
8
10
Mood
Motivation
Energy Levels
Physica...

‘‘Are there any other comments you wouldAre there any other comments you would
like to make?’like to make?’
 ““Feel good ...

What is going well ?What is going well ?
Many Thanks to ELFMany Thanks to ELF
• Permanent TechnicalPermanent Technical
Ins...

Cancer Rehabilitation ProgrammesCancer Rehabilitation Programmes
 Pilot agreed !Pilot agreed !
 Two 8 week programmesTwo...

The FutureThe Future
 More Promotion of InformationMore Promotion of Information
 Fly fishing / Dragon Boat racing!Fly f...

AnyAny
Questions?Questions?

ReferencesReferences
 Campbell, A.Campbell, A. (2007)(2007) Exercise after cancerExercise after cancer
diagnosis. Availab...

 Jones, L and Courneya, K. (2002)Jones, L and Courneya, K. (2002)
Exercise discussions during cancerExercise discussions ...

 Meyerhardt, J., Giovannucci, E., Holmes,Meyerhardt, J., Giovannucci, E., Holmes,
M. (2006)M. (2006) Physical activity an...

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