Abstract
Current oncology and oncohematology treatment methods allow more patients to successfully survive the disease. However, afterwards, most survivors have to deal with a wide range of symptoms and side effects and need rehabilitation. Personalized rehabilitation programs for such patients employ various methods of physical medicine. Physical activity is an important component of the cancer patients' treatment and rehabilitation. It improves their functional health, specifically — physical performance, cognitive function, psychological health, and makes the quality of their lives better. Physical activity increases muscle strength, alleviates the radiation and chemotherapy side effects and relieves fatigue. Personalized exercise programs are employed to monitor patient's condition and exercise tolerance. Physical and cognitive rehabilitative interventions are performed simultaneously as part of interdisciplinary rehabilitative care, so this approach can have a synergistic effect. It is necessary to factor in contraindications when prescribing regular physical activity, exercise and other methods of rehabilitation, otherwise they can lead to clinical complications.
Highlights
Current oncology and oncohematology treatment methods allow more patients to successfully survive the disease
According to the results of the analysis of 15 studies dedicated to blood and urine physical activity biomarkers sampled from cancer survivors [17], moderate intensity exercise therapy (70–85% of the maximum heart rate and/or 11–13 points on the Borg Scale Rating of Perceived Exertion) has a significant effect on some biomarkers: fasting insulin concentration either decreased or remained relatively stable, but increased in untrained patients; insulin resistance decreased post-exercise with no change in control; the levels of IGFI, IGFII and IGFBP3 decreased after 6 months of training and increased in the control group, which translated into a significant difference between the groups
A crosssectional, observational study aimed to identify the factors influencing muscle function in hematologic malignancy (HM) inpatients; the results of this study show that a rehabilitation intervention designed to increase physical activity and improve the nutritional status should be considered necessary in the context of improvement of muscle function in HM patients [33]
Summary
Kamilova ТА1, Golota AS1 , Vologzhanin DA1,2, Shneider ОV1, Scherbak SG1,2 1 Saint Petersburg City Hospital No 40, Saint Petersburg, Russia 2 Saint-Petersburg State University, Saint Petersburg, Russia. Current oncology and oncohematology treatment methods allow more patients to successfully survive the disease. Personalized rehabilitation programs for such patients employ various methods of physical medicine. Physical activity is an important component of the cancer patients' treatment and rehabilitation. It improves their functional health, — physical performance, cognitive function, psychological health, and makes the quality of their lives better. Physical activity increases muscle strength, alleviates the radiation and chemotherapy side effects and relieves fatigue. Personalized exercise programs are employed to monitor patient's condition and exercise tolerance. Physical and cognitive rehabilitative interventions are performed simultaneously as part of interdisciplinary rehabilitative care, so this approach can have a synergistic effect.
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