Abstract
Abstract Oncological patients should engage in physical activities during the entire period of medical treatment and aftercare taking into account the contraindications. Therapeutic exercises should be customized, according to the individuals’ cancer entity, medical side effects, and exercise experience—personalized exercise therapy. After medical treatment, cancer patients in Germany have a legal right to visit an oncological rehabilitation clinic. In addition, they have the opportunity to attend a rehabilitative sports group, which is funded by the health insurance companies. The aim of therapeutic exercises in the curative and palliative phase is prevention of negative physical and psychological consequences. The aim of therapeutic exercises in the rehabilitation phase is physical and mental recovery as well as psychosocial stabilization or improvement. During aftercare, cancer patients should also be encouraged to engage in home-based programs; however, these are not as effective as supervised therapy. Future studies must consider aspects of training control, specific assessments and exercise programs for palliative patients.
Highlights
When the first gynecological cancer survivors were supposed to be involved in a 6-week exercise-oriented rehabilitation program in the summer of 1980, the enormous protest was
When planning a therapeutic exercise intervention first of all, the cancer entity and its specific medical treatment have to be taken into account
A central and daily question regarding therapeutic exercising with oncological patients is: When to start with the exercise program? In the clinical setting, the trend is to involve exercise therapy as early as possible
Summary
A variety of relevant therapeutic aspects may influence physical exercising with oncological patients and must be considered. Three factors that are relevant when determining a physical exercise program with oncological patients are:. When defining the aims of physical activity in cancer patients, the following four levels need to be regarded: the physical, psychological, social, and educative level of the patient. These four aims apply to all cancer patients whether. Meaningful reviews with various entities indicate that physical activity can reduce the loss of power, counteract cancer related cachexia, reduce treatment-related side effects (nausea, vomiting, and pain), and improve general performance. An increased level of activity reduces the risk of comorbidities such as the metabolic syndrome [3,4,5,6,7,8, 10, 11, 14, 16]
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