Interventions to promote exercise in cancer survivors who report better levels of adherence share some common behaviour change techniques .
These involve setting programme goals , prompting practise and self-monitoring and encouraging participants to attempt to generalise behaviours learned in supervised exercise environments to other , non-supervised context s. However , expecting most sedentary survivors to achieve current guideline recommendations of at least 150 minutes per week of aerobic exercise is likely to be unrealistic .
BACKGROUND The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent .
However , how to promote exercise behaviour in sedentary cancer cohorts is not as well understood .
A large majority of people living with or recovering from cancer do not meet exercise recommendations .
Hence , review ing the evidence on how to promote and sustain exercise behaviour is important .
OBJECTIVES To assess the effects of interventions to promote exercise behaviour in sedentary people living with and beyond cancer and to address the following questions : Which interventions are most effective in improving aerobic fitness and skeletal muscle strength and endurance ?
What adverse effects are attributed to different exercise interventions ?
Which interventions are most effective in improving exercise behaviour amongst patients with different cancers ?
Which interventions are most likely to promote long-term ( 12 months or longer ) exercise behaviour ?
What frequency of contact with exercise professionals is associated with increased exercise behaviour ?
What theoretical basis is most often associated with increased exercise behaviour ?
What behaviour change techniques are most often associated with increased exercise behaviour ?
Effectiveness of a Multidimensional Physical Therapy Program on Pain, Pressure Hypersensitivity, and Trigger Points in Breast Cancer Survivors: A Randomized Controlled Clinical Trial
Objective To evaluate the effects of an 8-week multidimensional physical therapy program , including strengthening exercises and recovery massage , on neck and shoulder pain , pressure hypersensitivity , and the presence of active trigger points ( TrPs ) in breast cancer survivors . Methods In this r and omized controlled clinical trial , 44 breast cancer survivors were r and omly assigned into 2 groups : CUI DATE group who received a multidimensional physical therapy program ; or CONTROL group who received usual care treatment for breast cancer . CUI DATE program consisted of 24 hours of individual physical training ( aerobic , mobility , stretching , and strengthening exercises ) and 12 hours of physical therapy recovery ( stretching , massage ) interventions ( 3 times/wk , 90 min ) . Outcomes included neck and shoulder pain ( visual analog scale , 0 to 100 ) , pressure pain thresholds over the C5-C6 zygapophyseal joints , deltoid muscles , second metacarpal and tibialis anterior muscles , and the presence of active TrPs in shoulder muscles . Outcomes were assessed at baseline and after the 8-week program by a blinded assessor . Results The CUI DATE group showed an estimated improvement for neck pain of –56 mm [ 95 % confidence interval ( CI ) , −71-–40 , P<0.001 ; effect size 2.72 , 1.94 to 3.44 ] and for shoulder/axillary of –56 mm ( 95 % CI , –74-–38 , P<0.001 ; effect size 2.45 , 1.66 to 3.23 ) . Improvements were also noted for pressure pain thresholds levels : C5-C6 zygapophyseal joints ( between-group differences 101 kPa , 95 % CI , 60 - 143 ; effect size 1.68 , 1.00 to 2.35 ; 92 kPa 55 to 129 ; d : 1.98 , 1.18 to 2.77 ) , deltoid muscles ( 98 kPa , 45 to 149 ; d : 1.34 , 0.62 to 2.04 ; 75 kPa 18 to 132 ; d : 1.12 , 0.27 to 1.96 ) , second metacarpal ( 93 kPa , 45 to 134 ; d : 1.30 , 0.63 to 1.86 ; 99 kPa 59 to 139 ; d : 1.60 , 0.96 to 2.24 ) , and tibialis anterior muscles ( 71 kPa , 40 to 144 ; d : 1.16 , 0.65 to 2.34 ; 118 kPa 57 to 178 ; d : 1.17 , 0.56 to 1.77 ) . Finally , patients within the CUI DATE program showed a greater reduction of active muscle TrPs compared with the CONTROL group ( P<0.01 ) . Conclusions An 8-week multidimensional program including strengthening exercises , and massage as major components was effective for improving neck and shoulder pain and reducing widespread pressure hyperalgesia in breast cancer survivors compared with usual care treatment
Interventions to promote exercise in cancer survivors who report better levels of adherence share some common behaviour change techniques .
These involve setting programme goals , prompting practise and self-monitoring and encouraging participants to attempt to generalise behaviours learned in supervised exercise environments to other , non-supervised context s. However , expecting most sedentary survivors to achieve current guideline recommendations of at least 150 minutes per week of aerobic exercise is likely to be unrealistic .
BACKGROUND The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent .
However , how to promote exercise behaviour in sedentary cancer cohorts is not as well understood .
A large majority of people living with or recovering from cancer do not meet exercise recommendations .
Hence , review ing the evidence on how to promote and sustain exercise behaviour is important .
OBJECTIVES To assess the effects of interventions to promote exercise behaviour in sedentary people living with and beyond cancer and to address the following questions : Which interventions are most effective in improving aerobic fitness and skeletal muscle strength and endurance ?
What adverse effects are attributed to different exercise interventions ?
Which interventions are most effective in improving exercise behaviour amongst patients with different cancers ?
Which interventions are most likely to promote long-term ( 12 months or longer ) exercise behaviour ?
What frequency of contact with exercise professionals is associated with increased exercise behaviour ?
What theoretical basis is most often associated with increased exercise behaviour ?
What behaviour change techniques are most often associated with increased exercise behaviour ?