Core Stability Program in Colorectal Cancer Survivors

Study Overview
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Brief Summary
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The purpose of this study is to determine the effects of physical training program to improve deep stabilizer muscle in colorectal cancer survivors

Detailed Description
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Background: Colorectal cancer is the third most common cancer when considering both genders. Musculoskeletal alterations have been described related to techniques used during surgery, that it produces an inhibition of deep abdominal muscles. These muscles are in charge of lumbopelvic stabilization muscle linked to reduced ability to maintain independence in daily activity life that could have affected their quality of life Objective: The aim objective will be evaluated short and long-term effects of physical activity program for muscle stabilization. Methods: 20 colorectal cancer survivors will be recruited from the Department of Oncology of Clínico San Cecilio Hospital. Patients will be randomized in physical activity program group and usual care group. Physical activity groups will receive an eight week program form improve the muscle stabilization. Discussion: Researchers attempts to increase the fitness level and reduce musculoskeletal disorders in colorectal cancer survivors through a physical activity interventions focusing in muscle stabilization.

Official Title
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Effectiveness of Core Stability Exercises on Abdominal Deep Muscles in Colorectal Cancer Survivors

Conditions
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Colorectal Cancer

Intervention / Treatment
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* Other: core stability


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients under partial colorectal resection to treat colon cancer Diagnosis of I, II or IIIa stage of colorectal cancer Completion of adjuvant therapy (except for hormone therapy) Medical clearance of participation Exclusion Criteria: Participants will be excluded if they presents with cancer recurrence or if they will have undergone previous abdominal surgeries or will be diagnosed with concomitant conditions, such as previous lower-back pain or musculoskeletal conditions (e.g., osteoarthritis, fibromyalgia or chronic fatigue syndrome).

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: core stability<br>Stabilized muscle program will consist of two months of individual physical training that it will be conducted 3 times/week for 90 min each. A correct progression to improve stabilization of deep abdominal muscles will be made. | Other: core stability<br> <br> |
| No Intervention: control group<br>usual care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Abdominal isometric endurance | Isometric endurance of trunk flexors will be used to determine endurance strength of abdominal muscles. Patients will be laid supine, maintaining hips and knees bent at 90 degrees, feet flat approximately 30 inches from the buttocks and arms extended with hands on knees without actually touching. Patients will be instructed to separate the trunk from the stretcher to the inferior angle of the scapula and maintain this position as long as possible. Time (in seconds) will be measured until a maximum of 90 seconds | Baseline- 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Fatigue | The Piper Fatigue Scale will be used for it measure. It scale includes 22 items and four dimensions (behavioural/severity, affective meaning, sensory and cognitive mood) | Baseline- 8 weeks | 
| Body composition: | It will be obtained with bioelectrical impedance analysis (Inbody 720; Biospace, Seoul, South Korea) | Baseline- 8 weeks | 
| Pain: | The participants will be completed a visual analogue scale to assess the presence of lower-back and/or abdominal pain. The Brief Pain Inventory (BPI) will be used to assess the interference and the experience of pain. | Baseline- 8 weeks | 
| Static balance | The Flamingo Test | Baseline- 8 weeks | 
| Flexibility | The chair sit and reach test | Baseline- 8 weeks | 
| Functional capacity | The 6-min walk test with treadmill (H-P-COSMOS for graphics; Germany) | Baseline- 8 weeks | 
| Fitness perceived | The International Fitness Scale (IFIS) | Baseline- 8 weeks | 
| Lower back muscle strength | dynamometer (TKK 5002 Back-A; Takey, Tokyo, Japan) | Baseline- 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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colorectal-neoplasms,deep-muscles of the back,rehabilitation