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Getting Back to Exercise After Cancer

By Candice Brueck, PT, ATC, CLT and Kristi C. Johnson, PT, CLT-LANA.

A recent paper presented to the American Society of Oncologists indicates that oncologists are recommending exercise to patients during and after treatment, but not providing specific instruction in regards to exercise to their patients. The physical therapists at Timberlane Physical Therapy are highly trained professionals who can guide cancer survivors through return to exercising.

Years ago, exercise either during or after cancer treatment was not recommended for fear of spreading disease, or worsening conditions such as lymphedema. Current research suggests that exercise actually boosts the immune system and helps fight cancer by promoting wellness.  Side effects during or following cancer may be many. Quality of life concerns may include fatigue, decreased self-esteem, depression, anxiety, stress, and loss of sense of control. Physical side effects may include reduced cardiopulmonary function, muscle atrophy and weakness, weight changes, nausea, pain, and difficulty sleeping. Research indicates that 40-100% of patients undergoing cancer treatment experience fatigue. Chemotherapy, radiation treatment and surgery affect the cardiovascular and pulmonary systems causing a common ‘fatigue’ side effect in cancer patients. A guided exercise program can boost these systems- lessening fatigue, speeding recovery and improving overall energy. A review of multiple studies indicates decreased reports of fatigue when patients exercise during or after treatment. Research also indicates that when people are educated about exercise and taught appropriate guidelines, they are more likely to follow through with an exercise program and make it a part of their lifestyle.

General exercise recommendations for cancer survivors are not specific. The consensus is to pursue an activity that is enjoyable for 10-15 minutes per day, three to five days per week. Activity may be increased as tolerable, working up to 30 minutes in duration. Exercise does not need to be continuous, as it may be broken up into three sessions of 10 minute intervals. Exercise also comes in many different forms, such as walking, taking an exercise class, or doing house/yard work. An exercise program should incorporate cardiovascular, strength, and flexibility training. This can be accomplished using methods that incorporate our body weight as resistance. In other words, no fancy equipment or gym membership is needed.

The staff at Timberlane Physical Therapy includes three certified lymphedema therapists who specialize in treatment of lymphedema and working with cancer survivors. We provide comprehensive care, based on current research, to restore optimal function and assist patients in meeting their personal goals.

Our cancer rehabilitation program includes the following components: