Pohybový intervenční program pro hematoonkologické pacienty

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Title in English Interventional Motion Programme for Hemato-oncological Patients
Authors

KAPOUNKOVÁ Kateřina SVOBODOVÁ Zora MALÁ Alexandra HRNČIŘÍKOVÁ Iva JANÍKOVÁ Andrea HADRABOVÁ Markéta

Year of publication 2018
Type Article in Proceedings
Conference Klinická onkologie
MU Faculty or unit

Faculty of Sports Studies

Citation
Keywords Lymphoma;hematological onkology; physical ativity; aerobic exercise
Description The main aim of the interventional motion programme is to increase the physical condition of the patients and to stop the loss of muscle mass which resulted from their disease and treatment. In addition, the motion programme is aimed at improving the quality of life. Hemato-oncological diseases and their treatment are manifested in a number of side effects that have an impact on deteriorating quality of patients’ life. A tumour disease alone or in combination with treatment not only leads to muscular atrophy, but also significantly contributes to sympathetic dysbalance, which can be the basis of the most common symptom of oncological diseases, that is fatigue. This feeling of fatigue often accompanies the patient's subjective status not only during treatment but may persist for months or even years after it is terminated. It is proven that regular exercise activity has a positive effect not only on the cardiovascular system but also on the treatment of sympathetic dysbalance. Therefore, regular exercise has a great potential for reducing fatigue in patients with oncological diseases. The interventional motion programme run for three months. The training sessions were conducted three times a week and lasted 60 minutes. The training unit consisted of 10 minutes of warming up, followed by initially 20 minutes, later 40 minutes, of cardio training, and the final 10 minutes were devoted to resistance exercises using only own body weight and subsequent stretching and cooling down. The level of physical stress was monitored through sport-testers and subjective perception of the Borg scale at intervals of 5 minutes. The exercise intensity was individually set at the anaerobic threshold level for each patient separately based on an input stress test. The research group consisted of 18 persons at average age of 54 (19-76 years, 12 women and 6 men). The programme included only patients in remission and patients without contraindications to stress testing. Randomization was geographic (nearby patients with the possibility of commuting regularly to training sessions). Based on the results of the spectral analysis of heart rate variability and stress test after the interventional movement programme was concluded, a marked improvement in aerobic capacity and sympathetic dysbalance was observed. Regular physical activity is a suitable reconditioning device for hemato-oncological patients in remission to gradually restore fitness and overall physical and mental well-being.

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