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The effect of a physical exercise program in palliative care: A phase II study
Line M Oldervoll1, Jon H Loge, Hanne Paltiel
1The Norwegian Cancer Society, Department of Cancer Research and Molecular Medicine, St. Olavs Hospital, Trondheim, Norway. line.oldervoll@ntnu.no
Journal of Pain and Symptom Management
|May 24, 2006
Summary
Physical exercise programs can improve physical performance and quality of life in patients with incurable cancer. This pilot study found benefits in walking distance, strength, and reduced fatigue, enhancing overall well-being.
Area of Science:
- Oncology
- Geriatrics
- Sports Medicine
Background:
- Patients with incurable cancer and limited life expectancy often experience reduced physical function and quality of life.
- Managing symptoms and improving well-being are critical aspects of palliative care for this population.
Purpose of the Study:
- To evaluate the impact of a structured physical exercise program on physical performance and quality of life (QOL).
- To assess the feasibility of group exercise interventions for individuals with incurable cancer and short life expectancy.
Main Methods:
- A pilot study involving 34 patients with incurable cancer.
- A 6-week group exercise program, with sessions twice weekly (50 minutes each).
- Assessment of physical performance (6-minute walk test, timed repeated sit to stand, functional reach), fatigue, and QOL (EORTC QLQ-C30) before and after the intervention.
Main Results:
- Significant improvements were observed in walking distance and a reduction in the time for repeated sit-to-stand tests (P < 0.05).
- Patients reported enhanced emotional functioning and decreased levels of physical fatigue (P < 0.05).
Conclusions:
- A physical exercise program appears to be a feasible and beneficial intervention for improving physical function and quality of life in patients with incurable cancer.
- Further randomized controlled trials are warranted to validate these findings and establish optimal exercise protocols.