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Rehabilitation program combining physical exercise and heart rate variability biofeedback in hematologic patients: a
Claire Fournié1, Chantal Verkindt2, Georges Dalleau2
1Laboratoire IRISSE EA4075, UFR Des Sciences de L'Homme Et de L'Environnement, Université de La Réunion, Le Tampon, La Réunion, France. fournie.claire@gmail.com.
Summary
This study found that a rehabilitation program combining physical exercise (PE) and heart rate variability biofeedback (HRVB) is feasible for hematologic patients. The program significantly improved physical function and autonomic function markers.
Area of Science:
- Oncology
- Rehabilitation Medicine
- Cardiology
Background:
- Hematologic patients experience reduced quality of life due to disease and treatment.
- Non-pharmacological interventions are crucial for managing symptoms and improving daily living in cancer survivors.
- Physical exercise (PE) and heart rate variability biofeedback (HRVB) show potential as supportive therapies.
Purpose of the Study:
- To assess the feasibility of a combined PE and HRVB program for hematologic patients in remission.
- To evaluate the program's impact on physical function, fatigue, and heart rate variability.
- To explore the potential of non-pharmacological interventions in cancer rehabilitation.
Main Methods:
- A 12-week rehabilitation program involving supervised PE and HRVB sessions, plus daily home-based paced breathing.
- Inclusion of hematologic patients in remission within 6 months of treatment.
- Assessment of patient adherence, fatigue, physical function (e.g., walk tests, strength, flexibility), and heart rate variability.
Main Results:
- High adherence rates (85% for PE, 98% for HRVB).
- Significant improvements in physical capacity, muscle strength, and flexibility.
- Enhanced autonomic function indicated by increased coherence ratio and low-frequency HRV spectral density.
Conclusions:
- A combined PE and HRVB program is feasible and effective for improving physical function in hematologic patients.
- Further research with larger cohorts is warranted to confirm effects on autonomic function and symptomology.
- This intervention offers a promising avenue for tertiary cancer prevention and supportive care.
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