Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial
Identifieur interne : 000297 ( Main/Exploration ); précédent : 000296; suivant : 000298Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial
Auteurs : Anna Pyszora [Pologne] ; Jacek Budzy Ski [Pologne] ; Agnieszka W Jcik [Pologne] ; Anna Prokop [Pologne] ; Małgorzata Krajnik [Pologne]Source :
- Supportive Care in Cancer [ 0941-4355 ] ; 2017.
Abstract
Cancer-related fatigue (CRF) is a common and relevant symptom in patients with advanced cancer that significantly decreases their quality of life. The aim of this study was to evaluate the effect of a physiotherapy programme on CRF and other symptoms in patients diagnosed with advanced cancer.
The study was designed as a randomized controlled trial. Sixty patients diagnosed with advanced cancer receiving palliative care were randomized into two groups: the treatment group (
The exercise programme caused a significant reduction in fatigue scores (BFI) in terms of severity of fatigue and its impact on daily functioning. In the control group, no significant changes in the BFI were observed. Moreover, the physiotherapy programme improved patients’ general well-being and reduced the intensity of coexisting symptoms such as pain, drowsiness, lack of appetite and depression. The analysis of satisfaction scores showed that it was also positively evaluated by patients.
The physiotherapy programme, which included active exercises, myofascial release and PNF techniques, had beneficial effects on CRF and other symptoms in patients with advanced cancer who received palliative care. The results of the study suggest that physiotherapy is a safe and effective method of CRF management.
Url:
DOI: 10.1007/s00520-017-3742-4
PubMed: 28508278
PubMed Central: 5527074
Affiliations:
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Prałata Biniaka 3, 85-862 Bydgoszcz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>The Blessed Father Jerzy Popiełuszko Hospice in Bydgoszcz, Ks. Prałata Biniaka 3, 85-862 Bydgoszcz</wicri:regionArea><wicri:noRegion>85-862 Bydgoszcz</wicri:noRegion></affiliation></author><author><name sortKey="Krajnik, Malgorzata" sort="Krajnik, Malgorzata" uniqKey="Krajnik M" first="Małgorzata" last="Krajnik">Małgorzata Krajnik</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0943 6490</institution-id><institution-id institution-id-type="GRID">grid.5374.5</institution-id><institution>Ludwik Rydygier Collegium Medicum in Bydgoszcz,</institution><institution>Nicolaus Copernicus University in Toruń,</institution></institution-wrap>Skłodowskiej – Curie 9, 85-094 Bydgoszcz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Skłodowskiej – Curie 9, 85-094 Bydgoszcz</wicri:regionArea><wicri:noRegion>85-094 Bydgoszcz</wicri:noRegion></affiliation></author></analytic><series><title level="j">Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p id="Par1">Cancer-related fatigue (CRF) is a common and relevant symptom in patients with advanced cancer that significantly decreases their quality of life. The aim of this study was to evaluate the effect of a physiotherapy programme on CRF and other symptoms in patients diagnosed with advanced cancer.</p></sec><sec><title>Methods</title><p id="Par2">The study was designed as a randomized controlled trial. Sixty patients diagnosed with advanced cancer receiving palliative care were randomized into two groups: the treatment group (<italic>n</italic> = 30) and the control group (<italic>n</italic> = 30). The therapy took place three times a week for 2 weeks. The 30-min physiotherapy session included active exercises, myofascial release and proprioceptive neuromuscular facilitation (PNF) techniques. The control group did not exercise. The outcomes included Brief Fatigue Inventory (BFI), Edmonton Symptom Assessment Scale (ESAS) and satisfaction scores.</p></sec><sec><title>Results</title><p id="Par3">The exercise programme caused a significant reduction in fatigue scores (BFI) in terms of severity of fatigue and its impact on daily functioning. In the control group, no significant changes in the BFI were observed. Moreover, the physiotherapy programme improved patients’ general well-being and reduced the intensity of coexisting symptoms such as pain, drowsiness, lack of appetite and depression. The analysis of satisfaction scores showed that it was also positively evaluated by patients.</p></sec><sec><title>Conclusion</title><p id="Par4">The physiotherapy programme, which included active exercises, myofascial release and PNF techniques, had beneficial effects on CRF and other symptoms in patients with advanced cancer who received palliative care. The results of the study suggest that physiotherapy is a safe and effective method of CRF management.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Winningham, Ml" uniqKey="Winningham M">ML Winningham</name></author><author><name sortKey="Nail, Lm" uniqKey="Nail L">LM Nail</name></author><author><name sortKey="Burke, Mb" uniqKey="Burke M">MB Burke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Peters, Me" uniqKey="Peters M">ME Peters</name></author><author><name sortKey="Goedendorp, Mm" uniqKey="Goedendorp M">MM Goedendorp</name></author><author><name sortKey="Verhagen, Ca" uniqKey="Verhagen C">CA Verhagen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Windsor, Pm" uniqKey="Windsor P">PM Windsor</name></author><author><name sortKey="Nicol, Kf" uniqKey="Nicol K">KF Nicol</name></author><author><name sortKey="Potter, J" 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Rankin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fernandez Lao, C" uniqKey="Fernandez Lao C">C Fernández-Lao</name></author><author><name sortKey="Cantarero Villanueva, I" uniqKey="Cantarero Villanueva I">I Cantarero-Villanueva</name></author><author><name sortKey="Diaz Rodriguez, L" uniqKey="Diaz Rodriguez L">L Díaz-Rodríguez</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Pyszora, Anna" sort="Pyszora, Anna" uniqKey="Pyszora A" first="Anna" last="Pyszora">Anna Pyszora</name></noRegion><name sortKey="Budzy Ski, Jacek" sort="Budzy Ski, Jacek" uniqKey="Budzy Ski J" first="Jacek" last="Budzy Ski">Jacek Budzy Ski</name><name sortKey="Krajnik, Malgorzata" sort="Krajnik, Malgorzata" uniqKey="Krajnik M" first="Małgorzata" last="Krajnik">Małgorzata Krajnik</name><name sortKey="Prokop, Anna" sort="Prokop, Anna" uniqKey="Prokop A" first="Anna" last="Prokop">Anna Prokop</name><name sortKey="W Jcik, Agnieszka" sort="W Jcik, Agnieszka" uniqKey="W Jcik A" first="Agnieszka" last="W Jcik">Agnieszka W Jcik</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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