A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors

<p>Abstract</p> <p>Background</p> <p>Exercise programmes are beneficial for cancer patients however evidence is limited in patients with multiple myeloma (MM), a cancer that is characterised by osteolytic bone disease, giving rise to high levels of bone morbidity includ...

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Main Authors: Groeneveldt Lara, Mein Gill, Garrod Rachel, Jewell Andrew P, Someren Ken Van, Stephens Richard, D’Sa Shirley P, Yong Kwee L
Format: Article
Language:English
Published: BMC 2013-01-01
Series:BMC Cancer
Subjects:
Online Access:http://www.biomedcentral.com/1471-2407/13/31
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author Groeneveldt Lara
Mein Gill
Garrod Rachel
Jewell Andrew P
Someren Ken Van
Stephens Richard
D’Sa Shirley P
Yong Kwee L
author_facet Groeneveldt Lara
Mein Gill
Garrod Rachel
Jewell Andrew P
Someren Ken Van
Stephens Richard
D’Sa Shirley P
Yong Kwee L
author_sort Groeneveldt Lara
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Exercise programmes are beneficial for cancer patients however evidence is limited in patients with multiple myeloma (MM), a cancer that is characterised by osteolytic bone disease, giving rise to high levels of bone morbidity including fractures and bone pain.</p> <p>Methods</p> <p>We conducted a single arm phase 2 study of an exercise programme (EP) as rehabilitation for treated MM patients, to evaluate feasibility, effects on QOL and physiological parameters. Patients were given individualised programmes, comprising stretching, aerobic and resistance exercises, carried out under supervision for 3 months then at home for a further 3 months.</p> <p>Results</p> <p>Study uptake was high, 60 of 75 (80%) patients approached consented to the study. Screen failures (11, due to fracture risk and disease relapse) and patient withdrawals (12) resulted in a final 37 patients enrolling on the programme. These 37 patients demonstrated high attendance rates in the supervised classes (87%), and high levels of adherence in home exercising (73%). Patients reported better QOL following the EP, with improvement in FACT-G and Fatigue scores over time from baseline (p<0.01 for both, one-way repeated measures ANOVA) to 6 months. Upper and lower limb strength also improved on the EP, from baseline to 6 months (p<0.01 for both). There were no adverse reactions.</p> <p>Conclusions</p> <p>An EP in MM patients is feasible and safe, with high attendance and adherence. Benefits in QOL, fatigue and muscle strength await confirmation in randomized studies, prompting urgent evaluation of the benefits of EP in the rehabilitation of MM patients.</p>
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spelling doaj.art-2e5ec0ad26454e0c9eb2113a5f6fe4662022-12-22T03:04:41ZengBMCBMC Cancer1471-24072013-01-011313110.1186/1471-2407-13-31A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivorsGroeneveldt LaraMein GillGarrod RachelJewell Andrew PSomeren Ken VanStephens RichardD’Sa Shirley PYong Kwee L<p>Abstract</p> <p>Background</p> <p>Exercise programmes are beneficial for cancer patients however evidence is limited in patients with multiple myeloma (MM), a cancer that is characterised by osteolytic bone disease, giving rise to high levels of bone morbidity including fractures and bone pain.</p> <p>Methods</p> <p>We conducted a single arm phase 2 study of an exercise programme (EP) as rehabilitation for treated MM patients, to evaluate feasibility, effects on QOL and physiological parameters. Patients were given individualised programmes, comprising stretching, aerobic and resistance exercises, carried out under supervision for 3 months then at home for a further 3 months.</p> <p>Results</p> <p>Study uptake was high, 60 of 75 (80%) patients approached consented to the study. Screen failures (11, due to fracture risk and disease relapse) and patient withdrawals (12) resulted in a final 37 patients enrolling on the programme. These 37 patients demonstrated high attendance rates in the supervised classes (87%), and high levels of adherence in home exercising (73%). Patients reported better QOL following the EP, with improvement in FACT-G and Fatigue scores over time from baseline (p<0.01 for both, one-way repeated measures ANOVA) to 6 months. Upper and lower limb strength also improved on the EP, from baseline to 6 months (p<0.01 for both). There were no adverse reactions.</p> <p>Conclusions</p> <p>An EP in MM patients is feasible and safe, with high attendance and adherence. Benefits in QOL, fatigue and muscle strength await confirmation in randomized studies, prompting urgent evaluation of the benefits of EP in the rehabilitation of MM patients.</p>http://www.biomedcentral.com/1471-2407/13/31MyelomaBone diseaseExerciseFatigue
spellingShingle Groeneveldt Lara
Mein Gill
Garrod Rachel
Jewell Andrew P
Someren Ken Van
Stephens Richard
D’Sa Shirley P
Yong Kwee L
A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors
BMC Cancer
Myeloma
Bone disease
Exercise
Fatigue
title A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors
title_full A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors
title_fullStr A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors
title_full_unstemmed A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors
title_short A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors
title_sort mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors
topic Myeloma
Bone disease
Exercise
Fatigue
url http://www.biomedcentral.com/1471-2407/13/31
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