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Exercise-based rehabilitation for cancer survivors with chemotherapy-induced peripheral neuropathy

Title: Exercise-based rehabilitation for cancer survivors with chemotherapy-induced peripheral neuropathy
Authors: McCrary, JM; Goldstein, D; Sandler, CX; Barry, BK; Marthick, M; Timmins, HC; Li, T; Horvath, L; Grimison, P; Park, SB
Publisher Information: Springer Science and Business Media LLC
Publication Year: 2019
Collection: Griffith University: Griffith Research Online
Subject Terms: Biomedical and clinical sciences; Psychology; Aerobic training; Balance training; Neurophysiology; Resistance training; Survivorship
Description: Purpose: Chemotherapy-induced peripheral neuropathy (CIPN) affects up to 40% of cancer survivors and is associated with functional deficits and an increased falls incidence. There are presently no strongly recommended treatment strategies for CIPN. The aim of this study was to evaluate the impact of a multimodal exercise intervention on CIPN symptoms and related functional deficits, as well as neurophysiologic parameters. Methods: All outcomes were assessed before and after an 8-week exercise intervention (3-weekly sessions) and preceding 8-week control period at baseline, pre-exercise and post-exercise. Outcome measures were objective and patient-reported CIPN, standing and dynamic balance, mobility, quality of life, and sensory and motor nerve excitability and conduction studies. Results: Twenty-nine cancer survivors (8 male, 21 female; mean age 61.6 ± 11.8 years) with CIPN symptoms affecting function completed all assessments. Objective and patient-reported CIPN, dynamic balance, standing balance in eyes open conditions, mobility and quality of life were improved from pre- to post-exercise (4.0 < F < 10.2; p .21). No changes were observed in sensory or motor neurophysiologic parameters (p >.23). Conclusions: This study provides encouraging evidence of the rehabilitative potential of multimodal exercise for persisting CIPN in a post-treatment cohort. Large randomised controlled trials are justified to confirm observed benefits and determine the mechanisms and clinical significance. ; No Full Text
Document Type: article in journal/newspaper
Language: English
Relation: Supportive Care in Cancer; McCrary, JM; Goldstein, D; Sandler, CX; Barry, BK; Marthick, M; Timmins, HC; Li, T; Horvath, L; Grimison, P; Park, SB, Exercise-based rehabilitation for cancer survivors with chemotherapy-induced peripheral neuropathy, Supportive Care in Cancer, 2019, 27 (10), pp. 3849-3857; https://hdl.handle.net/10072/401924
DOI: 10.1007/s00520-019-04680-w
Availability: https://hdl.handle.net/10072/401924; https://doi.org/10.1007/s00520-019-04680-w
Rights: open access
Accession Number: edsbas.6D81534B
Database: BASE