Cargando…

Exercise Recommendation for People With Bone Metastases: Expert Consensus for Health Care Providers and Exercise Professionals

Exercise has been underutilized in people with advanced or incurable cancer despite the potential to improve physical function and reduce psychosocial morbidity, especially for people with bone metastases because of concerns over skeletal complications. The International Bone Metastases Exercise Wor...

Descripción completa

Detalles Bibliográficos
Autores principales: Campbell, Kristin L., Cormie, Prue, Weller, Sarah, Alibhai, Shabbir M. H., Bolam, Kate A., Campbell, Anna, Cheville, Andrea L., Dalzell, Mary-Ann, Hart, Nicolas H., Higano, Celestia S., Lane, Kirstin, Mansfield, Sami, McNeely, Margaret L., Newton, Robert U., Quist, Morten, Rauw, Jennifer, Rosenberger, Friederike, Santa Mina, Daniel, Schmitz, Kathryn H., Winters-Stone, Kerri M., Wiskemann, Joachim, Goulart, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9810134/
https://www.ncbi.nlm.nih.gov/pubmed/34990293
http://dx.doi.org/10.1200/OP.21.00454
_version_ 1784863247964307456
author Campbell, Kristin L.
Cormie, Prue
Weller, Sarah
Alibhai, Shabbir M. H.
Bolam, Kate A.
Campbell, Anna
Cheville, Andrea L.
Dalzell, Mary-Ann
Hart, Nicolas H.
Higano, Celestia S.
Lane, Kirstin
Mansfield, Sami
McNeely, Margaret L.
Newton, Robert U.
Quist, Morten
Rauw, Jennifer
Rosenberger, Friederike
Santa Mina, Daniel
Schmitz, Kathryn H.
Winters-Stone, Kerri M.
Wiskemann, Joachim
Goulart, Jennifer
author_facet Campbell, Kristin L.
Cormie, Prue
Weller, Sarah
Alibhai, Shabbir M. H.
Bolam, Kate A.
Campbell, Anna
Cheville, Andrea L.
Dalzell, Mary-Ann
Hart, Nicolas H.
Higano, Celestia S.
Lane, Kirstin
Mansfield, Sami
McNeely, Margaret L.
Newton, Robert U.
Quist, Morten
Rauw, Jennifer
Rosenberger, Friederike
Santa Mina, Daniel
Schmitz, Kathryn H.
Winters-Stone, Kerri M.
Wiskemann, Joachim
Goulart, Jennifer
author_sort Campbell, Kristin L.
collection PubMed
description Exercise has been underutilized in people with advanced or incurable cancer despite the potential to improve physical function and reduce psychosocial morbidity, especially for people with bone metastases because of concerns over skeletal complications. The International Bone Metastases Exercise Working Group (IBMEWG) was formed to develop best practice recommendations for exercise programming for people with bone metastases on the basis of published research, clinical experience, and expert opinion. METHODS: The IBMEWG undertook sequential steps to inform the recommendations: (1) modified Delphi survey, (2) systematic review, (3) cross-sectional survey to physicians and nurse practitioners, (4) in-person meeting of IBMEWG to review evidence from steps 1-3 to develop draft recommendations, and (5) stakeholder engagement. RESULTS: Recommendations emerged from the contributing evidence and IBMEWG discussion for pre-exercise screening, exercise testing, exercise prescription, and monitoring of exercise response. Identification of individuals who are potentially at higher risk of exercise-related skeletal complication is a complex interplay of these factors: (1) lesion-related, (2) cancer and cancer treatment–related, and (3) the person-related. Exercise assessment and prescription requires consideration of the location and presentation of bone lesion(s) and should be delivered by qualified exercise professionals with oncology education and exercise prescription experience. Emphasis on postural alignment, controlled movement, and proper technique is essential. CONCLUSION: Ultimately, the perceived risk of skeletal complications should be weighed against potential health benefits on the basis of consultation between the person, health care team, and exercise professionals. These recommendations provide an initial framework to improve the integration of exercise programming into clinical care for people with bone metastases.
format Online
Article
Text
id pubmed-9810134
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Wolters Kluwer Health
record_format MEDLINE/PubMed
spelling pubmed-98101342023-01-04 Exercise Recommendation for People With Bone Metastases: Expert Consensus for Health Care Providers and Exercise Professionals Campbell, Kristin L. Cormie, Prue Weller, Sarah Alibhai, Shabbir M. H. Bolam, Kate A. Campbell, Anna Cheville, Andrea L. Dalzell, Mary-Ann Hart, Nicolas H. Higano, Celestia S. Lane, Kirstin Mansfield, Sami McNeely, Margaret L. Newton, Robert U. Quist, Morten Rauw, Jennifer Rosenberger, Friederike Santa Mina, Daniel Schmitz, Kathryn H. Winters-Stone, Kerri M. Wiskemann, Joachim Goulart, Jennifer JCO Oncol Pract ORIGINAL CONTRIBUTIONS Exercise has been underutilized in people with advanced or incurable cancer despite the potential to improve physical function and reduce psychosocial morbidity, especially for people with bone metastases because of concerns over skeletal complications. The International Bone Metastases Exercise Working Group (IBMEWG) was formed to develop best practice recommendations for exercise programming for people with bone metastases on the basis of published research, clinical experience, and expert opinion. METHODS: The IBMEWG undertook sequential steps to inform the recommendations: (1) modified Delphi survey, (2) systematic review, (3) cross-sectional survey to physicians and nurse practitioners, (4) in-person meeting of IBMEWG to review evidence from steps 1-3 to develop draft recommendations, and (5) stakeholder engagement. RESULTS: Recommendations emerged from the contributing evidence and IBMEWG discussion for pre-exercise screening, exercise testing, exercise prescription, and monitoring of exercise response. Identification of individuals who are potentially at higher risk of exercise-related skeletal complication is a complex interplay of these factors: (1) lesion-related, (2) cancer and cancer treatment–related, and (3) the person-related. Exercise assessment and prescription requires consideration of the location and presentation of bone lesion(s) and should be delivered by qualified exercise professionals with oncology education and exercise prescription experience. Emphasis on postural alignment, controlled movement, and proper technique is essential. CONCLUSION: Ultimately, the perceived risk of skeletal complications should be weighed against potential health benefits on the basis of consultation between the person, health care team, and exercise professionals. These recommendations provide an initial framework to improve the integration of exercise programming into clinical care for people with bone metastases. Wolters Kluwer Health 2022-05 2022-01-06 /pmc/articles/PMC9810134/ /pubmed/34990293 http://dx.doi.org/10.1200/OP.21.00454 Text en © 2022 by American Society of Clinical Oncology https://creativecommons.org/licenses/by-nc-nd/4.0/Creative Commons Attribution Non-Commercial No Derivatives 4.0 License: https://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle ORIGINAL CONTRIBUTIONS
Campbell, Kristin L.
Cormie, Prue
Weller, Sarah
Alibhai, Shabbir M. H.
Bolam, Kate A.
Campbell, Anna
Cheville, Andrea L.
Dalzell, Mary-Ann
Hart, Nicolas H.
Higano, Celestia S.
Lane, Kirstin
Mansfield, Sami
McNeely, Margaret L.
Newton, Robert U.
Quist, Morten
Rauw, Jennifer
Rosenberger, Friederike
Santa Mina, Daniel
Schmitz, Kathryn H.
Winters-Stone, Kerri M.
Wiskemann, Joachim
Goulart, Jennifer
Exercise Recommendation for People With Bone Metastases: Expert Consensus for Health Care Providers and Exercise Professionals
title Exercise Recommendation for People With Bone Metastases: Expert Consensus for Health Care Providers and Exercise Professionals
title_full Exercise Recommendation for People With Bone Metastases: Expert Consensus for Health Care Providers and Exercise Professionals
title_fullStr Exercise Recommendation for People With Bone Metastases: Expert Consensus for Health Care Providers and Exercise Professionals
title_full_unstemmed Exercise Recommendation for People With Bone Metastases: Expert Consensus for Health Care Providers and Exercise Professionals
title_short Exercise Recommendation for People With Bone Metastases: Expert Consensus for Health Care Providers and Exercise Professionals
title_sort exercise recommendation for people with bone metastases: expert consensus for health care providers and exercise professionals
topic ORIGINAL CONTRIBUTIONS
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9810134/
https://www.ncbi.nlm.nih.gov/pubmed/34990293
http://dx.doi.org/10.1200/OP.21.00454
work_keys_str_mv AT campbellkristinl exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT cormieprue exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT wellersarah exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT alibhaishabbirmh exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT bolamkatea exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT campbellanna exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT chevilleandreal exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT dalzellmaryann exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT hartnicolash exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT higanocelestias exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT lanekirstin exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT mansfieldsami exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT mcneelymargaretl exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT newtonrobertu exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT quistmorten exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT rauwjennifer exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT rosenbergerfriederike exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT santaminadaniel exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT schmitzkathrynh exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT wintersstonekerrim exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT wiskemannjoachim exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals
AT goulartjennifer exerciserecommendationforpeoplewithbonemetastasesexpertconsensusforhealthcareprovidersandexerciseprofessionals