Abstract：
The international literature emphasizes the importance of physical activity (PA) in the first steps after cancer surgery. The regular practice of physical exercise causes positive adaptations on several functional capacities, with positive consequences on patients\' quality of life. This project aims to evaluate the effect of a post-operative training protocol, structured by taking into account both cancer-related issues and the presence of comorbidities, on functional capacities and quality of life of breast cancer survivors. Therefore, it was necessary to create a synergy between oncologists (referring physicians), sport medicine physicians (risk stratification and exercise prescription) and kinesiologists (trainers). Thirty-five post-surgery BC patients decided on a voluntary basis to attend an online Adapted PA (APA) protocol for 4 months, twice a week (APA Group) or Usual Care Group (UC Group). Functional capacity of the APA Group significantly increased, by 13.1% (p = 0.000), whereas perceived exertion decreased by 19.7% (p = 0.020). In the same group, the general health evaluated through the questionnaire EORTC-QLQ-C30 increased (p = 0.050). No differences were found in the UC Group. Operation Phalco, creating a network between oncologists, sports medicine physicians and kinesiologists, confirms the importance of structuring a post-operative path where APA should be included as early as possible in the cancer patient care.
摘要：
国际文献强调身体活动（PA）在癌症手术后的第一步中的重要性。体育锻炼的定期练习会导致对几种功能能力的积极适应，对患者的生活质量有积极的影响。该项目旨在评估术后培训方案的效果，考虑到癌症相关问题和合并症的存在，乳腺癌幸存者的功能能力和生活质量。因此,有必要在肿瘤学家(指医生)之间建立协同作用，运动医学医师（风险分层和运动处方）和运动学家（培训师）。35例术后BC患者自愿决定参加4个月的在线适应PA（APA）协议，每周两次（APA组）或常规护理组（UC组）。APA集团的功能能力显著提高，13.1%(p=0.000)，而感知的劳力下降了19.7%(p=0.020)。在同一组中,通过EORTC-QLQ-C30问卷评估的一般健康状况增加(p=0.050).在UC组中没有发现差异。Phalco行动,在肿瘤学家之间建立一个网络，运动医学医师和运动学医师，确认了构建术后路径的重要性，其中APA应尽早纳入癌症患者护理。
