背景:身体活动(PA)在护理的连续性中占有一席之地,目的是限制与癌症及其治疗相关的改变。这篇文献综述整理了与肺癌不同治疗时期进行的PA相关的证据和当前数据。
背景:PA在肺癌患者的肿瘤治疗过程中是安全可行的。关于症状,证明了多模式方案的有效性,锻炼能力,功能能力,术后并发症,住院时间和生活质量。然而,这一结果还有待更有力的即将到来的试验证实,特别是在长期。
结论:利用活动和能量消耗传感器或PA问卷有助于提高肺癌患者在连续治疗期间的PA水平。对于那些不适应传统训练方式的人,提供间歇性高强度训练或呼吸肌力量训练可能是明智的。还可以实施远程康复。应调查高危人群的目标。
结论:在肿瘤治疗期间或之后照顾肺癌患者的团队应制定创新策略,以克服获得或坚持锻炼计划的困难。以便PA成为这些患者护理不可或缺的一部分。物理治疗师在评估或治疗期间为这些患者提供支持方面发挥着重要作用。
BACKGROUND: Physical activity (PA) has its place in the continuum of care, the objective being to limit alterations associated with cancer and its treatments. This review of the literature collates the evidence and current data relating to PA carried out at different periods of treatment for lung cancer.
BACKGROUND: PA is safe and feasible in patients with lung cancer throughout their oncologic treatment. The efficacy of multimodal programs is demonstrated regarding symptoms, exercise capacity, functional capacity, postoperative complications, length of hospital stay and quality of life. Nevertheless, this result remains to be confirmed with more robust upcoming trial, notably in the long term.
CONCLUSIONS: Utilization of activity and energy expenditure sensors or PA questionnaires could help to increase the PA level of lung cancer patients during their continuum of care. For those not at ease with conventional training modalities, it may be judicious to offer intermittent high-intensity training or respiratory muscle strength training. Telerehabilitation could also be implemented. The targeting of populations at high risk should be investigated.
CONCLUSIONS: Teams caring for patients with lung cancer during or after their oncologic treatment should develop innovative strategies designed to overcome difficulties of access or adherence to exercise programs, so that the PA be an integral part of the care of these patients. Physical therapists play an important role in supporting these patients during their assessment or treatment.