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Saint Saint Mar arys C Can ancer Rehab hab P Progr ogram am The The B Bene nefits Christina Gardner, CES Saint Marys Fitness Center Obje ject ctives General benefits of exercise. Benefits to the cancer survivor.


  1. Saint Saint Mar ary’s C Can ancer Rehab hab P Progr ogram am The The B Bene nefits… Christina Gardner, CES Saint Mary’s Fitness Center

  2. Obje ject ctives • General benefits of exercise. • Benefits to the cancer survivor. • Recommendations • Special considerations. • The role of a Cancer Rehabilitation Program.

  3. Gene neral ral Exercis cise B Bene nefits its • Control weight and reduce obesity. • Lowers hormone levels • Reduce fatigue, anxiety and pain. • Reduce risk of inflammation, cardiovascular disease, Type 2 Diabetes, Metabolic Syndrome and some cancers. • Improve your bones, muscles, balance, flexibility, gastrointestinal function, immune system function and ability to perform activities of daily living. • Increase your chances of living longer.

  4. Bene nefits its to Cance ncer • Obesity has been linked to increased risks of 13 different cancers. • Exercise has been shown to reduce the risk of developing breast cancer in women by 12%. • Body fat and weight gain before or around the time of diagnosis can increase the risk of recurrence and death in Prostate Cancer.

  5. Bene nefits its to Cance ncer r (cont. ont.) • Exercise has been shown to reduce the risk of developing colon cancer by 30-40%. • Recent evidence shows that obesity is linked to the risk of cancer progression. • Studies have shown that exercise can reduce the risk of cancer recurrence by up to 40%-60%.

  6. Recomme mmendations • The American College of Sports Medicine recommends the following for adults: • 150 minutes of moderate-intensity exercise per week. • Type of exercise • Cardiovascular • Strength • Flexibility • Activities of Daily Living (ADLs) • How can this be broken up? • What if I cannot meet these recommendations? • How much is needed to reduce the risk of certain cancers? • Begin with a certified professional.

  7. Special cial Cons nside iderations ations • Pain • Muscle imbalances • Surgical • Surgeries including reconstruction. • Chronic • Neuropathic • Range of motion (ROM) • Scar adhesions • Neuropathy • Axillary cording • Peripheral • numbness/tingling • Cardiotoxic effects • Balance and gait issues

  8. Sain int M Mary’s C Cance ancer R Rehabil ilitat atio ion n Program am • Phase 1 – Outpatient Therapy (PT/OT/SLP) • Lymphedema education and treatment • Risk reduction • Myofascial • Cancer related fatigue • Pelvic floor dysfunction for both men and women • Phase 2 – Fitness Center • Cancer rehab. classes • Health Coaching • Nutrition • Massage

  9. Phase 2 2- Cance ncer R Rehabil ilitat itatio ion P Progr gram am Starting in a cancer specific rehabilitation program • Certified Exercise specialist • Gives structure • Progressive exercises • Modifications for limitations • Feedback on progress • Support and encouragement • Expertise

  10. Be Benefits of C s of Cancer R Reha hab pr b prog ogram • Cancer Related Fatigue (CRF) • Not your average fatigue. • Exercise as a treatment. • Budgeting energy • Lymphedema • Exercise may help to prevent and control when done properly.

  11. Buil ildin ding C Com ommunit ity • Educating and Empowering Cancer patients and survivors • Regain self-esteem • From treatment, • Self confidence • Surgeries • Strength • During and after treatment • Zest for life

  12. Best P t Practi tices New Cancer Cance ncer C r Care re Diagnosis Prehabilitation Acute Cancer Treatments Impairments No Impairments Optional Rehabilitation Rehabilitation [Phase 1 and/or Phase 2] [Phase 2] General Exercise/Wellness

  13. Conta ntact I ct Infor ormation ation • Cassie Goodman- Saint Mary’s Medical Exercise Supervisor • CGoodman2@primehealthcare.com • 775-770-7874 • Saint Mary’s Outpatient Rehabilitation • 775-770-3104 • Cancer Exercise Training Institute • Medical Fitness network- medicalfitnessnetwork.org

  14. Refere rence nces • Patlak, M., & Nass, S. J. (2012). THE ROLE OF OBESITY IN CANCER SURVIVAL AND RECURRENCE. The National Academic Press, 1-126. Retrieved February 20, 2015, from http://books.nap.edu/openbook.php?record_id=13348 • Physical Activity and Cancer. (2009, July 22). Retrieved May 26, 2016, from http://www.cancer.gov/about- cancer/causes-prevention/risk/obesity/physical-activity- fact-sheet#q4 • Silver, J., MD. (2013, December). Cancer Rehabilitation: An Important Opportunity to Improve. Association of Cancer Executives: ACE Update , 1-3.

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