Exercise: The Effects During and After Cancer Treatments Brandon Simpkins

Purpose Examine and analyze the relationship between exercise during and after cancer treatments Analyze how exercise can improve or decrease quality of life, symptom burden, and efficiency of oncologic treatment Focus on performance levels among patients during and after exercise Compare pre- and post-assessment data to come to a conclusion

Method & Learning Outcomes To what extent exercise impacted the body during and after cancer treatment Focused on cardiovascular, flexibility, and resistance training Daily living conditions were improved or not If perceived stress levels were decreased Followed testing protocols to gather before and after data Did exercise cause a change in patient’s V02 output Performance levels Quality of life Symptom burden Psychological state

Basic Description of Study Testing protocols were followed such as exercise testing with appropriate measurements Walking or jogging test to measure VO2 output Perceived exertion scale Spirometer for pulmonary functioning Modified sit-and-reach test Perceived stress scale Pre- and post-surveys were used to assess the focuses of the study, which included: Symptom burden Psychological well-being Quality of life

Pre-Exercise and Physical Activity Questionnaire Instrumentation Note: This questionnaire was not intended to give any medical clearance of any kind for exercise and physical activity in and out of the home. This was simply to assess the readiness of patients participating in this research study. All answers are confidential. Pre-Exercise and Physical Activity Questionnaire Instructions: Place a check mark where appropriate, circle the number appropriate to yourself and answer to the best of your ability and truthfully. Gender 2. Current Age Category (Circle) Male 13-18 55 or older Female 19-29 Transgender 30-39 Choose not to identify 40-54 3. Years since diagnosis 4. Type of Cancer (Fill in) Less than one __________________________ 1-2 2-3 4 or more

Pre-Exericse and Physical Activity Questionnaire Cont. 5. Type of Treatment (Check all that apply) Chemotherapy Radiation Surgery Hormonal Therapy Gene Therapy Immunology Therapy Bone Marrow Transplant Other: ___________________________________________ 6. Side Effect(s) Experienced From Treatment (Check all that apply) Anemia Anxiety Bruising easily Cognitive dysfunction Decreased bone density Depression Fatigue Increased infections Muscular weakness Decreased range of motion or imbalances Nausea Vomiting Blurred vision Weight gain Weight loss Other: ____________________________________________________________________________________ 7. List any medications you are currently taking such as blood thinners, pain relievers, etc: _________________________________________________________________

Instrumentation

Instrumentation

Exercise and Physical Activity Survey Instrumentation Exercise and Physical Activity Survey Note: This survey is for overall collective data and is completely anonymous. Instructions: Circle the corresponding number appropriate to yourself. The scale used is a one through five Likert-type Scale. How would you rate your energy level throughout daily activities? 1 (Exhausted) 2 3 (Moderate) 4 5 (Energetic) How would you rate your overall motivation and level of self-esteem? 1 (Low) 2 3 (Moderate) 4 5 (High) How would you rate your overall stress levels? 1 (Calm) 2 3 (Some) 4 5 (Stressed) How would you rate your overall pain and discomfort? 1 (Comfortable) 2 3 (Neither) 4 5 (Uncomfortable) How would you rate your readiness to exercise? 1 (Not Ready) 2 3 (So-So) 4 5 (Ready)

Results

Results

Evaluation & Reflection Assessment was successful and reached diverse, positive results Post surveys showed improved quality of life, relief of symptom burden, and an increase in ease of daily activities Limitation of the study includes small sample size of only ten participants If study was to be repeated, a larger sample of participants should be acquired All ten participants saw a decrease in their perceived levels of stress All ten participants saw an increase in: Exercise frequency VO2 output or max Flexibility

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