Yıl: 2021 Cilt: 8 Sayı: 2 Sayfa Aralığı: 77 - 88 Metin Dili: İngilizce DOI: 10.5152/ArcHealthSciRes.2021.20075 İndeks Tarihi: 04-10-2021

Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting

Öz:
ABSTRACTObjective: Muscle strength assessment in cancer rehabilitation is normally performed using the one repetition maximum (1RM) strength test forseveral muscle groups. 1RM testing is not easy in a clinical setting; and therefore, in this study, we aimed to determine the test-retest reliabilityand the relation to 1RM muscle strength of functional movement tests in a group of diverse cancer patients, curatively treated with chemotherapy.Material and Methods: The study sample included 26 participants, of whom 13 were post-chemotherapy patients and 13 were healthy controls(mean±SD); age 45.9±13.6 years; weight 80.2±12.7 kg; BMI 26.4±3.77; leg press 1RM strength value/kg 2.06±0.70. The following tests wereperformed-the vertical jump test, stair-climb test, 5-times chair-rise test, 30-seconds chair rise, push-up test, and hand grip strength test and theresults were correlated with the leg press 1RM strength values. The tests were performed twice with a minimum gap of seven days in between.Results: The control group showed significantly better results in the 1RM strength tests and most other tests than the post-chemotherapy group.The vertical jump test results showed the best correlation with leg press strength, and the push-up test variable showed the best correlation withupper extremity 1RM strength.Conclusion: The vertical jump and push-up tests are the most valid in the clinical setting. These tests assist exercise physicians in determiningmuscle strength at various stages of the cancer process and rehabilitation, which help specify training goals individually for each patient.Keywords: Oncology, physical screening, strength
Anahtar Kelime:

Kanserli Hastalarda Fiziksel Testleme: Klinik Ortamda Pratik Testleme

Öz:
Amaç: Kanser rehabilitasyonunda kas gücü değerlendirmesi, normalde birkaç kas grubu için bir tekrarlı maksimum (1RM) kuvvet testi kullanılarak yapılır. Klinik ortamda 1RM testi kolay bir uygulama değildir. Bu nedenle, bu çalışmada kemoterapi ile küratif tedavi gören farklı kanser hastalarından oluşan bir grupta fonksiyonel hareket testlerinin test-tekrar test güvenilirliğini ve 1RM kas gücü ile ilişkisini belirlemeyi amaçladık. Gereç ve Yöntemler: Çalışma örneklemi 13'ü kemoterapi hastası ve 13'ü sağlıklı kontrol olan 26 katılımcıdan oluşmaktaydı. Yaş ortalaması ve standart sapması 45,9±13,6 yıl; ağırlık 80,2±12,7 kg; BMI 26,4±3,77; bacak presi 1RM değeri/kg 2,06±0,70 idi. Dikey sıçrama testi, merdiven tırmanma testi, 5 kez sandalyeden kalkma testi, 30 saniyelik sandalyeden kalkma testi, itme testi ve el kavrama gücü testi yapıldı. Sonuçlar bacak presi 1RM ile ilişkilendirildi. Testler minimum yedi gün arayla iki kez yapıldı. Bulgular: Kontrol grubu 1RM güç testlerinde ve diğer testlerin çoğunda kemoterapi sonrası gruba göre önemli derecede daha iyi sonuçlar gösterdi. Dikey sıçrama testi sonuçları bacak pres kuvveti ile en iyi korelasyonu gösterdi ve itme testi değişkeni üst ekstremite 1RM gücü ile en iyi korelasyonu gösterdi. Sonuç: Dikey sıçrama ve itme testleri klinik ortamda en geçerli olanlardır. Bu testler, egzersiz uzmanlarına kanser sürecinin çeşitli aşamalarında ve rehabilitasyonda kas gücünü belirlemede ve her hasta için ayrı ayrı eğitim hedeflerinin belirlemesine yardımcı olur. Anahtar Kelimeler: Onkoloji, fiziksel tarama, güç
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Allemani C, Weir HK, Carreira H, et al. Global surveillance of cancer survival 1995-2009: analysis of individual data for 25,676,887patients from 279 population-based registries in 67 countries (CONCORD-2). Lancet. 2015;385(9972):977-1010. [Crossref]
  • 2. Courneya, K. Exercise in cancer survivors: Overview of research. Med Sci Sports Exerc. 2003;35(11):1846-1852. [Crossref]
  • 3. De Backer IC, Vreugdenhil G, Nijziel MR, Kester AD, van Breda E, Schep G. Long-term follow-up after cancer rehabilitation using high-intensity resistance training: persistent improvement of physical performance and quality of life. Br J Cancer. 2008;99(1):30-36. [Crossref]
  • 4. De Backer IC, Van Breda E, Vreugdenhil A, Nijziel MR, Kester AD, Schep G. High-intensity strength training improves quality of life in cancer survivors. Acta Oncol. 2007;46(8):1143-1151. [Crossref]
  • 5. De Backer IC, Schep G, Hoogeveen A, Vreugdenhil G, Kester AD, van Breda E. Exercise testing and training in a cancer rehabilitation program: the advantage of the steep ramp test. Arch Phys Med Rehabil. 2007;88(5):610-616. [Crossref]
  • 6. Courneya, K. Exercise interventions during cancer treatment: Biopsychosocial outcomes. Exerc Sport Sci Rev. 2001;29(2):60-64. [Crossref]
  • 7. De Backer IC SG, Hoogeveen A, Vreugdenhil G, Kester AD, van Breda E. Exercise testing and training in a cancer rehabilitation program: The advantages of the steep ramp test. Arch Phys Med Rehabil. 2007;88:610-616. [Crossref]
  • 8. De Backer IC VBE, Vreugdenhil G, Nijziel MR, Kester AD, Schep G. High-intensity strength training improves quality of life in cancer survivors. Acta Oncologica. 2007;46(8):1143-1151. [Crossref] 9. De Backer IC VG, Nijziel MR, Kester AD, Van Breda E, Schep G.
  • Long-term follow-up after cancer rehabilitation using high-intensity resistance training: persistent improvement of physical performance and quality of life. Br J Cancer. 2008;99(1):30-36. [Crossref]
  • 10. Gebruers N, Camberlin M, Theunissen F, et al. The effect of training interventions on physical performance, quality of life, and fatigue in patients receiving breast cancer treatment: a systematic review. Support Care Cancer. 2019;27(1):109-122. [Crossref]
  • 11. Kolden GG ST, Ward A, Kuta J, et al. A pilot study of group exercise training (GET) for women with primary breast cancer: Feasibility and health benefits. Psychooncology. 2002;2002(11):447-456. [Crossref]
  • 12. De Backer I, Van Breda E, Vreugdenhil G, Nijziel M, Kester A, Schep G. High-intensity strength training improves quality of life in cancer survivors. Acta Oncologica. 2007;46(8):1143-1151. [Crossref]
  • 13. Adamsen LMJ, Rorth M, Borregaard N, et al. Feasibility, physical capacity and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy. Support Care Cancer. 2003;11:707-716. [Crossref]
  • 14. Lucía A EC, Pérez M. Cancer-related fatigue: Can exercise physiology assist oncologists? Lancet Oncol. 2003;(4):616-625. [Crossref]
  • 15. Quist M, Rorth M, Zacho M, et al. High-intensity resistance and cardiovascular training improve physical capacity in cancer patients undergoing chemotherapy. Scand J Med Sci Sports. 2006;16(5):349-357. [Crossref]
  • 16. De Backer I, Schep G, Hoogeveen A, Vreugdenhil G, Kester A, van Breda E. Exercise testing and training in a cancer rehabilitation program: The advantages of the steep ramp test. Arch Phys Med Rehabil. 2007;88(5):610-616. [Crossref]
  • 17. Kolden G, Straumann T, Ward A, et al. A pilot study of group exercise training (GET) for women with primary breast cancer: Feasibility and health benefits. Psychooncology. 2002;11(5):447-456. [Crossref]
  • 18. Seo DI, Kim E, Fahs CA, et al. Reliability of the one-repetition maximum test based on muscle group and gender. J Sports Sci Med. 2012;11(2):221-225.
  • 19. Schaubert KB, Bohannon RW. Reliability and validity of three strength measures obtained from community-dwelling elderly persons. J Strength Cond Res. 2005;19(3):717-720. [Crossref] 20. Dawson B, Trapp R. Basic & clinical biostatistics. New York, NY, McGraw-Hill medical publishing division. 2001.
  • 21. Carlock JM, Smith SL, Hartman MJ, et al. The relationship between vertical jump power estimates and weightlifting ability: A field-test approach. J Strength Cond Res. 2004;18(3):534-539. [Crossref]
  • 22. Markovic G, Dizdar D, Jukic I, Cardinale M. Reliability and factorial validity of squat and countermovement jump tests. J Strength Cond Res. 2004;18(3):551-555. [Crossref]
  • 23. Rittweger J, Schiessl H, Felsenberg D, Runge M. Reproducibility of the jumping mechanography as a test of mechanical power output in physically competent adult and elderly subjects. J Am Geriatr Soc. 2004;52(1):128-131. [Crossref]
  • 24. Nuzzo JL, McBridge JM, Cormie P, McCaulley GO. Relationship between countermovement jump performance and multijoint isometric and dynamic tests of strength. J Strength Cond Res. 2008;22(3):699-707. [Crossref]
  • 25. Hrysomallis C, Kidgell D. Effect of heavy dynamic resistive exercise on acute upper-body power. J Strength Cond Res. 2001;15(4):426- 430. [Crossref]
  • 26. Bean JF, Kiely DK, LaRose S, Alian J, Frontera WR. Is stair climb power a clinically relevant measure of leg power impairments in at-risk older adults? Arch Phys Med Rehabil. 2007;88(5):604-609. [Crossref]
  • 27. Bassey EJ, Fiatarone MA, O’Neill EF, Kelly M, Evans WJ, Lipsitz LA. Leg extensor power and functional performance in very old men and women. Clin Sci (Lond). 1992;82(3):321-327. [Crossref] 28. Taaffe DR, Duret C, Wheeler S, Marcus R. Once-weekly resistance exercise improves muscle strength and neuromuscular performance in older adults. J Am Geriatr Soc. 1999;47(10):1208-1214. [Crossref]
  • 29. Kalapotharakos VI, Michalopoulos M, Tokmakidis SP, Godolias G, Gourgoulis V. Effects of a heavy and a moderate resistance training on functional performance in older adults. J Strength Cond Res. 2005;19(3):652-657. [Crossref]
  • 30. Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exercise Sport. 1999;70(2):113-119. [Crossref] 31. Schechtman O, Gestewitz L, Kimble C. Reliability and validity of the DynEx dynamometer. J Hand Ther. 2005;18(3):339-347. [Crossref]
  • 32. Bellace JV, Healy D, Besser MP, Byron T, Hohman L. Validity of the Dexter Evaluation System’s Jamar dynamometer attachment for assessment of hand grip strength in a normal population. J Hand Ther. 2000;13(1):46-51. [Crossref]
APA SOOM T, GEBRUERS N, TJALMA W, SCHEP G, BREDA E (2021). Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting. , 77 - 88. 10.5152/ArcHealthSciRes.2021.20075
Chicago SOOM Timia van,GEBRUERS Nick,TJALMA Wiebren,SCHEP Goof,BREDA Eric van Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting. (2021): 77 - 88. 10.5152/ArcHealthSciRes.2021.20075
MLA SOOM Timia van,GEBRUERS Nick,TJALMA Wiebren,SCHEP Goof,BREDA Eric van Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting. , 2021, ss.77 - 88. 10.5152/ArcHealthSciRes.2021.20075
AMA SOOM T,GEBRUERS N,TJALMA W,SCHEP G,BREDA E Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting. . 2021; 77 - 88. 10.5152/ArcHealthSciRes.2021.20075
Vancouver SOOM T,GEBRUERS N,TJALMA W,SCHEP G,BREDA E Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting. . 2021; 77 - 88. 10.5152/ArcHealthSciRes.2021.20075
IEEE SOOM T,GEBRUERS N,TJALMA W,SCHEP G,BREDA E "Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting." , ss.77 - 88, 2021. 10.5152/ArcHealthSciRes.2021.20075
ISNAD SOOM, Timia van vd. "Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting". (2021), 77-88. https://doi.org/10.5152/ArcHealthSciRes.2021.20075
APA SOOM T, GEBRUERS N, TJALMA W, SCHEP G, BREDA E (2021). Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting. Archives of health science and research (Online), 8(2), 77 - 88. 10.5152/ArcHealthSciRes.2021.20075
Chicago SOOM Timia van,GEBRUERS Nick,TJALMA Wiebren,SCHEP Goof,BREDA Eric van Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting. Archives of health science and research (Online) 8, no.2 (2021): 77 - 88. 10.5152/ArcHealthSciRes.2021.20075
MLA SOOM Timia van,GEBRUERS Nick,TJALMA Wiebren,SCHEP Goof,BREDA Eric van Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting. Archives of health science and research (Online), vol.8, no.2, 2021, ss.77 - 88. 10.5152/ArcHealthSciRes.2021.20075
AMA SOOM T,GEBRUERS N,TJALMA W,SCHEP G,BREDA E Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting. Archives of health science and research (Online). 2021; 8(2): 77 - 88. 10.5152/ArcHealthSciRes.2021.20075
Vancouver SOOM T,GEBRUERS N,TJALMA W,SCHEP G,BREDA E Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting. Archives of health science and research (Online). 2021; 8(2): 77 - 88. 10.5152/ArcHealthSciRes.2021.20075
IEEE SOOM T,GEBRUERS N,TJALMA W,SCHEP G,BREDA E "Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting." Archives of health science and research (Online), 8, ss.77 - 88, 2021. 10.5152/ArcHealthSciRes.2021.20075
ISNAD SOOM, Timia van vd. "Physical Testing in Cancer Patients: Practical Testing in a Clinical Setting". Archives of health science and research (Online) 8/2 (2021), 77-88. https://doi.org/10.5152/ArcHealthSciRes.2021.20075