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Moving Forward

Moving Forward. A Physiotherapy Perspective Presented by Saskia Krijgsman (Specialist Breast Oncology Physiotherapist) Acknowledgment to Gemma Tham (Clinical Specialist Physiotherapist). Treatments & its side effects Exercise & its benefits Contra-indications to exercise

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Moving Forward

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  1. Moving Forward A Physiotherapy Perspective Presented by Saskia Krijgsman (Specialist Breast Oncology Physiotherapist) Acknowledgment to Gemma Tham (Clinical Specialist Physiotherapist)

  2. Treatments & its side effects Exercise & its benefits Contra-indications to exercise Wound Healing & Fascia Massage & How to exercise Safely Questions??

  3. TreatmentsExercise has been proven to be beneficial Radiotherapy Chemotherapy Surgery

  4. General Side Effects Chemo & DXT Mouth ulcers Metallic/bitter/salty taste Loss of appetite/ diarrhea/ constipation Skin/nails Hair Loss Blood & bone marrow Peripheral neuropathy Neuropathic pain Fatigue Soreness when swallowing (short term) Dry throat Feeling or being sick Tiredness Reddening of the skin in the treatment area Loss of any body hair in the treatment area

  5. Helps Immune System restore Faster (Hb & WBCC) Reduces Risk Of Primary & Secondary Ca Improves Cardio- Vascular System Helps maintain Strength & Function Improves Body Composition Exercise Reduces Fatigue Decreases Risk of Osteoporosis Improves Mood Increases Exercise Tolerance Decreases Nausea Improves Sleep

  6. Contra-indications to Physical Exercise following Cancer Diagnosis/Treatment (Courneya, 2000)

  7. Surgery & Wound Healing Inflammatory phase (2 - 5 days) Proliferative phase (day 2 - 3 weeks) Remodelling phase (3 weeks - 2 years) http://www.medicaledu.com/phases.htm www.umm.edu/thoracic/images/3_hole_eso.jpg www.oxygentimerelease.com/.../Ivor_lewis.jpg

  8. Massage & Gentle sustained stretching will help Remodel this tight scar tissue into a more flexible and functional part of our bodies!

  9. How to exercise Safely How Long 30 minutes to 1 hour How Often 5 to 7 days per week What Intensity Moderate level aim for level of exertion 12-15 / 20 (somewhat hard to hard) Aim for level of HR to be 50-70% elevated Set weekly plan of what you want to achieve or exercises you enjoy During Chemotherapy These exercises can be; Short walks, Stretching, Theraband exercises (muscle strengthening) Static cycling, light jog After Chemotherapy These exercises can be more intense;Swimming, Horse riding, Golf, Contact sports, Running etc. How can I achieve this? Aim Return back to your previous level of activities of daily living

  10. Any Questions?? Handouts ‘Whatever your circumstances, here is some simple physiotherapy advice about how to get started and improve your health in a way that's right for you’ http://www.csp.org.uk 2009

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