Artikel
Feasibility and safety of an individualized personal training program for brain tumor patients
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Autoren
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Dorothee Wiewrodt
- Universitätsklinikum Münster, Klinik für Neurochirurgie, Münster, Deutschland
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Ralf Brandt
- Westfälische Wilhelms-Universität, Institut für Sportwissenschaft, Münster, Deutschland
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Carolin Oenning
- Westfälische Wilhelms-Universität, Institut für Sportwissenschaft, Münster, Deutschland
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Rainer Wiewrodt
- Universitätsklinikum Münster, Schwerpunkt Pneumologie, Münster, Deutschland
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Walter Stummer
- Universitätsklinikum Münster, Klinik für Neurochirurgie, Münster, Deutschland
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Klaus Völker
- Westfälische Wilhelms-Universität, Institut für Sportwissenschaft, Münster, Deutschland
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Stephanie Schipmann
- Universitätsklinikum Münster, Klinik für Neurochirurgie, Münster, Deutschland
| Veröffentlicht: | 18. Juni 2018 |
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Gliederung
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Objective: Physical activity of tumor patients showed various positive effects, i.e. on depression, fatigue, cardiorespiratory fitness, and quality of life. However, little is known about feasibility and safety of an intensive personal training program for brain tumor patients.
Methods: During the psycho-oncological counselling, an individual personal trainings program was offered. The initial current endurance capacity was assessed with the standardized PWC (physical working capacity)-test. At entry, the individual training with the personal trainer was performed once to twice a week; later, additional home exercises were added. The range of training intensity was set to 70-90% of the maximum heart rate. In case of well-being, the training was performed continuously (i.e. during chemo- and/or radiotherapy).
Results: 49 brain tumor patients (25 male, 24 female) took part. 36 (73%) patients suffered from malignant brain tumors, mainly glioblastoma (23 pts.), 13 (27%) patients had benign lesions. Median age was 49 years (range 19-73). In total 2022 (median 18, range 2–304) training units (60 min each) were performed. The training comprised several modules: endurance training, weight training, and exercises with complex coordinative work. In 23 (47%) patients a second PWC-test was feasible after at least 12 weeks of training. PWC (at 75% of maximal heart rate) increased clinically relevant from 1.4 Watt/kg body weight (range 0.5-2.2) to 1.9 Watt/kg body weight (range 1.2-2.5). Training program related adverse events (i.e. fall, injury, seizure, etc.) did not occur.
Conclusion: An intensive, individualized personal training program increased the physical fitness of brain tumor patients notably. An intensive training program in brain tumor patients is safe, even with concurrent chemo- or radiotherapy.
