Download PDF
physiopraxis 2021; 19(04): 39-43
DOI: 10.1055/a-1400-1206
Therapie

Ungeahnte Kräfte – Sport- und Bewegungstherapie bei onkologischen Erkrankungen

Annelie Voland∗
,
Maximilian Köppel∗
,
Joachim Wiskemann∗
› Further Information
    Permissions and Reprints

Inzwischen belegen mehr als 700 Studien die positive Wirkung körperlicher Aktivität vor, während und nach der Krebstherapie. Trotzdem sind Physios in der Therapie oft zögerlich, aus Angst, etwas falsch zu machen. Warum aber gerade Nichtstun verheerend sein kann und wie ein sicheres Training gelingt, beleuchtet dieser Artikel.



Publication History

Article published online:
14 April 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literaturverzeichnis

  • 1 Robert Koch-Institut. Krebs in Deutschland 2015/2016. Berlin: Robert Koch-Institut und die Gesellschaft der epidemiologischen Krebsregister in Deutschland e.V 2019..
    Google Scholar
  • 2 Buffart LM, Kalter J, Sweegers MG. et al Effects and moderators of exercise on quality of life and physical function in patients with cancer: An individual patient data meta-analysis of 34 RCTs. Cancer Treat Rev 2017; 52: 91-104 DOI: 10.1016/j.ctrv.2016.11.010.
    CrossrefPubMedGoogle Scholar
  • 3 Christensen JF, Simonsen C, Hojman P. Exercise Training in Cancer Control and Treatment. ComprPhysiol 2018; 9 (01) 165-205 DOI: 10.1002/cphy.c180016.
    CrossrefPubMedGoogle Scholar
  • 4 Campbell KL, Winters-Stone KM, Wiskemann J. et al Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Med Sci Sports Exerc 2019; 51 (11) 2375-90 DOI: 10.1249/MSS.0000000000002116.
    CrossrefPubMedGoogle Scholar
  • 5 Scott JM, Nilsen TS, Gupta D, Jones LW. Exercise Therapy and Cardiovascular Toxicity in Cancer. Circulation 2018; 137 (11) 1176-91 DOI: 10.1161/CIRCULATIONAHA.117.024671.
    CrossrefPubMedGoogle Scholar
  • 6 Jones LW, Habel LA, Weltzien E. et al Exercise and Risk of Cardiovascular Events in Women With Nonmetastatic Breast Cancer. J Clin Oncol 2016; 34 (23) 2743-9 DOI: 10.1200/JCO.2015.65.6603.
    CrossrefPubMedGoogle Scholar
  • 7 Winters-Stone KM, Laudermilk M, Woo K. et al Influence of weight training on skeletal health of breast cancer survivors with or at risk for breast cancer-related lymphedema. Journal of cancer survivorship: research and practice 2014; 8 (02) 260-8 DOI: 10.1007/s11764-013-0337-z.
    CrossrefPubMedGoogle Scholar
  • 8 Friedenreich CM, Wang Q, Neilson HK. et al Physical Activity and Survival After Prostate Cancer. Eur Urol 2016; 70 (04) 576-85 DOI: 10.1016/j.eururo.2015.12.032.
    CrossrefPubMedGoogle Scholar
  • 9 Friedenreich CM, Shaw E, Neilson HK. et al Epidemiology and biology of physical activity and cancer recurrence. Journal of Molecular Medicine 2017; 95 (10) 1029-41 DOI: 10.1007/s00109-017-1558-9.
    CrossrefPubMedGoogle Scholar
  • 10 McTiernan A, Friedenreich CM, Katzmarzyk PT. et al Physical Activity in Cancer Prevention and Survival: A Systematic Review. Med Sci Sports Exerc 2019; 51 (06) 1252-61 DOI: 10.1249/MSS.0000000000001937.
    CrossrefPubMedGoogle Scholar
  • 11 Sweegers MG, Altenburg TM, Chinapaw MJ. et al Which exercise prescriptions improve quality of life and physical function in patients with cancer during and following treatment? A systematic review and meta-analysis of randomised controlled trials. Br J Sports Med 2018; 52 (08) 505-13 DOI: 10.1136/bjsports-2017-097891.
    CrossrefPubMedGoogle Scholar
  • 12 Hayes SC, Janda M, Cornish B. et al Lymphedema after breast cancer: incidence, risk factors, and effect on upper body function. Journal of clinical oncology 2008; 26: 3536-3542 DOI: 10.1200/JCO.2007.14.4899.
    CrossrefPubMedGoogle Scholar
  • 13 Armer J, Stewart B. Post-breast cancer lymphedema: incidence increases from 12 to 30 to 60 months. Lymphology 2010; 43: 118
    PubMedGoogle Scholar
  • 14 Harris SR, Niesen-Vertommen SL. Challenging the myth of exercise-induced lymphedema following breast cancer: A series of case reports. Journal of Surgical Oncology 2000; 74: 95-98 DOI: 10.1002/1096-9098(200006)74:295::AID-JSO3>3.0.CO;2-Q.
    CrossrefGoogle Scholar
  • 15 Hasenoehrl T, Palma S, Ramazanova D. et al Resistance exercise and breast cancer–related lymphedema—a systematic review update and meta-analysis. Supportive Care in Cancer 2020; 28: 3593-3603 DOI: 10.1007/s00520-020-05521-x.
    CrossrefPubMedGoogle Scholar
  • 16 Schmitz KH, Ahmed RL, Troxel AB. et al Weight lifting for women at risk for breast cancer–related lymphedema: a randomized trial. Jama 2010; 304: 2699-2705 DOI: 10.1001/jama.2010.1837.
    CrossrefPubMedGoogle Scholar
  • 17 Baumann FT, Reike A, Hallek M, Wiskemann J. et al Does exercise have a preventive effect on secondary lymphedema in breast cancer patients following local treatment-a systematic review. Breast Care 2018; 13: 380-385 DOI: 10.1159/000487428.
    CrossrefPubMedGoogle Scholar
  • 18 Quasthoff S, Hartung HP. Chemotherapy-induced peripheral neuropathy. Journal of neurology 2002; 249: 9-17 DOI: 10.1007/pl00007853.
    CrossrefPubMedGoogle Scholar
  • 19 Han Y, Smith MT. Pathobiology of cancer chemotherapy-induced peripheral neuropathy (CIPN). Frontiers in pharmacology 2013; 4: 156
    PubMedGoogle Scholar
  • 20 Burton AW, Fanciullo GJ, Beasley RD. et al Chronic pain in the cancer survivor: a new frontier. Pain Medicine 2007; 8: 189-198
    CrossrefPubMedGoogle Scholar
  • 21 Köppel M, Bannasch M, Huber G. et al Erfassung von Funktionseinschränkungen bei Patienten mit chemotherapieinduzierter Polyneuropathie. B&G Bewegungstherapie und Gesundheitssport 2020; 36: 112-118
    Article in Thieme ConnectGoogle Scholar
  • 22 Bao T, Basal C, Seluzicki C. et al Long-term chemotherapy-induced peripheral neuropathy among breast cancer survivors: prevalence, risk factors, and fall risk. Breast cancer research and treatment 2016; 159: 327-333
    CrossrefPubMedGoogle Scholar
  • 23 Tofthagen C, Overcash J, Kip K. Falls in persons with chemotherapy-induced peripheral neuropathy. Supportive care in cancer 2012; 20: 583-589
    CrossrefPubMedGoogle Scholar
  • 24 Streckmann F, Kneis S, Leifert J. et al Exercise program improves therapy-related side-effects and quality of life in lymphoma patients undergoing therapy. Annals of oncology 2014; 25: 493-499
    CrossrefPubMedGoogle Scholar
  • 25 Streckmann F, Lehmann H, Balke M. et al Sensorimotor training and whole-body vibration training have the potential to reduce motor and sensory symptoms of chemotherapy-induced peripheral neuropathy—a randomized controlled pilot trial. Supportive Care in Cancer 2019; 27: 2471-2478
    CrossrefPubMedGoogle Scholar
  • 26 Schönsteiner SS, Mißbach HB, Benner A. et al A randomized exploratory phase 2 study in patients with chemotherapy-related peripheral neuropathy evaluating whole-body vibration training as adjunct to an integrated program including massage, passive mobilization and physical exercises. Experimental hematology & oncology 2017; 6: 1-11
    CrossrefPubMedGoogle Scholar
  • 27 Schwenk M, Grewal GS, Holloway D. et al Interactive sensor-based balance training in older cancer patients with chemotherapy-induced peripheral neuropathy: a randomized controlled trial. Gerontology 2016; 62: 553-563
    CrossrefPubMedGoogle Scholar
  • 28 Zimmer P, Trebing S, Timmers-Trebing U. et al Eight-week, multimodal exercise counteracts a progress of chemotherapy-induced peripheral neuropathy and improves balance and strength in metastasized colorectal cancer patients: a randomized controlled trial. Supportive Care in Cancer 2018; 26: 615-624
    CrossrefPubMedGoogle Scholar
  • 29 Lee K, Lee S, Song C. Whole-body vibration training improves balance, muscle strength and glycosylated hemoglobin in elderly patients with diabetic neuropathy. The Tohoku journal of experimental medicine 2013; 231: 305-314
    CrossrefPubMedGoogle Scholar
  • 30 Coleman R. Metastatic bone disease: clinical features, pathophysiology and treatment strategies. Cancer treatment reviews 2001; 27: 165-176
    CrossrefPubMedGoogle Scholar
  • 31 Cecchini MG, Wetterwald A, Van Der Pluijm G. et al Molecular and biological mechanisms of bone metastasis. EAU Update Series 2005; 3: 214-226
    CrossrefGoogle Scholar
  • 32 Mirels H. Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures. Clinical orthopaedics and related research 1989: 256-264
    PubMedGoogle Scholar
  • 33 Taneichi H, Kaneda K, Takeda N, Abumi K, Satoh S. Risk factors and probability of vertebral body collapse in metastases of the thoracic and lumbar spine. Spine 1997; 22: 239-245
    CrossrefPubMedGoogle Scholar
  • 34 Galvao DA, Taaffe DR, Spry N. et al Exercise preserves physical function in prostate cancer patients with bone metastases. Medicine and science in sports and exercise 2018; 50: 393
    CrossrefPubMedGoogle Scholar
  • 35 Gottlob A. Differenziertes Krafttraining: mit Schwerpunkt Wirbelsäule. 2. Aufl. ed. München; Jena: Elsevier, Urban und Fischer; 2007
    PubMedGoogle Scholar
  • 36 Rief H, Omlor G, Akbar M. et al Feasibility of isometric spinal muscle training in patients with bone metastases under radiation therapy-first results of a randomized pilot trial. BMC cancer 2014; 14: 1-10
    CrossrefPubMedGoogle Scholar
  • 37 Rief H, Welzel T, Omlor G. et al Pain response of resistance training of the paravertebral musculature under radiotherapy in patients with spinal bone metastases–a randomized trial. BMC cancer 2014; 14: 1-8
    CrossrefPubMedGoogle Scholar
  • 38 Rosenberger F, Sprave T, Clauss D. et al Spinal Stabilization Exercises for Cancer Patients with Spinal Metastases of High Fracture Risk: Feasibility of the DISPO-II Training Program. Cancers 2021; 13: 201
    CrossrefPubMedGoogle Scholar
  • 39 Wiskemann J, Köppel M, Voland A. et al Implementation von Sport-und Bewegungstherapie in die onkologische Routineversorgung. TumorDiagnostik & Therapie 2020; 41: 306-310
    Article in Thieme ConnectGoogle Scholar
  • 40 Wiskemann J, Scharhag-Rosenberger F. Nebenwirkungsorientierte Behandlungspfade für die bewegungstherapeutische Betreuung onkologischer Patienten. B&G Bewegungstherapie und Gesundheitssport 2014; 30: 146-150
    Article in Thieme ConnectGoogle Scholar