Troschel Fabian M, Ramroth Christian, Lemcke Lars, Clasing Jens, Troschel Amelie S, Dugas Martin, Stummer Walter, Wiewrodt Rainer, Brandt Ralf, Wiewrodt Dorothee
Department of Radiation Oncology, Münster University Hospital, 48149 Münster, Germany.
Department of Neurosurgery, Münster University Hospital, 48149 Münster, Germany.
J Clin Med. 2020 Apr 2;9(4):1006. doi: 10.3390/jcm9041006.
A brain tumor diagnosis poses a significant psychological burden and it severely impacts quality of life (QOL), both in patients and relatives. However, comprehensive strategies addressing QOL in this setting remain rare. Here, we aim to share our findings of a one-week ski exercise intervention, with emphasis on feasibility, safety, QOL, and physical exercise. The intervention consisted of week-long daily ski sessions with professional ski guides as well as dedicated physicians present. The participants were handed questionnaires, including distress and QOL items before, during, and after the intervention. Using fitness watches, exercise intensity was also tracked at these timepoints. During the intervention, patients were checked for adverse events daily. Fifteen participants, nine patients after multidisciplinary treatment, and six relatives were included in the study. Additionally, 13 children participated in the exercise, but not in the study. All of the participants completed the entire program. No severe adverse events were documented during daily checks. There was a strong increase in quantified activity and QOL with a corresponding decrease in distress during the intervention, and, partly, afterwards. This prospective brain tumor rehabilitation study demonstrates the feasibility and safety of challenging ski exercise in brain tumor patients. The findings also underline the exercise-mediated QOL benefits, emphasizing the need for more comprehensive brain tumor rehabilitation programs.
脑肿瘤诊断会带来巨大的心理负担,严重影响患者及其亲属的生活质量(QOL)。然而,针对这种情况下的生活质量的综合策略仍然很少见。在这里,我们旨在分享我们为期一周的滑雪运动干预的结果,重点是可行性、安全性、生活质量和体育锻炼。干预措施包括在专业滑雪向导和专科医生在场的情况下,进行为期一周的每日滑雪课程。在干预前、干预期间和干预后,向参与者发放问卷,包括痛苦和生活质量项目。在这些时间点,还使用健身手表跟踪运动强度。在干预期间,每天检查患者是否有不良事件。15名参与者,9名多学科治疗后的患者和6名亲属被纳入研究。此外,13名儿童参加了运动,但未参与研究。所有参与者都完成了整个项目。在每日检查期间,未记录到严重不良事件。在干预期间以及部分干预后的阶段,量化活动和生活质量大幅提高,痛苦相应减少。这项前瞻性脑肿瘤康复研究证明了具有挑战性的滑雪运动在脑肿瘤患者中的可行性和安全性。研究结果还强调了运动对生活质量的益处,强调需要更全面的脑肿瘤康复计划。