Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Department of Rehabilitation Services, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Integr Cancer Ther. 2024 Jan-Dec;23:15347354241296381. doi: 10.1177/15347354241296381.
Physical therapy (PT) has an important role in Integrative Oncology programs, addressing the unique physical health needs of individuals with cancer through exercise counseling. We share our experience with the PT component of our telehealth comprehensive lifestyle modification program including data from our first cohort of patients.
The PT component of our lifestyle modification program included 6 one-hour synchronous video sessions (30 minutes exercise education, 30 minutes exercise) over the 12-week program. Participants received handouts electronically that included information regarding each week's exercise-related topic, as well as weekly exercise assignments. Outcomes included weight, days of aerobic exercise, minutes of aerobic exercise, and days of strengthening exercise. Six patients completed the program and submitted an anonymous exit survey providing qualitative feedback on the program.
On average, patients reported engaging in aerobic exercise 4 days per week and strength training 2 days per week after the intervention. There were notable increases in days of strength training. Patients lost an average of 4.2% of their body weight over the course of the 12-week program. Qualitative feedback showed that the first cohort of patients described the telehealth program as enjoyable, valuable, and convenient.
Physical therapy exercise programs can be modified and tailored for delivery in a telehealth environment. Increased patient access remains a strength of this model, serving to equip patients with the tools needed for increasing aerobic and strength training activity. Overall, the program was implemented successfully, and the anonymous feedback survey completed after program completion showed high patient satisfaction.
物理治疗（PT）在肿瘤整合医学方案中具有重要作用，通过运动咨询满足癌症患者独特的身体健康需求。我们分享了我们远程健康综合生活方式改变计划中 PT 部分的经验，包括我们第一组患者的数据。
我们生活方式改变计划中的 PT 部分包括 12 周计划中的 6 次 1 小时同步视频会议（30 分钟运动教育，30 分钟运动）。参与者通过电子方式接收讲义，其中包括与每周运动相关主题的信息，以及每周的运动作业。结果包括体重、有氧运动天数、有氧运动分钟数和力量训练天数。有 6 名患者完成了该计划，并提交了一份匿名退出调查，对该计划提供了定性反馈。
平均而言，患者报告在干预后每周进行 4 天有氧运动和 2 天力量训练。力量训练的天数显著增加。患者在 12 周的计划中平均体重减轻了 4.2%。定性反馈显示，第一组患者将远程健康计划描述为愉快、有价值且方便。
物理治疗运动计划可以在远程健康环境中进行修改和定制。增加患者的可及性仍然是该模式的优势，为患者提供增加有氧运动和力量训练活动所需的工具。总的来说，该计划成功实施，完成后完成的匿名反馈调查显示患者满意度很高。
