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一项多组分训练计划改善了接受半骨盆切除术的间充质软骨肉瘤幸存者的身体功能和生活质量:一项病例研究。

A Multicomponent Training Program Improves Physical Function and Quality of Life for a Mesenchymal Chondrosarcoma Survivor Subjected to Internal Hemipelvectomy: A Case Study.

作者信息

Guerrero Romero Lucía, Cepero González Mar, Rojas-Ruiz Francisco J

机构信息

Centro de Entrenamiento Lucía Guerrero, 18004 Granada, Spain.

Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain.

出版信息

J Clin Med. 2025 Feb 25;14(5):1541. doi: 10.3390/jcm14051541.

Abstract

: Overcoming an oncological process has a significant impact on lower-extremity sarcoma survivors' quality of life, due to the deterioration in their physical and functional state. This study evaluated the effects of a six-month multicomponent physical training program on the physical function and quality of life of a mesenchymal chondrosarcoma survivor. : The mesenchymal chondrosarcoma survivor was subjected to an internal hemipelvectomy including right hemipelvis plus femoral joint and resection of the right proximal femur followed by chemotherapy and radiotherapy according to the oncology protocol. The program was performed twice weekly and included resistance, cardiorespiratory, trunk control, and stability exercises. Functional assessments revealed improvements in hand grip strength, walking speed, balance, and coordination. The Timed Up and Go Test showed a 50% reduction in completion time, reflecting better mobility and strength. Additionally, gait speed increased significantly, and balance trials indicated enhanced coordination. Quality of life evaluations indicated progress in physical health, psychological well-being, and environmental engagement. : Taken together, this research emphasizes the importance of tailored exercise interventions for sarcoma survivors, particularly those with significant physical impairments. Such programs are vital complements to conventional rehabilitation strategies, fostering physical activity adapted to individual needs. By addressing the multifaceted challenges of survivorship, these interventions enhance functional capacity, reduce disability, and improve overall well-being. Therefore, this case study highlights the program's effectiveness in managing post-treatment sequelae, opening a pathway to improved physical autonomy and quality of life.

摘要

由于身体和功能状态的恶化,克服肿瘤过程对下肢肉瘤幸存者的生活质量有重大影响。本研究评估了一项为期六个月的多组分体育训练计划对一名间叶性软骨肉瘤幸存者身体功能和生活质量的影响。

该间叶性软骨肉瘤幸存者接受了包括右半骨盆加股骨关节的内半骨盆切除术以及右股骨近端切除术,随后根据肿瘤治疗方案进行化疗和放疗。该计划每周进行两次,包括阻力训练、心肺训练、躯干控制和稳定性训练。功能评估显示握力、步行速度、平衡和协调性有所改善。定时起立行走测试显示完成时间减少了50%,反映出更好的移动性和力量。此外,步态速度显著提高,平衡测试表明协调性增强。生活质量评估表明在身体健康、心理健康和环境参与方面取得了进展。

综上所述,本研究强调了为肉瘤幸存者量身定制运动干预措施的重要性,特别是那些有明显身体损伤的幸存者。此类计划是传统康复策略的重要补充,促进了适应个体需求的体育活动。通过应对幸存者面临的多方面挑战,这些干预措施提高了功能能力,减少了残疾,并改善了整体幸福感。因此,本案例研究突出了该计划在管理治疗后后遗症方面的有效性,为提高身体自主性和生活质量开辟了一条途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d336/11900110/e4c6cdf59113/jcm-14-01541-g001.jpg

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