Wednesday, 21 November 2012

Exercise can help Cancer Related Fatigue – Official!!



“You know when you’ve had a really hard day at work, and you flop down on the settee in front of the telly at the end of the day……if the phone rings across the other side of the room, you might feel so tired that you choose to ignore it.  But, if you smelt burning from the kitchen and saw black smoke you would be able to jump up and go and find out what’s going on…….well, the way I am feeling at the moment, if that was me, I think I would have to take my chances with the fire, as I have absolutely no energy reserves left, I have nothing!” 

Cancer Related fatigue (CRF) as describe above by a patient of mine a few years ago is a very common side effect of cancer or cancer treatment.  It is suggested that most people undergoing treatment for cancer will at some stage experience a degree of CRF.  In my experience I would have to say I think everyone who has cancer or is having treatment will suffer with CRF at some stage throughout their treatment journey.  It can happen during or after treatment and can persist for weeks, months even years for some people.   It can affect every single aspect of a person’s life – every day activities, hobbies, work and social life, and can have a detrimental effect on their wellbeing and state of mind.   CRF can be quite debilitating, but the good news is that help is available, and it can be alleviated.   A physio is typically the last person on earth that a patient feeling fatigued would want to see, but actually, we are probably one of the most important members of the cancer rehabilitation team when it comes to treating CRF.  We are able to assess a person’s individual level of fitness and activity and prescribe an appropriate activity or exercise programme to help that person break the vicious cycle of CRF.  It’s all about finding a balance between having the right amount of rest (which is important to enable the body to repair and recover from the treatments) and the right amount of activity, which will maintain and improve muscle strength and  cardiovascular fitness.  As these improve so too do energy levels meaning that fatigue is reduced. 
A research review (here) paper was published last week, which confirms everything  that us physio’s have always known…..that if you have CRF then rest is most definitely not best!    

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