Fatigue is one of the most common side effects reported by people with cancer and the majority of patients will experience this symptom at some stage during the course of their illness or treatment. People experiencing cancer-related fatigue may complain of physical fatigue which they might describe as a sensation of weakness or heaviness in their limbs, and also mental fatigue where they may report difficulty performing cognitive tasks. Cancer-related fatigue can have a significant impact on a patient’s quality of life, function, and their ability to perform activities of daily living. When cancer-related fatigue persists beyond the primary treatment period and is unexplained by alternative medical or psychiatric conditions, it is termed post-cancer fatigue. Exercise can help to restore physical fitness and reduce reports of fatigue at different stages throughout the cancer continuum. Exercise interventions need to be tailored accordingly around these issues. This presentation will provide an overview of the evidence for exercise as a management strategy for post-cancer fatigue. It will also provide pragmatic suggestions and examples on assessment, symptom management and exercise prescription for people with post-cancer fatigue.
The recording is of a webinar presented by ESSA on 27 November 2018.
Presented by Dr Carolina Sandler PhD, BSc (Health & SpSc), ESSAM, AEP
Dr Sandler is an accredited exercise physiologist and holds a post-doctoral research appointment at the University of Queensland and Queensland University of Technology. From 2010 - 2017, she served as principal exercise physiologist and coordinator at the UNSW Fatigue Clinic specialising in management of patients with chronic fatigue states (including post-cancer fatigue, post-infective fatigue and chronic fatigue syndrome). Her PhD was awarded in 2016 and focussed on investigating effective interventions for medically-unexplained fatigue states where a primary focus was conducting a Cancer Australia funded project evaluating a randomised control trial of graded exercise therapy and cognitive behaviour therapy in patients with post-cancer fatigue.
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