EHR523 Exercise Prescription for Cancer Management Lecture

WARNING This material has been reproduced and communicated to you by or on behalf of Charles Sturt University in accordance with section 113P of the Copyright Act 1968...

WARNING This material has been reproduced and communicated to you by or on behalf of Charles Sturt University in accordance with section 113P of the Copyright Act 1968 (Act). The material in this communication may be subject to copyright under the Act. Any further reproduction or communication of this material by you may be the subject of copyright protection under the Act. Do not remove this notice School of Allied Health, Exercise and Sports Sciences 1 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 1 EHR523 EXERCISE PRESCRIPTION FOR CANCER MANAGEMENT Lecture: Medical Clearance, Risk Assessment, and Contraindications for Exercise Presenter: Jack Cannon School of Allied Health, Exercise and Sports Sciences 2 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 2 What We Will Cover: Medical clearance for cancer clients. Exercise risk assessment procedures. Contraindications for exercise participation. Cardiometabolic changes from cancer and treatment. Considerations for exercise risk and safe exercise participation. “Red flags” requiring medical investigation. School of Allied Health, Exercise and Sports Sciences 3 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 3  Medical Clearance All clients who have or have previously had cancer should have ideally have clearance from their GP or Medical Oncologist to exercise. □ But this may not be provided for legal reasons. May assist with: □ Advising of other health conditions client may have. □ Providing restrictions. □ Communicating treatment team goals. Obtaining a referral for exercise implies medical clearance (fit to exercise). School of Allied Health, Exercise and Sports Sciences 4 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 4 Exercise Risk Assessment There are currently no ESSA/ACSM cancer- specific pre-exercise screening tools. It is important to ask specific details about their cancer history and journey to ensure safety and specificity.  The process should be used to identify client’s risk.  Be aware that all client’s with cancer will typically be high risk (see Q6). School of Allied Health, Exercise and Sports Sciences 5 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 5 ACSM Contraindications to Exercise Absolute and/or relative contraindications could be present due to: □ Treatment side effects (e.g. cardiotoxicity, paraneoplastic syndromes, etc). □ Secondary conditions □ Accelerated aging following past treatment School of Allied Health, Exercise and Sports Sciences 6 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 6 Cancer-Specific Contraindications for Exercise Stefani, et al (2017). J. Funct. Morphol. Kinesiol, 2(1), 4; https://doi.org/10.3390/jfmk2010004 School of Allied Health, Exercise and Sports Sciences 7 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 7  Haematological Compromise Blood Count Exercise Considerations 9 White blood cells >11.0 x 10 /L: Symptom-based approach, monitor for fever 9