Exercise therapy in the management of dyspnea in
Date de l'article :
2012-08-31
Auteurs :
Graeme J. Koelwyna, Lee W. Jonesb, Whitney Hornsbyb, and Neil D. Evesa
Affiliations :
aIntegrative Clinical Cardiopulmonary Physiology Laboratory, Faculty of Health and Social Development, School of Health and Exercise Sciences,
University of British Columbia, Kelowna, British Columbia, Canada and bDepartment of Radiation Oncology, Duke Cancer Institute, Durham,
North Carolina, USA
Source :
Curr Opin Support Palliat Care 2012, 6:129–137
Abstract :
Purpose of review
Dyspnea is a frequent, debilitating, and understudied symptom in cancer associated with poor prognosis and reduced health-related quality of life. The purpose of this study is to review the incidence, pathophysiology, and mechanisms of dyspnea in patients diagnosed with cancer. We also discuss the existing evidence supporting the efficacy of exercise therapy to complement traditional approaches to reduce the impact of this devastating symptom in persons with cancer.
Recent findings
In other clinical populations presenting with dyspnea, such as chronic obstructive pulmonary disease,
exercise therapy is demonstrated to be an efficacious strategy. In contrast, relatively few studies to date
have investigated the efficacy of exercise training as a therapeutic strategy to mitigate dyspnea in patients
with cancer.
Summary
Although much more work is required, exercise therapy is a promising adjunct strategy to systematically reduce dyspnea in the oncology setting that may also provide additive efficacy when prescribed in combination with other adjunct therapies including pharmacologic interventions.
Keywords
cancer, exercise, exertional dyspnea
Commentaires :
article qui parle très bien de tous les mécanismes connus causant de la dyspnée et un peu de ce qui peut être fait […]