Effects of a Multimodal Physical Exercise and Functional Rehabilitation Program on Fatigue, Pain, Functional Capacity and Quality of Life in Cancer Patients With Tumor Asthenia.

University of Salamanca

Status: Completed

Conditions: Cancer-Related Syndrome; Cancer; Fatigue

Treatments: Other: Multimodal Exercise and Functional Rehabilitation Program

Study type: Interventional

Funder types: Other

Identifiers

NCT04761289

245381

Details and patient eligibility

About

Tumor asthenia is the most common symptom associated with cancer and its treatment. Although the estimated prevalence varies between 60-90%, and it is considered the longest-lasting symptom in cancer patients, having the greatest impact on quality of life parameters, it is a problem that is still undervalued in general by health professionals . It has been observed that individuals with this process find it difficult to normalize their daily life, either due to a deterioration in their clinical condition or due to a problem in the generalization of what they have learned during their hospital stay. That is why we plan to carry out a clinical trial, to evaluate the effect of a controlled patient follow-up program, and thus be able to address these difficulties in the most optimal way. A randomized clinical trial of two parallel groups will be carried out, belonging to the oncology service of the University Hospital of Salamanca. 44 participants with tumor asthenia, who are admitted at the time of inclusion, will be selected through a consecutive sampling. After the baseline evaluation, the participants will be randomized into two groups. The subjects of the experimental group will carry out a Functional Rehabilitation Program, with a duration of one month. The main variable will be the evaluation of the basic activities of daily life (Barthel scale). The secondary variables will be oriented to evaluate the change in tumor asthenia, attention and cognitive functions, parameters of quality of life, pain, functional capacity and body composition. The results of this study could be transferred to the clinic, incorporating them into care protocols for cancer patients with tumor asthenia.

Enrollment: 50 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Having among the reasons for admission a pathological diagnosis of newly diagnosed or relapsed oncological disease.
• Being admitted to the Oncology Service of the Salamanca University Hospital.
• Barthel index score between 15 and 55 points.
• Level of tumor asthenia greater than or equal to 4 on the EVA scale for tumor asthenia.
• Sign an informed consent in which they authorize their voluntary participation in the study (Annex II).

Exclusion criteria

• Present cognitive impairment assessed with the Mini-mental State Examination (MMSE) less than 24 points.
• Present hemoglobin levels below 10g / dl.

Withdrawal criteria:

• Exitus of the patient.
• Progression of the disease leading to a terminal state.
• Hospitalization of the patient at the time of home monitoring.
• Do not carry out Final Assessment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Control group. Health education program

Active Comparator group

Description:

The participants in this group will undergo the usual clinical practice: compliance and adherence to the prescribed drug treatment will be explained, as well as the established guidelines for individualized health care. A Health Education Program will also be added at discharge, mainly aimed at reinforcing and promoting an active and healthy life.

Treatment:

Other: Multimodal Exercise and Functional Rehabilitation Program

Experimental Group. Multimodal Exercise and Functional Rehabilitation Program

Experimental group

Description:

1. Prescription of multimodal physical exercise. A supervised and structured home program will be carried out for one month. It will be carried out daily in two short sessions of 15-20 minutes, one in the morning and one in the afternoon. Each session will be structured in a warm-up, a main part and a cool-down and relaxation (14). 2. Reeducation of Activities of Daily Living (ADL). Specific training will be carried out after the evaluation and before the discharge of the patients from the university healthcare complex. It is intended to identify the factors that are interfering with the performance of activities of daily living. The intervention will consist of three parts: Direct intervention on Activities of Daily Living (ADL), carried out in situ in the hospitalization and generalizable to their daily environment; teaching in Energy Saving Techniques (APR). 3. Prescription of support products and adaptations of the environment.

Treatment:

Other: Multimodal Exercise and Functional Rehabilitation Program