Zusammenfassung
Bewegungstherapie in individualisierter Form bei onkologischen Patienten ist vor,
während und auch nach Abschluss der medizinischen Therapie machbar und sicher und
kann Nebenwirkungen, wie beispielsweise dem Fatigue-Syndrom oder der Polyneuropathie
entgegenwirken. Dieser Beitrag gibt einen Überblick über die aktuellen bewegungstherapeutischen
Ansätze bei onkologischen Patienten.
Abstract
The positive effects of oncological exercise therapy are sufficiently proven according
to scientific studies. International evidence-based guidelines confirm this importance
and recommend physical exercise as part of the standard therapy for cancer. The effects
of physical activity on cancer-specific deficits are versatile ranging from positive
impact on fatigue syndrome, mortality, incontinence, lymphoedema, CIPN, anxiety, depression
to reduction of pain. According to current knowledge, sensorimotor training is recommended
for the treatment of polyneuropathy. The actual effectiveness of vibration training
in reducing symptom burden is undetermined. There are more than 100 randomized, controlled
studies with the highest evidence rating for the management of CrF available. In this
regard, exercise therapy is more effective than drug therapy in alleviating the symptomatology
of CrF. In addition to the movement-therapeutic approach, a coordinated diet is necessary
to avoid nutrition shortages.
The evidence on physical activity in oncology must be considered not only in theory,
but also in practice and be accepted as a general recommendation for oncology patients.
The personalized OTT treatment concept represents a practical implementation and offers
a targeted treatment option with low side effects.
Schlüsselwörter
Bewegung - Krebs - Fatigue - Polyneuropathie - onkologische Trainings- und Bewegungstherapie
- OTT
Key words
physical activity - cancer - personalized exercise concept - fatigue - polyneuropathy
