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Bewegungstherapie im Rahmen der Prähabilitation

Aktuelle Erkenntnisse in der Urologie

Exercise therapy in prehabilitation

Current findings in urology

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Zusammenfassung

Hintergrund

Die Prähabilitation bezeichnet Interventionen, die vor Einsetzen der medizinischen Behandlungen erfolgen. Prähabilitative Bewegungstherapie zielt darauf ab, die funktionellen physischen Kapazitäten zu erhöhen, um die Regeneration zu verbessern und Nebenwirkungen zu reduzieren.

Fragestellung

Evidenz und Potenziale von bewegungstherapeutischer Prähabilitation in der urologischen Onkologie werden dargestellt.

Material und Methode

Der Beitrag gibt eine Zusammenstellung und Erläuterung von Studienergebnissen.

Ergebnisse

Die Studienlage ist überschaubar und in erster Linie auf Prostata- und Harnblasenkarzinome konzentriert. Die aktuelle Datenlage zeigt positive Effekte auf die physische Funktionsfähigkeit und kardiorespiratorische Kapazität. Die Mehrheit der Studien zur Prähabilitation beim Prostatakarzinom fokussiert spezifische Ziele der physischen Funktionsfähigkeit, insbesondere den Erhalt und die Wiedererlangung von Harnkontinenz mit inkonsistenten Ergebnissen.

Schlussfolgerungen

Es gibt erste Hinweise zur Verbesserung kardiorespiratorischer Fitness und allgemeiner physischer Funktionsfähigkeit beim Harnblasen- und Prostatakarzinom. Es bedarf weiterer vertiefender Forschung, um das Potenzialspektrum der prähabilitativen Bewegungstherapie in der Uroonkologie abbilden zu können.

Abstract

Background

Prehabilitation refers to interventions that take place before starting medical treatment. Prehabilitation exercise therapy aims to increase functional physical capacities to improve recovery and reduce side effects.

Objectives

To present the evidence and potential of prehabilitation exercise therapy in urological oncology.

Methods

Compilation and explanation of study results.

Results

Studies are limited and primarily focused on prostate and bladder cancer. Current data show positive effects on physical functioning and cardiorespiratory capacity. The majority of prehabilitation studies in prostate cancer focus on specific goals of physical functioning, particularly maintenance and recovery of urinary continence with inconsistent results.

Conclusions

There is preliminary evidence to improve cardiorespiratory fitness and overall physical functioning in urinary bladder and prostate cancer. Further in-depth research is needed to map the potential spectrum of prehabilitation exercise therapy in uro-oncology.

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Authors and Affiliations

  1. Centrum für Integrierte Onkologie (CIO), Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland

    Michael Mendes Wefelnberg, Nadine Reimer & Freerk T. Baumann

Authors
  1. Michael Mendes Wefelnberg
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  2. Nadine Reimer
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  3. Freerk T. Baumann
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Corresponding author

Correspondence to Michael Mendes Wefelnberg.

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Interessenkonflikt

M. Mendes Wefelnberg, N. Reimer und F.T. Baumann geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Mendes Wefelnberg, M., Reimer, N. & Baumann, F.T. Bewegungstherapie im Rahmen der Prähabilitation. Urologie 62, 1011–1016 (2023). https://doi.org/10.1007/s00120-023-02171-9

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  • DOI: https://doi.org/10.1007/s00120-023-02171-9

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