Zusammenfassung
Gezielte Bewegungstherapie kann die physischen, psychischen und psychosozialen Einschränkungen onkologischer Patienten in der Nachsorge positiv beeinflussen. Die Verbesserung der Lebensqualität, die Reduktion bzw. Verhinderung von Nebenwirkungen sowie die Rezidiv- und Mortalitätsprophylaxe sind zentrale Ansatzpunkte bewegungstherapeutischer Studien. Verschiedene Untersuchungen zeigen den positiven Einfluss auf z. B. das Fatigue-Syndrom, die chemotherapieinduzierte Polyneuropathie und das sekundäre Lymphödem. Körperliche Aktivität kann zudem womöglich nach der Diagnose die krebsspezifische und die allgemeine Mortalität senken. Aufgrund der positiven Auswirkungen von Bewegungsinterventionen in der Tumornachsorge besteht die Notwendigkeit, Versorgungsangebote zu schaffen, um den individuellen Bedürfnissen zur Steigerung der Lebensqualität gerecht zu werden. Diese müssen Krebspatienten in der Nachsorge flächendeckend und barrierefrei zur Verfügung gestellt sowie qualitätsgesichert nach Evidenz und den aktuellen Leitlinien umgesetzt werden.
Abstract
Targeted exercise therapy can positively influence the physical, psychological, and psychosocial impairments of oncological patients in aftercare. The improvement of quality of life, reduction of side effects, and prophylaxis of recurrence and mortality are central approaches of exercise therapy interventions. Various studies show the positive influence on fatigue syndrome, chemotherapy-induced polyneuropathy and secondary lymphoedema. Physical activity may also be able to reduce cancer-specific and general mortality after diagnosis. Due to the positive effects of physical activity in tumor aftercare, there is a need to create more care services. Targeted exercise should meet individual needs to improve quality of life. These offers must be made available and readily accessible to cancer patients nationwide, and implemented according to current evidence and guidelines in a quality-assured manner.
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P. Wirtz, A. Tomanek und F.T. Baumann geben an, dass kein Interessenkonflikt besteht.
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Wirtz, P., Tomanek, A. & Baumann, F.T. Bedeutung von Sport und Bewegung für „cancer survivors“. Forum 34, 35–38 (2019). https://doi.org/10.1007/s12312-018-0541-x
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DOI: https://doi.org/10.1007/s12312-018-0541-x