The effectiveness of exercise-based rehabilitation to patients with myeloproliferative neoplasms—An explorative study

Kasper Mønsted Pedersen*, Graziella Zangger, Nana Brochmann, Birk Mygind Grønfeldt, Ann Dorthe Zwisler, Hans Carl Hasselbalch, Lars Hermann Tang

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

The aim of the study was to determine the impact of an interdisciplinary exercise-based rehabilitation intervention on fatigue and quality of life (QOL) in patients with Philadelphia-negative myeloproliferative neoplasms (MPNs). At the Danish Knowledge Centre for Rehabilitation and Palliative Care, a 5-day interdisciplinary exercise-based rehabilitation intervention was carried out on 48 patients with MPN. It was followed by 12 weeks of self-exercising prior to follow-up. Initially and at follow-up, participants filled out validated questionnaires; Brief Fatigue Inventory, Multidimensional Fatigue Inventory, European Organization for Research and Treatment of Cancer Quality-of-Life questionnaire, Myeloproliferative Neoplasm Symptom Assessment Form and Hospital Anxiety and Depression Scale. Maximal oxygen uptake and muscular strength were tested as well. Paired t test was used to compare scores between baseline and follow-up. In total, 45 participants (94%) completed the follow-up. No significant differences were observed on fatigue or QOL when comparing baseline and follow-up. Mean maximal oxygen uptake increased from 27.2 to 33.6 ml O2 · kg−1 ·min−1 (p < 0.001). Handgrip strength (p = 0.01) and the 30-s chair-stand test (p < 0.001) improved as well. No changes were found regarding levels of fatigue and QOL. However, we observed a significant increase in the physical capacity. Our observations call for further studies investigating the effects of non-pharmacological approaches in patients with MPN.

Original languageEnglish
Article numbere12865
JournalEuropean Journal of Cancer Care
Volume27
Issue number5
Number of pages10
ISSN0961-5423
DOIs
Publication statusPublished - 1. Sep 2018

Keywords

  • exercise
  • fatigue
  • myeloproliferative neoplasms
  • non-pharmacological interventions
  • quality of life
  • rehabilitation
  • Neoplasms/physiopathology
  • Humans
  • Middle Aged
  • Muscle Strength/physiology
  • Depression/prevention & control
  • Male
  • Hand Strength/physiology
  • Quality of Life
  • Adult
  • Anxiety/prevention & control
  • Female
  • Aged
  • Exercise Therapy/methods
  • Myeloproliferative Disorders/physiopathology
  • Fatigue/prevention & control

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