Transcript presentation

Dance for People with Cancer
Anna Leatherdale
Dance for Cancer Patients
• Anna Leatherdale –
dance artist
• Dr Ute Scholl – medical
practitioner
Regional project led by
Dance in Devon,
supported by the
Peninsula Cancer
Network and
Macmillan Cancer
Support.
Common side effects of
cancer treatment
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Post-treatment fatigue
Depression
Bone loss
Decreased level of muscular strength
Decreased aerobic capacity
Increased weight gain
Impaired quality of life
Disturbed body image
Research evidence indicates that regular
participation in physical activity after cancer
diagnosis might mitigate some of the common side
effects of cancer treatment:
•Fatigue
•Depression
•Impaired quality of life
•Decreased muscular
strength
•Decreased aerobic
capacity
•Weight gain
Recommended Exercise prescription for
people with cancer1,5,6
Exercise type
Aerobic
Frequency
3-5 days/week
Intensity
Low-moderate
40-60% Heart
Rate Reserve
(HRR)
Time
20-60 minute
sessions
Resistance
3 days/week with 48
hours between
sessions that use the
same muscle groups
Low intensity to
start, then
progress intensity
level
1-3 sets of 10-12
repetitions
involving 8-10
muscle groups
Flexibility
5-7 days/week
To level of tension, 10-30
stop before
seconds/stretch
discomfort
Regular exercise?
What does dance have to
offer?
Increasing
people’s
motivation to
participate in
physical
activity and
maintain that
participation,
because they
see dance as
fun,
expressive,
noncompetitive
and sociable.
What else dance has to offer
Variety
 Range of motion
 Improved body perception
 Reduced stress, anxiety and depression
 Improved quality of life
 Less isolation
 Increased communication skills
 Decrease in chronic pain
 Increased feeling of well-being
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Assisting recovery from illness, reduce pain and the perception of pain
-breast cancer patients increased their ROM (range of motion) in their
involved shoulder by 15% during a 13 week dance programme and at 26
weeks had increased this by 26% (Sandel et al, 2005)
61% of 131 participants reporting chronic pain reported that their
complaints were lessened after dancing in comparison to days
Improving quality of life: Breast cancer patients increased their
Quality of Life Functional Assessment of Cancer Therapy (FACTB) score by 14.7 points during a 13 week dance programme
(against ‘no change’ in a wait group) and maintained this for a
further 13 weeks (Sandel et al, 2005)
Social interaction
and non-medical
touch
Participants reported an
increased motivation toward
exercise because of being
with peers and social
activities on an AIMS
subscale showed significant
improvement (Noreau et al,
1997)
Evidence suggests that
regular physical activity:
•Plays an important role in
prevention of cancer
•Reduces risk of death from the
disease
•Improves common side effects
of cancer treatment
•Improves quality of life
•Reduces stress, anxiety and
depression
References
1. Ness KK, Wall MM, Oakes JM et al. (2006) Physical performance limitations and participation restrictions
among cancer survivors: a population-based study. Ann Epidemiol;16:197-205.
2. Bicego D, Brown K, Ruddick M et al. (2009) Effects of exercise on quality of life in women living with breast
cancer: a systematic review. Breast J;15(1):45-51.
3. Holmes MD, Chen WY, Feskanich D et al. (2005) Physical activity and survival after breast cancer diagnosis.
JAMA;293(20):2479-2486.
4. Meyerhardt JA, Giovannucci EL, Holmes MD et al. (2006) Physical activity and survival after colorectal cancer
diagnosis. J Clin Oncol;24(22):3527-3534.
5. Myers J, Nieman D, eds. (2010) ACSM’s resources for clinical exercise physiology, musculoskeletal,
neuromuscular, neoplastic, immunologic and hematologic conditions. 2nd ed. Phi;Adelphia PA: Lippincott
Williams & Wilkins.
6. Schmitz KH, Courneya KS, Matthews C et al. (2010) American College of Sports Medicine roundtable on
exercise guidelines for cancer survivors. Med Sci Sports Exerc;42(7):409-426.
7.Courneya KS, Blanchard CM, Laing DM. (2001) Exercise adherence in breast cancer survivors training for a
dragon boat race competition: a preliminary investigation. Psycho-Oncology;10:444-452.
8. Judge JO. (2003) Balance training to maintain mobility and prevent disability. Am J Prevent Med;25:150-156.
9. Belardinelli R, Lacalaprice F, Ventrella C, Volpe L, Faccenda E. (2008) Waltz dancing in patients with chronic
heart failure: new form of exercise training. Circulation Heart Failure;1:107-114.
10. Sandel SL, Judge JO, Landry N, Faria L, Ouellette R, Majczak M. (2005) Dance and movement program
improves quality of life measures in breast cancer survivors. Cancer Nursing;28(4):301-309.
11. Markes M, Brockow T, Resch KL. Exercise for women receiving adjuvant therapy for breast cancer.
Cochrane Database of
Systematic Reviews 2006, Issue 4. Art. No.: CD005001. DOI: 10.1002/14651858.CD005001.pub2.
12. Loprinzi PD, Cardinal BJ. Effects of physical activity on common side effects of breast cancer treatment.
Breast Cancer (2012) 19:4–10.
Contraindication of physical activity in individuals
with cancer
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Symptomatic heart failure
Inflammation of the heart (myocarditis)
Recent heart attack (Myocardial infarction)
Acute infection
Thyroid problems
Psychosis
Intravenous chemotherapy within previous 24 hours
Severe anaemia (Haemoglobin < 8g/dl)
Acute onset of nausea during exercise
Beware:
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Indwelling catheters: risk of dislodgement
Peripheral neuropathy: Loss of balance