Physiotherapy management of cancer-related fatigue: a survey of UK current practice

CM Donnelly, Andrea Lowe-Strong, A Campbell, JP Rankin, James Allen, Jackie Gracey

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Purpose To establish physiotherapy management of cancer-related fatigue (CRF), in particular, to determine physiotherapy exercise management of CRF. Methods All physiotherapist members of the UK Association of Chartered Physiotherapists in Oncology and Palliative Care (ACPOPC) received a questionnaire. Results The response rate was 65% (223/341). Therapists had a mean of 6.8 years (+/−5.6) experience in oncology and/or palliative care. Seventy-eight percent of therapists recommend and/or use exercise as part of the management of CRF; 74% teach other strategies, most commonly energy-conservation techniques (79%). Therapists recommend and/or use exercise in similar frequencies with a range of cancer types, before (32%), during (53%) and following treatment (59%) and during advanced stages of the disease (68%). The most common barrier encountered by therapists in recommending and/or using exercise was related to the lack-of-exercise guidelines for patients with CRF (71%). Conclusion Physiotherapists' management of CRF includes recommending and using exercise and teaching energyconservation techniques. Therapists recommend and/or use exercise with a variety of cancer populations, across all stages of the disease trajectory, in particular during advanced stages of the disease. Findings show therapists feel their practice is affected by the lack of exercise guidance for the cancer population. CRF management and physiotherapy practice would benefit from further research testing the efficacy of exercise in understudied patient groups, in all stages of the disease trajectory.
LanguageEnglish
JournalSupportive Care in Cancer
Volume0
DOIs
Publication statusPublished - 23 Aug 2009

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Fatigue
Exercise
Neoplasms
Physical Therapists
Palliative Care
Surveys and Questionnaires
Practice Management
Population
Teaching
Guidelines
Research

Cite this

Donnelly, CM ; Lowe-Strong, Andrea ; Campbell, A ; Rankin, JP ; Allen, James ; Gracey, Jackie. / Physiotherapy management of cancer-related fatigue: a survey of UK current practice. In: Supportive Care in Cancer. 2009 ; Vol. 0.
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abstract = "Purpose To establish physiotherapy management of cancer-related fatigue (CRF), in particular, to determine physiotherapy exercise management of CRF. Methods All physiotherapist members of the UK Association of Chartered Physiotherapists in Oncology and Palliative Care (ACPOPC) received a questionnaire. Results The response rate was 65{\%} (223/341). Therapists had a mean of 6.8 years (+/−5.6) experience in oncology and/or palliative care. Seventy-eight percent of therapists recommend and/or use exercise as part of the management of CRF; 74{\%} teach other strategies, most commonly energy-conservation techniques (79{\%}). Therapists recommend and/or use exercise in similar frequencies with a range of cancer types, before (32{\%}), during (53{\%}) and following treatment (59{\%}) and during advanced stages of the disease (68{\%}). The most common barrier encountered by therapists in recommending and/or using exercise was related to the lack-of-exercise guidelines for patients with CRF (71{\%}). Conclusion Physiotherapists' management of CRF includes recommending and using exercise and teaching energyconservation techniques. Therapists recommend and/or use exercise with a variety of cancer populations, across all stages of the disease trajectory, in particular during advanced stages of the disease. Findings show therapists feel their practice is affected by the lack of exercise guidance for the cancer population. CRF management and physiotherapy practice would benefit from further research testing the efficacy of exercise in understudied patient groups, in all stages of the disease trajectory.",
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Physiotherapy management of cancer-related fatigue: a survey of UK current practice. / Donnelly, CM; Lowe-Strong, Andrea; Campbell, A; Rankin, JP; Allen, James; Gracey, Jackie.

In: Supportive Care in Cancer, Vol. 0, 23.08.2009.

Research output: Contribution to journalArticle

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AU - Donnelly, CM

AU - Lowe-Strong, Andrea

AU - Campbell, A

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AU - Allen, James

AU - Gracey, Jackie

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N2 - Purpose To establish physiotherapy management of cancer-related fatigue (CRF), in particular, to determine physiotherapy exercise management of CRF. Methods All physiotherapist members of the UK Association of Chartered Physiotherapists in Oncology and Palliative Care (ACPOPC) received a questionnaire. Results The response rate was 65% (223/341). Therapists had a mean of 6.8 years (+/−5.6) experience in oncology and/or palliative care. Seventy-eight percent of therapists recommend and/or use exercise as part of the management of CRF; 74% teach other strategies, most commonly energy-conservation techniques (79%). Therapists recommend and/or use exercise in similar frequencies with a range of cancer types, before (32%), during (53%) and following treatment (59%) and during advanced stages of the disease (68%). The most common barrier encountered by therapists in recommending and/or using exercise was related to the lack-of-exercise guidelines for patients with CRF (71%). Conclusion Physiotherapists' management of CRF includes recommending and using exercise and teaching energyconservation techniques. Therapists recommend and/or use exercise with a variety of cancer populations, across all stages of the disease trajectory, in particular during advanced stages of the disease. Findings show therapists feel their practice is affected by the lack of exercise guidance for the cancer population. CRF management and physiotherapy practice would benefit from further research testing the efficacy of exercise in understudied patient groups, in all stages of the disease trajectory.

AB - Purpose To establish physiotherapy management of cancer-related fatigue (CRF), in particular, to determine physiotherapy exercise management of CRF. Methods All physiotherapist members of the UK Association of Chartered Physiotherapists in Oncology and Palliative Care (ACPOPC) received a questionnaire. Results The response rate was 65% (223/341). Therapists had a mean of 6.8 years (+/−5.6) experience in oncology and/or palliative care. Seventy-eight percent of therapists recommend and/or use exercise as part of the management of CRF; 74% teach other strategies, most commonly energy-conservation techniques (79%). Therapists recommend and/or use exercise in similar frequencies with a range of cancer types, before (32%), during (53%) and following treatment (59%) and during advanced stages of the disease (68%). The most common barrier encountered by therapists in recommending and/or using exercise was related to the lack-of-exercise guidelines for patients with CRF (71%). Conclusion Physiotherapists' management of CRF includes recommending and using exercise and teaching energyconservation techniques. Therapists recommend and/or use exercise with a variety of cancer populations, across all stages of the disease trajectory, in particular during advanced stages of the disease. Findings show therapists feel their practice is affected by the lack of exercise guidance for the cancer population. CRF management and physiotherapy practice would benefit from further research testing the efficacy of exercise in understudied patient groups, in all stages of the disease trajectory.

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