Effectiveness of lumbopelvic exercise in colon cancer survivors: A randomized controlled clinical trial

• Autores: Irene Cantarero Villanueva, Antonio José Sánchez Jiménez, Noelia Galiano Castillo
• Localización: Medicine & Science in Sports & exercise: Official Journal of the American College of Sports Medicine, ISSN 0195-9131, Vol. 48, Nº. 8, 2016, págs. 1438-1446
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Introduction: This study evaluated the effectiveness of lumbopelvic exercise in improving health-related fitness, anthropometric measurements, and body composition in colon cancer survivors (CCS).

    Methods: Forty-six CCS (35% female, n = 14) were assigned to two groups for this randomized controlled clinical trial: a trunk muscle stabilization exercise program group (CO-CUIDATE) and a usual-care group. The CO-CUIDATE program was conducted for 8 wk (three times per week). The primary end point was isometric abdominal strength measured using the trunk curl test. The secondary end points used were isometric back strength, functional capacity, lower-body flexibility, weight, and anthropometric measurements evaluated at baseline, after the physical exercise program and after 6 months of follow-up. A trained member of the research group with 5 yr of experience working with cancer patients and who was blinded to the patient group assessed the variables. All physical tests were conducted with multiple observations.

    Results: The adherence to intervention was 88.36%, and two dropouts (10.5%) were recorded. Minor side effects, including discomfort with the exercises in the first sessions, were reported by the participants. ANOVA demonstrated significant differences in group–time interactions for isometric abdominal strength (F = 7.7; P = 0.001), functional capacity (F = 4.6; P = 0.015), lower-body flexibility (right, F = 4.3, P = 0.021 and left, F = 3.6, P = 0.034), and waist circumference (F = 5.7; P = 0.07), which were the best values for the CO-CUIDATE group. No significant changes in isometric back strength, weight, hip circumference or body composition were observed.

    Conclusion: An 8-wk program based on stabilization exercises is a promising strategy to increase health-related fitness and to reduce waist circumference in CCS. An exercise program based on lumbopelvic exercise is a feasible intervention to improve the control of deep abdominal muscles and health-related fitness.