{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T23:12:18Z","timestamp":1773097938914,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,4,16]],"date-time":"2019-04-16T00:00:00Z","timestamp":1555372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Studies have shown that rehabilitation and fitness throughout cancer treatment interventions have been linked to improved outcomes for morbidity and mortality of cancer patients. This study serves to detail the efficacy of the Cancer Rehabilitation Physical Therapy Fitness and Debility (Ca PT) Program in cancer patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the clinical population of cancer patients referred to the Ca PT Program and evaluate the efficacy of the program's therapy protocol in improving cardiopulmonary performance and cancer\u2010related fatigue and pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Outpatient clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>One hundred two adults who had been referred from a variety of referral sources and supervised individualized exercise programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participation in the Ca PT Program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>The primary outcome measure was a change in baseline\u2010to\u2010discharge scores in the 6\u2010Minute Walk Test (6MWT), a cardiopulmonary performance measure. The secondary measures were changes in baseline\u2010to\u2010discharge scores of cancer\u2010related fatigue and general pain, measured by patient self\u2010report using a visual analogue scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>6MWT values were significantly higher at discharge (mean 523 yards) than at baseline (mean\u2009436), (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001, r\u2009=\u20090.57). Ninety\u2010two percent of cases showed improvement and 58% of cases had a change on the 6MWT that met threshold for minimal important difference. Quality of life factors, fatigue (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) and pain (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) also significantly improved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results indicate the Ca PT Program yields significant improvement in cardiovascular fitness, fatigue, and pain in people with cancer history. Personalized physical therapy fitness programs for individuals recovering from cancer treatment should be a standard component of cancer intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>III<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12128","type":"journal-article","created":{"date-parts":[[2019,2,7]],"date-time":"2019-02-07T06:55:43Z","timestamp":1549522543000},"page":"1178-1183","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Physical Therapy\u2013Based Exercise Protocol for Cancer Patients: Evaluating Outcomes for Cardiopulmonary Performance and Cancer\u2010Related Fatigue"],"prefix":"10.1002","volume":"11","author":[{"given":"Nancy A.","family":"Hutchison","sequence":"first","affiliation":[{"name":"Courage Kenny Rehabilitation Institute Allina Health  Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikita","family":"Deval","sequence":"additional","affiliation":[{"name":"Courage Kenny Rehabilitation Institute Allina Health  Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey","family":"Rabusch","sequence":"additional","affiliation":[{"name":"Courage Kenny Rehabilitation Institute Allina Health  Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holly","family":"Rich","sequence":"additional","affiliation":[{"name":"Courage Kenny Rehabilitation Institute Allina Health  Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Kelley","sequence":"additional","affiliation":[{"name":"Courage Kenny Rehabilitation Institute Allina Health  Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Flinn","sequence":"additional","affiliation":[{"name":"Courage Kenny Rehabilitation Institute Allina Health  Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilanjana","family":"Banerji","sequence":"additional","affiliation":[{"name":"Courage Kenny Rehabilitation Institute Allina Health  Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.20.2479"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-07-0771"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21186"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70031-2"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-10-0988"},{"key":"e_1_2_7_7_1","first-page":"1","article-title":"Exercise for the management of cancer\u2010related fatigue in adults","volume":"11","author":"Cramp F","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70195-5"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2014.09.003"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20140106"},{"key":"e_1_2_7_11_1","first-page":"919","article-title":"The 6\u2010minute walk: a new measure of exercise capacity in patients with chronic heart failure","volume":"132","author":"Guyatt GH","year":"1985","journal-title":"Can Med Assoc J"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2011.11.003"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1323746"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.33227"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2008.01880.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer322"},{"key":"e_1_2_7_17_1","first-page":"1315","article-title":"Gait speed as a measure of functional status in COPD patients","volume":"9","author":"Karpman C","year":"2014","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1556-0864(15)31611-7"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2005.01121.x"},{"key":"e_1_2_7_20_1","unstructured":"RosenthalR.Meta\u2010Analytic Procedures for Social Research. 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