October 22, 2022
Exercise medicine is now established as a highly effective therapy for reducing side effects of cancer treatment, enhancing the effectiveness of chemotherapy and radiation therapy, improving physical function and quality of life for people with cancer, and ultimately increasing survival.
We will commence with a lecture on the latest research and clinical practice of exercise as medicine within cancer management. We will then accompany the patient from clinician referral to enrolment, assessment, exercise prescription and follow up, graduation from the fully supervised clinic program to self-management.
In this one day workshop Professor Newton will focus on practical implementation of an exercise medicine service for cancer patients. Health and fitness assessment of patients with cancer will be explored in detail with practical examples. Targeted exercise therapy to address the predominant health issues presented by patients with cancer will be discussed with practical demonstrations. The day will finish with a series of case studies and real-world scenarios.
Professor Robert Newton, PhD, DSc, AEP, CSCS * D, FACSM, FESSA, FNSCA is Professor of Exercise Medicine in the Exercise Medicine Research Institute that he established (2004) at Edith Cowan University, Perth, Western Australia. Current major clinical and research directions include: exercise medicine as neoadjuvant, adjuvant and rehabilitative cancer therapy to reduce side-effects and enhance effectiveness of surgery, chemotherapy and radiation therapy; the influence of targeted exercise medicine on tumor biology and exercise medicine for reducing decline in quality of life, strength, body composition and functional ability in cancer patients.
Is an Accredited Exercise Physiologist, Fellow of the American College of Sports Medicine, Fellow of Exercise and Sports Science Australia, Member of the American Society of Clinical Oncology, American College of Sports Medicine and Clinical Oncology Society of Australia. In 2018 he received the career achievement award from the Cancer Council WA. In 2019, Professor Newton was named the Western Australian Scientist of the Year. In 2021, The University of Queensland awarded Professor Newton a Higher Doctorate (DSc) for his research into exercise oncology.Has published over 980 scientific papers including 502 refereed scientific journal articles, 450 conference abstracts and papers, three books, 17 book chapters and has a current Scopus h-Index of 88 with his work by him being cited over 26,500 times.
PROGRAM
08.30 - 09.00 Registration
09.00 - 10.00 Lecture – Exercise Medicine within Cancer Management
10.00 - 10.10 Building clinician referrals
10.10 - 10.20 Recruiting the patient
10.20 - 10.50 Introduction to SurveyMonkey
10.50 - 11.00 Coffee Break
11.00 - 11.10 Informed consent and research participation
11.10 - 11.20 Health history
11.20 - 11.30 Pre-exercise screening
11.30 - 11.40 Absolute and relative contraindications to exercise assessment
11.40 - 11.50 Rating of perceived exertion
11.50 - 12.20 Introduction to MyWellness
12.20 - 13.20 Lunch
13.20 - 13.50 Assessments of cardiorespiratory capacity:
CPET
Steep Ramp Test
Step test
400m walk
6 minute walk
13.50 - 14.20 Assessments of neuromuscular strength:
One repetition maximum test o Chest press
o Leg press
o Leg extension o Seated row
o Plank
14.20 - 14.40 Assessments of functional capacity:
Timed 6 meter walk
Timed up and go
Sit to stand
Stair climb
14.40 - 14.50 Assessments of quality of life and psychosocial wellbeing - fatigue, anxiety:
SF36
HADS
DASS
14.50 - 15.00 Assessments of cancer specific health and status:
FACT
EORTC
15.00 - 15.20 Assessment of body composition:
DEXA
pQCT
bioimpedence
height
weight
hip and waist circumference
BMI
15.20 - 15.30 Coffee Break
15.30 - 17.30 Targeted exercise prescription:
cardiorespiratory
muscle hypertrophy
muscle strength
functional performance
balance
skeletal health
fat loss
lymphoedema
bone metastatic disease
pre-habilitation for surgery
chemotherapy, radiation therapy, immunotherapy, steroid therapy
17.30 - 17.40 Long term planning, prescription and periodisation
17.40 - 17.50 Nutritional considerations
17.50 - 18.00 Graduation to self-management:
Fitness centre
Home based
Group exercise
Park fit
Sport medicine
18.00 - 18.10 Clinician and patient feedback
18.10 - 18.50 Case studies and scenarios
18.50 - 19.00 Closing of the course