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Exercise Intervention for Bone Metastasis: Safety, Efficacy and Method of Delivery
Journal article   Open access   Peer reviewed

Exercise Intervention for Bone Metastasis: Safety, Efficacy and Method of Delivery

Huong Duong, Meegan Walker and Michelle Maugham-Macan
Cancers, Vol.15(6), pp.1-12
2023
PMCID: PMC10046160
PMID: 36980672
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Exercise Intervention for Bone Metastasis Safety, Efficacy and Method of Delivery949.90 kBDownloadView
Published Version Open Access CC BY V4.0
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https://doi.org/10.3390/cancers15061786View
Published Version

Abstract

exercise in-person bone metastasis remote safety fracture risk
Background: The benefits of exercise for patients with cancer are well established, however, for patients with bone metastases, exercise as adjuvant therapy is underutilised due to concerns for safety, efficacy and other barriers such as the method of delivery. This scoping review explores these barriers by reviewing the results of clinical trials conducted on participants with bone metastases. Methods: A thorough literature search was undertaken using PubMed, Scopus, NIH Clinical Trials and Google Scholar databases. Articles that involved an exercise intervention and patients with bone metastases were included. Data were pooled, charted, analysed and reported according to PRISMA ScR standards. Results: A total of 26 trials were reviewed with interventions that included aerobic and resistance training. Only three serious adverse events occurred, not likely related to bone metastases. Nine trials (34.6%) involved unsupervised exercise sessions. Remote exercise delivery had an average of 80.3% compliance, rivalling in person and mixed supervision. The results of this review reaffirm that exercise helps improve functional capacity, muscle strength, lean mass and cardiovascular function, and is safe in patients with bone metastases irrespective of in person or remote delivery. Conclusions: Exercise therapy, whether delivered in person or remotely, is safe and efficacious for patients with bone metastases.

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