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Background |
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67 year-old husband, worker and golfer diagnosed with advanced prostate cancer.
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No bone metastases.
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Treatment |
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Robotic prostatectomy.
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Radiation to chest & pelvis.
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Hormone Treatment (ADT) for 5 years
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Side effects/
considerations/
Precautions |
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Low bone density
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Fatigue
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Weight gain (8kg – mainly fat)
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Sarcopaenia
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Right knee pain – 4 arthroscopies
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Left ankle pain – fell down stairs
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History of depression
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High BP
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High cholesterol
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Pelvic floor issues. Has significant incontinence. Wears pad
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Watch for lung scarring/ cardiac issues due to radiation
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Pre-EP activity |
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Plays golf once a week and occasionally walks the dog
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Was a basketball player in the past (hence the knee osteoarthritis)
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Goals |
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Control weight
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Increase overall strength
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Stabilize bone density
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Improve continence
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Increase golf swing
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(Improve posture & thoracic ROM)
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Improve strength & flexibility of right leg (decrease knee pain)
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Improve dynamic & static balance
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Improve pelvic floor
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Mental health
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Outcome Measures |
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Weight
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Anthropometrics
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RBP
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RHR
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O2 saturation
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Grip strength
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Functional strength
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ROM
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Balance
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Sub max Vo2
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Exercise Prescription |
Always use HR monitor.
Increase frequency of walking, followed by increasing intensity of walking.
I prescribed a home exercise program, however, motivation is an issue.
Joined Prostate Cancer Exercise Group for motivation & mental health
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Cardiovascular interval training. HIIT
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Single leg cycling
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Thoracic rotation
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Dynamic stretches
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I stretch quadriceps
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Partner mirror balance work
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Dynamic balance
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ball throws on Bosu
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pod walking
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Ball squat
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Resistance exercise – building to 6-8RM 2-3 sets
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All major muscle groups.
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Stomping
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Boxing
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Agility ladder
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Ball hamstring curls
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Abdominal exercises – avoiding bearing down. Pelvic floor focus.
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Stretches: chest, quadriceps, hamstrings, gluteals, claves,
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Outcomes
After 5 months of supervised EP sessions |
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Reduction of knee pain
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Reduction of fatigue
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Improvement of mental health
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Increase Grip strength from 40th to 80th percentile.
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Increase lower limb strength
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Improved range of movement
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Improved balance by 50%.
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Increase functional strength from 60th to 80th percentile
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