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How exercise can combat chemotherapy-induced nerve damage

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A recent study highlights the significant benefits of neuromuscular training in reducing the risk of chemotherapy-induced peripheral neuropathy (CIPN), a common side effect of cancer treatments that can cause chronic pain and balance issues. The research, conducted by the University of Basel and the German Sport University Cologne, found that specific exercise regimens could decrease the occurrence of CIPN by 50 to 70 percent.

Understanding chemotherapy-induced peripheral neuropathy (CIPN)

Chemotherapy patients often experience CIPN, which can severely impact their treatment adherence, quality of life and overall survival rates. Traditional treatments do not directly address CIPN, making the findings of this study particularly significant. The study involved 158 participants undergoing chemotherapy, divided into groups receiving sensorimotor training (SMT), whole-body vibration (WBV) or standard care. The results showed a marked reduction in CIPN cases among those participating in the exercise programs compared to those receiving standard care.

The role of exercise in cancer treatment

Exercise is becoming increasingly recognized for its role in cancer treatment and survivorship. Dr. Diana Garrett, a physical therapy specialist, noted that physical activity is associated with reduced cancer risk and recurrence, particularly in breast and colon cancers. The study supports the use of exercise not only to enhance overall health but also as a preventive strategy against CIPN.

Dr. Melinda Irwin, from Yale Cancer Center, described the study’s results as practice-changing. She emphasized the ease and low cost of implementing exercise regimens, which require only short, twice-weekly sessions. This accessibility makes it a viable option for many undergoing chemotherapy, potentially transforming the standard of care in oncology.

Practical exercise recommendations for chemotherapy patients

Experts recommend moderate-intensity activities that patients enjoy, which can sustain engagement and adherence to exercise routines. Programs like Exercise for Cancer Patients (EXCAP) suggest a combination of aerobic walking and resistance training. Regular exercise not only maintains muscle strength and blood flow but also enhances immune system function, crucial for patients undergoing chemotherapy.

The promising findings of this study advocate for the integration of exercise into clinical practice, offering a simple, cost-effective and beneficial approach to managing and preventing the debilitating effects of CIPN.

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