Pain response of resistance training of the paravertebral musculature under radiotherapy in patients with spinal bone metastases – a randomized trialReportar como inadecuado




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BMC Cancer

, 14:485

Clinical oncology

Abstract

BackgroundTo compare pain response outcomes for patients with spinal bone metastases treated with resistance training of the spinal musculature versus passive physical therapy during radiotherapy RT.

MethodsIn this randomized trial, 60 consecutive patients were treated from September 2011 until March 2013 within one of the two groups: resistance training Arm A or passive physical therapy Arm B with thirty patients in each group during RT. The course of pain according to visual analog scale VAS, concurrent medication, and oral morphine equivalent dose OMED were assessed at baseline, three months, and six months after RT. Pain response was determined using International Bone Consensus response definitions.

ResultsThe course of VAS in the intervention group Arm A was significantly lower both during and after RT AUC, p < .001. The use of analgetic medication showed the same result, with significantly fewer analgetics being necessary both during and after RT in arm A p < .001. In the course of time, the OMED decreased in arm A, but increased in arm B. After 6 month, 72.2% of patients in arm A, and 22.2% in arm B were responders p = .014.

ConclusionOur trial demonstrated that guided isometric resistance training of the paravertebral muscles can improve pain relief over a 6-months period in patients with stable spinal metastases. Importantly, the intervention was able to reduce OMED as well as concomitant pain medication. The trial is registered in Clinical trial identifier NCT 01409720 http:-www.clinicaltrials.gov- since 2 of August 2011.

KeywordsBone metastases Spine Physical exercise Pain response Isometric muscle training Palliative radiotherapy Electronic supplementary materialThe online version of this article doi:10.1186-1471-2407-14-485 contains supplementary material, which is available to authorized users.

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Fuente: https://link.springer.com/







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