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      Influence of Physical Activity on Pain, Depression and Quality of Life of Patients in Palliative Care: A Proof-of-Concept Study

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          Abstract

          Introduction: Palliative care not only focuses on physical ailments associated with the disease, but also considers the psychological, social and spiritual needs of the patients. The aim of this study is to assess the impact of physical activity on palliative care patients, with special regard to the subjective assessment of severity of total pain and quality of life. Materials and methods: The study was conducted on 92 palliative care patients either in a hospice or at home. The tool used to assess the patients was an original questionnaire focusing on the area of their independence and motor abilities. The study attempted to understand whether an appropriate physical activity and the instruction of palliative care patients and their families in the field of independence would improve the quality of life and reduce the intensity of total pain in the patients. Results: All of the patients were at an advanced stage of cancer. The survey at time “0”, conducted before the start of the instructions for patients and their relatives, showed that a majority of patients (47, 51.09%) often experienced limitations during the performance of daily activities. In the fourth visit, conducted one week after the fourth educational session, there was a significant increase in patients who did not experience any limitations in performing their daily activities or experienced them just sometimes. Conclusions: The ultimate effect of the proposed educational program on physical activity was an increase in the quality of life, a reduction in pain and a mood improvement. These results would need confirmation with more extensive studies.

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          Most cited references24

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          Physical Activity in Cancer Prevention and Survival

          This article reviews and updates the evidence on the associations between physical activity and risk for cancer, and for mortality in persons with cancer, as presented in the 2018 Physical Activity Guidelines Advisory Committee Scientific Report.
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            Inactive and alone: physical activity within the first 14 days of acute stroke unit care.

            One way that stroke units may improve outcome is by reducing complications of immobility through early mobilization; however, this intervention needs testing. The purpose of this study was to determine the physical activity patterns of stroke patients managed within acute stroke units as a first step in developing an early mobilization protocol. We recruited 64 patients within 14 days after stroke from 5 metropolitan stroke units and observed them for 2 consecutive days at 10-minute intervals between the hours of 8 am and 5 pm. At each observation, we ascertained physical activity, location, and other person(s) present. Therapists recorded therapy details. The 58 patients who completed the study had a mean age of 71.3 years. Stroke severity ranged from mild (National Institutes of Health Stroke Scale score, 1) to severe (score, 27), and mean time after stroke at observation was 5.6 days (range, 0 to 13 days). Only 9 patients were restricted to bed. During the therapeutic day, patients spent >50% resting in bed, 28% sitting out of bed, and only 13% engaged in activities with the potential to prevent complications and improve recovery of mobility. Patients were alone >60% of the time. This is the first multicenter study of physical activity early after stroke. We believe the next step is to conduct a randomized controlled trial to evaluate the effect of increased levels of physical activity early after stroke compared with current standards of care.
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              Quality-of-life and spirituality

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                Author and article information

                Contributors
                Role: Academic Editor
                Role: Academic Editor
                Journal
                J Clin Med
                J Clin Med
                jcm
                Journal of Clinical Medicine
                MDPI
                2077-0383
                02 March 2021
                March 2021
                : 10
                : 5
                : 1012
                Affiliations
                [1 ]Emergency Medicine, Department of Internal Medicine, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Piekarska 18, 42-600 Bytom, Poland; dariuszmyrcik@ 123456me.com (D.M.); magdalenatrzepizur@ 123456icloud.com (M.T.)
                [2 ]Chair and Department of Medical and Molecular Biology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Jordana 19, 41-808 Zabrze, Poland; statowski@ 123456wp.pl
                [3 ]Faculty of Health Sciences, Jan Długosz University in Częstochowa, Armii Krajowej 13/15, 42-200 Częstochowa, Poland
                [4 ]Department of MESVA, University of L’Aquila, 67100 L’Aquila, Italy; antopaladini@ 123456gmail.com
                [5 ]Mario Negri Institute for Pharmacological Research IRCCS, 20156 Milano, Italy; oscar.corli@ 123456marionegri.it
                [6 ]Paolo Procacci Foundation, Via Tacito 7, 00193 Roma, Italy
                Author notes
                [* ]Correspondence: giuvarr@ 123456gmail.com ; Tel.: +39-3486068472
                Author information
                https://orcid.org/0000-0003-4754-3988
                https://orcid.org/0000-0001-6194-2526
                https://orcid.org/0000-0003-2848-859X
                https://orcid.org/0000-0002-5282-8657
                https://orcid.org/0000-0002-3822-2923
                Article
                jcm-10-01012
                10.3390/jcm10051012
                7958598
                33801357
                d944f4a6-d43c-4680-a5ac-32adae8d5c0a
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 22 January 2021
                : 22 February 2021
                Categories
                Article

                pain,palliative care,mobility programs,physiotherapy,physical exercises,quality of life

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