Article

OBJECTIVE: To examine the effect of home- and community-based physical activity
interventions on physical functioning among cancer survivors based on the most
prevalent physical function measures, randomized trials were reviewed. DATA
SOURCES: Five electronic databases-Medline Ovid, PubMed, CINAHL,
Web of Science,
and PsycINFO-were searched from inception to March 2016 for relevant articles.
STUDY SELECTION: Search terms included community-based interventions, physical
functioning, and cancer survivors. A reference librarian trained in systematic
reviews conducted the final search. DATA EXTRACTION: Four reviewers evaluated
eligibility and 2 reviewers evaluated methodological quality. Data were
abstracted from studies that used the most prevalent physical function
measurement tools-Medical Outcomes Study 36-Item Short-Form Health Survey,
Late-Life Function and Disability Instrument, European Organisation for the
Research and Treatment of Cancer Quality-of-Life Questionnaire, and 6-minute walk
test. Random- or fixed-effects models were conducted to obtain overall effect
size per physical function measure. DATA SYNTHESIS: Fourteen studies met
inclusion criteria and were used to compute standardized mean differences using
the inverse variance statistical method. The median sample size was 83
participants. Most of the studies (n=7) were conducted among breast cancer
survivors. The interventions produced short-term positive effects on physical
functioning, with overall effect sizes ranging from small (.17; 95% confidence
interval [CI], .07-.27) to medium (.45; 95% CI, .23-.67). Community-based
interventions that met in groups and used behavioral change strategies produced
the largest effect sizes. CONCLUSIONS: Home and community-based physical activity
interventions may be a potential tool to combat functional deterioration among
aging cancer survivors. More studies are needed among other cancer types using
clinically relevant objective functional measures (eg, gait speed) to accelerate
translation into the community and clinical practice.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS