Assignment Prompt & Instructions
See attached files for instructions and samples
– 2 years ago
**files (2)**
– ## Instructions3.docx
– ## ExamplePAPresentation-1.pptx
**## Instructions3.docx**
Physical Activity Plan Presentation
Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation, or populations in a specific setting (e.g. public school system). Background information regarding the population and how you will assess the group will be presented. One activity plan specific to the population chosen will be presented. Health benefits of the exercise plan for the population will be reviewed.
Charts and handouts to share with the class are encouraged. Presentations should be 7-10 minutes in length.
**## ExamplePAPresentation-1.pptx**
Prostate Cancer
Physical activity plan
Targeted Population
Prostate cancer only affects men
Most at risk are black males
Asian Pacific Islanders are at lowest risk
Men greater than age 60 are at greatest risk
6/100 men over age 60 will develop Prostate cancer by age 70
Division of Cancer Center and Control, 2015
All race incidence total, age adjusted, 2009-2013
Total combined rate was 123.2
Among blacks 194.8/100,000
Whites 113.3
Hispanics 104.4
AI/AN 65.9
Asian/Pacific Islander 63.5
Division of Cancer Center and Control, 2015
Incidence Rate by State
Risk varies greatly among states
Louisiana has the highest incidence while Arizona has the lowest rate
Louisiana 131.2
Delaware 129.4
Mississippi 127.2
New York 125.6
Maryland 124.4
New Jersey 123.4
District of Columbia 120.1
Alabama 118.5
Georgia 117.7
New Hampshire 115.6
Utah 111.9
Kansas 108.5
Arizona 69.1
Division of Cancer Center and Control, 2015
Incidence Rates
Division of Cancer Center and Control, 2015
Death Rate by State
DC has the highest rate of death and the 7th spot for incidence
Mississippi has the 2nd highest rate but the 3rd highest incidence
District of Columbia 33.2 (7th in Incidence)
Mississippi 24.8 (3rd in Incidence)
Nevada 23.5 (33rd in Incidence)
Maine 23.2 (45th in Incidence)
Georgia 22.8 (9th in Incidence)
Alabama 22.1 (8th in Incidence)
Idaho 21.8 (28th in Incidence)
Nebraska 21.6 (16th in Incidence)
Wisconsin 21.5 (21st in Incidence)
South Carolina 21.4 (17th in Incidence)
Louisiana 21.1 (1st in Incidence)
Oklahoma 21.1 (36th in Incidence)
Division of Cancer Center and Control, 2015
Death Rate by State
DC has the highest rate of death and the 7th spot for incidence
Mississippi has the 2nd highest rate but the 3rd highest incidence
Overall Blacks suffer the greatest burden of death from Prostate Cancer
The overall incidence and death rates are lowering
Division of Cancer Center and Control, 2015
Death Rates
Division of Cancer Center and Control, 2015
Why Physical Activity is important
Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)
Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)
Assessment
All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as
The revised Physical Activity Readiness Questionnaire (PAR-Q)
The RAPA questionnaire can also be used
Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain
High-intensity or high-impact exercise should be avoided in the beginning
Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire
The Walking Exercise Program
Walking exercise program composed of
Progressive structured exercise and progressive target daily step counts
The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week
Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session
This will be followed up by a 5-minute cool-down period by walking slowly
Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well
During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)
Walking Exercise Program cont’
During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire
9 being the target for initially sedentary men and 13 being the target for initially physically active men
Modifications may be made based on physical limitations
Each participant should perform this routine 3 times per week
Walking Exercise Program cont’
Daily step counts measured using pedometers will measure goals
Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached
Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active
The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment
Muscle Strengthening
Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)
Testosterone levels are reduced in men undergoing treatment
Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)
Muscle Strengthening
Muscle strengthening doesn’t need to involve weights or the gym
Body weight can be used
Even bed ridden patients can benefit
Start by performing mild intensity exercises such as
Ankle exercises
Knee bends (in the bed)
Static quadriceps exercises
Abductor/Abductor exercises
(Christie MHS Foundation Trust, 2014)
Muscle Strengthening
For those able they can perform exercises
Seated in a chair
Inner range quadriceps
Sitting to Standing (Christie MHS Foundation Trust, 2014)
Pool
Water Aerobics
Swimming
Water Weights
Gym
Free Weights
Muscle Strengthening
Machines
Machines can help reduce the occurrence of injury by helping to ensure proper form
Assessment
Pre and Post assessment are key
Pre-assessments include
RAPA
PAR-Q
As well as psycho-social assessments
These are needed to determine if the patient is eligible to participate and if so at what level
Also measures the level of a persons cognitive abilities as well as their mental status
Assessment cont’
Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness
Goals and exercises can be modified according to the individuals abilities
References and sources
Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm
Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488
Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.
Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006
Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103
References and sources cont’
U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx
## image1.jpeg
## image2.gif
## image3.gif
**## ExamplePAPresentation-1.pptx**
Prostate Cancer
Physical activity plan
Targeted Population
Prostate cancer only affects men
Most at risk are black males
Asian Pacific Islanders are at lowest risk
Men greater than age 60 are at greatest risk
6/100 men over age 60 will develop Prostate cancer by age 70
Division of Cancer Center and Control, 2015
All race incidence total, age adjusted, 2009-2013
Total combined rate was 123.2
Among blacks 194.8/100,000
Whites 113.3
Hispanics 104.4
AI/AN 65.9
Asian/Pacific Islander 63.5
Division of Cancer Center and Control, 2015
Incidence Rate by State
Risk varies greatly among states
Louisiana has the highest incidence while Arizona has the lowest rate
Louisiana 131.2
Delaware 129.4
Mississippi 127.2
New York 125.6
Maryland 124.4
New Jersey 123.4
District of Columbia 120.1
Alabama 118.5
Georgia 117.7
New Hampshire 115.6
Utah 111.9
Kansas 108.5
Arizona 69.1
Division of Cancer Center and Control, 2015
Incidence Rates
Division of Cancer Center and Control, 2015
Death Rate by State
DC has the highest rate of death and the 7th spot for incidence
Mississippi has the 2nd highest rate but the 3rd highest incidence
District of Columbia 33.2 (7th in Incidence)
Mississippi 24.8 (3rd in Incidence)
Nevada 23.5 (33rd in Incidence)
Maine 23.2 (45th in Incidence)
Georgia 22.8 (9th in Incidence)
Alabama 22.1 (8th in Incidence)
Idaho 21.8 (28th in Incidence)
Nebraska 21.6 (16th in Incidence)
Wisconsin 21.5 (21st in Incidence)
South Carolina 21.4 (17th in Incidence)
Louisiana 21.1 (1st in Incidence)
Oklahoma 21.1 (36th in Incidence)
Division of Cancer Center and Control, 2015
Death Rate by State
DC has the highest rate of death and the 7th spot for incidence
Mississippi has the 2nd highest rate but the 3rd highest incidence
Overall Blacks suffer the greatest burden of death from Prostate Cancer
The overall incidence and death rates are lowering
Division of Cancer Center and Control, 2015
Death Rates
Division of Cancer Center and Control, 2015
Why Physical Activity is important
Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)
Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)
Assessment
All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as
The revised Physical Activity Readiness Questionnaire (PAR-Q)
The RAPA questionnaire can also be used
Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain
High-intensity or high-impact exercise should be avoided in the beginning
Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire
The Walking Exercise Program
Walking exercise program composed of
Progressive structured exercise and progressive target daily step counts
The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week
Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session
This will be followed up by a 5-minute cool-down period by walking slowly
Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well
During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)
Walking Exercise Program cont’
During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire
9 being the target for initially sedentary men and 13 being the target for initially physically active men
Modifications may be made based on physical limitations
Each participant should perform this routine 3 times per week
Walking Exercise Program cont’
Daily step counts measured using pedometers will measure goals
Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached
Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active
The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment
Muscle Strengthening
Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)
Testosterone levels are reduced in men undergoing treatment
Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)
Muscle Strengthening
Muscle strengthening doesn’t need to involve weights or the gym
Body weight can be used
Even bed ridden patients can benefit
Start by performing mild intensity exercises such as
Ankle exercises
Knee bends (in the bed)
Static quadriceps exercises
Abductor/Abductor exercises
(Christie MHS Foundation Trust, 2014)
Muscle Strengthening
For those able they can perform exercises
Seated in a chair
Inner range quadriceps
Sitting to Standing (Christie MHS Foundation Trust, 2014)
Pool
Water Aerobics
Swimming
Water Weights
Gym
Free Weights
Muscle Strengthening
Machines
Machines can help reduce the occurrence of injury by helping to ensure proper form
Assessment
Pre and Post assessment are key
Pre-assessments include
RAPA
PAR-Q
As well as psycho-social assessments
These are needed to determine if the patient is eligible to participate and if so at what level
Also measures the level of a persons cognitive abilities as well as their mental status
Assessment cont’
Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness
Goals and exercises can be modified according to the individuals abilities
References and sources
Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm
Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488
Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.
Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006
Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103
References and sources cont’
U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx
## image1.jpeg
## image2.gif
## image3.gif
**## Instructions3.docx**
Physical Activity Plan Presentation
Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation, or populations in a specific setting (e.g. public school system). Background information regarding the population and how you will assess the group will be presented. One activity plan specific to the population chosen will be presented. Health benefits of the exercise plan for the population will be reviewed.
Charts and handouts to share with the class are encouraged. Presentations should be 7-10 minutes in length.
**## ExamplePAPresentation-1.pptx**
Prostate Cancer
Physical activity plan
Targeted Population
Prostate cancer only affects men
Most at risk are black males
Asian Pacific Islanders are at lowest risk
Men greater than age 60 are at greatest risk
6/100 men over age 60 will develop Prostate cancer by age 70
Division of Cancer Center and Control, 2015
All race incidence total, age adjusted, 2009-2013
Total combined rate was 123.2
Among blacks 194.8/100,000
Whites 113.3
Hispanics 104.4
AI/AN 65.9
Asian/Pacific Islander 63.5
Division of Cancer Center and Control, 2015
Incidence Rate by State
Risk varies greatly among states
Louisiana has the highest incidence while Arizona has the lowest rate
Louisiana 131.2
Delaware 129.4
Mississippi 127.2
New York 125.6
Maryland 124.4
New Jersey 123.4
District of Columbia 120.1
Alabama 118.5
Georgia 117.7
New Hampshire 115.6
Utah 111.9
Kansas 108.5
Arizona 69.1
Division of Cancer Center and Control, 2015
Incidence Rates
Division of Cancer Center and Control, 2015
Death Rate by State
DC has the highest rate of death and the 7th spot for incidence
Mississippi has the 2nd highest rate but the 3rd highest incidence
District of Columbia 33.2 (7th in Incidence)
Mississippi 24.8 (3rd in Incidence)
Nevada 23.5 (33rd in Incidence)
Maine 23.2 (45th in Incidence)
Georgia 22.8 (9th in Incidence)
Alabama 22.1 (8th in Incidence)
Idaho 21.8 (28th in Incidence)
Nebraska 21.6 (16th in Incidence)
Wisconsin 21.5 (21st in Incidence)
South Carolina 21.4 (17th in Incidence)
Louisiana 21.1 (1st in Incidence)
Oklahoma 21.1 (36th in Incidence)
Division of Cancer Center and Control, 2015
Death Rate by State
DC has the highest rate of death and the 7th spot for incidence
Mississippi has the 2nd highest rate but the 3rd highest incidence
Overall Blacks suffer the greatest burden of death from Prostate Cancer
The overall incidence and death rates are lowering
Division of Cancer Center and Control, 2015
Death Rates
Division of Cancer Center and Control, 2015
Why Physical Activity is important
Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)
Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)
Assessment
All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as
The revised Physical Activity Readiness Questionnaire (PAR-Q)
The RAPA questionnaire can also be used
Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain
High-intensity or high-impact exercise should be avoided in the beginning
Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire
The Walking Exercise Program
Walking exercise program composed of
Progressive structured exercise and progressive target daily step counts
The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week
Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session
This will be followed up by a 5-minute cool-down period by walking slowly
Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well
During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)
Walking Exercise Program cont’
During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire
9 being the target for initially sedentary men and 13 being the target for initially physically active men
Modifications may be made based on physical limitations
Each participant should perform this routine 3 times per week
Walking Exercise Program cont’
Daily step counts measured using pedometers will measure goals
Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached
Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active
The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment
Muscle Strengthening
Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)
Testosterone levels are reduced in men undergoing treatment
Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)
Muscle Strengthening
Muscle strengthening doesn’t need to involve weights or the gym
Body weight can be used
Even bed ridden patients can benefit
Start by performing mild intensity exercises such as
Ankle exercises
Knee bends (in the bed)
Static quadriceps exercises
Abductor/Abductor exercises
(Christie MHS Foundation Trust, 2014)
Muscle Strengthening
For those able they can perform exercises
Seated in a chair
Inner range quadriceps
Sitting to Standing (Christie MHS Foundation Trust, 2014)
Pool
Water Aerobics
Swimming
Water Weights
Gym
Free Weights
Muscle Strengthening
Machines
Machines can help reduce the occurrence of injury by helping to ensure proper form
Assessment
Pre and Post assessment are key
Pre-assessments include
RAPA
PAR-Q
As well as psycho-social assessments
These are needed to determine if the patient is eligible to participate and if so at what level
Also measures the level of a persons cognitive abilities as well as their mental status
Assessment cont’
Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness
Goals and exercises can be modified according to the individuals abilities
References and sources
Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm
Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488
Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.
Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006
Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103
References and sources cont’
U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx
## image1.jpeg
## image2.gif
## image3.gif
**## Instructions3.docx**
Physical Activity Plan Presentation
Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation, or populations in a specific setting (e.g. public school system). Background information regarding the population and how you will assess the group will be presented. One activity plan specific to the population chosen will be presented. Health benefits of the exercise plan for the population will be reviewed.
Charts and handouts to share with the class are encouraged. Presentations should be 7-10 minutes in length.
**## ExamplePAPresentation-1.pptx**
Prostate Cancer
Physical activity plan
Targeted Population
Prostate cancer only affects men
Most at risk are black males
Asian Pacific Islanders are at lowest risk
Men greater than age 60 are at greatest risk
6/100 men over age 60 will develop Prostate cancer by age 70
Division of Cancer Center and Control, 2015
All race incidence total, age adjusted, 2009-2013
Total combined rate was 123.2
Among blacks 194.8/100,000
Whites 113.3
Hispanics 104.4
AI/AN 65.9
Asian/Pacific Islander 63.5
Division of Cancer Center and Control, 2015
Incidence Rate by State
Risk varies greatly among states
Louisiana has the highest incidence while Arizona has the lowest rate
Louisiana 131.2
Delaware 129.4
Mississippi 127.2
New York 125.6
Maryland 124.4
New Jersey 123.4
District of Columbia 120.1
Alabama 118.5
Georgia 117.7
New Hampshire 115.6
Utah 111.9
Kansas 108.5
Arizona 69.1
Division of Cancer Center and Control, 2015
Incidence Rates
Division of Cancer Center and Control, 2015
Death Rate by State
DC has the highest rate of death and the 7th spot for incidence
Mississippi has the 2nd highest rate but the 3rd highest incidence
District of Columbia 33.2 (7th in Incidence)
Mississippi 24.8 (3rd in Incidence)
Nevada 23.5 (33rd in Incidence)
Maine 23.2 (45th in Incidence)
Georgia 22.8 (9th in Incidence)
Alabama 22.1 (8th in Incidence)
Idaho 21.8 (28th in Incidence)
Nebraska 21.6 (16th in Incidence)
Wisconsin 21.5 (21st in Incidence)
South Carolina 21.4 (17th in Incidence)
Louisiana 21.1 (1st in Incidence)
Oklahoma 21.1 (36th in Incidence)
Division of Cancer Center and Control, 2015
Death Rate by State
DC has the highest rate of death and the 7th spot for incidence
Mississippi has the 2nd highest rate but the 3rd highest incidence
Overall Blacks suffer the greatest burden of death from Prostate Cancer
The overall incidence and death rates are lowering
Division of Cancer Center and Control, 2015
Death Rates
Division of Cancer Center and Control, 2015
Why Physical Activity is important
Research indicates that exercising during cancer treatment can significantly improve mood, social and cognitive well being as well as overall fitness (Garber, et al., 2007)
Furthermore, physical activity can reduce or prevent overweight and obesity, two factors that have been linked to longer term survival among cancer patients (Garber, et al., 2007)
Assessment
All patients who are screened for participation in a physical activity program would need to be screened using a set of standard questions such as
The revised Physical Activity Readiness Questionnaire (PAR-Q)
The RAPA questionnaire can also be used
Any patient should be excluded if any exercise precaution is identified such as fever, severe cachexia, extreme fatigue, sickness or bone pain
High-intensity or high-impact exercise should be avoided in the beginning
Calculate a baseline physical activity level utilizing a self-reported physical activity questionnaire
The Walking Exercise Program
Walking exercise program composed of
Progressive structured exercise and progressive target daily step counts
The structured exercise routine will initially begin with a 10-minute walking session, 3 sessions per week
Patients will be instructed to perform a 5-minute warm-up period by walking slowly prior to the 10-minute walking session
This will be followed up by a 5-minute cool-down period by walking slowly
Finally, each patient will follow a stretching routine after the walking session. A stretching instruction sheet will be given to each person as well
During the warm-up/cool-down periods the goal will be to maintain an exertion level between 7.5 and 8 on the Borg Scale of Ratings of Perceived Exertion (RPE)
Walking Exercise Program cont’
During the 10-minute walking session, each person will gradually increase their speed until they attain and maintain an RPE level between 9 and 13, the exact target will be calculated based on the initial self reported physical activity questionnaire
9 being the target for initially sedentary men and 13 being the target for initially physically active men
Modifications may be made based on physical limitations
Each participant should perform this routine 3 times per week
Walking Exercise Program cont’
Daily step counts measured using pedometers will measure goals
Goals will increase every two weeks by 1,000 steps until a total goal of 10,000 is reached
Step counts will start at 4,000, 6,000 and 7,000 respectively for each initial physically active level, sedentary, moderately active and very active
The end goal is to have each person aerobically exercising at a level of 15 RPE after 6 months and maintain that level throughout treatment
Muscle Strengthening
Muscle strengthening has been shown to increase bone density and muscle loss among men being treated for prostate cancer (Galvão, Joseph, Newton, Spry & Taffe, 2009)
Testosterone levels are reduced in men undergoing treatment
Regular exercise, especially muscle building exercises have been shown to restore testosterone levels, leading to increased bone density, lower reported rates of fatigue and overall better quality of life (Galvão et al., 2009)
Muscle Strengthening
Muscle strengthening doesn’t need to involve weights or the gym
Body weight can be used
Even bed ridden patients can benefit
Start by performing mild intensity exercises such as
Ankle exercises
Knee bends (in the bed)
Static quadriceps exercises
Abductor/Abductor exercises
(Christie MHS Foundation Trust, 2014)
Muscle Strengthening
For those able they can perform exercises
Seated in a chair
Inner range quadriceps
Sitting to Standing (Christie MHS Foundation Trust, 2014)
Pool
Water Aerobics
Swimming
Water Weights
Gym
Free Weights
Muscle Strengthening
Machines
Machines can help reduce the occurrence of injury by helping to ensure proper form
Assessment
Pre and Post assessment are key
Pre-assessments include
RAPA
PAR-Q
As well as psycho-social assessments
These are needed to determine if the patient is eligible to participate and if so at what level
Also measures the level of a persons cognitive abilities as well as their mental status
Assessment cont’
Important to measure reported fatigue levels both before, during and after the intervention to determine effectiveness
Goals and exercises can be modified according to the individuals abilities
References and sources
Christie MHS Foundation Trust. (2014, July). Retrieved August 24, 2016, from http://www.christie.nhs.uk/media/2538/540.pdf
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015, December 15). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/age.htm
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, July 06). Prostate Cancer. Retrieved August 24, 2016, from http://www.cdc.gov/cancer/prostate/statistics/state.htm
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2016, June 16). Prostate Cancer. Retrieved August 25, 2016, from http://www.cdc.gov/cancer/prostate/statistics/race.htm
Galvão, D., Joseph D., Newton R.U., Spry, N., & Taafe, D.R., (2009, January 10). Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: A randomized controlled trial. Journal of Clinical Oncology, 28(2), 330-347. doi:10.1200/JCO.2009.23.2488
Garber, S.L., Kerrigan, A.J., Monga, T.N., Monga, U., Thornby, J., Vallbona, C., & Zimmerman, K.P., (2007, November). Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil, 88, 1416-22.
Keog, J., & McLeod, R.D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of life, and fatigue benefits of exercise for prostate cancer patients: A systematic review. Journal of Pain and Symptom Management, 43(1), 96-110. doi:http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006
Lau, Y. J., Lee, C. E., & Leslie, W. D., (2012). A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy. BMC Cancer, 12(103). doi:10.1186/1471-2407-12-103
References and sources cont’
U.S. Cancer Statistics Working Group. (2016). United States Cancer Statistics: 1999–2013 Incidence and Mortality Web-based Report. Retrieved from United States Cancer Statistics: https://nccd.cdc.gov/uscs/cancersbyraceandethnicity.aspx
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