Benefits of exercise Fatigue Types of exercise Overview Considerations following Brain Tumour How does the brain affect movement How does the brain co

Transcription

1 Exercise following Brain Tumour Presenter: Sally Humphrey Senior Physiotherapist Neurology / Neurosurgery RNSH

2 Benefits of exercise Fatigue Types of exercise Overview Considerations following Brain Tumour How does the brain affect movement How does the brain compensate for loss of movement Tailoring an exercise program to your needs Exercise rules / General tips

3 Benefits of Exercise Improves aerobic fitness Improves strength, endurance, flexibility Improves balance, coordination Improves self esteem and restores a sense of being in control Reduces intensity and onset of fatigue Improves sleep Reduces stress levels

4 Benefits cont. Improves cardiovascular function Improved mood and general quality of life Assists in the prevention of diabetes, OP, muscle and joint injuries weight gain

5 Reduced energy levels Reduced strength and endurance Difficulty sleeping Difficulty concentrating Difficulty taking on new information Feeling overwhelmed by daily tasks Finding typical ADL s more difficult to do Fatigue

6 Why does fatigue develop? Anaemia Medications Adjunct treatments t t ie radiotherapy, chemotherapy Insomnia Depression, Dehydration, Nutrition Important to consult with you doctor!

7 Exercise Fatigue management Nutrition and Hydration Sleep and Rest Energy conservation Stress Management eg. Breathing exs, journal writing, intellectual l activities ie. crosswords, books etc Meditation / Relaxation Other activities which you find relaxing! Set achievable goals and plan your day

8 Types of exercise General Aerobic activities Walking Swimming Cycling Running Specific Strengthening Balance Coordination / dexterity Flexibility Endurance

9 Considerations following Brain Physical effects from the brain tumour / surgery Fatigue Adjunct therapies and side effects Fear Tumour

10 How does the Brain affect Muscle strength Frontal lobe Basal ganglia Brainstem Motor plans Frontal lobe Coordination / Balance Cerebellum Brainstem Spatial awareness Parietal lobe Visioni Occipital lobe Feedback / Memory Temporal lobe Thalamus movement

11 How does the brain compensate for loss of movement! Use of muscles not affected Use of senses not affected Re-learns tasks using new motor plans and feedback loops

12 General Exercise

13 General Exercise The cancer council supports and encourages the National Physical Activity Guidelines, which recommend people put together th at least 30 minutes of moderate intensity it physical activity it (like brisk walking) on most, if not everyday of the week and also undertake some regular vigorous exercise for added health and fitness.

14 Benefits of General Exercise Improves cardiovascular functioning Reduce body fat and improve weight control Improve mood and prevent depression Assists with preventing osteoporosis and diabetes Prevent muscle and joint injuries Improves balance

15 Further benefits: General Improves rates QOL ie. level of comfort, enjoyment and ability to pursue ADL Reduces levels of depression Reduces levels of nausea and fatigue Improves body image and self-esteemesteem exercise

16 Tailoring exercise program General exercise Determine current level of fitness and work towards 30 minutes of moderate exercise 4-5 x/week (mod = increase in HR + slight sweat Find activity that you enjoy and can work into your day Monitor the effects of exercise

17 General exercise cont... Get the OK from your specialist / GP Start easy including warm up and cool down Drink lots of water Join a group

18 Specific Exercise

19 Specific Exercise Determine what is limiting your movement Strength, flexibility, endurance, dexterity, balance Use intact side as feedback as to what is normal Incorporate a regime into your daily/ weekly routine Set short and long term goals Make use of functional tasks

20 Specific exercise: Strength Use of weights / body weight Increase repetitions and weight as able Take care with correct postures Use of mirrors Gym balls Make use of functional tasks E.g. sit to stands, stairs, step ups Practice both the components of a task and the task itself

21 Specific Exercise: Flexibility Stretches Use of functional tasks Incorporate into daily routine

22 Specific exercises: Dexterity Aim to increase speed, rhythm and smoothness of movement Use exercises appropriate to you level of co-ordination ordination Picking up ball, safety pins, pins, rice granules Tapping feet, step ups, rolling ball under your foot Use targets

23 Specific exercise: Balance Ensure exercises are safe Use family or friends Use mirror / visual cues Progress by narrowing your base of support / time Feet together, stride stance, single leg stance, gym ball Add in dynamic component i.e. throwing balls, walking and throwing

24 Exercise Rules Should make you feel and perform better, not worse You should enjoy exercising It shouldn t interfere with how you manage your day or doing things you enjoy

25 General Tips Make use of intact side for feedback. Balance exercises: ensure safety Exercise with family and friends Set short and long term goals and re-evaluate evaluate these regularly Make sure goals are purposeful to you and motivating Have fun!!!!

26 Helpful Websites information re: exercise, benefits etc exercise groups, sessions with experienced physiotherapists good info re: anatomy, types of tumour, fatigue etc Position statement

27 Questions???