Effects of Pilates exercise on functional capacity, cancer-related fatigue, depression, salivary cortisol and quality of life among colorectal cancer survivors in Klang Valley, Malaysia.

ABSTRACT: Interventions: Recruitment All colorectal cancer survivors who were treated and completed treatment at both study sites that met the eligibility criteria are recruited using convenience sampling. The comparability of the variables s is carried out to determine whether the study populations in both groups are similar. Next, the participants from Hospital Canselor Tuanku Muhriz will be allocated to the intervention group and participants from Hospital University Technology MARA will become the control group. Intervention The intervention group will perform Pilates exercises with a certified Pilates instructor for 60 minutes 3 sessions per week for eight weeks. The Pilates exercise programme is a moderate-intensity exercise with a heart rate maximum is 50-60% (Algayer et al. 2008) and corresponding to a rating of perceived exertion between 12 and 13 (ACSM, 2014) adapted from the study by Cantarero-Villanueva et al. (2016). Our expert panels consisting of sports medicine specialists, Pilates instructors, colorectal surgeons and physiotherapists already verified the exercise prescription is safe as an intervention among colorectal cancer survivors by The Pilates exercise will start with a warm-up session then followed by the Pilates exercise. The Pilates exercise steps will be carried out in this study as follows; 1.One-leg stretch i.Participants are lying down in a supine position and stretch one leg. 2.One-leg circle i.Participants are lying down supine, stretching one leg and making circular movements using the stretched leg. 3.Bridging i.Participants will lie on their back with hands at sides, knees bent and feet flat on the floor under the knees. ii.Then tighten the abdominal and buttock muscles by pushing their low back into t Primary outcome(s): The primary outcome will be quality of life level measured using EORTC QLQ-30 for general health questionnaire comprises of 30 items and have three components which are global health status (GHS) / global QoL, functional scales (FS) and symptom scales (SS). The GHS measure the overall health status and global QoL of the colorectal cancer patients which range from very bad (0) to excellent (7). The original QLQ-30 questionnaire English version had been validated with internal consistency of ranged within 0.70 to 0.90 and test-retest reliability >0.70 (Luckett et al., 2011). The Malay version of QLQ-30 had been validated with internal consistency ranged within 0.50 to 0.90 and test-retest reliability is 0.5 to 0.99 (Yusoff et al., 2010).[ The measurement will be at the baseline followed by 8 weeks after the intervention.];Colorectal cancer-specific quality of life will be measured using the EORTC QLQ-CR29, a tumour-specific questionnaire module for CRC patients to complement the EORTC QLQ-C30 questionnaire. The QLQ-CR29 has five functional and 18 symptom scales. The original CR-29 questionnaire English version had been validated with internal consistency ranged within 0.69 to 0.84 and test-retest reliability 0.53-0.77 (Whistance et al., 2009). The Malay version of CR-29 had been validated with internal consistency ranged within 0.66 to 0.778 and test-retest reliability is 0.79 to 0.93 (Magaji et al., 2016).[ The measurement will be at the baseline followed by 8 weeks after the intervention.] Study Design: Purpose: Treatment; Allocation: Non-randomised trial; Masking: Open (masking not used);Assignment: Parallel

DISEASE(S): Colorectal Cancer Survivors,Physical Medicine / Rehabilitation-other Physical Medicine / Rehabilitation,Cancer-bowel-back Passage (rectum) Or Large Bowel (colon)

PROVIDER: 2473523 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR