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@ARTICLE{Mller:169734,
author = {J. Müller$^*$ and M. Weiler and A. Schneeweiss and G. M.
Haag and K. Steindorf$^*$ and W. Wick$^*$ and J. Wiskemann},
title = {{P}reventive effect of sensorimotor exercise and resistance
training on chemotherapy-induced peripheral neuropathy: a
randomised-controlled trial.},
journal = {British journal of cancer},
volume = {125},
number = {7},
issn = {1532-1827},
address = {Edinburgh},
publisher = {Nature Publ. Group},
reportid = {DKFZ-2021-01539},
pages = {955-965},
year = {2021},
note = {#EA:D120#LA:D120# / 2021 Sep;125(7):955-965},
abstract = {Chemotherapy-induced peripheral neuropathy (CIPN) is a
common, unpleasant and usually long-lasting side effect of
neurotoxic chemotherapeutic agents. This study aimed to
investigate the preventive potential of sensorimotor- (SMT)
and resistance training (RT) on CIPN.Patients (N = 170) were
randomised to SMT, RT or usual care (UC). Both exercise
groups trained 3×/week for a total of 105 min/week during
neurotoxic chemotherapy (mean length: 20 weeks). Before and
3 weeks after neurotoxic chemotherapy, CIPN signs/symptoms
were assessed via Total Neuropathy Score (TNSr; primary
endpoint) and EORTC QLQ-CIPN15 questionnaire. In addition,
balance (centre of pressure), muscle strength (isokinetic),
quality of life (QoL, EORTC QLQ-C30) and relative
chemotherapy dose intensity (RDI) were investigated. The
follow-up period covered 6 months after the end of
chemotherapy.Intention-to-treat analyses (N = 159) revealed
no differences regarding CIPN signs/symptoms. Exploratory
per-protocol analyses (minimum training attendance rate
$67\%;$ N = 89) indicated that subjectively perceived
sensory symptoms in the feet increased less during
chemotherapy in the adherent exercisers (pooled group:
SMT+RT) than in the UC group (-8.3 points (-16.1 to -0.4); P
= 0.039, ES = 1.27). Furthermore, adherent exercisers
received a higher RDI (96.6 ± 4.8 vs. 92.2 ± 9.4; P =
0.045), showed a better course of muscular strength (+20.8
Nm (11.2-30.4); P < 0.001, ES = 0.57) and QoL (+12.9 points
(3.9-21.8); P = 0.005, ES = 0.64). During follow-up, CIPN
signs/symptoms persisted in all groups.This study
demonstrates that SMT and/or RT alleviate subjectively
perceived sensory CIPN symptoms in the feet and other
clinically relevant cancer therapy-related outcomes, if an
appropriate training stimulus is achieved.NCT02871284.},
cin = {D120 / C110 / B320},
ddc = {610},
cid = {I:(DE-He78)D120-20160331 / I:(DE-He78)C110-20160331 /
I:(DE-He78)B320-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:34226683},
doi = {10.1038/s41416-021-01471-1},
url = {https://inrepo02.dkfz.de/record/169734},
}