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Adapted Physical Activity Protocol for Lower Limb Functional and Strength Recovery in a Young Athlete with Cutaneous Melanoma

Feasibility and Efficacy during Covid-19 Pandemic

Bibliographic Data

ID15511018
AuthorsGiuditta Carretti (University of Florence), Daniela Mirandola (University of Florence), Sara Germano (University of Florence), Mirko Manetti (0000-0003-3956-8480, University of Florence), Mirca Marini (0000-0002-1934-0414, University of Florence, corresponding author)
Year2022
Volume19
Issue15
Pages9590-9590
Publication date2022-08-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19159590
PMID35954946
OpenAlexW4289995745
LanguageEN
Citations received2
References cited43

Adapted physical activity (APA) can improve psychophysical wellbeing and quality of life (QoL) in cancer survivors, a vulnerable population requiring a global management, especially during the recent pandemic. On this basis, we investigated for the first time the impact of a tailored APA intervention on a melanoma-affected 18-year-old female athlete to counteract treatment sequelae and promote lower limb functional and strength recovery. Patient was evaluated at baseline and post-protocol by a test battery focusing on mobility, muscle strength measured by dynamometry, and lower limb girths assessed at specific anatomical points. Moreover, health-related QoL, depression/anxiety, psychological distress and pain intensity were evaluated by Functional Assessment of Cancer Therapy-Melanoma (FACT-M), Hospital Anxiety and Depression Scale (HADS), distress thermometer, and numerical rating scale (NRS) questionnaires, respectively. An almost doubled up increase in lower limb strength, along with hip mobility improvement, and post-surgical edema and pain reduction were observed following the protocol. Concerning the QoL assessment, a moderate post-intervention improvement in physical and emotional wellbeing was detected, while depression state worsened though remaining within the normality range. Our findings show that a specialist-supervised structured APA protocol based on a patient-centered multidisciplinary approach may represent an effective strategy to recover functional and psychophysical efficiency, thus promoting a quick return to daily life activities and offering a concrete chance of resuming competitive sport practice

Anxiety · Depression (economics · Distress · Hospital Anxiety and Depression Scale · Physical medicine and rehabilitation · Physical therapy · Population · Psychiatry · Quality of life (healthcare · Cancer survivorship and care · Clinical Psychology · Fibromyalgia and Chronic Fatigue Syndrome Research · Lymphatic System and Diseases · Medicine · Nursing

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Unique citing works2
Citations per year1
Citation span2024 - 2025 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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