Aerobic Recovery after Radical Prostatectomy: A Case Study
| Autor: | Jaison L. Wynne, Patrick B. Wilson, David P. Swain |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Incremental exercise Oxygen Consumption Robotic Surgical Procedures Heart Rate medicine Humans Aerobic exercise Orthopedics and Sports Medicine Aged Prostatectomy business.industry Training level Prostatic Neoplasms VO2 max Cardiorespiratory fitness Prognosis Cardiorespiratory Fitness Anesthesia Exercise Test Physical Endurance business Foot (unit) Physical Conditioning Human |
| Zdroj: | Medicine & Science in Sports & Exercise. 52:296-302 |
| ISSN: | 1530-0315 0195-9131 |
| DOI: | 10.1249/mss.0000000000002130 |
| Popis: | PURPOSE This case study examined the recovery after radical prostatectomy (RP) of an endurance-trained 65-yr-old man. METHODS A maximal incremental exercise test and a 1-h steady-state test were performed just before and 3 months after robotic RP to determine maximal oxygen consumption (V˙O2max) and other cardiorespiratory variables. The patient recorded his training as he prepared for an endurance event that was to occur 3 months after RP, the Norwegian Foot March, a 30-km road march carrying 11.4 kg. RESULTS In the month before RP, the patient performed 2 to 3 h of vigorous-intensity aerobic exercise per week, fast walking carrying an 11.4-kg pack, with the longest individual session being a 16-km road march. Just before surgery, V˙O2max was 36.7 mL·min·kg, HR during 30 min at 7.2 km·h and 0% grade was 77% of HR reserve (HRR), and during 30 min at 5.3 km·h and 10% grade was 92% HRR. On postsurgery day 44, he did a 19-km road march carrying 11.4 kg, exceeding the training level of the month presurgery. Three months postsurgery, V˙O2max was 42.7 mL·min·kg, and HR during the flat and uphill 30-min sessions at the same absolute intensity as presurgery were 70% and 83% HRR, respectively. He completed the Norwegian Foot March 93 d postsurgery in 4:24:37, with an average HR of 72% HRR. CONCLUSIONS This case study demonstrates that an aerobically trained prostate cancer patient can return to high-level aerobic training in as little as 7 wk post-RP, and even exceed presurgery fitness. This finding has implications for prognosis given the beneficial effect of vigorous-intensity exercise on prostate cancer progression. |
| Databáze: | OpenAIRE |
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