The investigators hypothesize that inactivity during the search for a donor may exacerbate current deconditioned states; subsequently, influencing risk factors for post-transplant complications that hinder the recovery phase. This study is designed to investigate if exercise therapy administered prior to allogeneic hematologic stem cell transplantation (HSCT) can influence physical and psychological side-effects associated with HSCT. Approximately 6-weeks prior to HSCT, individuals will be randomized into either an exercise group or usual care group and followed until one year after HSCT.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
30
Princess Margaret Hospital & Toronto Rehabilitation Institute
Toronto, Ontario, Canada
Change in Physical Function
Cardiopulmonary Capacity (VO2peak)
Time frame: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
Change in Quality of Life
European Organization for Research and Treatment of Cancer (EORTC) core 30-item questionnaire (QLQ-30)
Time frame: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
Change in Symptoms
Memorial Symptom Assessment Scale (MSAS)
Time frame: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
Change in Anxiety
The Generalized Anxiety Disorder (GAD7)
Time frame: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
Change in Depression
The Patient Health Questionnaire (PHQ-9), will be used as a clinically relevant measure to evaluate depression
Time frame: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
Change in Fatigue
Multidimensional Fatigue Inventory
Time frame: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
Change in Treatment Side-effects
Hospitalization (days till discharge and readmission rates), bone marrow engraftment (days), graft versus host disease incidence (acute \& chronic), severity of diarrhea/ vomiting/ nausea, infections, steroid use, blood counts
Time frame: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
Change in Strength
upper body: grip strength; lower body: chair-stand test
Time frame: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
Change in Six-minute walk test
Time frame: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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