Effect of Reconditioning Exercise on Older Adults With Urinary Tract Cancer Following Curative Surgery

Muscle strength of the lower extremities,Muscle strength of the lower extremities,Muscle strength of the lower extremities,Timed up and go test,Timed up and go test,Timed up and go test,Six minute walk test,Six minute walk test,Six minute walk test

As population ages, geriatric patients with urinary tract cancer suffer from more
 complications and functional decline that alter treatment plan despite advance in cancer
 surgery. It was found that these urinary tract cancer survivors required a longer time to
 recover to the state before the treatment, and some may be even unable to recover to the
 state before the treatment. Exercise intervention has been found to be beneficial to improve
 functional capacity for cancer survivors, such as breast cancer. However, it is unclear
 whether exercise intervention could also improve functional recovery and mobility in patients
 with urinary tract cancer following curative surgery, especially in older adults. The purpose
 of this study is to investigate the effect of reconditioning exercise on morbidity,
 oncological outcomes, and functional recovery in older adults with urinary tract cancer
 following curative surgery.
 
 Patients aged over 65 years old and after having undergone curative surgery for confirmed
 urinary tract cancer will be recruited. The participants will be assigned into two groups
 using blocked randomization design. One group will receive reconditioning exercise training
 for five consecutive days, and the other group will receive exercise education. Structured
 questionnaire for comprehensive geriatric assessment and functional mobility, such as walking
 performance, will be used to assess the training effect. Outcome measures are assessed
 including major complication after surgeries, changes in functional status, tumor
 progression, and length of survival. Physical function measurement will include hand grip,
 muscle strength of lower extremities, and gait performance.