![[Visit Client Website]](images/banner.gif)
Studies demonstrate that strength training and cardiovascular exercise enhances the physical and psychological health of patients undergoing allogeneic BMT (Wiskemann, 2011; Baumann, 2011; Jarden, 2012). Accreditation quality standards (ACOS, 2012; FACT, 2014) require patients to receive pre-transplant evaluation, training and post-transplant follow-up.
Methods, Intervention, & Analysis
With expansion of our BMT program to include allogeneic transplantation, we formulated a focus group, to develop the infrastructure for a BMT-specific physical therapy program. An interdisciplinary team consisting of physical therapists, a physiatrist and BMT clinical team met to explore best practice, define medical eligibility, create educational materials, secure resources, and develop policy and procedure. Dedicated physical therapists implemented the protocols and measured the effectiveness of physical fitness using standardized tools throughout all phases of BMT. A specially equipped room within the BMT Unit is utilized during scheduled clinic visits and inpatient stays. Physical activity regimens include strength training two days per week and endurance training three days per week. All patients receive pre-transplant counseling, exercise sessions during transplant clinic visits, and are re-evaluated 12 weeks post-BMT.
Findings & Interpretation
The exercise program was well received by patients, caregivers and staff. Preliminary findings support the positive impact of exercise. Maps delineating walking distances motivated patients to achieve their goals. BMT nurses recognized and encouraged exercise during the patient’s BMT journey.
Discussion & Implications
Clinical programs can efficiently and effectively develop a structured exercise program for patients undergoing allogeneic BMT. Obtaining dedicated resources in these economically challenging times and educating patients, caregivers, and BMT staff remain an important focus of our program. We hope that our model and process will serve as an exemplar to other BMT programs.