Cancer Warrior Exercise Program

 

‘;i

CWEphoto

Welcome to the Cancer Warrior Exercise Program®

 
The purpose of the Cancer Warrior Exercise program is to decrease cancer-related fatigue, increase activity tolerance and improve quality of life. Cancer-related fatigue is the most commonly reported symptom, affecting 80 to 100 percent  of patients with cancer during treatment and may continue for years after treatment is completed. Exercise has been shown to help decrease cancer-related fatigue, improve muscle strength, and prevent overall deconditioning. Daily exercise may also improve feeling of well-being by helping to manage side effects of treatment.

 

View the Oncology Nursing Society’s video: Get Up, Get Moving

Get Up, Get Moving is a national quality campaign developed by Oncology Nursing Society (ONS) member experts to encourage oncology nurses to implement an evidence-based change in practice and recommend physical activity to patients with cancer during cancer treatment. To read more about this campaign, visit the ONS Get Up, Get Moving webpage.

 

 

Benefits of Exercise

Multiple organizations, including the American Cancer SocietyAmerican College of Sports MedicineNational Comprehensive Cancer NetworkU.S. Department of Health and Human Resources, and Oncology Nursing Society, recommend physical activity for cancer survivors in active treatment and during the survivorship phase of cancer care. Evidence-based research has shown exercise to be effective in preventing and treating fatigue in cancer patients.

Research evidence supports that physical activity during cancer treatment significantly decreases disease- and treatment-related fatigue. Along with fatigue, this intervention may improve quality of life by
  • Helping to manage anxiety and depression
  • Improving sleep quality
  • Managing lymphedema
  • Maintaining bone and muscle strength
  • Decreasing recurrence.

Cancer-related fatigue is defined as “ a distressing, persistent, subjective sense of physical, emotional, and/or cognitive tiredness or exhaustion related to cancer or cancer treatment that is not proportional to recent activity and interferes with usual functioning” (National Comprehensive Cancer Network [NCCN], 2014).

The American Cancer Society (ACS) recommends a minimum of 30 minutes a day, at least five days per week. But if you’ve had cancer, the need may be particularly profound, given research suggesting that physical activity can increase energy, ease the side effects of treatment, and perhaps reduce the risk of recurrence. ~ Cure Magazine: Vol. 9 No.1/2010

The Cancer Warrior Exercise Program provides cancer patients with an exercise program designed to decrease fatigue, increase activity tolerance, and improve quality of life. We use the term Cancer Warrior for individuals diagnosed with cancer as an affirmation of the strength and determination they possess, body mind and spirit, in their journey with cancer. Cancer Warriors can sign up online and participate in this program from home or the hospital and continue their exercise program inpatient and outpatient.

Each individual should check with their doctor before beginning any exercise program. If you are in the hospital or have regular appointments with your health care practitioners, check with them before beginning their exercise to make sure that exercise is safe and appropriate for you at this time. 

 

Let’s Get Started in Four Easy Steps!

 

1. Register for the Cancer Warrior Exercise Program (CWEP) using our online registration form and receive a registration code for a virtual race. The online registration will provide your nurse with information about your baseline physical activity. This will allow your nurse to help you determine a safe exercise goal.

2. Select a virtual race using the links below which will take you to the Yes Fit webpage. You will register for the virtual race using the code you received from your nurse who helped you complete the CWEP registration. You may also utilize our online exercise and yoga videos.

3. Use ONS Fatigue Scale to set daily goal.

4. Complete the Cancer Warrior Satisfaction Survey and receive your Finisher’s Medal!

 

1. Register for the Cancer Warrior Exercise Program

Register  for the CWEP data program here – just click the link below!

Click here to register!

2. Select a Virtual Race to Set An Overall Activity Goal

You will choose a goal such as a 5K, 10K, half marathon or full marathon and complete a virtual event via Make YES! Happen virtual courses created for the Cancer Warrior Exercise Program that simulate events in places like New York, San Francisco, London and Kona on the Big Island of Hawaii.

As you complete your miles in your neighborhood, on your treadmill, or even in the hospital, you will see them on your virtual race destination course.

So set your goal and set your time frame to complete your virtual race. You will be asked to complete a brief online questionnaire to determine your baseline exercise activity and sign a waiver to participate in the program. You must obtain a medial clearance if you are experiencing any of the medical conditions below:

  • Cardiac disease or toxicities
  • Fracture risk from bone metastases, hormonal therapies or density changes
  • Limited range of motion
  • Lymphedema
  • Muscoloskeletal problems
  • Obesity
  • Peripheral neuropathy

In addition, you should stop physical activity and contact your healthcare team if you experience any of the following:

  • Dizziness
  • Shortness of breath
  • Chest pain
  • Development of new or an increase in usual pain
  • New or increased swelling in limb

 

 Click the image below to register for the National Mall One Mile Fun Run

Click here to register for the Cancer Warrior National Mall one mile virtual event!

Click here to register for the Cancer Warrior National Mall one mile virtual event!

 

Click the image below to register for the New York City Central Park 5K

Click here to register for the Cancer Warrior Central Park 5K virtual event!

Click here to register for the Cancer Warrior Central Park 5K virtual event!

 

 Click the image below to register for the Big Island Kona, Hawaii 10K

Click here to register for the Cancer Warrior Big Island Hawaii 10K!

Click here to register for the Cancer Warrior Big Island Kona, Hawaii 10K virtual event!

 

 Click the image below to register for the San Francisco Half Marathon

Click here to register for the Cancer Warrior San Francisco Hal Marathon virtual event!

Click here to register for the Cancer Warrior San Francisco Half Marathon virtual event!

 

 Click the image below to register for the London Marathon

Click here to register for the Cancer Warrior London Marathon virtual event!

Click here to register for the Cancer Warrior London Marathon virtual event!

 

3. Use the Oncology Nursing Society Fatigue Scale

This will help you determine the amount of activity you should do based on your level of fatigue each day.

  • Each day you will use the Fatigue Score below to help you decide what your goal should be for your daily exercise.
  • The scale is numbered from zero to ten. Zero is NO FATIGUE at all and ten is THE WORST FATIGUE.
  • Based on the ACS recommendations above, if you rate your fatigue score as MILD (or below three) on the Fatigue Scale, you may choose to do up to 30 minutes if you have already built up to walking or exercising for that amount of time.
  • If you have rated your fatigue score as EXTREME (or above a seven) on the scale, you may choose to only do five minutes of exercise or take the day off and rest.
  • In general, the lower your score on the Fatigue Scale, the more exercise you can do and the higher your score is on the Fatigue Scale, the less exercise you will do on that particular day.
  • The amount of exercise you choose to do each day  also depends on your baseline exercise routine. If you are just starting your exercise program, begin with a short duration and slowly build to longer periods of exercise.

Fatigue Scale

Below is an example for setting a daily exercise goal using the ONS Fatigue Scale to determine your daily fatigue assessment.  In this example the person’s baseline activity is walking 30 minutes three times per week.  Therefore they would walk 30 minutes if their fatigue score was zero and decrease their minutes walking as their fatigue level increased.

Fatigue Score Exercise Goal
 0 = No Fatigue Set today’s goal to walk for 30 minutes
 1-3 = Mild Fatigue Set today’s goal to walk for  20 minutes
 4-6 = Moderate Fatigue Set today’s goal to walk for 15 minutes
 7-9 = Extreme Fatigue Set today’s goal to walk for 10 minutes OR rest
 10 = The Worst Fatigue No exercise – rest and recover

Note. The ONS Fatigue Scale appears on this website courtesy of the Oncology Nursing Society.

All rights are reserved. For permission to reprint, repost, email or otherwise redistribute the scale, email pubpermissions@ons.org.

 

4. Complete the Cancer Warrior Satisfaction Survey and Receive your Finisher’s Medal!

Please click the link below to take a short survey to tell us about your experience participating in the Cancer Warrior Exercise Program

Choose Additional Workouts

You can also choose to strength and resistance workout and/or yoga from our video library at the bottom of this page. 

Join Our Virtual Community

Make YES! Happen virtual events allow you to be a part of our virtual community to include all of those participating in the Cancer Warrior Exercise Program. In addition, Team Inspiration invites you to join our BE INSPIRED Community which is a closed Facebook group where we can support and empower one another. This includes our Cancer Warriors, Inspired Athletes, family, friends and caregivers.  Our purpose is to inspire wellness and health and find strength and joy in the journey together. If you would like to join us, please send an email request to roseann@teaminspiration.org.

 We met our International Inspired Warrior, Marilena D'Amone in Kona for an Inspired Warrior training camp!

We met our International Inspired Warrior, Marilena D’Amone in Kona for an Inspired Warrior training camp!

Jessica and with her husband and two sons after completing her first full triathlon!

Jessica and with her husband and two sons after completing her first full triathlon!

Team Inspiration came into my life through Roseann the second day I was in the hospital beginning a two year treatment for Luekemia. Having Roseann and this team in my life has completing inspired my recovery process and my rebuilding and getting me through two of the most brutal years that hopefully I’ll ever have to go through in my life. Triathlon training has rebuilt my body both mentally and physically and inspired me in so many ways every day. I’m so grateful to have this opportunity to participate with them in Iron Girl.     

~Jessica Hensley, UMMC Patient in Remission from AML, TI Cancer Warrior 

 

 

Inspired Warrior Medals and Team Inspiration Wristbands

Cancer Warriors who participate in the program will be presented with an Inspired Warrior medal that has been donated by an athlete. These athletes have completed triathlons and other running events in honor of our cancer warriors. The athletes who donated these medals did so as an acknowledgement of the courage, strength and achievements of all cancer warriors. Cancer Warriors will also receive a Team Inspiration wristband to signify their commitment and connection within the community of Inspired Warriors who live by the mantra that Anything is Possible!

 

Cancer Warrior Steve Brown wearing his finisher's medal at MCM and his Team Inspiration wristband - a cancer warrior racing for other cancer warriors!

Cancer Warrior Steve Brown wearing his finisher’s medal at MCM and his Team Inspiration wristband – a cancer warrior racing for other cancer warriors!

 

Cancer Warrior Exercise Videos with Cancer Warrior, Kristen Adelman:

 

 

 

 

 

 

 

 

 

 

 

 

 

 Yoga for Relaxation Video with Inspired Warrior Ashley SKy Litecky

 

 

 

 

About Team Inspiration

Team Inspiration empowers individuals living with cancer by providing exercise & wellness programs that improve their physical, mental, and spiritual quality of life. TI offers programs for patients, family members and caregivers that include The Cancer Warrior Exercise Program at the University of Maryland Medical Center, Multisport Training and the Warrior Kids Program. To find additional information about Team Inspiration visit www.teaminspiration.org