22–23 Jul 2026
Heidelberg Congress Center
Europe/Berlin timezone

Efficacy of Individualized Exercise Prescription in Cancer Rehabilitation

23 Jul 2026, 14:00
1h 15m
Heidelberg Congress Center ( Heidelberg Congress Center )

Heidelberg Congress Center

Heidelberg Congress Center

Czernyring 20 69115 Heidelberg Germany
1 - Scientific Poster Poster Session

Speaker

Oliver Növermann (Department of Hemato-Oncology, REHA-Klinik Reinhardshöhe, Bad Wildungen, Germany)

Description

Background: About one-third of cancer patients participate in a unique three-week rehabilitation program after tumor treatment in Germany. Given the short duration, therapy must be highly efficient, yet exercise prescription is often not individualized.

Methods: In this randomized controlled trial, we compared two exercise arms. The individualized training arm (IT) trained at 50% of hypothetical one-repetition-maximum (h1RM) and 60% of peak power output (PPO). The comparator arm (COM) trained self-directed (BORG 11–14).

Results: COM participants trained at 37–48% of maximum performance. Despite this, they showed significant improvements in all motor tests: PPO (mean = 12.5 W, SE = 4.7, p = 0.009), Leg-Press (24.9 kg, SE = 4.7, p < 0.001), Chest-Press (3.1 kg, SE = 1.1, p = 0.006), Rowing (5.4 kg, SE = 1.3, p < 0.001), and Ventral Flexion (6.8 kg, SE = 1.7, p < 0.001). IT participants demonstrated incremental benefits over COM in all motor tests except ventral flexion: PPO (14.8 W, SE = 5.9, p = 0.014), Leg-Press (15.2 kg, SE = 6.0, p = 0.013), Chest-Press (4.09 kg, SE = 1.4, p = 0.005), Rowing (5.6 kg, SE = 1.7, p < 0.001), and Ventral Flexion (2.9 kg, SE = 2.2, p = 0.182). For quality of life (QoL) and physical functioning, both arms improved significantly, but the additional benefit of IT did not reach significance for QoL (5.8, SE = 3.4, p = 0.090) or physical functioning (3.5, SE = 2.3, p = 0.129).

Conclusion: The conventional three-week rehabilitation effectively improves motor performance, quality of life, and physical functioning in cancer survivors. A personalized approach may further enhance these outcomes.

Keywords

Rehabilitation, personalized exercise therapy, exercise prescription, cancer survivors

Abstract submitters declaration yes
Conflict of Interest & Ethical Approval yes

Author

Oliver Növermann (Department of Hemato-Oncology, REHA-Klinik Reinhardshöhe, Bad Wildungen, Germany)

Co-authors

Maximilian Köppel (Working Group Exercise Oncology, Department of Medical Oncology, National Center for Tumor Diseases Heidelberg (NCT Heidelberg) and Heidelberg University Hospital, Heidelberg Germany) Joachim Wiskemann (Working Group Exercise Oncology, Department of Medical Oncology, National Center for Tumor Diseases Heidelberg (NCT Heidelberg) and Heidelberg University Hospital, Heidelberg Germany) Prof. Oliver Rick (Department of Hemato-Oncology, REHA-Klinik Reinhardshöhe, Bad Wildungen, Germany)

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