Ep 16 – Dr. Trista Manikowske: Cancer-related fatigue, phased rehabilitation in oncology.

Trista graduated from the University of Northern Colorado, where she spent a lot of her time working in the Rocky Mountain Cancer Rehabilitation Institute. In this episode, we chat about Trista’s PhD dissertation where she looked at the difference between perceptual fatigue and muscular fatigue to try and get a deeper understanding of cancer related fatigue.

We also spend a lot of time chatting about a phased approach to cancer-rehabilitation. This approach, divides the rehabilitation into different stages based on where the patient is during their treatment and how they are responding to the rehab protocol. This is some really cool stuff that the RMCRI have been working on for a while and may very well serve as a model of cancer rehab in the future.

You can find Trista on facebok here or email here at tolson@stcloudestate.edu for more infor on what’s she’s up to. Follow me on twitter @CiaranFairman to hear about more things exercise and cancer.


Show notes

6:05     What is cancer related fatigue?       

7:45     What causes cancer related fatigue?

10:45     Does cancer type have any effect on fatigue?          

12:00     The difference between normal tiredness and fatigue        

13:00     How exercise can help alleviate fatigue

18:10   Why it is important to educate patients about the symptoms they will face from treatment

21:00   Trista’s Dissertation  

30:00   Phased approach to cancer rehab     

32:15   What does a phase one patient’s exercise program look like?        

37:15   Moving to phase two

44:00   Dealing with muscular imbalances and other complications from treatment        

49:00   Phase three    

51:00   The importance of working towards independence

53:45   Frequently asked questions by patients as they start to do more on their own

56:15   Common misconceptions about cancer and exercise

57:15   Trista’s advice for upcoming professionals and for patients/survivors