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Nathan H. Parker, Rebecca E. Lee, Daniel P. O’Connor, An Ngo-Huang, Maria Q.B. Petzel, Keri Schadler, Xuemei Wang, Lianchun Xiao, David Fogelman, Richard Simpson, Jason B. Fleming, Jeffrey E. Lee, Ching-Wei D. Tzeng, Sunil K. Sahai, Karen Basen-Engquist, and Matthew H.G. Katz

Background: Physical activity and exercise appear to benefit patients receiving preoperative treatment for cancer. Supports and barriers must be considered to increase compliance with home-based exercise prescriptions in this setting. Such influences have not been previously examined. Methods: The authors used quantitative and qualitative methods to examine potential physical activity influences among patients who were prescribed home-based aerobic and strengthening exercises concurrent with preoperative chemotherapy or chemoradiation for pancreatic cancer. Physical activity was measured using exercise logs and accelerometers. Social support for exercise and perceived neighborhood walkability were measured using validated surveys. Relationships between influences and physical activity were evaluated using linear regression analyses and qualitative interviews. Results: Fifty patients received treatment for a mean of 16 (9) weeks prior to planned surgical resection. Social support from friends and neighborhood esthetics were positively associated with physical activity (P < .05). In interviews, patients confirmed the importance of these influences and cited encouragement from health care providers and desire to complete and recover from treatment as additional motivators. Conclusions: Interpersonal and environmental motivators of exercise and physical activity must be considered in the design of future home-based exercise interventions designed for patients receiving preoperative therapy for cancer.

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Alexandre Moreira, Johann C. Bilsborough, Courtney J. Sullivan, Michael Cianciosi, Marcelo Saldanha Aoki, and Aaron J. Coutts


To examine the training periodization of an elite Australian Football team during different phases of the season.


Training-load data were collected during 22 wk of preseason and 23 wk of in-season training. Training load was measured using the session rating of perceived exertion (session-RPE) for all training sessions and matches from 44 professional Australian Football players from the same team. Training intensity was divided into 3 zones based on session-RPE (low, <4; moderate, >4 AU and <7 AU; and high, >7 AU). Training load and intensity were analyzed according to the type of training session completed.


Higher training load and session duration were undertaken for all types of training sessions during the preseason than in-season (P < .05), with the exception of “other” training (ie, re/prehabilitation training, cross-training, and recovery activities). Training load and intensity were higher during the preseason, with the exception of games, where greater load and intensity were observed during the in-season. The overall distribution of training intensity was similar between phases with the majority of training performed at moderate or high intensity.


The current findings may allow coaches and scientists to better understand the characteristics of Australian Football periodization, which in turn may aid in developing optimal training programs. The results also indicate that a polarized training-intensity distribution that has been reported in elite endurance athletes does not occur in professional Australian Football.

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Kyle R. Lynch, Michael Fredericson, Bruna Turi-Lynch, Ricardo R. Agostinete, Igor H. Ito, Rafael Luiz-de-Marco, Mario A. Rodrigues-Junior, and Rômulo A. Fernandes

represent a prehabilitation strategy to prevent future stress fractures and promote bone health in young athletes . PM R . 2015 ; 7 : 222 – 5 . PubMed ID: 25499072 doi:10.1016/j.pmrj.2014.09.017 10.1016/j.pmrj.2014.09.017 25499072 16. Wood AM , Robertson GA , Rennie L , Caesar BC , Court

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Carl Persson, Flinn Shiel, Mike Climstein, and James Furness

.S. , Sainani , K.L. , Carter Sayres , L. , Milgrom , C. , & Fredericson , M. ( 2015 ). Participation in ball sports may represent a prehabilitation strategy to prevent future stress fractures and promote bone health in young athletes . Physical Medicine and Rehabilitation, 7 ( 2 ), 222 – 225

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Élvio R. Gouveia, Andreas Ihle, Bruna R. Gouveia, Matthias Kliegel, Adilson Marques, and Duarte L. Freitas

are more prone to muscle weakness and balance impairments. Extending the literature, our findings support both the application of prehabilitation strategies focused on balance in younger ages and the implementation of tailored interventions focused on improvement of MM and MS to maintain balance even

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Shane Ball, Mark Halaki, Tristan Sharp, and Rhonda Orr

conditioning programs to reduce risk of injury. Lower-limb injuries’ accounting for 51.8% of total injuries suggests that lower-limb prehabilitation or preparation exercises should be included in strength and conditioning programs. Conclusions Our findings showed positional differences in body

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Jocelyn F. Hafer, Mark S. Miller, Jane A. Kent, and Katherine A. Boyer

and re/prehabilitation recommendations for older adults. Males compared with females and young compared with older adults have stronger and more powerful lower extremity extensor muscles. 3 , 13 – 17 Previous studies of young and older males and females suggest that females experience a larger age

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Michael P. Corcoran, Miriam E. Nelson, Jennifer M. Sacheck, Kieran F. Reid, Dylan Kirn, Roger A. Fielding, Kenneth K.H. Chui, and Sara C. Folta

.A. , Charpentier , P.A. , de Regt , P.T. , & Wallace , S.J. ( 2003 ). A prehabilitation program for physically frail community-living older persons . Archives of Physical Medicine and Rehabilitation, 84 ( 3 ), 394 – 404 . PubMed doi: 10.1053/apmr.2003.50020 Gill , T.M. , Baker , D.I. , Gottschalk

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George Wilson, Dan Martin, James P. Morton, and Graeme L. Close

and multidirectional movements, may serve as a prehabilitation strategy for future stress fractures, including for running and swimming sports, which generally are devoid of such activities. From a clinical application perspective, it may therefore be suggested that practitioners who advise aspiring

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Mary E. Medysky, Kelcey A. Bland, Sarah E. Neil-Sztramko, Kristin L. Campbell, Donald R. Sullivan, and Kerri M. Winters-Stone

alternative methods (i.e., physical therapy, stretching); (b) studies not exclusive to persons with lung cancer; and (c) studies that focused on physical activity and/or nutrition behavior change. Unlike our previous reviews, this review did not exclude prehabilitation interventions, as prehabilitation is