Group Exercise in Cancer Patients Under Active Treatment: Feasibility Pilot Study.

The intervention will consist of EFG sessions lasting 45 minutes each, twice a week for 12 weeks to be carried out in the gym of the Rehabilitation Day Hospital.

Each 45-minute session includes an initial relaxation/stretching phase, simple aerobic exercises, muscle strengthening exercises, balance exercises, and will be led by a physiotherapist. The exercises proposed to the group with ECOG 2 will be less intense and of less difficulty with the aim of adapting the activity to patients with a lower performance status (see appendix 4.5, V2, 07/10/2024). The groups will consist of a minimum of five patients and a maximum of ten. Patients will also be stimulated to perform physical activity at home to a total of 150 minutes per week. Patients will be assessed at baseline (T0), at the end of the intervention (T1,12 weeks) and 6 months after the start of the intervention (T2).

Inclusion criteria

• neoplastic tumor
• age>= 18
• prognosis> 12 months
• ECOG <=2
• Walking with/ without aids
• clinically stable
• signed informed consent
• Patients with bone metastases with ECOG from 0-1 suitable results

Exclusion criteria

• sensory deficits who cannot perform physical exercise
• cognitive impairment that compromises collaboration and questionnaire filling
• patients with pathologies (e.g. neurological, psychiatric) that do not allow the obtaining of valid informed consent