Objective Assessment

Objective, health-related fitness assessments may be useful for measuring baseline status and monitoring progress. However, to remove barriers to participating in physical activity, no assessment is required to start a low intensity aerobic program (e.g. walk or cycling), resistance training with gradual progression or flexibility training in for most cancer survivors.

Monitoring physiological status such as blood pressure, SpO2 and heart rate are encouraged in a formal rehabilitation program.

Your objective assessment should include assessments of muscle strength and aerobic capacity. Older cancer survivors or those who have been treated with neurotoxic chemotherapy my also benefit from a falls and balance assessment.

Further assessment procedures to set your exercise prescription can be found here

Additional reading on assessment can be found in Cancer Council’s Cancer Wellness and Exercise Toolkit

RECOMMENDED PHYSICAL MEASURES:

ItemInstrumentValidityReliabilityUtility
Functional Mobility6 Minute Walk TestModerateExcellent1 item
10 mins
Timed Up and Go TestModerateModerate - Excellent1 item
3 mins
10 Metre Walk TestModerate - ExcellentExcellent1 item
5 mins
Physical Performance Battery for Patients and Cancer (PPB)Moderate - ExcellentExcellent9 items
40 mins
Strength and Muscular EnduranceHand grip strength/Hand held dynamometerExcellentModerate - ExcellentTest dependent
5 x Sit to Stand Moderate - ExcellentExcellent1 item
5 mins
Repetition MaxInsufficient DataModerate - ExcellentTest dependent
BalanceFullerton Advanced Balance Scale Moderate Excellent10 items
10-12 mins
Timed Up and Go TestExcellentExcellent1 item
3 mins
Balance Evaluation Systems TestExcellentModerate36 items
20-30 mins
Chemotherapy Induced Peripheral NeuropathyFunctional Assessment of Cancer Therapy, Gynecologic Oncology Group - (FACT/GOG-Ntx)Moderate - ExcellentNil formal data11 items
10-12 mins

Source: Adapted from APTA Edge Taskforce