**2.1 Phase 1: Recovery of residual capacity**

The rehabilitation strategy is aimed at:


Our rehabilitation method uses instrumental and not instrumental techniques.

The aim of the therapy is to:


Rehabilitation in Cancer Survivors: Interaction Between Lifestyle and Physical Activity 187

Global proprioceptive training (I-Moove Allcare Innovations Chabeuil, France).

Postural motor sense training using postural bench (TecnoBody, Bergamo, Italy).

The rehabilitation strategy is aimed at strengthening of the recovered **sensorimotor** capacity to allow the patient a gradual return to society, improving his/her quality of life Increasing the muscle strength needed for walking and for the orthostatic position, developing proprioception and requiring motor tasks more and more difficult and functional in daily life.

 induce a proprioceptive increase using instruments for monitoring the performance which is achieved by biofeedback (e.g. I-Moove allows you to balance the muscle synergies through its helical movement, taking the natural, spiral course of the muscle fascia. The special movement of the platform can be expanded and strengthened specifically for the patient by increasing and improving proprioception, mobility and

increase selectively the muscle strength (e.g. isotonic and isokinetic exercises, load of

Focused high intensity vibratory stimulation (VISS, VISSMAN, Rome, Italy). Position:

Global vibratory stimulation (PhysioPlate FIT, Globus Italy srl, Codognè (TV), Italy).

global proprioceptive training (I-Moove Allcare Innovations Chabeuil, France).

 isokinetic and / or isotonic strength exercises. Our protocol is repeated after 3 months from the end of the entire project, by repeating phase 2 and 3 with a duration of 1

In our rehabilitation method, we use instrumental or not instrumental techniques.

strength. (I-Moove Allcare Innovations Chabeuil, France);

3 sessions per week for three months with a metabolic cost of 25-29 METs.

supine in the absence of muscle contraction; frequency: 300Hz; duration: 30 min.

Position: orthostatic; frequency: 50Hz; duration: 10 minMotor Rehabilitation:

Focused high intensity vibratory stimulation (VISS, VISSMAN, Rome, Italy)

Position: orthostatic; frequency: 300Hz; duration: 10 min

20 min of aerobic cycle ergometer, 80-95 bpm.

Position: orthostatic; duration: 30 min.

Position: orthostatic; duration: 10 min.

60% RM for 12 repetitions for 4 series);

create a cardio circulatory metabolic adaptation.

40 min of aerobic cycle ergometer, 100-110 bpm;

Position: orthostatic; duration: 30 min; coordination exercises and complex motion;

Passive muscle stretching exercises.

**2.3 Phase 3: Recovery of quality of life** 

Physical Therapy:

Motor Rehabilitation:

Isometric force exercises.

The aim of therapy is to:

stimulate motor learning;

active and passive stretching;

Rehabilitation protocol

Physical Therapy:


### Rehabilitation protocol

2 sessions per week for at least 2 months with a metabolic cost of 18-21 METs.

Physical Therapies:

focused high intensity vibratory stimulation (VISS, VISSMAN, Rome, Italy). Position: supine in the absence of muscle contraction; frequency: 300Hz; duration: 30 min.

Motor Rehabilitation:


### **2.2 Phase 2: Sensory-motor and functional recovery**

The rehabilitation strategy aims to:

replan the balance system to ensure that the brain (CNS) can use the sensory systems which are still working;

increase the tone of postural muscles, looking for an enhancement of the lower limbs and trunk muscles.

In our rehabilitation method, we use instrumental or not instrumental techniques.

The aim of therapy is to :


#### Rehabilitation protocol

3 sessions per week for at least three months with a metabolic cost of 21-24 METs.

Physical Therapy:

186 Topics in Cancer Survivorship

 induce muscular adaptations in the recovery of muscle tone, in this regard we use a focused vibratory acoustic stimulation at high intensity (VISS, VISSMAN, Rome, Italy). Vibrations stimulate bone marrow function and the upper motor centers in order to obtain a better performance of controls, responsible for muscle recruitment; they activate the aerobic metabolism; they have an analgesic effect; they increase local circulation and bone density; they cause an increase in contractile capacity and elasticity

of the skeletal muscle tissue;

passive muscle stretching exercises;

**2.2 Phase 2: Sensory-motor and functional recovery** 

induce adaptation to the pathological condition;

sensory and/or motor neuropathy);

supine; duration: 30 min.; isometric force exercises.

The rehabilitation strategy aims to:

Rehabilitation protocol

Physical Therapies:

Motor Rehabilitation: passive mobilization;

are still working;

trunk muscles.

The aim of therapy is to :

Chabeuil, France);

Rehabilitation protocol

recover muscle synergies and elasticity of muscle tissue.

2 sessions per week for at least 2 months with a metabolic cost of 18-21 METs.

focused high intensity vibratory stimulation (VISS, VISSMAN, Rome, Italy).

Position: supine in the absence of muscle contraction; frequency: 300Hz; duration: 30 min.

Postural motor training using postural bench (TecnoBody, Bergamo, Italy). Position:

replan the balance system to ensure that the brain (CNS) can use the sensory systems which

increase the tone of postural muscles, looking for an enhancement of the lower limbs and

 induce a sensory readaptation (e.g. placing the patient on a tilting platform demanding stabilization motor tasks in closed and open kinetic chain (I-Moove Allcare Innovations

 support a sensory substitution (e.g. trying to strengthen the role of vestibulo-spinal control by strengthening the ability to use proprioceptive afferents in a patient with

 induce a tone recovery and proprioception of the muscle skeletal kinetic chains by creating an unstable environment where the patient has to relate to rebalance the relationship between the kinetic chains, enhancing inter-and paravertebral muscles and

searching for a core stability increase with the I -Move system or similar;

3 sessions per week for at least three months with a metabolic cost of 21-24 METs.

induce a muscle strength increase, especially in the lower limbs.

In our rehabilitation method, we use instrumental or not instrumental techniques.

Focused high intensity vibratory stimulation (VISS, VISSMAN, Rome, Italy) Position: orthostatic; frequency: 300Hz; duration: 10 min

Motor Rehabilitation:

