The CanMoRe project (2016 - 2024)
The overall aim of this project is to evaluate if very early and structured mobilisation and rehabilitation can improve respiratory and physical function and thereby reduce complications and enhance recovery after abdominal surgery due to cancer. A further aim is to improve methods for mobilisation at the ward by the use of feedback and wearable sensors.
Progress
We have evaluated the Activity Board on patients undergoing abdominal cancer surgery. The results are promising. The group that used the Activity Board compared to usual care spent more time upright and walking as well as had shorter length of stay at the hospital (Porserud A et al 2019). Studies on the patients (Porserud A et al 2021), as well as healthcare staff perceptions of using the Activity Board (Karlsson P et al 2022), have been conducted. Patients' experiences of using the Activity Board were that the board enabled participation and thereby facilitated empowerment over rehabilitation. Healthcare professionals perceived that the Activity Board facilitates daily work and promotes patient participation. They also described the board as an easy-to-use and helpful tool with great potential, providing valuable and accessible information as well as enabling them to better support patients.
The results evaluating a new model for physical rehabilitation show that patients who participated in the intervention group, i.e., trained in primary care, have increased their daily activity (which can be equated with better recovery), experienced reduced disease-related fatigue, and improved health-related quality of life by about 30% more than the control group (Porserud 2024). Interviews with patients show that they are motivated to return to normal life but face significant challenges (Karlsson 2024). Training with a physiotherapist in primary care helped them overcome these challenges.
Principal Investigator
Maria Hagströmer
Professor/Physical TherapistProject members
Markus Aly, PhD, MD
Lars Henningsohn, docent, MD
Patrik Karlsson, PhD
Malin Nygren-Bonnier, docent
Andrea Porserud, PhD
Elisabeth Rydwik, docent
Simon Torikka, PhD student
Financial support
ALF Medicine
The Swedish Research Council (VR)
The Swedish Cancer Society
Signe och Olof Wallenius Stiftelse
Stiftelsen Tornspiran
Ã…ke Wibergs stiftelse
Publications
Porserud A, Karlsson P, Aly M, Rydwik E, Torikka S, Henningsohn L, Nygren-Bonnier M, Hagströmer M
BMC Cancer 2024 Jul;24(1):891
Karlsson P, Nygren-Bonnier M, Torikka S, Porserud A, Henningsohn L, Olsson CB, Rydwik E, Hagströmer M
BMC Cancer 2024 Oct;24(1):1306
Porserud A, Aly M, Steinertz H, Rydwik E, Hagströmer M
Scand J Urol 2024 Dec;59():193-199
Porserud A, Aly M, Nygren-Bonnier M, Hagströmer M
Eur J Surg Oncol 2023 Jun;():
The feasibility of using a digital tool to enhance mobilisation following abdominal cancer surgery – A non-randomised controlled trial.
Karlsson P, Nygren-Bonnier M, Henningsohn L, Rydwik E, Hagströmer M.
Pilot and Feasibility Studies. 2023.
Karlsson P, Porserud A, Hagströmer M, Nygren-Bonnier M.
J Can Rehab. 2022;5:90-97. doi.org/10.48252/JCR67
Porserud A, Lundberg M, Eriksson J, Nygren Bonnier M, Hagströmer M
Disabil Rehabil 2022 Mar;():1-8
Porserud A, Karlsson P, Rydwik E, Aly M, Henningsohn L, Nygren-Bonnier M, et al
BMC Cancer 2020 Aug;20(1):805
Porserud A, Aly M, Nygren-Bonnier M, Hagströmer M
Eur J Surg Oncol 2019 Oct;45(10):1847-1853