ABSTRACT
Background: During the pandemic of COVID-19 most hospitals significantly reduced non-emergency admissions and services due to the increased risk of viral infection. As a result, the recommended self-isolation for cancer patients during pandemic may lead to physical inactivity and prolonged sitting time. In addition to the negative side effects of treatment, this lack of physical activity and exertion has further negative implications for their health, such as decrease in physical performance and health related quality of life. Method(s): To address this problem the OTT (Onkologische Trainings-und Bewegungstherapie) of the University Hospital Cologne located in the Center for Integrated Oncology (CIO) implemented a Hygienic Concept to ensure safe training session with the physical therapists during COVID -19 pandemic situation Result: The need of physical exercise for cancer patients on the one hand, and protection against the spread of coronavirus on the other hand, infection control had to be given priority. Although the hygienic concept was used in the time between September 2020 till August 2021, also during lock down situation in Cologne. 260 oncologic patients have taken part in the oncologic exercise therapy. None of the training patients infected himself with coronavirus during that time period. Discussion(s): The hygienic concept was proven safe. Taking into account the current infection situation and the above-mentioned objectives, the resumption of regular exercise therapy for cancer patients is necessary but must take place in another Hygienic Concept compared to non-pandemic situations. Conclusion(s): It should be noted that essential hygiene and infection protection measures must continue to be observed by all persons involved in the clinical setting. In addition, it is important to recognize emerging chains of infection at an early stage and to prevent their spread. It is safe for cancer patients to use exercise therapy during pandemic situations when used adapted hygienic concepts.