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The investigators hypothesize that two pelvic relaxation exercises will be feasible and safe to perform by subjects daily before radiation during the participant's treatment and will decrease variability of sacral slope measurements on daily port films. The investigators will observe trends in the daily variability and change in the sacral slope in each participant to determine if this could decrease variability. The investigators will compare these measurements to a retrospective cohort that did not have the exercises, but did demonstrate variability. Reducing set-up variability (which inadvertently occurs during radiation) is important to improve radiation targets and diminish potential adverse effects. The investigators will query participants for objective and subjective feedback on the exercises and record frequency and duration of the two exercises.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pelvic Exercise Intervention | Experimental | Patients will perform two pelvic exercises prior to each external beam radiation treatment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pelvic Exercise | Behavioral | Hip extension and external hip rotation exercises are completed prior to daily external beam radiation treatment. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sacral Slope Variation | Reduced variation in sacral slope angle measured on daily port films. | Daily, through duration of radiation treatment, averaging 6-10 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jennifer Baima, MD | UMass Medical - Department of Orthopedics | Principal Investigator |
| Janaki Moni, MD | UMass Medical - Department of Radiation Oncology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Massachusetts Medical School | Worcester | Massachusetts | 01655 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31713056 | Derived | O'Loughlin L, Lukez A, Ma Y, Baima J, Moni J. Prehabilitation for patient positioning: pelvic exercises assist in minimizing inter-fraction sacral slope variability during radiation therapy. Med Oncol. 2019 Nov 12;37(1):3. doi: 10.1007/s12032-019-1322-9. |
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| ID | Term |
|---|---|
| D010386 | Pelvic Neoplasms |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001519 | Behavior |
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