Table 4

Modular multimodal exercise programme for patients with bone metastases9 10

ResistanceAerobicFlexibility
Metastases siteUpperTrunkLowerWBNWBStatic
Pelvis√√√†√√
Lumbar spine√√√√‡
Thoracic spine/ribs√*√√√√‡
Proximal femur√√√†√√
All regions√*√†√√‡

  • *Exclusion of shoulder flexion/extension/abduction/adduction – inclusion of elbow flexion/extension.

  • †Exclusion of hip extension/flexion – inclusion of knee extension/flexion.

  • ‡ Exclusion of spine/flexion/extension/rotation.

  • √ Target exercise region.

  • NWB, non-weight bearing (eg, cycling); WB, weight bearing (eg, walking).