Episode 18

Ep 16 – Dr. Trista Manikowske: Cancer-related fatigue, phased rehabilitation in oncology


July 30th, 2017

59 mins 24 secs

Your Host

About this Episode

Trista graduated from the University of Northern Colorado, where she spent a lot of her time working in the Rocky Mountain Cancer Rehabilitation Institute. In this episode, we chat about Trista’s PhD dissertation where she looked at the difference between perceptual fatigue and muscular fatigue to try and get a deeper understanding of cancer related fatigue.


We also spend a lot of time chatting about a phased approach to cancer-rehabilitation. This approach, divides the rehabilitation into different stages based on where the patient is during their treatment and how they are responding to the rehab protocol. This is some really cool stuff that the RMCRI have been working on for a while and may very well serve as a model of cancer rehab in the future.


You can find Trista on facebok here or email here at [email protected] for more infor on what’s she’s up to. Follow me on twitter @CiaranFairman to hear about more things exercise and cancer.




Show notes 


6:05     What is cancer related fatigue?       


7:45     What causes cancer related fatigue?


10:45     Does cancer type have any effect on fatigue?          


12:00     The difference between normal tiredness and fatigue        


13:00     How exercise can help alleviate fatigue


18:10   Why it is important to educate patients about the symptoms they will face from treatment      


21:00   Trista’s Dissertation  


30:00   Phased approach to cancer rehab     


32:15   What does a phase one patient’s exercise program look like?        


37:15   Moving to phase two


44:00   Dealing with muscular imbalances and other complications from treatment        


49:00   Phase three    


51:00   The importance of working towards independence 


53:45   Frequently asked questions by patients as they start to do more on their own


56:15   Common misconceptions about cancer and exercise


57:15   Trista’s advice for upcoming professionals and for patients/survivors