0Effects of physical exercise after allogenic stem cell transplantation: A five years retrospective study

Introduction/Background In the last few years, the increase of the number of allogenic hematopoietic stem cell transplantation (HSCT) posed new issues in Physical Medicine and Rehabilitation. Many complications occur before, during and after conditioning and transplant, among others infectious and immunological complications, cytopenias, denutrition. These elements affect the back to a better quality of life, also, they slowdowns the rehabilitation. Material and method We did a review of patient's folder being cared in our department between 2012 and 2017 ( n  = 65). We proposed individual and personalized program, with physiotherapy, adapted physical activity and psychomotricity. We observed the benefit on their physical abilities and the limits of intervention, to bring out the best way to evolve the personalized rehabilitation program in the years to come. Results At the beginning of the support, the performances were very weak because of the physical deconditioning, especially during Six minutes’ walk test and Sit to Stand Test. Length of stay was very varied, often because of some medical events. At the end of program, conducted one day per week to five day per week, scores were significantly improved, and opportunity to carry out dailies life activities has been ameliorated. Conclusion We were able to highlight the need to perform two levels of management for these patients according to their physical abilities: level one for patients with major deconditioning, based on individual support with physiotherapy and psychomotricity; level two for patients with better physical ability and with less fatigue, based on collective activities, with adapted physical activity and psychomotricity. All patients should benefit from psychological and dietetic follow-up program. This global and functional approach aims at improving physical and psychological well-being as well as achievement of activities of daily living.