The Exercise Clinic is a Latvian healthcare organisation specializing in oncological rehabilitation: we work with patients/survivors at all ages and stages of therapy and after completion of primary treatment. Our methods are applicable in pre-rehabilitation and tertiary rehabilitation.

The main method used by our clinic is exercise using the 4x4 methodology (aerobic endurance training and for maximal muscle strength), as well as the prevention and management of mechanical lymphostasis that is developed as a result of oncology therapy, according to the method of the German Feldi Clinic.

The 4x4 method of exercise is universal for all stages (yet adapted individually) of rehabilitation. It is tested, reliable, scientifically proven, and clinically tested.

Our uniqueness is in the narrowed fundamental idea of ​​exercise, which is a specific scientifically and clinically proven method — an actual tool applicable at any stage of cancer rehabilitation, which together with other tools used in our clinic, contributes to the fastest and most effective achievement of rehabilitation goals at any therapy stage. Exercise program is focused on the performance of the cardiorespiratory system and neuromuscular activation. Therapy sessions are individually tailored, and each person operates within the optimal intensity, respecting the treatment process, individual nuances, and physical capacities.

Prevention and management of mechanical lymphostasis consists of three main principles of working with lymphostasis: physical activity, manual lymphatic drainage using a special technology (considering the specifics of mechanical lymphostasis), and the application of a compression bandage. Therapy of lymphoedema: the first stage of treatment is lymphatic drainage (to remove edema), after which a compression bandage is used, which is applied in several layers to arms or legs using a special technique.

Ph.D. Rudolfs Cešeiko is an exercise physiologist, certified occupation therapist, and lecturer at Riga Stradins University. With a particular interest in exercise oncology, his main interest is to translate research discoveries in aerobic endurance training and neuromuscular force-generating capacity in clinical care. Mostly the purpose of this research and clinical practice is to identify effective exercise programs for large populations as well as cancer patients and risk groups to develop effective tools for prevention, treatment, and rehabilitation. He also aims to provide detailed exercise training commendations for cancer patients during treatment. 

Maria Sokolova is a nurse of physical medicine and rehabilitation and a specialist in therapeutic massage. Marija has higher education at the University of Latvia in “Nursing”, a certificate of the main specialty in “internal diseases”, an additional certificate in “physical medicine and rehabilitation”, and a profession as a massage therapist in the field of therapeutic massage at the P. Stradins Medical College.