Manawatu Conversations

Lukas Dreyer on prostate cancer and the nationwide PROSFIT exercise programme. Lucas outlines the physical, psychological, and social impacts of prostate cancer treatments, including surgery and hormone therapy, and explains how targeted exercise can improve recovery, reduce side effects, and restore quality of life. The conversation focuses on pelvic floor rehabilitation, strength and cardiovascular training, and the importance of group support for men navigating treatment and its long‑term effects.
Produced by Manawatū People’s Radio with support from New Zealand On Air.

LuKas Dreyer, clinical exercise physiologist at Orokinetics, focusing on the role of exercise as a vital part of cancer treatment and recovery. Lucas explains how carefully prescribed, professionally supervised exercise can improve treatment tolerance, reduce fatigue, support mental health, speed recovery, and lower long‑term mortality risk. Covering pre‑treatment conditioning, exercise during chemotherapy or radiation, and post‑treatment rehabilitation, the conversation highlights why exercise is now considered an essential, evidence‑based tool in comprehensive cancer care.
Produced by Manawatū People’s Radio with support from New Zealand On Air.

Lukas Dreyer discusses knee pain from the perspective of a clinical exercise physiologist, asking whether knee replacements can often be avoided. The conversation explores why X‑ray findings don’t always match pain levels, how biomechanics and muscle weakness—often starting at the hip—contribute to knee problems, and how targeted, long‑term exercise can significantly reduce pain and delay or even prevent surgery. Drawing on research such as the ESCAPE trial, the episode highlights the importance of personalised rehabilitation, consistency, weight management, and understanding how the body heals over time.
Produced by Manawatū People’s Radio with support from New Zealand On Air.

In this episode of Manawatū Conversations, Lukas Dreyer looks back to the beginnings of his work in clinical exercise physiology, tracing its development from South Africa in the 1980s through to its impact today. In conversation with Diane McConnell, he reflects on early research with cardiac patients, executive health programmes, military rehabilitation, and workplace fitness initiatives, highlighting how exercise can transform physical health, mental wellbeing, productivity, and family life. The discussion offers insight into how this field evolved into a recognised profession and why it remains vital for preventative health and long‑term care.
Produced by Manawatū People's Radio with support from New Zealand On Air.

Lukas Dreyer outlines how Clinical Exercise Physiologists use supervised, individualised exercise as medical treatment for people with chronic illness or injury. He discusses the profession’s development in New Zealand, the growing need for these services, and the goal of maintaining independence and quality of life.

Produced by Manawatū People's Radio with support from New Zealand On Air.