A Focused Review of Safety Considerations in Cancer Rehabilitation

被引：74
作者：
Maltser, Susan [1 ,2 ]
Cristian, Adrian [3 ]
Silver, Julie K. [4 ,5 ,6 ,7 ]
Morris, G. Stephen [8 ]
Stout, Nicole L. [9 ,10 ]
机构：
[1] Hofstra Northwell Sch Med, Dept Phys Med & Rehabil, Hempstead, NY USA
[2] Long Isl Jewish Med Ctr, Manhasset, NY USA
[3] Northwell Glen Cove Hosp, Dept Rehabil Med, Glen Cove, NY USA
[4] Harvard Med Sch, Dept Phys Med & Rehabil, Boston, MA USA
[5] Spaulding Rehabil Hosp Network, Boston, MA USA
[6] Massachusetts Gen Hosp, Boston, MA 02114 USA
[7] Brigham & Womens Hosp, Physiatry, 75 Francis St, Boston, MA 02115 USA
[8] Wingate Univ, Dept Phys Therapy, Wingate, NC USA
[9] NIH, Dept Rehabil Med, Clin Ctr, Bethesda, MD 20892 USA
[10] NIH, Off Strateg Res, Dept Rehabil Med, Clin Ctr, MSC 1604,10 Ctr Dr, Bethesda, MD 20892 USA
来源：
PM&R | 2017年 / 9卷 / 09期
关键词：
COMPREHENSIVE GERIATRIC ASSESSMENT; PROSPECTIVE SURVEILLANCE MODEL; CELL LUNG-CANCER; QUALITY-OF-LIFE; BREAST-CANCER; EXERCISE INTERVENTION; CLINICAL-PRACTICE; PHYSICAL-ACTIVITY; PROSTATE-CANCER; OLDER-ADULTS;
D O I：
10.1016/j.pmrj.2017.08.403
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Cancer and its treatments introduce various adverse effects that may affect survivors' physical, cognitive and psychological functioning. Frequently both tolerance to activity and exercise are affected as well. Rehabilitation providers should have substantive knowledge about the effect of cancer progression and common side effects associated with antineoplastic treatment to safely integrate rehabilitation interventions. Rehabilitation may mitigate loss of function and disability; however, these patients are among the most medically complex that providers treat. This report provides a focused review that synthesizes the current evidence regarding disease progression and oncology-directed treatment side effects within the context of safety considerations for rehabilitation interventions throughout the continuum of cancer care. Descriptive information regarding the evidence for precautions and contraindications is provided so that rehabilitation providers can promote a safe plan of rehabilitation care. It is incumbent upon but also challenging for rehabilitation providers to stay up to date on the many advances in cancer treatment, and there are many gaps in the literature regarding safety issues. Although further research is needed to inform care, this review provides clinicians with a framework to assess patients with the goal of safely initiating rehabilitation interventions.
引用
收藏
页码：S415 / S428
页数：14
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