Benefits of a Physiotherapy Program in Functional Status and Symptoms Burden of Patients with Advanced Chronic Diseases and Cancer

Bernabéu-Wittel, Máximo; Moreno-Gaviño, Lourdes; Nieto-Martín, María Dolores; Lanseros-Tenllado, Julia; Santamaría, Ana Saenz de; Martínez-Pérez, Olga; Aguilera-González, Carmen; Pereira-Domínguez, Manuel; Ollero-Baturone, Manuel; Herrera, Susana; Ancizu, I.; Vilanova, V. Aresté; Franco, B. Barón; Moreno, Eduardo; Osuna, Jaime Boceta; López, Alberto Fernández; Rendón, Leticia; Ocaña, Francisco Javier Galindo; Camacho, Enrique; Rivero, Sonia Gutiérrez; Juan, C. Jimenez de; Sanz, V.; Gómez, Chaker; Venegas, R. Prior; Duque, Nieves Ramírez; Rivero, L.; González, Fernando Rodríguez

doi:10.1089/jpm.2020.0594

Cited by 3 publications

(2 citation statements)

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“…Originally, sample size was calculated to detect a significant change in the performance of activities of daily living (ADL) (a change of 5 or more points in Barthel’s index (BI)) 28. Accepting alpha and beta error risks of 0.05 and 0.02, respectively, and a presumptive maximum loss of 20% of patients, 194 patients were needed to fulfil establish conclusions.…”

Section: Methodsmentioning

confidence: 99%

“…Whereas functional improvement has already been demonstrated,21–24 28 the impact of physiotherapy in patients’ psychological wellness, and caregivers’ stress, remains not fully addressed yet. For all these reasons, we have performed the present study with the aim of determining the real-practice effectiveness of a complete physiotherapeutic intervention incorporated to palliative care in the improvement of psychological wellness and caregivers’ stress of patients with severe and advanced chronic diseases or cancer.…”

Section: Introductionmentioning

confidence: 99%

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Physiotherapy in palliative medicine: patient and caregiver wellness

Bernabéu-Wittel

Moreno-Gaviño

Nieto-Martín

et al. 2021

BMJ Support Palliat Care

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ObjectivesDespite the demonstrated efficacy of physiotherapy in palliative care programmes, there are scarce data of its real-life impact on patients’ and caregivers’ wellness and stress. Our aim was to assess effectiveness of a 30-day physiotherapy programme in psychological wellness and health-related quality of life (HRQoL) of patients with advanced chronic diseases or cancer and in their caregivers’ stress.MethodsQuasiexperimental before–after study applying personalised kinesitherapy, exercise with curative effects, respiratory physiotherapy, therapeutic massages and ergotherapy. Psychological wellness, HRQoL and caregiver’s strain outcomes were measured.Results207 patients (60% men, with a mean age of 73.6±12 years) were included; 129 (62.3%) with advanced cancer, and the remaining 78 with advanced chronic diseases. Psychological wellness (Emotional Stress Detection Tool decreased from 12.4±3 to 11±3; p<0.0001), caregiver’s strain (Caregiver Strain Index decreased from 8.5±3.2 to 7.9±3.5; p<0.0001) and HRQoL (WHO-BREF physical health domain increased from 8.3±2.6 to 9.4±2.9; p<0.0001) showed a significant improvement after the physiotherapy programme. Global satisfaction with the physiotherapy intervention was also high (Client Satisfaction Questionnaire-8 of 28.3±3.3 points).ConclusionsA personalised physiotherapy programme incorporated to integral palliative care improved psychological wellness, HRQoL and caregivers’ strain of patients with advanced chronic diseases and cancer.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%