<p>Rehabilitation to Improve the Function and Quality of Life of Soft Tissue and Bony Sarcoma Patients</p>

Abstract

Sarcomas are bone and soft tissue tumors that can have significant effects on patient function and quality of life. Like most malignancies, treatment includes a combination of chemotherapy, radiation, and surgical resection, all of which also carry risks and long-term effects. A multidisciplinary rehabilitation plan can help minimize symptoms and sequelae which negatively affect the patient function and quality of life, including pain, chemotherapy-induced peripheral neuropathy, radiation fibrosis, activity restrictions following surgical excision, amputation, bowel and bladder dysfunction, and lymphedema. Patients should be evaluated by a rehabilitation specialist at any point during their diagnosis, treatment, and survivorship phase to determine appropriate interventions to minimize the impact of sarcomas and their treatment on patient function and quality of life.

“Rehabilitación del paciente adulto con sarcomas de tejidos blandos en miembros inferiores y cirugía de salvamento.”

“…El plan rehabilitador realmente inicia previo a la cirugía, lo que se conoce como prehabilitación y su objetivo es aumentar la tolerancia del paciente a los efectos deletéreos de los tratamientos (20). Se valora la función basal del paciente, su estado cardiorespiratorio, comorbilidades y el estado de la extremidad afectada.…”

Current approaches to management of bone sarcoma in adolescent and young adult patients

“…[90][91][92][93] Access to rehabilitation services, assistance in resuming progress on achieving life skills, and psychosocial support are all vital parts of effective follow-up to restoring quality of life for AYA patients. 94 Screening to identify rehabilitation needs and physical rehabilitation with exercise and physical activity prescription improves physical sequelae of therapy, with a resultant positive impact on well-being and quality of life. [95][96][97] The psychological, social, and physical needs of AYA sarcoma survivors require a personalized approach and holistic guidance and care from a proactive multidisciplinary team that understands psychological adaptation and recovery as dynamic systems.…”

“…There is considerable variation in recommendations and practice, indicating a need for collaborative prospective evaluation and evidence‐seeking 90–93 . Access to rehabilitation services, assistance in resuming progress on achieving life skills, and psychosocial support are all vital parts of effective follow‐up to restoring quality of life for AYA patients 94 . Screening to identify rehabilitation needs and physical rehabilitation with exercise and physical activity prescription improves physical sequelae of therapy, with a resultant positive impact on well‐being and quality of life 95–97 .…”

Therapeutic validity and effectiveness of exercise interventions after lower limb-salvage surgery for sarcoma: a systematic review

“…Improved life expectancies and surgical innovations have increased survivors’ need to achieve and maintain optimal functionality and return to normal life. Evidence shows exercise therapy (as well as psychological acceptance) may be helpful during this process [ 9 – 12 ].…”