The Interdisciplinary Rehabilitation Care Team and the Role of Physical Therapy in Survivor Exercise

McNeely, Margaret L.; Dolgoy, Naomi; Onazi, Mona Al; Suderman, Kirsten

doi:10.1188/16.cjon.s2.8-16

Cited by 23 publications

(20 citation statements)

References 56 publications

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“…Limitations in physical function featured prominently across descriptors of all groups in this study, reflective of the considerable body of evidence that described the impact of CRF on peoples’ lives (Bower et al, ). Findings from our study indicate that interventions to minimise or obviate CRF, notably the growing body of evidence for exercise as medicine in cancer, continue to be an important target for therapeutic benefit (McNeely et al, ).…”

Section: Discussionmentioning

confidence: 70%

“…(Bower et al, 2014). Findings from our study indicate that interventions to minimise or obviate CRF, notably the growing body of evidence for exercise as medicine in cancer, continue to be an important target for therapeutic benefit (McNeely et al, 2016).…”

Section: Physical Considerationsmentioning

confidence: 84%

“…Symptoms of CRF are known to impact physical performance, activity tolerance and endurance (McNeely, Dolgoy, Onazi, & Suderman, ). Limitations in physical function featured prominently across descriptors of all groups in this study, reflective of the considerable body of evidence that described the impact of CRF on peoples’ lives (Bower et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms of CRF are known to impact physical performance, activity tolerance and endurance (McNeely, Dolgoy, Onazi, & Suderman, 2016 The total number of terms exceeds the numbers of participants as individual respondents provided multiple terms in their responses. (Bower et al, 2014).…”

Section: Physical Considerationsmentioning

confidence: 99%

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Uncertainty and sense‐of‐self as targets for intervention for cancer‐related fatigue

2019

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Cancer‐related fatigue (CRF) can be a devastating consequence of cancer and cancer treatments, negatively impacting 50%–90% of cancer patients regardless of age, sex or diagnosis. Limited evidence and research exist to inform effective patient‐centred interventions. To target symptom management, there must first be a broader understanding of the symptoms and the lived experience of the persons experiencing CRF and those caring for them, from a supportive as well as a healthcare perspective. This study set out to consider whether components of the language used or descriptors reported by patients, family members, and/or healthcare professionals may provide new insights for potential targets for intervention development. Descriptors from 84 responses (n = 84) from cancer survivors, family members and healthcare professionals were analysed for content. The descriptors reiterate the physical, emotional and functional consequences of CRF, but also reflect two new potential targets for intervention to mitigate the impacts of CRF: uncertainty and sense‐of‐self.

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Section: Discussionmentioning

confidence: 70%

Section: Physical Considerationsmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Physical Considerationsmentioning

confidence: 99%

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Uncertainty and sense‐of‐self as targets for intervention for cancer‐related fatigue

2019

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“…The early rehabilitation program after breast cancer surgery at the Institute for Oncology of Vojvodina in Sremska Kamenica promotes a multidisciplinary approach and all the interventions that we apply to the in-or outpatients are individualized in order to accommodate a new, changed need of our patients who had been operated on. The importance of range of motion exercises (ROM) in the prevention and preservation of shoulder function, including the improvement of synovial drainage and lymph flow by activating physiological DOI: https://doi.org/10.2298/SARH190521079T mechanisms (trans-synovial pump), prompted early rehabilitation to start two days after surgery [12].…”

Section: Introductionmentioning

confidence: 99%

Effects of early rehabilitation treatment on the functional recovery and quality of life in patients three months after breast cancer surgery

et al. 2020

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Introduction/Objective Breast cancer surgery is associated with the risk of developing functional constraints that may negatively affect the quality of patients' lives. The objective of the study was to determine the impact of early postoperative exercises three months after surgery on functional recovery and the quality of life of patients who were operated on. Methods A group of 149 patients was tested, divided by the type of surgery into two groups. The assessment of the quality of life by the SF-36 questionnaire and functional testing were done three months after surgery; the extent of movement in the shoulder joint and of the limbs was measured as well. Results On basic measurements of the quality of life, the average results of SF-36 showed the highest values in the domain of physical functioning, while the lowest value was in the vitality and energy domain. After the realized rehabilitation activities, the results of the SF-36 questionnaire indicated the increase in all domains and components at the significance level of p = 0.001, except for the general health domain (p = 0.04). Preoperatively, a moderate negative association of mobility and the SF-36 questionnaire component with the overall health parameter was determined, whereby the lower value of the SF-36 questionnaire was followed by a larger deviation in the flexion movements and abduction of the shoulder joint. Conclusion The results of our study support the concept of early-initiated rehabilitation interventions and confirm the positive impact on the quality of life of patients operated on for breast cancer in the three-month follow-up period.

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An exercise oncology clinical pathway: Screening and referral for personalized interventions

Stout

Brown

Schwartz

et al. 2020

Cancer

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INTRODUCTIONThere are approximately 17 million cancer survivors living in the United States, and by 2040, this estimate is predicted to increase to 26.1 million. 1 Exercise provides a myriad of health benefits to individuals during and after cancer treatment by reducing treatment-related symptoms, improving functional status and quality of life, and lowering the risk of disease recurrence. 2,3 Despite the established benefits, an individual's level of physical activity often decreases during treatment and does not return to prediagnosis levels after treatment completion. 4,5 Although exercise is regarded as safe and beneficial for individuals with cancer, promoting exercise for this population is complex. A patient-centered pathway is needed that can guide oncology and primary care professionals in the efficient assessment of an individual's condition and enable personalized referrals for exercise interventions that promote physical activity. The purpose of this article is to provide a framework for clinical decision making that enables personalized condition assessment, risk stratification, and referral to optimal settings for exercise promotion for cancer survivors. Implementation strategies are also offered to support the integration of this model into an oncology clinical workflow.With guidance from their medical provider, individuals are more likely to engage in exercise and maintain levels of physical activity during cancer treatments. 6 However, the number of individuals with cancer who report receiving exercise-specific guidance from their health care providers is low. 7 Of particular concern is the lack of knowledge and training among health care professionals about exercise prescription for this complex population. 8

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The Interdisciplinary Rehabilitation Care Team and the Role of Physical Therapy in Survivor Exercise

Cited by 23 publications

References 56 publications

Uncertainty and sense‐of‐self as targets for intervention for cancer‐related fatigue

Uncertainty and sense‐of‐self as targets for intervention for cancer‐related fatigue

Effects of early rehabilitation treatment on the functional recovery and quality of life in patients three months after breast cancer surgery

An exercise oncology clinical pathway: Screening and referral for personalized interventions

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