A prospective model of care for breast cancer rehabilitation: Bone health and arthralgias (original) (raw)
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Tumori
Breast cancer is the second most common malignancy among women. Surgical and supplemental (or adjuvant) therapies to combat the disease may implicate physical functional consequences for the ipsilateral upper extremity. These dysfunctions may persist for many years and have repercussions on the performance of daily living activities. The aim of this study was to assess the impact of physical functional disabilities on quality of life in women after breast cancer surgery. Eighty-two women in the postoperative period of conservative surgery for breast cancer participated in the study. Axillary lymph node dissection was performed in all patients and mean time since surgery was 5.78 (± 4.60) years. The women responded to a questionnaire to assess quality of life (FACT-B) and to another to assess functional capacity (QuickDASH). They were then referred to physical therapy examination to measure shoulder range of motion (flexion, abduction and external rotation) and arm volume. Range of m...
Optimizing post-acute care in breast cancer survivors: a rehabilitation perspective
Journal of Multidisciplinary Healthcare
Breast cancer (BC) is the most common malignancy and a leading cause of morbidity and mortality in women worldwide. Therapeutic advances and improved survival rates of women with BC have implications for long-term impact on disability, psychological function and quality of life (QoL), which may be amenable to rehabilitation. The focus of rehabilitation is on managing disability, reducing sequelae and symptoms, and enhancing participation and societal reintegration, to achieve the highest possible independence and the best QoL. Rehabilitation interventions should be considered early for maintaining functional capacity and reducing the risk of losing important abilities or independence and should be individualized depending on disease phase, functional deficits, personal requirements and specific goals. A number of interventions have been trialled to support rehabilitation input for women with BC, which include physical therapy, psychological interventions (psychotherapy, cognitive behavioral training) and others. Multidisciplinary rehabilitation and uni-disciplinary interventions such as physical therapy have been shown to be beneficial in reducing disability, and improving participation and QoL. There is a need for comprehensive assessment of health domains in BC patients using a standardized framework and a common language for describing the impact of disease at different levels, using the International Classification of Functioning, Disability and Health core sets. This will provide more detailed information on the needs of these patients, so more efficient and targeted rehabilitation interventions can be provided.
Physiotherapy Rehabilitation in Patients with Breast Cancer -A Case Report
https://www.ijhsr.org/IJHSR\_Vol.12\_Issue.3\_March2022/IJHSR-Abstract.020.html, 2022
Breast cancer has been the most common cancer in the United Kingdom since 1997, accounting for 31% of all new cancer diagnoses in women. The rate of new diagnoses among people over 40 years old rises fast, from under 1 per 100,000 in young adults to well over 400 per 100,000 in those over 85 years old (1). Breast cancer survival rates are improving as a result of breakthroughs in diagnosis and therapy, and cancer survivorship has emerged as a major focus in the cancer care continuum. (2). Cancer rehabilitation is defined as the process of aiding a patient in attaining the best level of physical, psychological, social, sexual, vocational, recreational, and economic functioning possible within the restrictions of the disease and therapy. (2). Pain, lymphedema, secondary malignancies, and sexual dysfunction are among the possible long-term physical repercussions of cancer (2). Fear and anxiety about return of cancer, sadness, and emotions of uncertainty and loneliness are all possible psychological consequences. (2). Changes in interpersonal connections, financial and health insurance concerns and difficulty returning to work or seeking employment owing to impairment are all examples of social impacts (2). Even though recent advancements in therapy have increased survival rates, they are also associated with considerable adverse effects (3). Breast cancer survival rates have increased as a result of breakthroughs in early detection procedures, followed by more tailored and/or aggressive therapy (3). Although breast cancer patients' rehabilitation has become a priority in recent years, additional research on the most effective sorts of therapies is still needed. (3).
Journal of Rehabilitation Medicine, 2012
To assess the effectiveness of a multidisciplinary ambulatory rehabilitation programme for women following definitive breast cancer treatment in an Australian community cohort. Methods: Eighty-five women in the community randomized to a treatment group (n = 43) for individualized high-intensity programme, or a control group (n = 42) comprising usual activity. The primary outcome Depression Anxiety Stress Scale (DASS) scale measured restriction in participation. Secondary measures included Perceived Impact Problem Profile (PIPP) and Cancer Rehabilitation Evaluation System Short-Form (CARES-SF); and Functional Independence Measure (FIM) motor subscale for activity limitation. Assessments were at baseline and 4 months. Results: Intention-to-treat analysis of data showed a significant difference between both groups in DASS Depression scores (p = 0.006) (moderate effect size, r > 0.3), PIPP Mobility (p = 0.05) and Participation (p = 0.04) scales, and CARES-SF Global score (p = 0.02) (small effect size, r < 0.3). The treatment group, compared with control group, showed significant improvement in the DASS Depression scores: 22/42 (52.4%) vs 12/37 (32.4%) (p = 0.02). No difference between groups was noted in the FIM scale. Conclusion: Rehabilitation can benefit participation in breast cancer survivors. Evidence for specific rehabilitation interventions is needed. Integrated cancer programmes allow opportunities to evaluate patients in various settings, but require outcome research to develop service models for survivorship issues.
Oncology Section Task Force on Breast Cancer Outcomes: Clinical Measures of Upper Extremity Function
Rehabilitation Oncology
is the official publication of the Oncology Section, APTA. Copyright 2013 by the Oncology Section, APTA. Nonmember and institution subscriptions are available for 70peryear(4issues).Backissuesareavailableformembers(70 per year (4 issues). Back issues are available for members (70peryear(4issues).Backissuesareavailableformembers(5) and nonmembers ($20). The contents of articles appearing in this publication represent the thoughts and ideas of the authors and do not necessarily reflect the views of the Oncology Section, APTA. The editor reserves the right to edit submitted manuscripts or other material as necessary for publication. We encourage comments and opinions concerning the content of Rehabilitation Oncology through Letters to the Editor.
/ Derleme An Evaluation of the Current Rehabilitation Methods for Women with Breast Cancer
2015
At present, breast cancer (BC) survival rates are increasing day by day; therefore, the disabilities associated with BC therapy and the disease itself require a variety of rehabilitation modalities frequently. After the initial treatment, breast cancer patients require a dynamic follow-up period to check for tumor recurrence, metastasis, as radiation therapy side effects as well as side effects of chemotherapy, and physiatric evaluations and rehabilitative interventions must be a part of this process. Functional problems which need rehabilitation and have unfavourable effect on quality of life, emerges after breast cancer therapy. For example, chemotherapy may induce neuropathy, impair concentration and memory, and cause fatigue, and when combined with radiotherapy after axillary lymph node dissection (ALND), it has been associated with chronic pain in the ipsilateral arm. Furthermore, axillary dissection and/or radiation therapy in conjunction with chemotherapy can cause limitation...
Current Oncology Reports
Purpose of Review The population of breast cancer (BC) survivors is growing due to earlier diagnosis and effective combined treatments. A scoping review was performed to explore the role of rehabilitation in BC survivorship and the major issues in BC survivors with International Classification of Functioning Disability and Health (ICF) perspective. Recent Findings The authors searched PubMed from January 1, 2018, up until November 9, 2021. The 65 selected publications were analyzed with the Comprehensive ICF BC Core Set (CCS) perspective and assigned to the categories of the CCS components along with the 3 areas of health (physical, mental, and social health). The multidimensional aspects of BC survivor disability are evident, whereas the topics of the articles concern several categories of the ICF BC CCS and all 3 areas of health. However, the current ICF BC CCS does not include certain categories related to emerging issues of BC survivorship recurring in the papers. Summary Rehabi...
A prospective surveillance model for rehabilitation for women with breast cancer
Cancer, 2012
BACKGROUND: The current model of care for individuals with breast cancer focuses on treatment of the disease, followed by ongoing surveillance to detect recurrence. This approach lacks attention to patients' physical and functional well-being. Breast cancer treatment sequelae can lead to physical impairments and functional limitations. Common impairments include pain, fatigue, upper-extremity dysfunction, lymphedema, weakness, joint arthralgia, neuropathy, weight gain, cardiovascular effects, and osteoporosis. Evidence supports prospective surveillance for early identification and treatment as a means to prevent or mitigate many of these concerns. This article proposes a prospective surveillance model for physical rehabilitation and exercise that can be integrated with disease treatment to create a more comprehensive approach to survivorship health care. The goals of the model are to promote surveillance for common physical impairments and functional limitations associated with breast cancer treatment; to provide education to facilitate early identification of impairments; to introduce rehabilitation and exercise intervention when physical impairments are identified; and to promote and support physical activity and exercise behaviors through the trajectory of disease treatment and survivorship. METHODS: The model is the result of a multidisciplinary meeting of research and clinical experts in breast cancer survivorship and representatives of relevant professional and advocacy organizations. RESULTS/CONCLUSIONS: The proposed model identifies time points during breast cancer care for assessment of and education about physical impairments. Ultimately, implementation of the model may influence incidence and severity of breast cancer treatment-related physical impairments. As such, the model seeks to optimize function during and after treatment and positively influence a growing survivorship community.