Rehabilitation Oncology最新文献

{"title":"Physical Mobility and Balance Performance Differs in Older Cancer Survivors With Impaired Executive Function","authors":"J. Blackwood, Kateri Rybicki","doi":"10.1097/01.REO.0000000000000248","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000248","url":null,"abstract":"Background and Purpose: Executive function (EF) is associated with falls and impaired gait in older adults. Performance on a measure of EF, the Trail Making Test Part B (TMT-B), may be able to differentiate between physical mobility and balance in older cancer survivors. The purpose of this study was to describe the demographic, disease-associated, and mobility differences in 2 groups of older cancer survivors based on the ability to complete TMT-B. Methods: Physical mobility and cognition was assessed in 50 older (aged 65+ years) cancer survivors. Group assignment was by TMT-B completion status (completers/noncompleters). Between-groups comparisons were performed on measures of physical mobility, balance, gait, and self-efficacy using nonparametric statistics. Results: Sixteen (32%) older cancer survivors were unable to complete TMT-B. Significant differences were found (P < .05) on all Timed Up and Go (TUG) measures in noncompleters versus completers: TUG (12.10 seconds vs 9.28 seconds), TUG-manual (12.81 seconds vs 10.88 seconds), TUG-cognitive (14.35 seconds vs 10.98 seconds). Noncompleters had significantly worse (P < .05) scores on the Short Physical Performance Battery, Fullerton Advanced Balance Scale, 30-second timed chair rise, balance confidence, falls self-efficacy, and all gait speed (usual, fast, dual-task) measures. Discussion: Older cancer survivors unable to complete TMT-B had worse performance in mobility, balance, strength, and dual-task activities that involve the increased demand of cognitive function. Executive function should be screened as a part of the falls risk management in older cancer survivors. Conclusion: Physical mobility, balance, and function are significantly more impaired in older cancers survivors who are unable to complete the TMT-B cognitive measure.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"43 1","pages":"31 - 37"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84895904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Finding Balance","authors":"Laura Sheridan","doi":"10.1097/01.reo.0000000000000251","DOIUrl":"https://doi.org/10.1097/01.reo.0000000000000251","url":null,"abstract":"Book; however in the past time becomes a sacral thing to have by everybody. Many books from thin to the very thick pages are presented. But now, for the technology has developed advanced, we will serve you the book not in the printed ways. finding balance is one of the products of those books. This book model can be downloaded from the site link that we provide in this website. We offer you not only the best books from this country, but many from outsides.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"459 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89024470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-Leg Stance Times in a Diverse Group of Survivors of Cancer and the Relationship to History of Recent Falls","authors":"Ryan J. Marker, R. Kakar, Jared J. Scorsone, J. Peters, W. Purcell","doi":"10.1097/01.REO.0000000000000243","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000243","url":null,"abstract":"Background: Balance impairments are present in cancer survivors for many reasons and increase risk of falls, though specific investigation of these impairments, and assessments to identify them, is not widely reported. Objective: Describe the performance of a large diverse cancer survivor population on a single-leg stance (SLS) test and assess relationships between this test and clinical and patient characteristics, including recent falls. Methods: This was a retrospective cross-sectional study. Data were collected from baseline assessments of 412 cancer survivors joining a clinical exercise program. Measurements: The primary outcome was an SLS test, performed with eyes opened and closed. Clinical and patient characteristics included age, body mass index (BMI), gender, cancer diagnosis and treatment, quality of life (QOL), and a recent history of falls (within the past 6 weeks). Results: Approximately one-third of the population was unable to reach 30 seconds on at least one leg with eyes open. Age and BMI had a negative influence on SLS with eyes open, while only age had a negative influence with eyes closed, in participants impaired in these conditions (N = 137 and N = 254, respectively). QOL was not related to SLS. SLS identified participants with a recent history of falls (sensitivity = 0.83; specificity = 0.58). Limitations: This population was biased, determined by provider referral or participant choice to join. The population was diverse in cancer diagnoses and treatment, limiting subgroup observations. Conclusions: Cancer survivors demonstrate a wide range of performance on the SLS test, which may show promise as a screen for fall risk.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"15 1","pages":"23 - 30"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87535111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Life Isn't as Carefree as It Used to Be”: A Mixed-Methods Evaluation of the Experiences of Women With Fear of Falling During Cancer Survivorship","authors":"K. Covington, K. Atler, J. Bailey, Katie Lucas, M. Pergolotti","doi":"10.1097/01.REO.0000000000000217","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000217","url":null,"abstract":"Purpose/Objective: To understand activities and experiences of women with fear of falling during cancer survivorship. Design: Parallel, mixed-methods design. Setting: Academic research. Participants and Measurement: Women who had completed active treatment and reported fear of falling completed structured surveys, the Timed Up and Go (TUG) test, a time-use assessment(s) guided by individual interview, and a focus group. Descriptive statistics, independent-samples t test, and exploratory Pearson correlations were used to analyze quantitative variables. Qualitative themes were identified through inductive, descriptive analysis. Results: Three (38%) participants had fallen in the past 6 months and 4 (50%) were considered at risk for falling (ie, TUG >10.7 seconds). Most of participants' time was spent at home versus away from home (t = −1.2, P = .04) and in committed occupations (M = 5.5 ± 2.1 hours; 34.8% of time per day). TUG fall risk (>10.7 seconds) and global mental health (r = −0.83, P = .01), TUG time and Activities Balance Confidence (r = −0.71, P < .05), and fear of falling and global mental health (r = −0.76, P = .03) were significantly correlated. Fear of falling led to (1) identity challenges and (2) ongoing lifestyle adaptations during survivorship. Adaptations included increased awareness, avoidance, or making modifications to support (or diminish) participation in daily activities and roles while avoiding falls. Limitations: Small sample and lack of precancer data. Conclusions: Fear of falling is an important influence on women's activities and experiences during cancer survivorship. Fear of falling may negatively influence mental health and physical function. Women may experience identity challenges and the need to make ongoing adaptations to participate in important roles and activities during survivorship.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"69 1","pages":"38 - 47"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74892243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobility Measures in Older Cancer Survivors: An Examination of Reliability, Validity, and Minimal Detectable Change","authors":"J. Blackwood, Kateri Rybicki, M. Huang","doi":"10.1097/01.REO.0000000000000216","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000216","url":null,"abstract":"Background: Cancer and its treatment contribute to multiple sequelae affecting physical function, including difficulty in balance and walking. Although clinical tests should be used to assess fall risks in older cancer survivors, the literature describing the validity, reliability, measurement error, and minimal detectable change (MDC) of mobility measures is lacking. Objective: The purpose of this study was to describe the reliability, validity, standard error of the measurement (SEM), and minimal detectable change at 95% confidence (MDC95) of mobility measures in older cancer survivors. Methods: Fifty cancer survivors (breast, prostate, lung, or colorectal) aged 65+ years participated. Measures of gait speed (GS) (usual, fast, and dual-task) and mobility (Timed Up and Go [TUG], TUG-cognitive, and TUG-manual) were performed once and then repeated 2 weeks later. Test-retest reliability was assessed using intraclass correlation coefficient (ICC2,1). MDC95 and SEM were calculated. Construct validity was examined using Pearson's correlation coefficient with 6-item Activities-specific Balance Confidence scale and Short Physical Performance Battery performance. Results: Test-retest reliability was excellent for all mobility measures, with ICC values ranging from 0.89 to 0.94 for GS and 0.95 to 0.98 for TUG measures. Construct validity was present for TUG (r = −0.53 to −0.73) and GS (r = 0.29 to 0.5) measures. Low SEM values demonstrated excellent reproducibility. To be considered real change, usual GS should be 0.14 m/s or more and TUG 2.49 seconds or more. Conclusions: Measures of GS and TUG have excellent reliability and construct validity and should be considered for use in older cancer survivors. Further study is indicated to establish the psychometric values of mobility measures by cancer type.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"25 1","pages":"74 - 80"},"PeriodicalIF":0.9,"publicationDate":"2020-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73910902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Outpatient Cancer Rehabilitation With Patient-Reported Outcomes and Performance-Based Measures of Function","authors":"M. Pergolotti, K. Covington, A. Lightner, Jessica Bertram, M. Thess, J. Sharp, M. Spraker, G. Williams, Peter R. Manning","doi":"10.1097/01.REO.0000000000000245","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000245","url":null,"abstract":"Background and Purpose/Objective: Evidence supporting the effect of community-based cancer-specific physical and occupational therapy (PT/OT) services on cancer-related disability is limited. We examined the effect of community-based outpatient cancer-specific PT/OT for performance-based and patient-reported outcomes (PROs) for adults with cancer. Methods: This retrospective, pre/posttreatment study included 185 adults seen for cancer rehabilitation (PT/OT). Demographic and clinical data were patient-reported. Patient-Reported Outcomes Measurement Information System (PROMIS) measures included global physical health (GPH) and global mental health (GMH) scale (10 item); physical function (PF; 4-item), and ability to participate in social roles and activities (SRA; 4-item). Performance-based measures included hand grip strength (HGS) and the Timed Up and Go (TUG) test. We used descriptive statistics to evaluate patient characteristics, paired-samples t test to compare scores pre- and post-PT/OT, and independent-samples t test to compare the mean change for all outcomes between patients in the active and posttreatment groups. Results: Patients were predominantly female (n = 137; 75%), were 41 to 65 years old (n = 99; 57%). The majority had been diagnosed with breast (n = 98; 53%) cancer. Most (n = 115; 62.2%) patients completed at least one follow-up evaluation over 6 ± 4.5 weeks. A significant effect (P < .05; Cohen d = 0.21-0.35) was observed for GPH, SRA, HGS, and TUG test. There was no difference in average effect between the active and posttreatment groups. Conclusions: Community-based cancer-specific PT/OT has a significant effect on the functioning and participation of adults with cancer. Implications for Cancer Survivors: Community-based cancer rehabilitation services may benefit cancer survivors' functioning and health-related quality of life across the cancer continuum.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"29 1","pages":"137 - 142"},"PeriodicalIF":0.9,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78619935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Promotion, Wellness, and Prevention Practice in Oncologic Physical Therapy: A Survey Study","authors":"Christopher M. Wilson, Ann M. Lucado, D. Wendland, David W. M. Taylor, B. Black","doi":"10.1097/01.REO.0000000000000244","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000244","url":null,"abstract":"Background: Cancer and its treatments cause a variety of symptoms and sequelae that can be impacted by patients' health behaviors. Objective/Purpose: To examine the perceptions of their role and the extent to which physical therapists (PTs) and physical therapist assistants (PTAs) include health promotion, wellness, and prevention (HPWP) in the care of patients with cancer. Design: Survey. Methods: A survey was developed to examine the perceptions, current practice, and barriers to HPWP practice in oncologic physical therapist practice. After reliability testing and survey refinement, the survey was administered electronically to PTs and PTAs who provide care for individuals with cancer. The responses of 69 PTs and 4 PTAs who completed the survey were analyzed. Results: Respondents reported their perceived role versus current practice in discussing the following behaviors with their patients: physical activity/exercise (99%/99%), stress management (93%/72%), sleep hygiene (92%/61%), tobacco use (83%/28%), healthy eating (82%/71%), alcohol/substance abuse (74%/7%), and vaping/e-cigarettes (73%/3%). Reported barriers to HPWP practice included economic limitations, lack of time, level of patient interest, inadequate skills, and lack of organizational support and resources. Conclusions: There was close alignment between respondents' perceived roles and HPWP practice for physical activity, healthy eating, and stress management but less agreement with the behaviors of sleep hygiene, alcohol/tobacco/substance use, and vaping. Limitations included a low response rate and limited psychometric testing of the survey. Because of the potential positive effect of healthy behaviors in those diagnosed with cancer, there is opportunity to better incorporate HPWP into oncologic physical therapist practice.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"1 1","pages":"E51 - E57"},"PeriodicalIF":0.9,"publicationDate":"2020-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88424999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and Feasibility of Outpatient Rehabilitation in Patients With Secondary Bone Cancer: A Preliminary Study","authors":"Laura Tabacof, Andrew D. Delgado, Sophie Dewil, Fabiana Reis, Camila Molina Velar, Munique Egle Dona Corteline, R. Cecatto, D. Putrino, M. Imamura, L. Battistella, C. M. Moran de Brito","doi":"10.1097/01.REO.0000000000000241","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000241","url":null,"abstract":"Background: Because of fear of skeletal complications, physicians often avoid referring patients with secondary bone cancer (SBC) to physical rehabilitation. However, there is little evidence on the risk of skeletal-related events (SREs) and pathological fracture (PF) during rehabilitation therapies. Objective: To determine the risk of PF following physical rehabilitation in people with SBC. Design: Single-group, single-centered interventional clinical trial. Setting: University-based outpatient rehabilitation clinic. Patients: Forty-eight patients with confirmed diagnosis of SBC were enrolled. Interventions: Participants were prescribed a multidisciplinary rehabilitation program. Participants and rehabilitation therapists were trained to detect and report symptoms that would indicate PF. Radiographs were used to confirm the presence of PF. Measurements: The primary outcomes were safety and feasibility of an outpatient rehabilitation program for patients with SBC. Safety was measured by the rate of SREs. Feasibility was measured by the ability to successfully complete the program. Secondary outcome measures included Short Form Health Survey (SF-36) and numeric rating scale (NRS) scores to assess pain intensity. Results: One PF was detected, which occurred outside of rehabilitation therapy. Two other SREs occurred, resulting in a total event rate of 11.8 for every 10 000 hours of exposure. There was a significant improvement in NRS (95% CI, 1.41-3.08, P < .001) and SF-36 measures (95% CI, 80.35-158.11, P < .001). Limitations: Twenty participants (42%) did not complete the rehabilitation program due to clinical complications or death. Conclusions: Rehabilitation interventions may not increase the risk of SREs or PF in patients with SBC. Further research is indicated to verify these findings.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"60 1","pages":"E42 - E50"},"PeriodicalIF":0.9,"publicationDate":"2020-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85100378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aquatic Therapy Reduces Pain and Fatigue in Breast Cancer Survivors: A Systematic Review","authors":"Karsten Barbagelata, Jacqueline Eadi, M. McNamara, Melissa Sayles, James M. Smith","doi":"10.1097/01.REO.0000000000000247","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000247","url":null,"abstract":"Background and Purpose: Pain and cancer-related fatigue (CRF) are impairments from breast cancer or the medical and surgical therapies for breast cancer. Aquatic therapy has been found to be effective for the problems of pain and CRF. The purpose of this systematic review was to determine whether aquatic therapy reduced pain and CRF among people with breast cancer and to identify any elements of aquatic therapy associated with those effects. Methods: The protocol for this systematic review was registered with PROSPERO, and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) standards were followed. Four databases were searched, and studies were selected on the basis of predetermined criteria. Data were extracted into a template for analysis and thematic synthesis. Measures of methodological quality (risk of bias) and level of evidence were applied. Results: Six studies involving 137 subjects who received treatment were included. Subjects received aquatic therapy (water-based exercise for rehabilitation) that was compared with various land-based interventions. Studies were evaluated with the Oxford Centre for Evidence-based Medicine—Levels of Evidence for Therapy/Prevention Studies Rating Scale, and all studies had a high or acceptable level of evidence. Studies were evaluated with the APTA Critical Appraisal Tool for Experimental Intervention Studies, and 5 studies had a high or acceptable quality. High-quality evidence supported the use of aquatic therapy for reducing CRF, and acceptable quality evidence supported the use of aquatic therapy for reducing pain. Adverse responses to aquatic therapy were minor symptoms that resolved within days and had no effect on attrition. Limitations: Searches were limited to publications in English. Analysis was confounded by heterogeneity of pain measures. Conclusions: Aquatic therapy is recommended as an intervention for the impairments of pain and CRF associated with breast cancer. Aquatic therapy is safe and feasible for this population.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"33 1","pages":"E35 - E41"},"PeriodicalIF":0.9,"publicationDate":"2020-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89841537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meeting the Rehabilitation and Support Needs of Patients With Breast Cancer During COVID-19: Opening New Frontiers in Models of Care","authors":"J. Binkley, Mallory Mark, Janae Finley, A. Brazelton, Marilyn M Pink","doi":"10.1097/01.REO.0000000000000237","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000237","url":null,"abstract":"Background: COVID-19 presents a significant challenge to providing specialized rehabilitation and exercise for patients with breast cancer. Objective: The purpose of this report is to describe the implementation of telerehabilitation for one-on-one patient care and interactive, live, Web-based formats for group patient education, exercise, and support programs during the COVID-19 pandemic. Design: This report describes the concept, materials, and methods used in a community-based clinical setting to serve patients' needs during COVID-19. Results: Telerehabilitation and interactive Web-based strategies may be useful in meeting the physical and emotional needs of patients with breast cancer. Brief patient cases summarize the process of one-on-one telerehabilitation implementation and provide patient and family perspectives. Challenges and benefits of telerehabilitation are described. Interactive Web-based strategies substantially increased the numbers of patients reached with survivorship education and support groups during the first 2 months of COVID-19. Limitations: This report is descriptive and does not include group outcomes. Further research is needed to compare outcomes of telerehabilitation versus in-person delivery of breast cancer rehabilitation care. Conclusion: Telerehabilitation and interactive Web-based education formats provide an alternative to in-person breast cancer rehabilitation care during COVID-19 and have potential application for improving delivery of care to underserved populations and in other types of cancer.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"38 1","pages":"159 - 168"},"PeriodicalIF":0.9,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75137314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}