Oncology Rehabilitiation

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Original Editors Sehriban Ozmen and ReLAB-HS

Top Contributors - Sehriban Ozmen, Kim Jackson, Rachael Lowe, Naomi O'Reilly, Ashmita Patrao, Oyemi Sillo and Ewa Jaraczewska      

Introduction[edit | edit source]

The Rehabilitation 2030 call to action, launched by the World Health Organization in 2017, aimed to advance global access to rehabilitation for non-communicable diseases.[1]  In this context, the field of oncology was declared a priority, considering the acute and persistent effects of cancer. [2] Oncology rehabilitation is an area that has the potential to reduce cancer-related morbidity and healthcare costs. [3]

Often used interchangeably with cancer rehabilitation, oncology rehabilitation focuses on managing and improving the impairments and functional limitations experienced by individuals with cancer due to the disease itself or the side effects of the treatment they receive. [4]

Indications[edit | edit source]

Some of the complications that can be addressed in oncology rehabilitation are listed below. [5]

  • Functional Limitations

Four Phases of Oncology Rehabilitation[edit | edit source]

According to the model developed by Dr. Dietz Jr. in 1980, cancer rehabilitation includes four stages: [6]

  1. Preventative rehabilitation phase: More recently called prehabilitation in cancer care, encompasses the time between the onset of cancer diagnosis and the beginning of oncological treatment. The interventions during this period include patient education and therapies that aim to decrease the impact of expected disability from oncological care.
  2. Restorative rehabilitation: It focuses on restoring the cured or controlled patients with residual impairments that cause disability to their previous level of function.
  3. Supportive rehabilitation: This phase provides care to maximize functionality as individuals experience declines due to progressive or stable cancer.
  4. Palliative phase: Although palliative care is not limited to the end of life, this model uses this term to emphasise the care aiming at comfort and function in the terminal stage of cancer.

Assessment Tools[edit | edit source]

Multidisciplinary Rehabilitation[edit | edit source]

Resources[edit | edit source]

Telehealth in Oncology: ASCO Standards and Practice Recommendations

References [edit | edit source]

  1. ↑ World Health Organization. Global action plan on physical activity 2018-2030: more active people for a healthier world. World Health Organization; 2019 Jan 21.
  2. ↑ Gimigliano F, Negrini S. The World Health Organization" rehabilitation 2030: a call for action". European Journal of Physical and Rehabilitation Medicine. 2017;53(2):155-68.
  3. ↑ Smith SR, Zheng JY, Silver J, Haig AJ, Cheville A. Cancer rehabilitation as an essential component of quality care and survivorship from an international perspective. Disability and rehabilitation. 2020 Jan 2;42(1):8-13.
  4. ↑ Cheville A, Smith S, Barksdale T, Asher A. Cancer rehabilitation. Braddom's Physical Medicine and Rehabilitation. 2021 Jan 1:568-93.
  5. ↑ Sleight A, Gerber LH, Marshall TF, Livinski A, Alfano CM, Harrington S, Flores AM, Virani A, Hu X, Mitchell SA, Varedi M. Systematic review of functional outcomes in cancer rehabilitation. Archives of physical medicine and rehabilitation. 2022 Sep 1;103(9):1807-26.
  6. ↑ 6.0 6.1 6.2 Raj VS, Pugh TM, Yaguda SI, Mitchell CH, Mullan SS, Garces NS. The who, what, why, when, where, and how of team-based interdisciplinary cancer rehabilitation. InSeminars in oncology nursing 2020 Feb 1 (Vol. 36, No. 1, p. 150974). WB Saunders.

 

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