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A Focused Review of Safety Considerations in Cancer Rehabilitation

MALTSER S; CRISTIAN A; SILVER JK; MORRIS GS; STOUT NL
PM & R , 2017, vol. 9, n° Suppl. September, p. S415-S428
Doc n°: 184799
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmrj.2017.08.403
Descripteurs : MB - CANCEROLOGIE

Cancer and its treatments introduce various adverse effects that may affect
survivors' physical, cognitive and psychological functioning. Frequently both
tolerance to activity and exercise are affected as well. Rehabilitation providers
should have substantive knowledge about the effect of cancer progression and
common side effects associated with antineoplastic treatment to safely integrate
rehabilitation interventions. Rehabilitation may mitigate loss of function and
disability; however, these patients are among the most medically complex that
providers treat. This report provides a focused review that synthesizes the
current evidence regarding disease progression and oncology-directed treatment
side effects within the context of safety considerations for rehabilitation
interventions throughout the continuum of cancer care. Descriptive information
regarding the evidence for precautions and contraindications is provided so that
rehabilitation providers can promote a safe plan of rehabilitation care. It is
incumbent upon but also challenging for rehabilitation providers to stay up to
date on the many advances in cancer treatment, and there are many gaps in the
literature regarding safety issues. Although further research is needed to inform
care, this review provides clinicians with a framework to assess patients with
the goal of safely initiating rehabilitation interventions.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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