Liječnički vjesnik, Vol. 146 No. 5-6, 2024.
Original scientific paper
https://doi.org/10.26800/LV-146-5-6-4
Paradigm shift in cancer rehabilitation – new principles in kinesiotherapy and extracorporeal shock-wave therapy
Jelena Marunica Karšaj
*
Vedran Brnić
Senija Brnić
* Corresponding author.
Abstract
Cancer rehabilitation is primarily focused on individual functional deficits and their impact on
disability and health-related quality of life. It is necessary to integrate cancer rehabilitation into the care continuum for these patients as soon as possible. The crown of cancer rehabilitation is individual kinesiotherapy to improve the patient’s functional health. For understandable reasons, many cancer patients have reduced physical capabilities, strength, and endurance. The advantages of kinesiotherapy are widely known for improving physical capacities, mental health, and quality in various aspects of life. In some types of malignant diseases, continuous
kinesiotherapy might have a favorable effect on survival. Moreover, some cancer patients prefer high-intensity training over established continuous moderate-intensity exercises. Time spent in the zone of maximum aerobic exertion, increasing maximum aerobic capacity, was shown to be superior to standard moderate exercise or without exercise. An International Bone Metastasis Exercise Working Group (IBMEWG) has been established to conduct exercises in patients with bone metastases since they could benefit from exercise. In order to overcome potential functional deficits in the upcoming period of oncologic treatment prehabilitation takes an important place. In Croatia, the cancer rehabilitation unit has been operating since 1979. Within numerous health institutions worldwide, a concept Comprehension Cancer Center (CCC) has been implemented which integrates different platforms, units, and groups. For example in Austria, the Tumor Board for Cancer Rehabilitation has been integrated within the CCC Platform for Side Effects-Management, Supportive Care & Rehabilitation as a clinically relevant approach to support the creation of cancer rehabilitation strategies. In response to the need for effective, rapid, and non-invasive treatment of musculoskeletal diseases an interest in extracorporeal shock wave therapy (ESWL) has developed in the context of cancer rehabilitation over the past few years. Recently, the traditional paradigm regarding clinical indications and contraindications for prescribing ESWL in cancer patients has changed.
Keywords
CANCER SURVIVORS; NEOPLASMS – rehabilitation; EXERCISE THERAPY – methods; EXTRACORPOREAL SHOCKWAVE THERAPY; EXERCISE; HIGH-INTENSITY INTERVAL TRAINING; REHABILITATION – methods, trends; QUALITY OF LIFE
Hrčak ID:
319960
URI
Publication date:
8.7.2024.
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