РЕАБИЛИТАЦИЯ ОНКОЛОГИЧЕСКИХ ПАЦИЕНТОВ
Аннотация
С достижениями в области онкологической медицины быстро растет число людей, переживших рак, и растет спрос на услуги по реабилитации после лечения. По мере перехода рака от диагноза к хроническому заболеванию требуется непрерывная помощь в восстановлении функций организма. Большинство выживших пациентов сталкивается с широким спектром симптомов и побочных эффектов, которые требуют коррекции. Рак и его лечение ухудшают качество жизни больных и выживших, включая их физическое, психологическое и когнитивное функционирование, а также влияют на независимую повседневную деятельность. Реабилитация помогает им поддерживать максимально доступное физическое, социальное, психологическое и профессиональное функционирование, она состоит из многих компонентов, включая физиотерапию, трудотерапию, нейропсихологическую и когнитивную реабилитацию. Физическая активность является важным компонентом в лечении и реабилитации больных раком и улучшает функциональное здоровье онкологических пациентов. Отмечено увеличение мышечной силы, уменьшение побочных эффектов лучевой и химиотерапии и снижение утомляемости. Для контроля состояния пациента и толерантности к физическим нагрузкам используются индивидуально адаптированные программы физических упражнений. Хотя междисциплинарная реабилитация еще не реализована как обычная помощь во всех онкологических центрах, реабилитационные программы стали важной частью ведения больных раком. Включение лечебной физкультуры в реабилитационную программу представляется обоснованным с точки зрения положительного влияния на соматический и психофизиологический статус онкологических пациентов. Регулярные физические нагрузки, упражнения и другие методы реабилитации должны применяться с учетом противопоказаний, в противном случае они могут привести к клиническим осложнениям. В этой статье дается обзор научной литературы, касающейся лечебной физкультуры и других методов реабилитации для больных раком. Поиск проводился по базам данных MedLine и Cochrane Library.
Литература
Alexander J.H., Jordan S.W., West J.M. et al. Targeted muscle reinnervation in oncologic amputees: early experience of a novel institutional protocol. J Surg Oncol. 2019;120(3):348–358. DOI: 10.1002/jso.25586.
Asher A., Dyk K., Jo M.Y. et al. Cancer-related cognitive impairment: retrospective analyses of a multidimensional, psychoeducation-based cognitive rehabilitation intervention. Clin J Oncol Nurs. 2019;23(3):301–308. DOI: 10.1188/19.CJON.301-308.
Bao T., Greenlee H., Lopez A.M. et al. How to make evidence-based integrative medicine a part of everyday oncology practice. Am Soc Clin Oncol Educ Book. 2023;43:e389830. DOI: 10.1200/EDBK_389830.
Batchelor T.J.P., Rasburn N.J., Abdelnour-Berchtold E. et al. Guidelines for enhanced recovery after lung surgery: recommendations of the enhanced recovery after surgery (ERASVR) society and the European Society of Thoracic Surgeons (ESTS). Eur J Cardiothorac Surg. 2019;55(1):91–115. DOI: 10.1093/ejcts/ezy301.
Beck A.C.C., Passchier E., Retèl V.P. et al. Study protocol of a prospective multicenter study comparing (cost-)effectiveness of a tailored interdisciplinary head and neck rehabilitation program to usual supportive care for patients treated with concomitant chemo- or bioradiotherapy. BMC Cancer. 2019;19(1):655. DOI: 10.1186/s12885-019-5874-z.
Ben-Arye E., Lavie O., Heyl W. et al. Integrative Medicine for Ovarian Cancer. Curr Oncol Rep. 2023;25(6):559–568. DOI: 10.1007/s11912-023-01359-8.
Cenik F., Mähr B., Palma S. et al. Role of physical medicine for cancer rehabilitation and return to work under the premise of the “Wiedereingliederungsteilzeitgesetz”. Wien Klin Wochenschr. 2019;131(19–20):455–461. DOI: 10.1007/s00508-019-1504-7.
Cešeiko R., Eglītis J., Srebnijs A. et al. The impact of maximal strength training on quality of life among women with breast cancer undergoing treatment. Exp Oncol. 2019;41(2):166–172. DOI: 10.32471/exp-oncology.2312-8852.vol-41-no-2.13249.
Chimenti R.L., Frey-Law L.A., Sluka K.A. A mechanism-based approach to physical therapist management of pain. Phys. Ther. 2018;98(5):302–314. DOI: 10.1093/ptj/pzy030.
Da Silva J.R. Jr, Wiegert E.V.M., Oliveira L., Calixto-Lima L. Different methods for diagnosis of sarcopenia and its association with nutritional status and survival in patients with advanced cancer in palliative care. Nutrition. 2018;60:48–52. DOI: 10.1016/j.nut.2018.09.003.
Dalton S.O., Johansen C. European cancer rehabilitation and survivorship, 2018: one of a kind. Acta Oncol. 2019;58(5):519–521. DOI: 10.1080/0284186X.2019.1606937.
Damlaj M., El Fakih R., Hashmi S.K. Evolution of survivorship in lymphoma, myeloma and leukemia: metamorphosis of the feld into long term follow-up care. Blood Rev. 2019;33:63–73. DOI: 10.1016/j.blre.2018.07.003.
Danhauer S.C., Addington E.L., Cohen L. et al. Yoga for symptom management in oncology: a review of the evidence base and future directions for research. Cancer. 2019;125(12):1979–1989. DOI: 10.1002/cncr.31979.
Davis M.P., Panikkar R. Sarcopenia associated with chemotherapy and targeted agents for cancer therapy. Ann Palliat Med. 2019;8(1):86–101. DOI: 10.21037/apm.2018.08.02.
De Groef A., Penen F., Dams L. et al. Best-evidence rehabilitation for chronic pain part 2: pain during and after cancer treatment. J Clin Med. 2019;8(7):E979. DOI: 10.3390/jcm8070979.
Dean E., Skinner M., Myezwa H. et al.; Global Health Working Group. Health competency standards in physical therapist practice. Phys Ther. 2019;99(9):1242–1254. DOI: 10.1093/ptj/pzz087.
Dong X., Yi X., Gao D. et al. The effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on quality of life, muscle strength and cardiorespiratory capacity in Chinese postoperative breast cancer patients: a randomized controlled trial. Health Qual Life Outcomes. 2019;17(1):109. DOI: 10.1186/s12955-019-1183-0.
Dumanian G.A., Potter B.K., Mioton LM. et al. Targeted muscle reinnervation treats neuroma and phantom pain in major limb amputees: a randomized clinical trial. Ann Surg. 2019;270(2):238–246. DOI: 10.1097/SLA.0000000000003088.
Edbrooke L., Aranda S., Granger C.L. et al. Multidisciplinary home-based rehabilitation in inoperable lung cancer: a randomised controlled trial. Thorax. 2019;74(8):787–796. DOI: 10.1136/thoraxjnl-2018-212996.
Engan H., Skanke F., Dahl V. et al. The feasibility of web-based working memory training in patients with cancer attending inpatient rehabilitation. Integr Cancer Ther. 2023;22:15347354231164401. DOI: 10.1177/15347354231164401.
Fernandes H.A., Richard N.M., Edelstein K. Cognitive rehabilitation for cancer-related cognitive dysfunction: a systematic review. Support Care Cancer. 2019;27(9):3253–3279. DOI: 10.1007/s00520-019-04866-2.
Fioritto A.P., Oliveira C.C., Albuquerque V.S. et al. Individualized in-hospital exercise training program for people undergoing hematopoietic stem cell transplantation: a feasibility study. Disabil Rehabil. 2021;43(3):386–392. DOI: 10.1080/09638288.2019.1626493.
Frawley H.C., Lin K.Y., Granger C.L. et al. An allied health rehabilitation program for patients following surgery for abdomino-pelvic cancer: a feasibility and pilot clinical study. Support Care Cancer. 2020;28(3):1335–1350. DOI: 10.1007/s00520-019-04931-w.
Frenkel M., Sapire K.J., Lacey J. et al. «What should i eat?»-addressing questions and challenges related to nutrition in the integrative oncology setting. Curr Oncol Rep. 2022;24(11):1557–1567. DOI: 10.1007/s11912-022-01308-x.
Fukushima T., Nakano J., Ishii S. et al. Factors associated with muscle function in patients with hematologic malignancies undergoing chemotherapy. Support Care Cancer. 2020;28(3):1433–1439. DOI: 10.1007/s00520-019-04955-2.
Gomersall S.R., Skinner T.L., Winkler E. et al. Feasibility, acceptability and efficacy of a text message-enhanced clinical exercise rehabilitation intervention for increasing 'whole-of-day' activity in people living with and beyond cancer. BMC Public Health. 2019;19(Suppl 2):542. DOI: 10.1186/s12889-019-6767-4.
Gupta E., Mitchell C.H., Ngo-Huang A. et al. Addressing social determinants of health to reduce disparities among individuals with cancer: insights for rehabilitation professionals. Curr Oncol Rep. 2023;25(6):659–669. DOI: 10.1007/s11912-023-01396-3.
Hackett F., Dowling M. Lymphoma survivors’ experiences at the end of treatment. J. Clin. Nurs. 2019;28(3–4):400–409. DOI: 10.1111/jocn.14658.
Hathiramani S., Pettengell R., Moir H., Younis A. Lymphoma survivors' experience of participation in a home-based intervention post-chemotherapy. Qual Life Res. 2019;28(11):2951–2955. DOI: 10.1007/s11136-019-02244-3.
Hathiramani S., Pettengell R., Moir H., Younis A. Relaxation and exercise in lymphoma survivors (REIL study). BMC Sports Sci Med Rehabil. 2019;11:17. DOI: 10.1186/s13102-019-0127-7.
Hegedus A., Trzaskoma L., Soldos P. et al. Adaptation of fatigue affected changes in muscle EMG frequency characteristics for the determination of training load in physical therapy for cancer patients. Pathol Oncol Res. 2020;26(2):1129–1135. DOI: 10.1007/s12253-019-00668-3.
Hernandez Silva E., Lawler S., Langbecker D. The effectiveness of mHealth for self-management in improving pain, psychological distress, fatigue, and sleep in cancer survivors: a systematic review. J. Cancer Surviv. 2019;13(1):97–107. DOI: 10.1007/s11764-018-0730-8.
Hutchison N., Deval N., Rabusch S. et al. Physical therapy based exercise protocol for cancer patients: evaluating outcomes for cardiopulmonary performance and cancer-related fatigue. PM R. 2019;11(11):1178–1183. DOI: 10.1002/pmrj.12128.
Janelsins M.C., Heckler C.E., Peppone L.J. et al. Longitudinal trajectory and characterization of cancer-related cognitive impairment in a nationwide cohort study. J Clin Oncol. 2018;36(32):JCO2018786624. DOI: 10.1200/JCO.2018.78.6624.
Ji W., Kwon H., Lee S. et al. Mobile health management platform-based pulmon ary rehabilitation for patients with non-small cell lung cancer: prospective clinical trial. JMIR Mhealth Uhealth. 2019;7(6):e12645. DOI: 10.2196/12645.
Kadiri S.B., Kerr A.P., Oswald N.K. et al. Fit 4 surgery, a bespoke app with biofeedback delivers rehabilitation at home before and after elective lung resection. J Cardiothorac Surg. 2019;14(1):132. DOI: 10.1186/s13019-019-0951-6.
Keilani M., Kainberger F., Pataraia A. et al. Typical aspects in the rehabilitation of cancer patients suffering from metastatic bone disease or multiple myeloma. Wien Klin Wochenschr. 2019;131(21-22):567–575. DOI: 10.1007/s00508-019-1524-3.
Kulik-Parobczy I. Evaluation of the effectiveness of physiotherapy in patients after oncological breast cancer treatment based on spirometric indicators. Contemp Oncol (Pozn). 2019;23(1):47–51. DOI: 10.5114/wo.2019.82929.
Lahart I.M., Metsios G.S., Nevill A.M., Carmichael A.R. Physical activity for women with breast cancer after adjuvant therapy. Cochrane Database of Systematic Rev. 2018;1:CD011292. DOI: 10.1002/14651858.CD011292.pub2.
Liu X., Wang Y.Q., Xie J. Effects of breathing exercises on patients with lung cancer. Oncol Nurs Forum. 2019;46(3):303–317. DOI: 10.1188/19.ONF.303-317.
Mathis S., Sierpina V.S. Kidney cancer integrative oncology: possible options for care. Curr Oncol Rep. 2023;25(9):1071–1080. DOI: 10.1007/s11912-023-01437-x.
McDermott L.A., Murphy M.H., McNeilly A.M. et al. Biological markers as an outcome measure of exercise in cancer rehabilitation: a systematic review. J Cancer Res Ther. 2018;14(2):267–277. DOI: 10.4103/0973-1482.191036.
Messing B.P., Ward E.C., Lazarus C. et al. Establishing a multidisciplinary head and neck clinical pathway: an implementation evaluation and audit of dysphagia-related services and outcome. Dysphagia. 2019;34(1):89–104. DOI: 10.1007/s00455-018-9917-4.
Minnella E.M., Liberman A.S., Charlebois P. et al. The impact of improved functional capacity before surgery on postoperative complications: a study in colorectal cancer. Acta Oncol. 2019;58(5):573–578. DOI: 10.1080/0284186X.2018.1557343.
Nahm N., Mee S., Marx G. Efficacy of management strategies for aromatase inhibitor-induced arthralgia in breast cancer patients: a systematic review. Asian Pac. J. Clin. Oncol. 2018;14(6):374–382. DOI: 10.1111/ajco.12845.
Nakano J., Hashizume K., Fukushima T. et al. Effects of aerobic and resistance exercises on physical symptoms in cancer patients: a meta-analysis. Integr. Cancer Ther. 2018;17(4):1048–1058. DOI: 10.1177/1534735418807555.
Oh B., Carroll S., Morgia M., Lamoury G. Integrative oncology treatments in rehabilitation for cancer patients: challenges and unmet needs in cancer rehabilitation. Front Rehabil Sci. 2023;4:1248981. DOI: 10.3389/fresc.2023.1248981.
Olivier C., Grosbois J.M., Cortot A.B. et al. Real-life feasibility of home-based pulmonary rehabilitation in chemotherapy-treated patients with thoracic cancers: a pilot study. BMC Cancer. 2018;18(1):178. DOI: 10.1186/s12885-018-4102-6.
Olsson Möller U., Beck I., Rydén L., Malmström M. A comprehensive approach to rehabilitation interventions following breast cancer treatment — a systematic review of systematic reviews. BMC Cancer. 2019;19(1):472. DOI: 10.1186/s12885-019-5648-7.
Paolucci T., Bernetti A., Paoloni M. et al. Therapeutic alliance in a single versus group rehabilitative setting after breast cancer surgery: psychological profile and performance rehabilitation. Biores Open Access. 2019;8(1):101–110. DOI: 10.1089/biores.2019.0011.
Peddle-McIntyre C.J., Singh F., Thomas R. et al. Exercise training for advanced lung cancer. Cochrane Database Syst Rev. 2019;2:CD012685. DOI: 10.1002/14651858.CD012685.pub2.
Pergolotti M., Deal A.M., Williams G.R. et al. Older adults with cancer: a randomized controlled trial of occupational and physical therapy. J Am Geriatr Soc. 2019;67(5):953–960. DOI: 10.1111/jgs.15930.
Pinto-Carral A., Molina A.J., de Pedro A., Ayan C. Pilates for women with breast cancer: a systematic review and meta-analysis. Complementary Ther. Med. 2018;41,130–140. DOI: 10.1016/j.ctim.2018.09.011.
Porserud A., Aly M., Nygren-Bonnier M., Hagströmer M. Objectively measured mobilisation is enhanced by a new behaviour support tool in patients undergoing abdominal cancer surgery. Eur J Surg Oncol. 2019:S0748–7983(19)30405-6. DOI: 10.1016/j.ejso.2019.04.013.
Raphael D., Frey R., Gott M. Maintaining psychosocial wellbeing for post-treatment haematological cancer survivors: strategies and potential barriers. Eur J Oncol Nurs. 2019;38:36–41. DOI: 10.1016/j.ejon.2018.11.011.
Santa Mina D., Au D., Auger L.E. et al. Development, implementation, and effects of a cancer center's exercise-oncology program. Cancer. 2019;125(19):3437–3447. DOI: 10.1002/cncr.32297.
Sheill G., Guinan E.M., Peat N., Hussey J. Considerations for exercise prescription in patients with bone metastases: a comprehensive narrative review. Pm R. 2018;10(8):843–864. DOI: 10.1016/j.pmrj.2018.02.006.
Steiner M.C. Should pulmonary rehabilitation be a standard of care in lung cancer? Thorax. 2019;74(8):725–726. DOI: 10.1136/thoraxjnl-2019-213157.
Stout N.L., Baima J., Swisher A.K. et al. Systematic review of exercise systematic reviews in the cancer literature (2005–2017). PM R. 2017;9(9S2):S347–S384. DOI: 10.1016/j.pmrj.2017.07.074.
Stubblefield M.D., Kendig T.D., Khanna A. ReVitalizing cancer survivors – making cancer rehabilitation the standard of care. MD Advis. Spring 2019;12(2):30–33. PMID: 31100000.
Tsai E., Mouhayar E., Lenihan D. et al. Feasibility and outcomes of an exercise intervention for chemotherapy-induced heart failure. J Cardiopulm Rehabil Prev. 2019;39(3):199–203. DOI: 10.1097/HCR.0000000000000388.
Wang J.R., Nurgalieva Z., Fu S. et al. Utilization of rehabilitation services in patients with head and neck cancer in the United States: A SEER-Medicare analysis. Head Neck. 2019;41(9):3299–3308. DOI: 10.1002/hed.25844.
Wang Y.Q., Liu X., Yin Y.Y. et al. Effects of home-based exercise training for patients with lung cancer. Oncol Nurs Forum. 2019;46(4):E119–E134. DOI: 10.1188/19.ONF.E119-E134.
West M.A., Astin R., Moyses H.E. et al. Exercise prehabilitation may lead to augmented tumor regression following neoadjuvant chemoradiotherapy in locally advanced rectal cancer. Acta Oncol. 2019;58(5):588–595. DOI: 10.1080/0284186X.2019.1566775.
WHO. International Classification of Functioning, Disability and Health (ICF). Available from: http://www.who.int/classifications/icf/en/. Accessed 25.02.2024.
