REHABILITATION OF ONCOLOGICAL PATIENTS
Abstract
Commensurate with advances in cancer medicine is a rapidly growing number of cancer survivors and an increased demand for cancer rehabilitation services. As cancers transition from diagnosis to chronic medical conditions, a continuum of rehabilitation care is required. Most surviving patients experience a wide range of symptoms and side effects and need rehabilitation. Cancer and its treatment impair the quality of life of cancer patients and survivors including their physical, psychological and cognitive functioning, and affect their independent daily activities. Rehabilitation of cancer patients is a new field that helps cancer survivors maintain the highest possible physical, social, psychological and professional functioning. Rehabilitation consists of many components, including physiotherapy, occupational therapy, neuropsychological and cognitive rehabilitation. Physical activity is an important component in the treatment and rehabilitation of cancer patients and improve functional health of cancer patients. An increase in muscle strength, a decrease in the side effects of radiation and chemotherapy and a decrease in fatigue were noted. To manage the patient’s condition and tolerance of exercise intervention, individually adapted programs of physical exercises are used. To monitor the patient’s condition and tolerance of exercise intervention, individually adapted programs of physical exercises in an interdisciplinary mode are used. Although interdisciplinary rehabilitation has not yet been implemented as routine care at all cancer centers, rehabilitation programs have become an important part of managing cancer patients. The inclusion of exercise therapy in the rehabilitation program seems reasonable from the point of view of a positive effect on the somatic and psychophysiological status of cancer patients. Regular physical activity, exercise and other physical modalities of rehabilitation should be applied in consideration of contraindications, otherwise they could lead to clinical complications. This article gives a review of the scientific literature concerning exercise and physical modalities for cancer patients. The search was conducted on the MedLine and The Cochrane Library databases.
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