J Korean Med Assoc.  2017 Aug;60(8):678-684. 10.5124/jkma.2017.60.8.678.

Overview of cancer rehabilitation

• Hwang JH
• Kim JS

• KMID: 2388121
• DOI: http://doi.org/10.5124/jkma.2017.60.8.678

Abstract

Cancer patients suffer very diverse physical, psychological symptoms and functional impairments throughout cancer care continuum. These problems often go undetected and untreated, and may result in reduced health-related quality of life and disability. Cancer rehabilitation is a varied and challenging field of increasing public health importance. A growing evidence base suggests that impairment-driven rehabilitative interventions succeed in preserving and restoring the functional status of patients with cancer. There are many clinical and political barriers existed to limit expanding of this field. This article is intended to provide all cancer care physician with an overview of the issues relevant to the medical rehabilitation of patients with cancer.

Keyword

Cancer; Rehabilitation; Symptom; Function; Impairment

MeSH Terms

Continuity of Patient Care
Humans
Public Health
Quality of Life
Rehabilitation*

Figure

• 

  Figure 1 Rehabilitation issues of two groups according to cancer treatment states. Values are percentage of subjects. Tx, treatment; LOM, limitation of motion; ADL, activity of daily living. *P<0.05. Reproduced from Jo JM, et al. J Korean Acad Rehabil Med 2010;34:691-700, according to the Creative Commons license [3].

Reference

1. National Cancer Information Center. The Korea central center registry data 2014 [Internet]. Goyang: National Cancer Information Center;2014. cited 2017 Feb 28. Available from: http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040101000000.

2. Weaver KE, Forsythe LP, Reeve BB, Alfano CM, Rodriguez JL, Sabatino SA, Hawkins NA, Rowland JH. Mental and physical health-related quality of life among U.S. cancer survivors: population estimates from the 2010 National Health Interview Survey. Cancer Epidemiol Biomarkers Prev. 2012; 21:2108–2117.

3. Jo JM, Hwang JH, Lee CH, Kang HJ, Yu JN. The need of cancer patients for rehabilitation services. J Korean Acad Rehabil Med. 2010; 34:691–700.

4. Cheville AL, Beck LA, Petersen TL, Marks RS, Gamble GL. The detection and treatment of cancer-related functional problems in an outpatient setting. Support Care Cancer. 2009; 17:61–67.

5. Silver JK, Baima J. Cancer prehabilitation: an opportunity to decrease treatment-related morbidity, increase cancer treat-ment options, and improve physical and psychological health outcomes. Am J Phys Med Rehabil. 2013; 92:715–727.

6. Uhm KE, Yoon TH, Hwang JH. Clinical characteristics and rehabilitation of hospitalised cancer patients in a Korean tertiary hospital. Singapore Med J. 2016; 03. 31. [Epub]. DOI: 10.11622/smedj.2016064.

7. Silver JK, Baima J, Mayer RS. Impairment-driven cancer rehabilitation: an essential component of quality care and survivorship. CA Cancer J Clin. 2013; 63:295–317.

8. Levy MH, Chwistek M, Mehta RS. Management of chronic pain in cancer survivors. Cancer J. 2008; 14:401–409.

9. van den Beuken-van Everdingen MH, de Rijke JM, Kessels AG, Schouten HC, van Kleef M, Patijn J. Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol. 2007; 18:1437–1449.

10. National Cancer Center. Clinical guideline for cancer pain. 5th ed. Goyang: National Cancer Center;2012.

11. Gartner R, Jensen MB, Nielsen J, Ewertz M, Kroman N, Kehlet H. Prevalence of and factors associated with persistent pain following breast cancer surgery. JAMA. 2009; 302:1985–1992.

12. Rogers ML, Duffy JP. Surgical aspects of chronic post-thoracotomy pain. Eur J Cardiothorac Surg. 2000; 18:711–716.

13. Windebank AJ, Grisold W. Chemotherapy-induced neuropathy. J Peripher Nerv Syst. 2008; 13:27–46.

14. American Cancer Society. Cancer-related fatigue: NCCN guideline version 2.2017. Fort Washington: National Compre-hensive Cancer Network;2017.

15. Tomlinson D, Diorio C, Beyene J, Sung L. Effect of exercise on cancer-related fatigue: a meta-analysis. Am J Phys Med Rehabil. 2014; 93:675–686.

16. Lauridsen MC, Overgaard M, Overgaard J, Hessov IB, Cristi-ansen P. Shoulder disability and late symptoms following surgery for early breast cancer. Acta Oncol. 2008; 47:569–575.

17. Yang EJ, Park WB, Seo KS, Kim SW, Heo CY, Lim JY. Longitudinal change of treatment-related upper limb dysfunction and its impact on late dysfunction in breast cancer survivors: a prospective cohort study. J Surg Oncol. 2010; 101:84–91.

18. Lauridsen MC, Christiansen P, Hessov I. The effect of physiotherapy on shoulder function in patients surgically treated for breast cancer: a randomized study. Acta Oncol. 2005; 44:449–457.

19. Torres Lacomba M, Yuste Sanchez MJ, Zapico Goni A, Prieto Merino D, Mayoral del Moral O, Cerezo Tellez E, Minayo Mogollon E. Effectiveness of early physiotherapy to prevent lymphoedema after surgery for breast cancer: randomised, single blinded, clinical trial. BMJ. 2010; 340:b5396.

20. Hwang JH, Chang HJ, Shim YH, Park WH, Park W, Huh SJ, Yang JH. Effects of supervised exercise therapy in patients receiving radiotherapy for breast cancer. Yonsei Med J. 2008; 49:443–450.

21. DiSipio T, Rye S, Newman B, Hayes S. Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncol. 2013; 14:500–515.

22. International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2013 Consensus Document of the International Society of Lymphology. Lymphology. 2013; 46:1–11.

23. Korean Society of Lymphedema. Clinical guideline for secondary lymphedema. Seoul: Korean Society of Lymphedema;2015.

24. Hwang JM, Hwang JH, Kim TW, Lee SY, Chang HJ, Chu IH. Long-term effects of complex decongestive therapy in breast cancer patients with arm lymphedema after axillary dissection. Ann Rehabil Med. 2013; 37:690–697.

25. Kim YB, Hwang JH, Kim TW, Chang HJ, Lee SG. Would complex decongestive therapy reveal long term effect and lymphoscintigraphy predict the outcome of lower-limb lymphedema related to gynecologic cancer treatment. Gynecol Oncol. 2012; 127:638–642.

26. Driessen EJ, Peeters ME, Bongers BC, Maas HA, Bootsma GP, van Meeteren NL, Janssen-Heijnen ML. Effects of pre-habilitation and rehabilitation including a home-based component on physical fitness, adherence, treatment tolerance, and recovery in patients with non-small cell lung cancer: a systematic review. Crit Rev Oncol Hematol. 2017; 114:63–76.

27. Santa Mina D, Matthew AG, Hilton WJ, Au D, Awasthi R, Alibhai SM, Clarke H, Ritvo P, Trachtenberg J, Fleshner NE, Finelli A, Wijeysundera D, Aprikian A, Tanguay S, Carli F. Prehabilitation for men undergoing radical prostatectomy: a multi-centre, pilot randomized controlled trial. BMC Surg. 2014; 14:89.

28. Adamsen L, Quist M, Andersen C, Moller T, Herrstedt J, Kronborg D, Baadsgaard MT, Vistisen K, Midtgaard J, Christiansen B, Stage M, Kronborg MT, Rorth M. Effect of a multimodal high intensity exercise intervention in cancer patients undergoing chemotherapy: randomised controlled trial. BMJ. 2009; 339:b3410.

29. Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, Snyder C. Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database Syst Rev. 2012; (8):CD007566.

30. Baumann FT, Zopf EM, Bloch W. Clinical exercise interventions in prostate cancer patients: a systematic review of randomized controlled trials. Support Care Cancer. 2012; 20:221–233.