Pub Date : 2023-05-10DOI: 10.1097/01.REO.0000000000000343
Jenna Smith-Turchyn, Madison F. Vani, Ross M. Murray, Michelle E. McCowan, Holly Edward, Brenda K. Nayiga, C. Sabiston
Background: Social support is known to facilitate exercise among individuals with cancer; however, this support usually comes from a known source. The use of peer support, from an unknown peer, may facilitate exercise in survivors; however, this has not been well explored in the literature. Purpose: To examine the literature regarding the use, parameters, matching characteristics, and effectiveness of peer support physical activity interventions partnering unknown peers for individuals living beyond a cancer diagnosis. Methods: Six databases were searched for relevant reports up to December 17, 2021. Title/abstract screening, full-text review, and data extraction were completed in duplicate. Data were extracted for information on population, intervention and partner matching characteristics, and study outcomes. A qualitative synthesis was used to summarize findings and descriptive statistics were used to summarize applicable results. Results: Twelve reports were included in this review, describing 6 unique partner-based peer support physical activity interventions. Most interventions (83%) incorporated peers using a mentor/mentee relationship, where one peer acted as a topic “expert,” assisting the other peer around physical activity. All peers were “unknown” prior to the intervention and all interventions described physical activity level as a primary outcome. All articles including results demonstrated that peer support interventions led to significantly higher levels of physical activity post-treatment. Discussion: Promoting social support via unknown peers has potential to improve physical activity behavior in individuals living beyond a cancer diagnosis. Further research should examine the most appropriate mode of partner communication and the overall effectiveness of these interventions using social support as a primary outcome.
{"title":"Peer Support Physical Activity Interventions Partnering Unknown Survivors of Cancer: A Scoping Review","authors":"Jenna Smith-Turchyn, Madison F. Vani, Ross M. Murray, Michelle E. McCowan, Holly Edward, Brenda K. Nayiga, C. Sabiston","doi":"10.1097/01.REO.0000000000000343","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000343","url":null,"abstract":"Background: Social support is known to facilitate exercise among individuals with cancer; however, this support usually comes from a known source. The use of peer support, from an unknown peer, may facilitate exercise in survivors; however, this has not been well explored in the literature. Purpose: To examine the literature regarding the use, parameters, matching characteristics, and effectiveness of peer support physical activity interventions partnering unknown peers for individuals living beyond a cancer diagnosis. Methods: Six databases were searched for relevant reports up to December 17, 2021. Title/abstract screening, full-text review, and data extraction were completed in duplicate. Data were extracted for information on population, intervention and partner matching characteristics, and study outcomes. A qualitative synthesis was used to summarize findings and descriptive statistics were used to summarize applicable results. Results: Twelve reports were included in this review, describing 6 unique partner-based peer support physical activity interventions. Most interventions (83%) incorporated peers using a mentor/mentee relationship, where one peer acted as a topic “expert,” assisting the other peer around physical activity. All peers were “unknown” prior to the intervention and all interventions described physical activity level as a primary outcome. All articles including results demonstrated that peer support interventions led to significantly higher levels of physical activity post-treatment. Discussion: Promoting social support via unknown peers has potential to improve physical activity behavior in individuals living beyond a cancer diagnosis. Further research should examine the most appropriate mode of partner communication and the overall effectiveness of these interventions using social support as a primary outcome.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"6 1","pages":"166 - 179"},"PeriodicalIF":0.9,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88141280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-12DOI: 10.1097/01.REO.0000000000000342
R. Shetye, Kathrynne Mulhern, Shweta Subramani, Elizabeth Campione
Lymphedema is the abnormal accumulation of protein-rich fluid in the interstitial spaces that results from inadequate lymphatic function. 1 Lymphedema can be primary, suggesting abnormal growth and development of the lymphatic, or secondary, structures due to acquired damage to the lymphatic system. Fluid homeostasis is main-tained by a balance between capillary hydrostatic pressure, plasma oncotic pressure, interstitial hydrostatic pressure, and interstitial oncotic pressure. Chronic edema results when there is an imbalance caused either by increased capillary hydrostatic pressure that occurs during infection and the inflammatory process or by increased capillary pressure as seen in congestive heart failure or venous disease. 2 In addition, edema can be caused by decreased plasma oncotic pressure resulting from decreased protein in the blood as seen with liver disease or malnutrition. Lymphedema also occurs with normal capillary filtration but damage to the lymphatic system from surgery, radiation, or trauma leading to a decreased transport capacity. 1 The gold standard of lymphedema management is complete decongestive therapy (CDT), which consists of an intensive phase and a maintenance phase. 3 The goal of the intensive phase is to reduce the volume of edema and normalize the tissue texture, followed by the maintenance phase to maintain the volume reduction. 3 Before initiat-ing
{"title":"The Effect of Pharmaceutical Agents on Lymphedema","authors":"R. Shetye, Kathrynne Mulhern, Shweta Subramani, Elizabeth Campione","doi":"10.1097/01.REO.0000000000000342","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000342","url":null,"abstract":"Lymphedema is the abnormal accumulation of protein-rich fluid in the interstitial spaces that results from inadequate lymphatic function. 1 Lymphedema can be primary, suggesting abnormal growth and development of the lymphatic, or secondary, structures due to acquired damage to the lymphatic system. Fluid homeostasis is main-tained by a balance between capillary hydrostatic pressure, plasma oncotic pressure, interstitial hydrostatic pressure, and interstitial oncotic pressure. Chronic edema results when there is an imbalance caused either by increased capillary hydrostatic pressure that occurs during infection and the inflammatory process or by increased capillary pressure as seen in congestive heart failure or venous disease. 2 In addition, edema can be caused by decreased plasma oncotic pressure resulting from decreased protein in the blood as seen with liver disease or malnutrition. Lymphedema also occurs with normal capillary filtration but damage to the lymphatic system from surgery, radiation, or trauma leading to a decreased transport capacity. 1 The gold standard of lymphedema management is complete decongestive therapy (CDT), which consists of an intensive phase and a maintenance phase. 3 The goal of the intensive phase is to reduce the volume of edema and normalize the tissue texture, followed by the maintenance phase to maintain the volume reduction. 3 Before initiat-ing","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"4 1","pages":"160 - 162"},"PeriodicalIF":0.9,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87413295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-29DOI: 10.1097/01.reo.0000000000000337
Mallory Mark, Janae Finley, J. Binkley
{"title":"Disparities in Cancer Survivorship: From Global Impact to Individual Responsibility","authors":"Mallory Mark, Janae Finley, J. Binkley","doi":"10.1097/01.reo.0000000000000337","DOIUrl":"https://doi.org/10.1097/01.reo.0000000000000337","url":null,"abstract":"","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"35 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77096907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-29DOI: 10.1097/01.reo.0000000000000339
M. Fisher, L. Gilchrist
{"title":"We Still Can't Wait","authors":"M. Fisher, L. Gilchrist","doi":"10.1097/01.reo.0000000000000339","DOIUrl":"https://doi.org/10.1097/01.reo.0000000000000339","url":null,"abstract":"","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"25 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82913449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-29DOI: 10.1097/01.REO.0000000000000338
Mitra McLarney, T. Johnson, Gurtej Bajaj, David Lee, Jasmine Zheng
Background: Over 50% of individuals with cancer will experience pain at some point from diagnosis to treatment. Many of these individuals are elderly and frail, further complicating their pain management. The purpose of this review is to synthesize what is known about the assessment and management of cancer pain in the frail, elderly individual. Methods: A scoping review was undertaken using the methodology outlined by Arksey and O'Malley with reporting as defined by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Three databases were searched for articles that met our inclusion criteria and resulted in a total of 2007 articles of which 6 were ultimately included in our review. Results: Of the 6 studies included 5 focused on individual related characteristics and 1 study focused on provider factors. These studies found that frail and elderly individuals with cancer are at risk of unmanaged pain and polypharmacy; however, the prevalence remains unclear. Additionally, treatment of cancer pain in this population is impacted by clinicians' backgrounds and comfort levels in pain assessments. Discussion: The frail, elderly individual with cancer is at risk for pain. Little is currently known about how to accurately measure and safely treat pain in this population.
{"title":"Cancer Pain and Frailty: A Scoping Review of How Cancer Pain Is Evaluated and Treated in the Frail and Elderly","authors":"Mitra McLarney, T. Johnson, Gurtej Bajaj, David Lee, Jasmine Zheng","doi":"10.1097/01.REO.0000000000000338","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000338","url":null,"abstract":"Background: Over 50% of individuals with cancer will experience pain at some point from diagnosis to treatment. Many of these individuals are elderly and frail, further complicating their pain management. The purpose of this review is to synthesize what is known about the assessment and management of cancer pain in the frail, elderly individual. Methods: A scoping review was undertaken using the methodology outlined by Arksey and O'Malley with reporting as defined by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Three databases were searched for articles that met our inclusion criteria and resulted in a total of 2007 articles of which 6 were ultimately included in our review. Results: Of the 6 studies included 5 focused on individual related characteristics and 1 study focused on provider factors. These studies found that frail and elderly individuals with cancer are at risk of unmanaged pain and polypharmacy; however, the prevalence remains unclear. Additionally, treatment of cancer pain in this population is impacted by clinicians' backgrounds and comfort levels in pain assessments. Discussion: The frail, elderly individual with cancer is at risk for pain. Little is currently known about how to accurately measure and safely treat pain in this population.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"33 1","pages":"69 - 77"},"PeriodicalIF":0.9,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82938761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-20DOI: 10.1097/01.reo.0000000000000335
Miriam Dameron-Thompson
{"title":"A Personal Perspective of My Journey With Breast Cancer","authors":"Miriam Dameron-Thompson","doi":"10.1097/01.reo.0000000000000335","DOIUrl":"https://doi.org/10.1097/01.reo.0000000000000335","url":null,"abstract":"","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"28 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73302690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-20DOI: 10.1097/01.REO.0000000000000340
Kimberly Levenhagen, Claire C. Davies, Marisa Perdomo, Kathryn Ryans, L. Gilchrist
Background: Participation in exercise improves function, restores fitness, and enhances quality of life in survivors of breast cancer. There is robust evidence regarding resistance and aerobic training for women at risk for and with breast cancer–related lymphedema; however, the effect of yoga on impairments and functional outcomes has not been well documented. The purpose of this systematic review is to examine the effect of yoga on arm volume, strength, range of motion, function, and quality of life among women at risk for and with breast cancer–related lymphedema and create evidence-based recommendations. Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (Prospero registration number: 42022311574). EMBASE, PubMed, CINAHL Complete, Web of Science, Scopus, and Google Scholar were searched from January 2010 through December 2021. Quality and bias of included studies were assessed using the American Physical Therapy Association's Critical Appraisal Tool for Experimental Intervention Studies. Results: A total of 132 articles were screened for eligibility and 9 studies met inclusion criteria. Based on 3 acceptable and 6 low-quality studies, this review found that participation in yoga demonstrated a positive effect on arm range of motion, strength, function, and quality of life among women at risk for and with breast cancer–related lymphedema. No safety issues, including new onset or exacerbation of lymphedema, were found in the reviewed studies. Conclusion: Integration of yoga into a therapeutic plan of care is supported. Variations in yoga type, mode, duration, and frequency currently make it challenging to generate specific guidelines. Adherence and an ongoing commitment to yoga practice may promote long-term effects.
背景:参与运动可以改善乳腺癌幸存者的功能，恢复健康，提高生活质量。有强有力的证据表明，对于有乳腺癌相关淋巴水肿风险的妇女，阻力和有氧训练是有效的;然而，瑜伽对损伤和功能结果的影响并没有得到很好的证明。本系统综述的目的是研究瑜伽对有乳腺癌相关淋巴水肿风险的女性手臂体积、力量、活动范围、功能和生活质量的影响，并提出基于证据的建议。方法:本综述遵循系统评价和荟萃分析首选报告项目(PRISMA)指南(Prospero注册号:42022311574)。从2010年1月到2021年12月，检索了EMBASE、PubMed、CINAHL Complete、Web of Science、Scopus和Google Scholar。采用美国物理治疗协会的实验干预研究关键评估工具对纳入研究的质量和偏倚进行评估。结果:共筛选了132篇文章，其中9项研究符合纳入标准。基于3项可接受的研究和6项低质量的研究，本综述发现，参与瑜伽对有乳腺癌相关淋巴水肿风险的女性的手臂活动范围、力量、功能和生活质量有积极影响。在回顾的研究中未发现安全性问题，包括新发或加重淋巴水肿。结论:支持将瑜伽纳入治疗计划。瑜伽类型、模式、持续时间和频率的变化，目前很难制定具体的指导方针。坚持和持续致力于瑜伽练习可能会促进长期效果。
{"title":"Effect of Yoga Among Women at Risk and With Breast Cancer–Related Lymphedema: A Systematic Review","authors":"Kimberly Levenhagen, Claire C. Davies, Marisa Perdomo, Kathryn Ryans, L. Gilchrist","doi":"10.1097/01.REO.0000000000000340","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000340","url":null,"abstract":"Background: Participation in exercise improves function, restores fitness, and enhances quality of life in survivors of breast cancer. There is robust evidence regarding resistance and aerobic training for women at risk for and with breast cancer–related lymphedema; however, the effect of yoga on impairments and functional outcomes has not been well documented. The purpose of this systematic review is to examine the effect of yoga on arm volume, strength, range of motion, function, and quality of life among women at risk for and with breast cancer–related lymphedema and create evidence-based recommendations. Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (Prospero registration number: 42022311574). EMBASE, PubMed, CINAHL Complete, Web of Science, Scopus, and Google Scholar were searched from January 2010 through December 2021. Quality and bias of included studies were assessed using the American Physical Therapy Association's Critical Appraisal Tool for Experimental Intervention Studies. Results: A total of 132 articles were screened for eligibility and 9 studies met inclusion criteria. Based on 3 acceptable and 6 low-quality studies, this review found that participation in yoga demonstrated a positive effect on arm range of motion, strength, function, and quality of life among women at risk for and with breast cancer–related lymphedema. No safety issues, including new onset or exacerbation of lymphedema, were found in the reviewed studies. Conclusion: Integration of yoga into a therapeutic plan of care is supported. Variations in yoga type, mode, duration, and frequency currently make it challenging to generate specific guidelines. Adherence and an ongoing commitment to yoga practice may promote long-term effects.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"34 1","pages":"129 - 138"},"PeriodicalIF":0.9,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87137696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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