Pub Date : 2022-01-01DOI: 10.1097/01.reo.0000000000000296
{"title":"Effects of High-Intensity Interval Training on Cardiorespiratory Fitness, and Body Composition in Overweight and Obese Breast Cancer Survivors: A Randomized Controlled Trial: Erratum","authors":"","doi":"10.1097/01.reo.0000000000000296","DOIUrl":"https://doi.org/10.1097/01.reo.0000000000000296","url":null,"abstract":"","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74609426","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 : 2022-01-01DOI: 10.1097/01.REO.0000000000000278
N. Stout, L. Pfalzer, J. Drouin, A. Litterini, Amy Tible, Elizabeth Demarse
Supplemental Digital Content is Available in the Text. Background: Oncologic specialty physical therapists (OncPTs) are a growing discipline in the cancer workforce. The complexities of cancer care delivery and the multidimensional nature of cancer care teams require oncology providers to serve in professional roles beyond clinical care. This project aims to assess the professional roles that OncPTs play in cancer care delivery. Methods: A 27-item survey was developed by the Oncologic Specialty Council of the American Board of Physical Therapy Specialties and sent electronically to board-certified oncologic clinical specialists in the United States. The survey was open for 45 days. Demographics of the population and frequency data were analyzed in Qualtrics. Results: Fifty-seven complete surveys were received out of 106 eligible specialists (response rate 53%). Respondents were predominantly female (91%) and White (78%). Fifty-six percent (n = 32) had greater than 15 years of practice experience and 68% (n = 39) held DPTs. Seventy-three percent reported greater than 50% of their work week dedicated to oncology practice and 52.6% reported providing consultations or treatment in the physical space of a cancer center. All respondents have been board-certified OncPTs for at least 1 year. Providing clinical care accounted for 71% of the cohorts' work time and 14% was spent in program development (outside of clinical care). Specialists reported oncology-specific program development responsibilities across 3 themes: workforce development (mentoring and teaching peers and staff), establishing clinical practice standards (standardizing assessment tools and clinical pathways), and program assessment (quality improvement and research). The OncPT professional roles included leadership responsibilities within their health system (n = 24) and leadership or committee roles in rehabilitation-specific professional organizations (n = 55). No respondents reported serving in roles regarding research mentorship or advising on state policy or payer issues, and 1 respondent identified a role in advising on federal policy issues. Conclusion: Oncologic specialty physical therapists primarily serve clinical patient care roles. Aside from clinical practice, program development roles focus on rehabilitation-centric staff and student education and clinical pathways for rehabilitation care delivery. However, at the cancer care delivery system level, participation in professional roles beyond the rehabilitation clinic is less frequent. Gaps in participation are identified at the societal level with no representation from this cohort in payment and policy initiatives at the state and federal levels. We provide a roadmap to action that describes multilevel interventions to improve the integration of OncPTs into cancer care delivery. These findings may inform competencies for clinical specialists and guide residency program development.
{"title":"Professional Roles of Oncologic Specialty Physical Therapists in the United States","authors":"N. Stout, L. Pfalzer, J. Drouin, A. Litterini, Amy Tible, Elizabeth Demarse","doi":"10.1097/01.REO.0000000000000278","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000278","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Background: Oncologic specialty physical therapists (OncPTs) are a growing discipline in the cancer workforce. The complexities of cancer care delivery and the multidimensional nature of cancer care teams require oncology providers to serve in professional roles beyond clinical care. This project aims to assess the professional roles that OncPTs play in cancer care delivery. Methods: A 27-item survey was developed by the Oncologic Specialty Council of the American Board of Physical Therapy Specialties and sent electronically to board-certified oncologic clinical specialists in the United States. The survey was open for 45 days. Demographics of the population and frequency data were analyzed in Qualtrics. Results: Fifty-seven complete surveys were received out of 106 eligible specialists (response rate 53%). Respondents were predominantly female (91%) and White (78%). Fifty-six percent (n = 32) had greater than 15 years of practice experience and 68% (n = 39) held DPTs. Seventy-three percent reported greater than 50% of their work week dedicated to oncology practice and 52.6% reported providing consultations or treatment in the physical space of a cancer center. All respondents have been board-certified OncPTs for at least 1 year. Providing clinical care accounted for 71% of the cohorts' work time and 14% was spent in program development (outside of clinical care). Specialists reported oncology-specific program development responsibilities across 3 themes: workforce development (mentoring and teaching peers and staff), establishing clinical practice standards (standardizing assessment tools and clinical pathways), and program assessment (quality improvement and research). The OncPT professional roles included leadership responsibilities within their health system (n = 24) and leadership or committee roles in rehabilitation-specific professional organizations (n = 55). No respondents reported serving in roles regarding research mentorship or advising on state policy or payer issues, and 1 respondent identified a role in advising on federal policy issues. Conclusion: Oncologic specialty physical therapists primarily serve clinical patient care roles. Aside from clinical practice, program development roles focus on rehabilitation-centric staff and student education and clinical pathways for rehabilitation care delivery. However, at the cancer care delivery system level, participation in professional roles beyond the rehabilitation clinic is less frequent. Gaps in participation are identified at the societal level with no representation from this cohort in payment and policy initiatives at the state and federal levels. We provide a roadmap to action that describes multilevel interventions to improve the integration of OncPTs into cancer care delivery. These findings may inform competencies for clinical specialists and guide residency program development.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"31 1","pages":"7 - 15"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90602680","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 : 2021-12-28DOI: 10.1097/01.REO.0000000000000287
Benjamin S. Boyd, Betty J. Smoot, R. Nee
Background: Left/right judgment tasks (LRJTs) theoretically require mental maneuvering one's body to reorient and match a viewed image. Mental maneuvering strategies may include spatial transformation and/or motor imagery. LRJT performance outcomes do not inherently distinguish between mental maneuvering strategies used to accomplish the task. Orientation difference (OD) describes the difference between the observer's position and the body orientation within an image. Evaluating whether LRJTs elicit mental maneuvering has traditionally been based upon the premise of an inverse linear relationship between LRJT performance and OD (“exact match” hypothesis). If true, larger ODs should lead to slower LRJT performance. Objectives: To evaluate the relationship between OD and chest and shoulder LRJT performance. Design: Observational, cohort study. Method: Associations between OD and LRJT accuracy and response time were evaluated in women with and without a history of unilateral breast cancer. Images from chest and shoulder LRJTs were categorized by various OD methods that assume more efficient (shortest path: OD(shortest path)) or less efficient (rotation by dimensions: (OD(rotation by dimensions)) participant mental maneuvering. Shoulder analyses also incorporated the angle between the arm and trunk (OD(shortest path + arm angle) and OD(rotation by dimensions + arm angle)). Results: Chest LRJT response time was most associated with OD(shortest path) (R2 = 0.510). Shoulder LRJT response time was most associated with OD(rotation by dimensions + arm angle) (R2 = 0.807). Both relationships were nonlinear. Discussion: Strong relationships between chest and shoulder LRJT and different OD models suggest these are discrete tasks that elicit mental maneuvering. The nonlinear nature of these relationships does not support the “exact match” hypothesis. Factors that can explain the remaining variance in LRJT performance need to be identified.
{"title":"Left/Right Judgment Task for the Chest Region, Part 2: Evidence for Mental Maneuvering in Performance During Chest Versus Shoulder Regions","authors":"Benjamin S. Boyd, Betty J. Smoot, R. Nee","doi":"10.1097/01.REO.0000000000000287","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000287","url":null,"abstract":"Background: Left/right judgment tasks (LRJTs) theoretically require mental maneuvering one's body to reorient and match a viewed image. Mental maneuvering strategies may include spatial transformation and/or motor imagery. LRJT performance outcomes do not inherently distinguish between mental maneuvering strategies used to accomplish the task. Orientation difference (OD) describes the difference between the observer's position and the body orientation within an image. Evaluating whether LRJTs elicit mental maneuvering has traditionally been based upon the premise of an inverse linear relationship between LRJT performance and OD (“exact match” hypothesis). If true, larger ODs should lead to slower LRJT performance. Objectives: To evaluate the relationship between OD and chest and shoulder LRJT performance. Design: Observational, cohort study. Method: Associations between OD and LRJT accuracy and response time were evaluated in women with and without a history of unilateral breast cancer. Images from chest and shoulder LRJTs were categorized by various OD methods that assume more efficient (shortest path: OD(shortest path)) or less efficient (rotation by dimensions: (OD(rotation by dimensions)) participant mental maneuvering. Shoulder analyses also incorporated the angle between the arm and trunk (OD(shortest path + arm angle) and OD(rotation by dimensions + arm angle)). Results: Chest LRJT response time was most associated with OD(shortest path) (R2 = 0.510). Shoulder LRJT response time was most associated with OD(rotation by dimensions + arm angle) (R2 = 0.807). Both relationships were nonlinear. Discussion: Strong relationships between chest and shoulder LRJT and different OD models suggest these are discrete tasks that elicit mental maneuvering. The nonlinear nature of these relationships does not support the “exact match” hypothesis. Factors that can explain the remaining variance in LRJT performance need to be identified.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"10 3","pages":"71 - 81"},"PeriodicalIF":0.9,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72412287","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 : 2021-09-10DOI: 10.1097/01.REO.0000000000000274
T. Jacob, J. Bracha, R. Peleg, Amit Epstein, Ilana Yosha
Supplemental Digital Content is Available in the Text. Survivors of breast cancer (BC) face various upper quadrant side effects (UQSEs) after surgery and treatments. This study aims to develop consensus for recommendations for side effect (SE) risk reduction. A team of physical therapists certified in lymphedema treatment (PTCLTs) conducted a narrative literature review and developed a questionnaire (topics included post-BC UQSE risk reduction instruction), which was then used in a Delphi survey to understand perceptions of a representative sample of Israeli PTCLTs (study participants). Thirty studies on post-BC upper quadrant (UQ) and other SE risk reduction recommendations and 29 studies on protocols for risk reduction instruction provision were identified. The levels of evidence of the studies varied widely. A 2-round Delphi questionnaire was completed by 130 and 101 study participants, respectively. The main general recommendations were: (1) instruction provision and referral to PTCLTs for all women after BC surgery; (2) information provision about individual risk for SEs and controversies; and (3) stress avoidance. Lymphedema and other UQ risk reduction recommendations were infection prevention, early shoulder mobility, physical activity, and normal body mass index. Instruction should be provided: pre-surgery, before hospital discharge, a few weeks after discharge, and during prospective surveillance. Instruction content would depend on timing and individual need. Although the literature review was comprehensive, it was not systematic. The study population excluded other health care staff. These recommendations may assist health care providers to give individually tailored instructions for patients after BC surgery and treatments.
{"title":"Risk Reduction Recommendations for Upper Quadrant Side Effects After Breast Cancer Surgery and Treatments: A Delphi Survey to Evaluate Consensus Among Expert Physical Therapists and Alignment With Current Evidence","authors":"T. Jacob, J. Bracha, R. Peleg, Amit Epstein, Ilana Yosha","doi":"10.1097/01.REO.0000000000000274","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000274","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Survivors of breast cancer (BC) face various upper quadrant side effects (UQSEs) after surgery and treatments. This study aims to develop consensus for recommendations for side effect (SE) risk reduction. A team of physical therapists certified in lymphedema treatment (PTCLTs) conducted a narrative literature review and developed a questionnaire (topics included post-BC UQSE risk reduction instruction), which was then used in a Delphi survey to understand perceptions of a representative sample of Israeli PTCLTs (study participants). Thirty studies on post-BC upper quadrant (UQ) and other SE risk reduction recommendations and 29 studies on protocols for risk reduction instruction provision were identified. The levels of evidence of the studies varied widely. A 2-round Delphi questionnaire was completed by 130 and 101 study participants, respectively. The main general recommendations were: (1) instruction provision and referral to PTCLTs for all women after BC surgery; (2) information provision about individual risk for SEs and controversies; and (3) stress avoidance. Lymphedema and other UQ risk reduction recommendations were infection prevention, early shoulder mobility, physical activity, and normal body mass index. Instruction should be provided: pre-surgery, before hospital discharge, a few weeks after discharge, and during prospective surveillance. Instruction content would depend on timing and individual need. Although the literature review was comprehensive, it was not systematic. The study population excluded other health care staff. These recommendations may assist health care providers to give individually tailored instructions for patients after BC surgery and treatments.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"85 1","pages":"E106 - E118"},"PeriodicalIF":0.9,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86908554","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 : 2021-09-08DOI: 10.1097/01.REO.0000000000000275
P. Bamonti, R. Weiskittle, A. Naik, J. Bean, J. Moye
Background: Cancer survivors are at risk for declines in physical functioning (PF). The strongest predictor of PF is prior PF. Clinically significant depression predicts declines in PF; however, the extent to which depression symptoms moderate the association between self-reported and performance-based measures of PF over time is unknown. Objective/Purpose: To examine whether level of depression symptoms in cancer survivors moderates the association of repeated self- and performance-based measures of PF at 6 and 18 months after cancer diagnosis. Methods: Prospective, observational study with assessment at 6 (T1), 12 (T2), and 18 months after cancer diagnosis (T3). Setting and Patients: Community-dwelling US veterans with newly diagnosed head and neck, esophageal, gastric, or colorectal cancers. Measurements: Measures included demographics, cancer variables (type, stage, severity, and treatment), depression symptoms (Patient Health Questionnaire-9 [PHQ-9]), Short Physical Performance Battery (SPPB), and self-reported PF (Patient-Reported Outcomes Measurement Information System-29 [PROMIS-29]). Results: Using hierarchical regression models, after adjustment for covariates, depression symptoms at T2 moderated the relationship between performance-based PF, SPPB (β = −0.24, P = .001) but not self-reported PF, PROMIS (β = −0.14, P = .05). In moderation analyses, SPPB T1 was only related to SPPB T3 when the PHQ-9 score was less than 9. Limitations: Majority White, male participants, did not measure chronicity of depression. Conclusions: Depression symptoms moderate the relationship of performance-based PF from baseline to 18 months.
{"title":"Depression Moderates Physical Functioning Over Time in Survivors of Cancer","authors":"P. Bamonti, R. Weiskittle, A. Naik, J. Bean, J. Moye","doi":"10.1097/01.REO.0000000000000275","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000275","url":null,"abstract":"Background: Cancer survivors are at risk for declines in physical functioning (PF). The strongest predictor of PF is prior PF. Clinically significant depression predicts declines in PF; however, the extent to which depression symptoms moderate the association between self-reported and performance-based measures of PF over time is unknown. Objective/Purpose: To examine whether level of depression symptoms in cancer survivors moderates the association of repeated self- and performance-based measures of PF at 6 and 18 months after cancer diagnosis. Methods: Prospective, observational study with assessment at 6 (T1), 12 (T2), and 18 months after cancer diagnosis (T3). Setting and Patients: Community-dwelling US veterans with newly diagnosed head and neck, esophageal, gastric, or colorectal cancers. Measurements: Measures included demographics, cancer variables (type, stage, severity, and treatment), depression symptoms (Patient Health Questionnaire-9 [PHQ-9]), Short Physical Performance Battery (SPPB), and self-reported PF (Patient-Reported Outcomes Measurement Information System-29 [PROMIS-29]). Results: Using hierarchical regression models, after adjustment for covariates, depression symptoms at T2 moderated the relationship between performance-based PF, SPPB (β = −0.24, P = .001) but not self-reported PF, PROMIS (β = −0.14, P = .05). In moderation analyses, SPPB T1 was only related to SPPB T3 when the PHQ-9 score was less than 9. Limitations: Majority White, male participants, did not measure chronicity of depression. Conclusions: Depression symptoms moderate the relationship of performance-based PF from baseline to 18 months.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"8 1","pages":"E98 - E105"},"PeriodicalIF":0.9,"publicationDate":"2021-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90811726","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 : 2021-09-01DOI: 10.1097/01.REO.0000000000000269
A. Heldens, B. Bongers, J. de Vos-Geelen, Iris J G Minis-Rutten, L. Stassen, W. Buhre, N. V. van Meeteren
Background: Patients with locally advanced rectal cancer are often considered for neoadjuvant chemoradiotherapy before resection. This presurgical treatment can have negative effects on physical fitness, muscle mass, and treatment compliance, which can negatively influence clinical outcomes. Objective: The aim of this study was to evaluate physical fitness and skeletal muscle mass before and after neoadjuvant chemoradiotherapy in single subjects with locally advanced rectal cancer. Design: An observational longitudinal study of single subjects. Methods: Routine care data were retrospectively analyzed. Data consisted of tumor characteristics, clinical data (eg, side effects and toxicity of the neoadjuvant chemoradiotherapy, loss of body mass), data on performance-based physical fitness, and computed tomography–derived skeletal muscle mass. An independent-samples t test or its nonparametric equivalent was performed on outcome measures to test for significant differences between T0 and T1. For comparing several subgroups in this cohort, the Mann-Whitney U test was performed and correlations were studied using the Pearson or Spearman correlation coefficient, as appropriate. Results: Data from 25 single subjects were available. Aerobic capacity (n = 25, P = .033) and skeletal muscle mass (n = 16, P = .005) were significantly reduced after neoadjuvant chemoradiotherapy. Although not statistically significant, a large number of patients demonstrated a decrease in muscle strength and functional mobility after completing neoadjuvant chemoradiotherapy. In 14 patients (56%), adverse events, dose-limiting toxicity, or early termination of treatment occurred. Conclusions: Aerobic capacity and skeletal muscle mass decreased following neoadjuvant chemoradiotherapy, with large interindividual differences concerning the changes in physical fitness and muscle mass. This between-subject variability indicates the importance of a personalized treatment approach.
背景:局部晚期直肠癌患者通常考虑在切除前进行新辅助放化疗。这种术前治疗可能对身体健康、肌肉量和治疗依从性产生负面影响，从而对临床结果产生负面影响。目的:本研究的目的是评估单个局部晚期直肠癌患者新辅助放化疗前后的体能和骨骼肌质量。设计:单一受试者的观察性纵向研究。方法:回顾性分析常规护理资料。数据包括肿瘤特征、临床数据(例如，新辅助放化疗的副作用和毒性、体重损失)、基于性能的体能数据和计算机断层扫描得出的骨骼肌质量。对结果测量进行独立样本t检验或其非参数等效检验，以检验T0和T1之间的显著差异。为了比较该队列中的几个亚组，采用Mann-Whitney U检验，并酌情使用Pearson或Spearman相关系数研究相关性。结果:来自25个单一受试者的数据可用。新辅助放化疗后，有氧能力(n = 25, P = 0.033)和骨骼肌质量(n = 16, P = 0.005)显著降低。虽然没有统计学意义，但大量患者在完成新辅助放化疗后表现出肌肉力量和功能活动能力下降。14例患者(56%)发生了不良事件、剂量限制性毒性或早期终止治疗。结论:新辅助放化疗后，有氧能力和骨骼肌量下降，在体能和肌肉量的变化方面存在较大的个体差异。这种受试者之间的可变性表明了个性化治疗方法的重要性。
{"title":"Physical Fitness and Skeletal Muscle Mass During Neoadjuvant Chemoradiotherapy in Patients with Locally Advanced Rectal Cancer: An Observational Study","authors":"A. Heldens, B. Bongers, J. de Vos-Geelen, Iris J G Minis-Rutten, L. Stassen, W. Buhre, N. V. van Meeteren","doi":"10.1097/01.REO.0000000000000269","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000269","url":null,"abstract":"Background: Patients with locally advanced rectal cancer are often considered for neoadjuvant chemoradiotherapy before resection. This presurgical treatment can have negative effects on physical fitness, muscle mass, and treatment compliance, which can negatively influence clinical outcomes. Objective: The aim of this study was to evaluate physical fitness and skeletal muscle mass before and after neoadjuvant chemoradiotherapy in single subjects with locally advanced rectal cancer. Design: An observational longitudinal study of single subjects. Methods: Routine care data were retrospectively analyzed. Data consisted of tumor characteristics, clinical data (eg, side effects and toxicity of the neoadjuvant chemoradiotherapy, loss of body mass), data on performance-based physical fitness, and computed tomography–derived skeletal muscle mass. An independent-samples t test or its nonparametric equivalent was performed on outcome measures to test for significant differences between T0 and T1. For comparing several subgroups in this cohort, the Mann-Whitney U test was performed and correlations were studied using the Pearson or Spearman correlation coefficient, as appropriate. Results: Data from 25 single subjects were available. Aerobic capacity (n = 25, P = .033) and skeletal muscle mass (n = 16, P = .005) were significantly reduced after neoadjuvant chemoradiotherapy. Although not statistically significant, a large number of patients demonstrated a decrease in muscle strength and functional mobility after completing neoadjuvant chemoradiotherapy. In 14 patients (56%), adverse events, dose-limiting toxicity, or early termination of treatment occurred. Conclusions: Aerobic capacity and skeletal muscle mass decreased following neoadjuvant chemoradiotherapy, with large interindividual differences concerning the changes in physical fitness and muscle mass. This between-subject variability indicates the importance of a personalized treatment approach.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"153 1","pages":"E73 - E82"},"PeriodicalIF":0.9,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77706429","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 : 2021-09-01DOI: 10.1097/01.reo.0000000000000272
Bryan A. Spinelli
{"title":"Recognizing Barriers to Physical Activity and Exercise in Survivors of Head and Neck Cancer","authors":"Bryan A. Spinelli","doi":"10.1097/01.reo.0000000000000272","DOIUrl":"https://doi.org/10.1097/01.reo.0000000000000272","url":null,"abstract":"","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"70 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90973492","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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