Pub Date : 2021-08-26DOI: 10.1097/01.REO.0000000000000268
Syarifah Maisarah Syed Alwi, Vairavan Narayanan, N. C. Din, N. Taib
Supplemental Digital Content is Available in the Text. Background: Chemotherapy-related cognitive impairment (CRCI) is a condition experienced by many survivors of breast cancer. At present, there are a limited number of rehabilitation programs tailored to improve the cognitive performance of these survivors. Purpose: This systematic review aims to evaluate the existing evidence-based cognitive rehabilitation programs designed for survivors of breast cancer with CRCI. Methods: Electronic databases, including PubMed and CINAHL Plus, were used to identify the relevant articles. The search was restricted to studies published in the English language from inception to March 2020. The methodological quality of the studies included here was examined using the Quality Criteria for Rating Studies of Cognitive Rehabilitation. Results: The search strategy identified 1557 studies, 10 of which met the inclusion criteria. The studies included randomized controlled trial (n = 6), quasi-randomized controlled trial (n = 1), and single-arm trial (n = 3). Discussion and Limitations: Seven of the 10 studies were considered high-quality cognitive rehabilitation research. Cognitive training (n = 4), compensatory strategies (n = 5), and a combination of cognitive training and compensatory strategies (n = 1) were shown to improve executive function, working and verbal memory, processing speed, and attention. Conclusion: Cognitive rehabilitation programs demonstrated positive outcomes for survivors of breast cancer with cognitive impairment. However, because of methodological concerns and the diversity in the programs' parameters and outcome measures, an explicit recommendation could not be established. The findings may guide future research, policies, and practices related to cognitive rehabilitation programs for survivors of breast cancer.
{"title":"Cognitive Rehabilitation Programs for Survivors of Breast Cancer Treated With Chemotherapy: A Systematic Review","authors":"Syarifah Maisarah Syed Alwi, Vairavan Narayanan, N. C. Din, N. Taib","doi":"10.1097/01.REO.0000000000000268","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000268","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Background: Chemotherapy-related cognitive impairment (CRCI) is a condition experienced by many survivors of breast cancer. At present, there are a limited number of rehabilitation programs tailored to improve the cognitive performance of these survivors. Purpose: This systematic review aims to evaluate the existing evidence-based cognitive rehabilitation programs designed for survivors of breast cancer with CRCI. Methods: Electronic databases, including PubMed and CINAHL Plus, were used to identify the relevant articles. The search was restricted to studies published in the English language from inception to March 2020. The methodological quality of the studies included here was examined using the Quality Criteria for Rating Studies of Cognitive Rehabilitation. Results: The search strategy identified 1557 studies, 10 of which met the inclusion criteria. The studies included randomized controlled trial (n = 6), quasi-randomized controlled trial (n = 1), and single-arm trial (n = 3). Discussion and Limitations: Seven of the 10 studies were considered high-quality cognitive rehabilitation research. Cognitive training (n = 4), compensatory strategies (n = 5), and a combination of cognitive training and compensatory strategies (n = 1) were shown to improve executive function, working and verbal memory, processing speed, and attention. Conclusion: Cognitive rehabilitation programs demonstrated positive outcomes for survivors of breast cancer with cognitive impairment. However, because of methodological concerns and the diversity in the programs' parameters and outcome measures, an explicit recommendation could not be established. The findings may guide future research, policies, and practices related to cognitive rehabilitation programs for survivors of breast cancer.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"52 1","pages":"155 - 167"},"PeriodicalIF":0.9,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85146890","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 : 2021-08-26DOI: 10.1097/01.REO.0000000000000270
A. Samhan, A. S. Ahmed, W. S. Mahmoud, N. M. Abdelhalim
Background: Obesity is considered a major risk factor for breast cancer. High-intensity interval training (HIIT) is a time-efficient exercise that significantly advances cardiorespiratory fitness in healthy subjects. Purpose: This study aimed to evaluate the effects of HIIT on cardiorespiratory fitness and body composition in survivors of breast cancer who are overweight and obese. Methods: Sixty overweight and obese female breast cancer survivors, aged 40 to 60 years, 6 months after completing therapies were included in this study. The patients were randomly allocated to 2 groups: the HIIT group (n = 30; administered HIIT program 3 sessions per week for 8 successive weeks) and the control group (n = 30; received usual care measures). Cardiorespiratory fitness, measured using maximal oxygen uptake (V˙O2 peak ), and body composition were evaluated in patients of both groups at baseline and after the intervention period. Results: V˙O2 peak increased significantly by 3.77 mL⋅kg−1⋅min−1 between pre- and posttreatment (P ˂ .05) in the HIIT group. Body mass indexes in both groups were similar (P > .05). Women in the HIIT group showed significant fat mass changes, fat mass percentage, and lean body mass (P ˂ .05). Conclusion: This study shows that HIIT effectively improves cardiorespiratory fitness and body composition in breast cancer survivors.
{"title":"Effects of High-Intensity Interval Training on Cardiorespiratory Fitness, Body Composition, and Quality of Life in Overweight and Obese Survivors of Breast Cancer","authors":"A. Samhan, A. S. Ahmed, W. S. Mahmoud, N. M. Abdelhalim","doi":"10.1097/01.REO.0000000000000270","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000270","url":null,"abstract":"Background: Obesity is considered a major risk factor for breast cancer. High-intensity interval training (HIIT) is a time-efficient exercise that significantly advances cardiorespiratory fitness in healthy subjects. Purpose: This study aimed to evaluate the effects of HIIT on cardiorespiratory fitness and body composition in survivors of breast cancer who are overweight and obese. Methods: Sixty overweight and obese female breast cancer survivors, aged 40 to 60 years, 6 months after completing therapies were included in this study. The patients were randomly allocated to 2 groups: the HIIT group (n = 30; administered HIIT program 3 sessions per week for 8 successive weeks) and the control group (n = 30; received usual care measures). Cardiorespiratory fitness, measured using maximal oxygen uptake (V˙O2 peak ), and body composition were evaluated in patients of both groups at baseline and after the intervention period. Results: V˙O2 peak increased significantly by 3.77 mL⋅kg−1⋅min−1 between pre- and posttreatment (P ˂ .05) in the HIIT group. Body mass indexes in both groups were similar (P > .05). Women in the HIIT group showed significant fat mass changes, fat mass percentage, and lean body mass (P ˂ .05). Conclusion: This study shows that HIIT effectively improves cardiorespiratory fitness and body composition in breast cancer survivors.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"46 1","pages":"168 - 174"},"PeriodicalIF":0.9,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86357775","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 : 2021-03-15DOI: 10.1097/01.REO.0000000000000256
Noelia Martínez de Albéniz Santamaría, M. Santamaría-Vázquez, J. H. Ortiz-Huerta
Objective: To improve the scapulohumeral joint limitations and increase the health-related quality of life (HRQOL) in women with lymphedema secondary to breast neoplasms. Methods: A preexperimental design (with pre- and posttest evaluations in only one group) was conducted in a group of 11 women with lymphedema secondary to breast cancer. They received 5 individual weekly sessions of 30 minutes each performed with the Wii console and the Wii Balance Board. Measurements: The Oxford Shoulder Score and the Shoulder Pain and Disability Index were used for the data measurements of both shoulder pain and disability; Functional Assessment of Cancer Therapy Questionnaire General and Functional Assessment of Cancer Therapy Questionnaire for Breast Cancer were used to evaluate HRQOL; muscle strength was tested with an electronic manual dynamometer and range of motion by manual goniometry. Results: Statistically significant improvements were reported: pain (P = .011), disability (P > .05), HRQOL associated with lymphedema (P = .016), strength (P < .05), and range of articular motion (P < .05). Conclusions: The results suggest that a video game–based program is useful for addressing limitations relating to lymphedema and require further investigation.
{"title":"Effects of a Video Game–Based Program on Women With Lymphedema Secondary to Breast Cancer: Preexperimental Study","authors":"Noelia Martínez de Albéniz Santamaría, M. Santamaría-Vázquez, J. H. Ortiz-Huerta","doi":"10.1097/01.REO.0000000000000256","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000256","url":null,"abstract":"Objective: To improve the scapulohumeral joint limitations and increase the health-related quality of life (HRQOL) in women with lymphedema secondary to breast neoplasms. Methods: A preexperimental design (with pre- and posttest evaluations in only one group) was conducted in a group of 11 women with lymphedema secondary to breast cancer. They received 5 individual weekly sessions of 30 minutes each performed with the Wii console and the Wii Balance Board. Measurements: The Oxford Shoulder Score and the Shoulder Pain and Disability Index were used for the data measurements of both shoulder pain and disability; Functional Assessment of Cancer Therapy Questionnaire General and Functional Assessment of Cancer Therapy Questionnaire for Breast Cancer were used to evaluate HRQOL; muscle strength was tested with an electronic manual dynamometer and range of motion by manual goniometry. Results: Statistically significant improvements were reported: pain (P = .011), disability (P > .05), HRQOL associated with lymphedema (P = .016), strength (P < .05), and range of articular motion (P < .05). Conclusions: The results suggest that a video game–based program is useful for addressing limitations relating to lymphedema and require further investigation.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"6 1","pages":"E83 - E88"},"PeriodicalIF":0.9,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89755762","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 : 2021-03-02DOI: 10.1097/01.REO.0000000000000255
A. Sundrasekaran, Emad Abdalla, Sumaiya Sobani, M. Shafi, Noora Al-Mudahka
Novel coronavirus (COVID-19) has spread rapidly, forcing changes to health care systems across the globe. COVID-19 outbreak in Qatar has led to the application of preventive measures and cutting of face-to-face outpatient services across Hamad Medical Corporation, the main provider of primary and tertiary health care, aiming to reduce the risk of transmission. The disruption of face-to-face management of patients with cancer and primary lymphedema added to the lack of literature, specifically on its rehabilitation, during such unprecedented crisis and raised the need to quickly modulate our lymphedema outpatient physiotherapy services to ensure the continuity of care. This article describes how our team redesigned its lymphedema management approach through rapid development of online educational treatment resources and implementation of telerehabilitation to patients with lymphedema for the first time in Qatar. Unforeseen challenges were addressed in a 4-phased plan comprising operational, telephonic, virtual, and face-to-face phases, with a descriptive statistical analysis of data and the outpatient activity recorded throughout the phases. Evaluating the efficacy of such program in future research may open up windows for telerehabilitation to become a cornerstone in lymphedema care even after the pandemic.
{"title":"Physiotherapy Management Response for Patients With Lymphedema Amid the COVID-19 Pandemic in the State of Qatar: A Perspective Study","authors":"A. Sundrasekaran, Emad Abdalla, Sumaiya Sobani, M. Shafi, Noora Al-Mudahka","doi":"10.1097/01.REO.0000000000000255","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000255","url":null,"abstract":"Novel coronavirus (COVID-19) has spread rapidly, forcing changes to health care systems across the globe. COVID-19 outbreak in Qatar has led to the application of preventive measures and cutting of face-to-face outpatient services across Hamad Medical Corporation, the main provider of primary and tertiary health care, aiming to reduce the risk of transmission. The disruption of face-to-face management of patients with cancer and primary lymphedema added to the lack of literature, specifically on its rehabilitation, during such unprecedented crisis and raised the need to quickly modulate our lymphedema outpatient physiotherapy services to ensure the continuity of care. This article describes how our team redesigned its lymphedema management approach through rapid development of online educational treatment resources and implementation of telerehabilitation to patients with lymphedema for the first time in Qatar. Unforeseen challenges were addressed in a 4-phased plan comprising operational, telephonic, virtual, and face-to-face phases, with a descriptive statistical analysis of data and the outpatient activity recorded throughout the phases. Evaluating the efficacy of such program in future research may open up windows for telerehabilitation to become a cornerstone in lymphedema care even after the pandemic.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"4 1","pages":"E89 - E97"},"PeriodicalIF":0.9,"publicationDate":"2021-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87421363","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 : 2021-02-23DOI: 10.1097/01.reo.0000000000000262
{"title":"Congratulations to the Oncology Clinical Certified Specialists— Class of 2020","authors":"","doi":"10.1097/01.reo.0000000000000262","DOIUrl":"https://doi.org/10.1097/01.reo.0000000000000262","url":null,"abstract":"","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"58 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77395501","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 : 2021-01-12DOI: 10.1097/01.REO.0000000000000249
J. Blackwood, Kateri Rybicki
Background and Purpose: Reduced physical activity (PA) is associated with poor prognosis in cancer survivors. Clinicians and researchers have attempted to improve adherence to PA recommendations, essentially bridging the gap between the clinic and the home by incorporating telehealth technologies in patients with chronic diseases. However, various approaches to telehealth may be used and the effectiveness of these interventions in cancer survivors is unknown. The purpose of this systematic review was to describe the type of technology used and outcomes of telehealth-delivered PA programs in adult cancer survivors. Methods: A systematic review was performed to examine telehealth methods used to deliver PA exercise programs in adult cancer survivors. Databases searched for articles included PubMed/Ovid, MEDLINE/Web of Science, and CINAHL Complete via EBSCO. All articles that met the inclusion criteria were appraised by 2 reviewers independently and discussed against inclusion/exclusion criteria. The Cochrane Risk of Bias Assessment was used to assess study quality. Results: The search located 21 articles, and 5 met inclusion criteria. Articles included survivors from breast cancer (n = 3), prostate cancer (n = 1), and mixed sample (n = 1), including breast, cervical, endometrial, lung, leukemia, lymphoma, urinary, melanoma, rectal, oral, ovarian, and prostate cancer survivors. Sample size ranged from 41 to 339 and comprised 81.2% breast cancer survivors. PA interventions were delivered via telehealth by telephone calls (2 studies), smartphone apps (2 studies), and one used a combination of telephone calls and text messaging. Limitations: Selection bias is possible. Limited types of telehealth technologies were used. Conclusions: Limited evidence exists describing better outcomes of telehealth-delivered PA programs in cancer survivors than by traditional home exercise program instruction, and further study is indicated.
{"title":"Outcomes of Telehealth-Delivered Physical Activity Programs in Adult Cancer Survivors: A Systematic Review","authors":"J. Blackwood, Kateri Rybicki","doi":"10.1097/01.REO.0000000000000249","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000249","url":null,"abstract":"Background and Purpose: Reduced physical activity (PA) is associated with poor prognosis in cancer survivors. Clinicians and researchers have attempted to improve adherence to PA recommendations, essentially bridging the gap between the clinic and the home by incorporating telehealth technologies in patients with chronic diseases. However, various approaches to telehealth may be used and the effectiveness of these interventions in cancer survivors is unknown. The purpose of this systematic review was to describe the type of technology used and outcomes of telehealth-delivered PA programs in adult cancer survivors. Methods: A systematic review was performed to examine telehealth methods used to deliver PA exercise programs in adult cancer survivors. Databases searched for articles included PubMed/Ovid, MEDLINE/Web of Science, and CINAHL Complete via EBSCO. All articles that met the inclusion criteria were appraised by 2 reviewers independently and discussed against inclusion/exclusion criteria. The Cochrane Risk of Bias Assessment was used to assess study quality. Results: The search located 21 articles, and 5 met inclusion criteria. Articles included survivors from breast cancer (n = 3), prostate cancer (n = 1), and mixed sample (n = 1), including breast, cervical, endometrial, lung, leukemia, lymphoma, urinary, melanoma, rectal, oral, ovarian, and prostate cancer survivors. Sample size ranged from 41 to 339 and comprised 81.2% breast cancer survivors. PA interventions were delivered via telehealth by telephone calls (2 studies), smartphone apps (2 studies), and one used a combination of telephone calls and text messaging. Limitations: Selection bias is possible. Limited types of telehealth technologies were used. Conclusions: Limited evidence exists describing better outcomes of telehealth-delivered PA programs in cancer survivors than by traditional home exercise program instruction, and further study is indicated.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"1 1","pages":"128 - 136"},"PeriodicalIF":0.9,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88288573","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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