The official podcast of the Rehabilitation Oncology journal for the Academy of Oncologic Physical Therapy of the American Physical Therapy Association (APTA). Visit the journal website at www.rehabonc.com
Creator: Sara Pullen, DPT, MPH, CHES
This case report examined the effect of a 24-session PT intervention aimed at decreasing chronic pain and opioid weaning for a 64-year-old patient at a multidisciplinary AIDS clinic in Atlanta, Georgia. The PT intervention focused on pain mitigation, utilizing using pain-relief techniques such as a home TENS unit, home stretching regimen, diaphragmatic breathing techniques. In this complex chronic pain case with a patient on chronic opioid therapy, multidisciplinary communication is key in successful management. To truly address opiate weaning in the context of pain management, physical therapists’ expertise in pain management should ideally be complemented by close communication with the patient’s primary medical provider.
Creator: Stephen G. Morris
Creator: Amy Berkman
Behavioral Change Strategies to Improve Physical Activity After Cancer Treatment
Creator: Lisa Doyle
This systematic review reports latest evidence related to physical therapy based interventions in patients with cancer diagnoses who experience chemotherapy induced peripheral neuropathy. Treatment approaches included closed chain lower extremity strengthening, interactive, sensor based balance training, and strength and endurance training. There were limitations in study design and number of subjects, but all studies showed benefit in terms of balance, function, and quality of life.
Creator: Helene Lindquist
This episode presents predictors for performing self-care in females with secondary lymphedema.
Factors as low well-being, body-image, near relations, quality of sleep, difficulty to accept having lymphedema and other ethnicities than national seems to be important. Many of the women perform self-care but still many of them does not think that it helps. The results facilitate more identification and extra support for these women.
Creator: Claire Davies
This episode discusses the recommendations from the Clinical Practice Guideline (CPG) on diagnosing secondary upper quadrant lymphedema due to cancer. Based on the evidence in the CPG there is no one diagnostic tool that can be used definitively to diagnose SUQL, but using these recommendations can facilitate early identification and should lead to an examination of activity and participation restrictions and appropriate.
Creator: Laura Gilchrist
This episode discusses the development of a clinical practice guideline as an introduction to the CPG on diagnosing secondary upper quadrant lymphedema due to cancer that has been developed for the Oncology section of the APTA. The important psychometric properties of diagnostic tests are reviewed and the quality ratings of the evidence are discussed. Lastly, the use of CPGs in reviewing your practice is addressed.
Creator: Chris Wilson
Recent national opioid campaigns are important steps to reducing opioid abuse but they may have significant, unintentional, and adverse consequences on the medical management of patients with advanced cancers or those receiving hospice and palliative care. This commentary describes the role of the physical therapist in the palliative symptom management of terminally ill individuals during this paradigm shift in opioid prescribing practices.
Creator: Laura Gilchrist
This episode discusses a retrospective study assessing the safety of a symptom-based, rather than lab value based, approach to exercise in children being treated for non-CNS cancers. Results indicate that this symptom-based approach to exercise modification can be safe in this population with chronically low blood counts.
Creator: Sarah Zerzan
This episode discusses a review and meta-analysis of the current literature regarding the effects of exercise on bone mineral density in women who have undergone breast cancer treatment. Five randomized controlled studies are included in the analysis. Results provide modest evidence that bone-loading exercise interventions have statistically and clinically significant effects on proximal femur and lumbar spine BMD in women treated for BC.