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
On this special Ask the Authors episode of the Rehabilitation Oncology Podcast, Drs. David Doubblestein and Bryan Spinelli discuss the use of outcome measures among certified lymphedema therapists and the importance of selecting outcome measures to comprehensively assess all domains of an individual’s function.
On this episode of the Rehabilitation Oncology Podcast, Drs. Clark Dickerson and Jacquelyn Maciukiewicz discuss how they examined specific factors that differentiate groups of breast cancer survivors and how those factors may influence shoulder function after treatment for breast cancer.
In this special episode of the Rehabilitation Oncology Podcast, we present our first ever ‘Ask the Authors’ panel discussion. Authors Mallory Mark, Janae Finley, and Jill Binkley discuss the motivation behind their timely article and lead a discussion on the current landscape of disparities in cancer survivorship care as well as the individual responsibilities of physical therapists to reduce disparities in cancer survivorship and the steps we can all take in our communities toward this goal.
In this episode of the Rehabilitation Oncology Podcast, Drs. Jill Mayer and Kayleigh Plumeau discuss the impact of weekly phone calls, made by a physical therapist, on outcomes (e.g., physical function, quality of life, fatigue) and home exercise program adherence for survivors of cancer early in their recovery.
Host Dr. Steve Morris speaks with study lead investigator Helen Mackie about her important findings related to compensatory lymphatic drainage in lower extremity lymphedema, particularly among those with a history of cancer. The findings of this study suggest support for manual lymph drainage to move lymph to the contralateral inguinal drainage region.
Joy Cohn, PT, provides insights into the newest APTA Oncology clinical practice guideline for screening and assessing cancer-related fatigue. Valuable information on which tools are best to use and how to implement the clinical practice guideline are discussed with podcast host, Dr. Stephen Morris.
Dr. Lisa Wood Magee and Dr. Stephen Wechsler present exciting findings about how cancer-related fatigue can result in physical impairments among those treated for cancer, and the need to address this through exercise aimed at large muscle groups of the lower extremity.
Dr. Mary Hidde discusses the role of high intensity interval training for reducing cancer-related fatigue with an emphasis on moving evidence into clinical practice.
In this Rehabilitation Oncology Podcast episode, Dr. Steve Morris interviews author and researcher Dr. Nicole Stout about oncology physical therapy specialty practice. Dr. Stout outlines the expectations for future clinical specialists and presents a call to action to the rehabilitation team to utilize oncology clinical specialists beyond clinical roles to expand their influence on providing best practice care to the individual with cancer.
Creator: G. Stephen Morris, Patricia Bamonti
Podcast Editor Dr. Stephen Morris leads a discussion with Dr. Patricia Bamonti about her work investigating the role depression plays in moderating physical functional levels among individuals diagnosed with cancer. The discrepancy between self-reported physical function and objective physical performance measures is also discussed. The authors conclude that it is essential that individuals with cancer need comprehensive assessment of physical function in addition to depression symptoms.
Creator: G. Stephen Morris, Mackenzi Pergolotti
Dr. Mackenzi Pergolotti answers questions posed by Podcast Editor Dr. Stephen Morris about her work examining the effect of community-based rehabilitation on patient-reported outcomes and physical functioning. This work highlights the importance of cancer rehabilitation for those treated for cancer, and how rehabilitation improves function and overall health-related quality of life. The authors suggest that collaboration between outpatient facilities and academic cancer centers can provide opportunities to address gaps in the evidence base as well as address unmet cancer rehabilitation needs.
Creator: G. Stephen Morris, Elizabeth Campion, Meredith Wampler-Kuhn
This episode features a discussion between the authors and Rehabilitation Oncology highlighting the importance of moving evidence into clinical practice through implementation science frameworks. The Knowledge-to-Action (KTA) and Consolidated Framework for Implementation Research (CFIR) provide guidance on how clinicians can make changes in practice that reflect the evidence database.
Creator: Denise Campbell, Suzanne Trojanowski, Leslie M. Smith
This episode discusses a quasi-experimental repeated pre-post design to evaluate attitudes, awareness and behaviors of nursing and physical therapy students during a simulated end of Life experience.
Creator: Kristin Campbell and Kerri Winter-Stone
This episode discusses an Executive Summary of Reports from an International Multidisciplinary Roundtable on Exercise and Cancer: Evidence, Guidelines, and Implementation.
Creator: Jennifer Blackwood
This episode discusses a prospective observational study of community dwelling people 50 years of age or greater in the United States with a history of cancer using data from the Health and Retirement Study. The purpose of this study was to examine associations between cognitive function, gait speed, balance, and falls in older cancer survivors. Results indicate that cognitive function, specifically executive function, is associated with falls and mobility in older cancer survivors.
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: 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: 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: 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.