Rehabilitation and physical activity in gynecological oncological diseases
Authors:
D. Líška 1; J. Kováč 1; S. Rutkowski 2
Authors place of work:
Katedra telesnej výchovy a športu, Filozofi cká fakulta, Univerzita Mateja Bela, Banská Bystrica, Slovenská republika
1; Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland
2
Published in the journal:
Klin Onkol 2022; 35(2): 114-118
Category:
Review
doi:
https://doi.org/10.48095/ccko2022114
Summary
Background: The cause of gynecological tumors is multifactorial. Risk factors include higher BMI and lack of physical activity. Gynecological oncological diseases are associated with loss of function due to the pathophysiological effects of the disease, treatment, and also mental stress in patients. These problems lead to greater rehabilitation demand of patients. Rehabilitation aims to help the patient to achieve the best possible level of functional status, to foster independence, to improve acceptance of the disease, to improve patient fatigue and improve the quality of life of the patients It is essential to focus the rehabilitation examination on several factors associated with impaired function, such as impaired cardiovascular and pulmonary function, urinary incontinence or psychological or psychological distress. The pleiotropic effect of rehabilitation can also be used in pain relief, improvement of chemotherapy tolerance, in the treatment of lymphedema and in the improvement of pelvic floor muscle function. Purpose: The main aim of this paper is to summarize available options for rehabilitation after gynecological oncological diseases.
Keywords:
pelvic floor – exercise – rehabilitation – gynecological oncological diseases – preoperative rehabilitation – postoperative rehabilitation
Zdroje
1. Lacheta J. Uterine adenomyosis: pathogenesis, diagnostics, symptomatology and treatment. Ceska Gynekol 2019; 84 (3): 240–246.
2. Mladěnka A, Šimetka O, Mladěnka P et al. Gynecological tumor triplicity. Ceska Gynekol 2018; 83 (6): 445–447.
3. Sehnal B, Sláma J, Kmoníčková E et al. The changes in FIGO staging for carcinoma of the cervix uteri. Ceska Gynekol 2019; 84 (3): 216–221.
4. Ali AT. Risk factors for endometrial cancer. Ceska Gynekol 2013; 78 (5): 448–459.
5. Foretová L, Navrátilová M, Svoboda M et al. Recommendations for preventive care for women with rare genetic cause of breast and ovarian cancer. Klin Onkol 2019; 32 (Suppl 2): 2S6–2S13. doi: 10.14735/amko2019S6.
6. Holčáková J. Effect of DNA methylation on the development of cancer. Klin Onkol 2018; 31 (Suppl 2): 41–45. doi: 10.14735/amko20182S41.
7. Plevová P, Geržová H. Genetic causes of rare pediatric ovarian tumors. Klin Onkol 2019; 32 (Suppl 2): 2S79–2S91. doi: 10.14735/amko2019S79.
8. Sigmund E, Baďura P, Sigmundová D et al. Overweight and obesity in children in re-lation to physical activity and excessive body weight in their parents. Prakt Lék 2020; 100 (2): 83–87.
9. Dušková J, Beková A, Dvořák V et al. Results of the Czech National Cervical Cancer screening programme. Klin Onkol 2014; 27 (Suppl 2): 2S79–2S86.
10. Palácová M. Ovarian ablation in breast cancer patients and the possibility of influencing treatment side effects. Klin Onkol 2016; 29 (Suppl 3): S29–S38. doi: 10.14735/amko20163S29.
11. Šimůnek R, Adámková-Krákorová D, Šefr R et al. Resection of abdominal, pelvic and retroperitoneal tumors. Klin Onkol 2018; 31 (3): 230–234. doi: 10.14735/amko2018230.
12. Lin KY, Edbrooke L, Granger CL et al. The impact of gynaecological cancer treatment on physical activity levels: a systematic review of observational studies. Braz J Phys Ther 2019; 23 (2): 79–92. doi: 10.1016/j.bjpt.2018.11.007.
13. Líška D, Stráska B, Pupiš M. Physical therapy as an adjuvant treatment for the prevention and treatment of cancer. Klin Onkol 2020; 33 (2): 101–106. doi: 10.14735/amko2020101.
14. Šupínová M, Janiczeková E, Kurčíková E. Quality assessment of patients life in its terminal state of the disease and their relatives. Zdr Listy 2019; 7 (2): 74–80.
15. Weare K. Rehabilitation after gynecological cancer treatment. Int J Gynaecol Obstet 2015; 131 (Suppl 2): S164–S166. doi: 10.1016/j.ijgo.2015.06.015.
16. Faller H, Hass HG, Engehausen D et al. Supportive care needs and quality of life in patients with breast and gynecological cancer attending inpatient rehabilitation. A prospective study. Acta Oncol 2019; 58 (4): 417–424. doi: 10.1080/0284186X.2018.1543947.
17. Novák J. The importance of gait as the most natural physical activity in the human life style. Prakt Lék 2018; 98 (4): 158–165.
18. Vosečková A, Truhlářová Z. Assessment of selected health moderators within context of physical activity. Mil Med Sci Lett 2018; 87 (4): 148–157. doi: 10.31482/mmsl.2018.035.
19. Podsbradská R, Baniariová K, Peknik O et al. Use of walk as a motion intervention in practice. Rehabilitacia 2019; 56 (3): 222–229.
20. Vařeka I, Janura M, Vařeková R. Kineziologie chůze. Rehabil Fyz Lék 2018; 25 (2): 81–86.
21. Petriková Rosinová I, Shtin Baňarová P, Korcová J. Severská chôdza ako vhodná liečebná aktivita u pacientov s diagnózou diabetes mellitus. Rehabilitácia 2018; 55 (2): 128–136.
22. Lin KY, Frawley HC, Denehy L et al. Exercise interventions for patients with gynaecological cancer: a systematic review and meta-analysis. Physiotherapy 2016; 102 (4): 309–319. doi: 10.1016/j.physio.2016.02. 006.
23. Hausmann F, Iversen VV, Kristoffersen M et al. Combined aerobic and resistance training improves physical capacity in women treated for gynecological cancer. Support Care Cancer 2018; 26 (10): 3389–3396. doi: 10.1007/s00520-018-4185-2.
24. Miralpeix E, Mancebo G, Gayete S et al. Role and impact of multimodal prehabilitation for gynecologic oncology patients in an Enhanced Recovery After Surgery (ERAS) program. Int J Gynecol Cancer 2019; 29 (8): 1235–1243. doi: 10.1136/ijgc-2019-000597.
25. Schneider S, Armbrust R, Spies C et al. Prehabilitation programs and ERAS protocols in gynecological oncology: a comprehensive review. Arch Gynecol Obstet 2020; 301 (2): 315–326. doi: 10.1007/s00404-019- 05321-7.
26. Bisch SP, Wells T, Gramlich L et al. Enhanced recovery after surgery (ERAS) in gynecologic oncology: system-wide implementation and audit leads to improved value and patient outcomes. Gynecol Oncol 2018; 151 (1): 117–123. doi: 10.1016/j.ygyno.2018.08.007.
27. Frawley HC, Lin KY, Granger CL et al. An allied health rehabilitation program for patients following surgery for abdomino-pelvic cancer: a feasibility and pilot clinical study. Support Care Cancer 2020; 28 (3): 1335–1350. doi: 10.1007/s00520-019-04931-w.
28. Zhou Y, Cartmel B, Gottlieb L et al. Randomized trial of exercise on quality of life in women with ovarian cancer: women‘s activity and lifestyle study in Connecticut (WALC). J Natl Cancer Inst 2017; 109 (12): djx072. doi: 10.1093/jnci/djx072.
29. Yang EJ, Lim JY, Rah UW et al. Effect of a pelvic floor muscle training program on gynecologic cancer survivors with pelvic floor dysfunction: a randomized controlled trial. Gynecol Oncol 2012; 125 (3): 705–711. doi: 10.1016/j.ygyno.2012.03.045.
30. Lindgren A, Dunberger G, Enblom A. Experiences of incontinence and pelvic floor muscle training after gynaecologic cancer treatment. Support Care Cancer 2017; 25 (1): 157–166. doi: 10.1007/s00520-016- 3394-9.
31. Mizrahi D, Broderick C, Friedlander M et al. An exercise intervention during chemotherapy for women with recurrent ovarian cancer: a feasibility study. Int J Gynecol Cancer 2015; 25 (6): 985–992. doi: 10.1097/IGC.0000000000000460.
32. Chow KM, Chan CWH, Chan JCY. Effects of psychoeducational interventions on sexual functioning, quality of life and psychological outcomes in patients with gynaecological cancer: a systematic review. JBI Libr Syst Rev 2012; 10 (58): 4077–4164. doi: 10.11124/jbisrir-2012- 406.
33. Do JH, Choi KH, Ahn JS et al. Effects of a complex rehabilitation program on edema status, physical function, and quality of life in lower-limb lymphedema after gynecological cancer surgery. Gynecol Oncol 2017; 147 (2): 450–455. doi: 10.1016/j.ygyno.2017.09. 003.
34. Hoeck B, Ledderer L, Hansen HP. Involvement of patients with lung and gynecological cancer and their relatives in psychosocial cancer rehabilitation: a narrative review. Patient 2015; 8 (2): 127–143. doi: 10.1007/s40271-014-0076-x.
35. Alcântara-Silva TR, de Freitas-Junior R, Freitas N et al. Music therapy reduces radiotherapy-induced fatigue in patients with breast or gynecological cancer: a randomized trial. Integr Cancer Ther 2018; 17 (3): 628–635. doi: 10.1177/1534735418757349.
36. Kuo HC, Tsao Y, Tu HY et al. Pilot randomized controlled trial of auricular point acupressure for sleep disturbances in women with ovarian cancer. Res Nurs Health 2018; 41 (5): 469–479. doi: 10.1002/nur.21885.
37. Bober SL, Recklitis CJ, Michaud AL et al. Improvement in sexual function after ovarian cancer: effects of sexual therapy and rehabilitation after treatment for ovarian cancer. Cancer 2018; 124 (1): 176–182. doi: 10.1002/cncr.30976.
38. Kafková J, Zímová P, Motyková J et al. Care for patients with lymphedema in the Czech republic – introduction. Prakt Lék 2019; 99 (4): 172–174.
39. Musilová E, Opálená Z. Application of manual lympho-drainage in oncology. Rehabil Fyz Lék 2019; 26 (1): 28–31.
40. Tichá K, Buchtelová E. Awareness of risk for developing lymphedema in women after breast surgery. Zdr Listy 2019; 7 (3): 24–30.
41. Iyer NS, Cartmel B, Friedman L et al. Lymphedema in ovarian cancer survivors: assessing diagnostic methods and the effects of physical activity. Cancer 2018; 124 (9): 1929–1937. doi: 10.1002/cncr.31 239.
42. Brown JC, John GM, Segal S et al. Physical activity and lower limb lymphedema among uterine cancer survivors. Med Sci Sports Exerc 2013; 45 (11): 2091–2097. doi: 10.1249/MSS.0b013e318299afd4.
Štítky
Paediatric clinical oncology Surgery Clinical oncologyČlánok vyšiel v časopise
Clinical Oncology
2022 Číslo 2
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
- Possibilities of Using Metamizole in the Treatment of Acute Primary Headaches
- Current Insights into the Antispasmodic and Analgesic Effects of Metamizole on the Gastrointestinal Tract
Najčítanejšie v tomto čísle
- Acupuncture from the perspective of evidence-based medicine – options of clinical use based on National Comprehensive Cancer Network (NCCN) guidelines
- Radiotherapy and radiosensitivity syndromes in DNA repair gene mutations
- Hepatocellular carcinoma – prognostic criteria of individualized treatment
- Rehabilitation and physical activity in gynecological oncological diseases