Oncology: Difference between revisions

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=====               Neurological Assessment  =====
=====               Neurological Assessment  =====


======                        Vestibular ======
======                        Vestibular ======
 
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; May be affected by neoplasms such as a&nbsp;<span style="line-height: 1.5em;">Vestibular schwannoma which may cause unilateral dysfunction&nbsp;</span><span style="line-height: 1.5em;">or chemotherapy &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; drugs such as&nbsp;</span>Cisplastin
 
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;Dizziness Handicap Inventory Questionnaire--25 items assess the impact of disequilibrium on functional activities.<ref>Jacobson G, Newman C, Hunter L, Balzer G. Balance function test correlates of the Dizziness Handicap Inventory. J Am Acad Audiol. 1991;2:253–260.</ref>


====== &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;Somatosensory ======
====== &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;Somatosensory ======

Revision as of 17:00, 1 February 2013

Physiotherapy is an autonomous profession concerned with the care, management and rehabilitation of
patients. These principles apply to the management of patients with cancer through all care and
rehabilitation programmes from diagnosis to the end of life.  Physiotherapists conduct ongoing assessment of the needs of this patient group and their carers, in order to apply skilled interventions, which are vital for patients’ independence, functional capacity and quality of life.  The role of the physiotherapist, as an essential member of the multi-disciplinary team is key to the successful rehabilitation and management of patients with cancer and palliative care needs. The absence of physiotherapy intervention would be detrimental to patient care and the ability of the patient/family to cope with the effects of the disease or its treatment on their functional capacity and quality of life[1].

Physiology[edit | edit source]

Conditions[edit | edit source]

Osteoid Osteoma

Examination[edit | edit source]

Using the International Classification Framework Model for Assessment in Oncology Rehabilitation[2]

                by  Gilchrist LS, Galantino ML, Wampler M, et al.


Mental Functions[edit | edit source]

Mental function can be affected by radiation and chemotherapy through the changes in the central nervous system[3] [4][5] Mental impairments can be indusced by inflammation, destructive autoimmune responses, toxicity levels and oxidative damage[6].  Emotional Functions may alos affect the ability of our patients to respond to and/or participate in physical therapy.

        Diagnostic & Screening Measures[edit | edit source]

              Mental Status[edit | edit source]

              The Mini-Mental State Examination[7] 

                   read more about the Mini-Mental State Examination Measure & Link

              Profile of Mood States[8]

                   read more about the POMS

              Pain Assessment[edit | edit source]
              Neurological Assessment[edit | edit source]
                       Vestibular[edit | edit source]

                        May be affected by neoplasms such as a Vestibular schwannoma which may cause unilateral dysfunction or chemotherapy                             drugs such as Cisplastin

                        Dizziness Handicap Inventory Questionnaire--25 items assess the impact of disequilibrium on functional activities.[9]

                      Somatosensory[edit | edit source]

Medical Management[edit | edit source]

Physiotherapy Intervention[edit | edit source]

Outcome Measures[edit | edit source]

Recent Research from Physiospot[edit | edit source]

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References[edit | edit source]

  1. ↑ The Role of Physiotherapy for People with Cancer - CSP Position Statement. The Chartered Society of Physiotherapy, July 2003. Available at http://www.csp.org.uk/uploads/documents/csp_statement_physioandcancer.pdf. Retrieved 10/7/2010
  2. ↑ Gilchrist LS, Galantino ML, Wampler M, et al. A Framework for Assessment in Oncology Rehabilitation. Physical Therapy . 89 (3 ):286–306. Available at: http://ptjournal.apta.org/content/89/3/286.abstract.
  3. ↑ Ahles T, Saykin A. Breast cancer chemotherapy-related cognitive dysfunction. Clin Breast Cancer.2002;3:S84–S90.
  4. ↑ Castellon S, Ganz P, Bower J, et al. Neurocognitive performance in breast cancer survivors exposed to adjuvant chemotherapy and tamoxifen. J Clin Exp Neuropsychol. 2004;26:955–969.
  5. ↑ Stewart A, Bielajew C, Collins B, et al. A meta analysis of the neuropsychological effects of adjuvant chemotherapy treatment in women treated for breast cancer. Clin Neuropsychol. 2006;20:76–89.
  6. ↑ Ahles T, Saykin A, Furstenberg C, et al. Neuropsychologic impact of standard dose systemic chemotherapy in longterm survivors of breast cancer and lymphoma.J Clin Oncol. 2002;20:485–493
  7. ↑ Folstein M, Folstein S, McHugh P. Mini-Mental State: a practical method for grading the state of patients for the clinician J Psychiatr Res. 1975;12:189–198.
  8. ↑ Cella D, Tross S, Orov E, et al. Mood states of patients after the diagnosis of cancer. J Psychosoc Oncol. 1989;7:45–53.
  9. ↑ Jacobson G, Newman C, Hunter L, Balzer G. Balance function test correlates of the Dizziness Handicap Inventory. J Am Acad Audiol. 1991;2:253–260.
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