Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA.
Am J Phys Med Rehabil. 2011 May;90(5 Suppl 1):S5-15. doi: 10.1097/PHM.0b013e31820be4ae.
Cancer rehabilitation is an important part of survivorship as a distinct phase of treatment. Although cancer rehabilitation may involve many disciplines, this article specifically covers evidence-based treatment in physical and occupational therapy. Patients may need physical and occupational therapy services for a variety of cancer-related or cancer-treatment-related problems, including pain, fatigue, deconditioning, and difficulty with gait. They may also have problems resuming their previous level of function, which can impact on activities of daily living, instrumental activities of daily living, return to previous home and community activity levels, and return to work. This review discusses the role of physical and occupational therapy in helping cancer patients improve pain and musculoskeletal issues, deconditioning and endurance effects, fatigue, balance and falls, and lymphedema and psychosocial problems.
癌症康复是生存阶段的一个重要组成部分,是治疗的一个独特阶段。尽管癌症康复可能涉及多个学科,但本文专门介绍物理治疗和职业治疗方面的循证治疗。患者可能需要物理治疗和职业治疗服务来解决各种与癌症相关或与癌症治疗相关的问题,包括疼痛、疲劳、功能下降和步态困难。他们也可能难以恢复之前的功能水平,这会影响日常生活活动、工具性日常生活活动、恢复到以前的家庭和社区活动水平以及重返工作岗位。本文讨论了物理治疗和职业治疗在帮助癌症患者改善疼痛和肌肉骨骼问题、功能下降和耐力影响、疲劳、平衡和跌倒以及淋巴水肿和心理社会问题方面的作用。