Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Kessler Institute for Rehabilitation, 1199 Pleasant Valley Way, West Orange, NJ 07052, USA.
MedStar Health/Georgetown, National Rehabilitation Hospital, 102 Irving Street Northwest, Washington, DC 20010, USA.
Med Clin North Am. 2020 Mar;104(2):251-262. doi: 10.1016/j.mcna.2019.10.005. Epub 2019 Dec 18.
Cancer affects millions of individuals, and approximately half will develop functional impairments. Cancers that commonly, either from direct effects or from its treatments, result in functional impairments include breast, head and neck, brain, and spinal cord tumors. There is a plethora of potential impairments including pain, spasticity, dystonia, weakness, and neurogenic bowel or bladder. This article reviews the functional impairments frequently encountered in breast, head and neck, brain, and spinal cord tumors. The authors also discuss management and treatment options incorporated in comprehensive cancer rehabilitation to address these impairments to maximize and maintain function and quality of life.
癌症影响着数以百万计的个体,其中约有一半会出现功能障碍。常见的癌症,无论是直接影响还是治疗的结果,都会导致功能障碍,包括乳腺癌、头颈部癌、脑癌和脊髓肿瘤。有很多潜在的功能障碍,包括疼痛、痉挛、肌张力障碍、无力和神经性肠或膀胱。本文综述了乳腺癌、头颈部癌、脑癌和脊髓肿瘤中常见的功能障碍。作者还讨论了综合癌症康复中纳入的管理和治疗选择,以解决这些功能障碍,最大限度地提高和维持功能和生活质量。