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患有和未患有化疗引起的周围神经病变症状的癌症患者的身体损伤、感觉障碍和功能能力。

Physical impairments, sensory disturbance, and functional ability in a cancer patient with and without chemotherapy-induced peripheral neuropathy symptoms.

作者信息

Rattanakrong Nida, Promma Noppawan, Saraboon Chanatsupang, Waongenngarm Pooriput

机构信息

Department of Rehabilitation Medicine, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand.

Faculty of Health Science Technology, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand.

出版信息

Support Care Cancer. 2022 Jun;30(6):5055-5062. doi: 10.1007/s00520-022-06927-5. Epub 2022 Feb 25.

Abstract

OBJECTIVE

The present study examined the objective and patient-reported measures of physical impairments, sensory disturbance, and functional ability between cancer patients with and without chemotherapy-induced peripheral neuropathy (CIPN) symptoms.

METHODS

Forty-one cancer survivors exposed to neurotoxic chemotherapies were conveniently recruited and completed a single cross-sectional assessment of patient-reported outcomes (VAS for pain intensity and ABC scale) and objective assessments (SWM test, TUG test, 5xSTS test, Romberg test with eyes open and eyes closed, 6MWT, and FAB scale).

RESULTS

Cancer patients who had undergone chemotherapy with CIPN symptoms did significantly worse in the SWM test, TUG test, 5xSTS test, Romberg test with eyes closed, 6MWT, FAB scale, and ABC scale (p < 0.05) when compared with cancer survivors without CIPN symptoms.

CONCLUSION

Cancer survivors with CIPN symptoms have lower physical performance, sensory perception, and functional ability, which may increase the risk of falling and disability. These findings further emphasize the need for effective rehabilitation and interventions to treat CIPN symptoms and related physical impairment and functional deficits.

摘要

目的

本研究检测了有化疗引起的周围神经病变(CIPN)症状和无该症状的癌症患者之间身体损伤、感觉障碍及功能能力的客观指标和患者报告指标。

方法

便利选取41名接受过神经毒性化疗的癌症幸存者,对其进行患者报告结局(疼痛强度视觉模拟评分法和ABC量表)的单横断面评估以及客观评估(单腿站立试验、定时起立行走试验、5次坐立试验、睁眼和闭眼罗姆伯格试验、6分钟步行试验和FAB量表)。

结果

与无CIPN症状的癌症幸存者相比,有CIPN症状的接受过化疗的癌症患者在单腿站立试验、定时起立行走试验、5次坐立试验、闭眼罗姆伯格试验、6分钟步行试验、FAB量表和ABC量表中的表现明显更差(p < 0.05)。

结论

有CIPN症状的癌症幸存者身体表现、感觉知觉和功能能力较低,这可能会增加跌倒和残疾风险。这些发现进一步强调了需要有效的康复和干预措施来治疗CIPN症状以及相关身体损伤和功能缺陷。

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