Role of Physiotherapy in Hospice Care of Patients with Advanced Cancer: A Systematic Review.

Autor: Vira P; Department of Physiotherapy, 76798Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, India., Samuel SR; Department of Physiotherapy, 76798Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India., Amaravadi SK; Department of Physiotherapy, 76798Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India., Saxena PP; Department of Radiation Oncology, 76798Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India., Rai Pv S; Department of Radiology, 76798Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India., Kurian JR; Prasanna School of Public Health, 76793Manipal Academy of Higher Education, Manipal, Karnataka, India., Gururaj R; Department of Physiotherapy, 76798Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, India.
Jazyk: angličtina
Zdroj: The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2021 May; Vol. 38 (5), pp. 503-511. Date of Electronic Publication: 2020 Aug 24.
DOI: 10.1177/1049909120951163
Abstrakt: Objective: To review the role of physiotherapy and its effects in hospice care of patients with advanced cancer.
Methods: A comprehensive literature search was performed in PubMed, Scopus, Web of Science, CINAHL and PEDro. The search strategy was devised, articles were screened, and 2 independent reviewers conducted data extraction. Eligible studies were methodologically assessed for quality rating using modified Downs and Black's checklist. The extracted data was summarized according to site/stage of cancer, details of intervention, outcome measures and the results.
Result: The total number of screened articles were 2102, out of which 9 were identified as suitable for the purposes of comprehensive review. The studies included exercise therapy, massage therapy, relaxation therapy, compression bandaging and use of TENS as the various physiotherapy interventions under consideration. Studies were generally of low to moderate quality. A broad range of outcomes were employed including physical symptoms like loss of function, pain, fatigue, edema, sleep disturbances and quality of life. The findings of the studies supported the benefits of the interventions.
Conclusion: A structured exercise protocol, massage therapy, TENS and compression bandaging are useful in alleviating the symptoms experienced by patients with advanced cancer in hospice care. The reduced symptom burden has reflected as an improvement in their quality of life. However, there is a further need for high quality studies to strengthen the findings of this review.
Databáze: MEDLINE