Rehabilitation, exercise, and related non-pharmacological interventions for chemotherapy-induced peripheral neurotoxicity: systematic review and evidence-based recommendations

Autor: Stefano Tamburin, Susanna B. Park, Angelo Schenone, Elisa Mantovani, Mehrnaz Hamedani, Paola Alberti, Vesile Yildiz-Kabak, Ian R. Kleckner, Noah Kolb, Miryam Mazzucchelli, Brendan L. McNeish, Andreas A. Argyriou, Guido Cavaletti, Ahmet Hoke
Přispěvatelé: Tamburin, S, Park, S, Schenone, A, Mantovani, E, Hamedani, M, Alberti, P, Yildiz-Kabak, V, Kleckner, I, Kolb, N, Mazzucchelli, M, Mcneish, B, Argyriou, A, Cavaletti, G, Hoke, A
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Popis: Pharmacological strategies for chemotherapy-induced peripheral neurotoxicity (CIPN) are very limited. We systematically reviewed data on rehabilitation, exercise, physical therapy, and other physical non-pharmacological interventions and offered evidence-based recommendations for the prevention and treatment of CIPN. A literature search using PubMed, Web of Science and CINAHL was conducted from database inception until May 31st, 2021. 2791 records were title-abstract screened, 71 papers were full-text screened, 41 studies were included, 21 on prevention and 20 on treatment of CIPN. Treatment type, cancer type, chemotherapy compounds were heterogeneous, sample size was small (median: N = 34) and intention-to-treat analysis was lacking in 26/41 reports. Because of the methodological issues of included studies, the reviewed evidence should be considered as preliminary. Exercise, endurance, strength, balance, and sensorimotor training have been studied in low-to-moderate quality studies, while the evidence for other treatments is preliminary/inconclusive. We offer recommendation for the design of future trials on CIPN.
Databáze: OpenAIRE