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Special Issue "Oncological Rehabilitation: Strengths and Weaknesses for a Global Interdisciplinary Management of the Cancer Patient and Novel Future Perspectives during COVID Emergency"

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A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Behavior, Chronic Disease and Health Promotion".

Deadline for manuscript submissions: closed (26 June 2023) | Viewed by 7312

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Special Issue Editors

Dr. Teresa Paolucci

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Guest Editor

Department of Medical, Oral, and Biotechnological Sciences, University G. D’Annunzio, Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy
Interests: rehabilitation; pain; posture and balance; exercise; breast cancer
Special Issues, Collections and Topics in MDPI journals

Dr. Francesco Agostini
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Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy
Interests: physical and rehabilitation medicine; cancer rehabilitation

Dr. Caterina Pipino
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Guest Editor

Department of Medical, Oral and Biotechnological Sciences, University G. D’Annunzio, Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy
Interests: cellular longevity and exercise; stem cell research
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Oncological rehabilitation is based on reaching an adequate quality of life for cancer patients, helping the patient and his/her family to adapt to living standards, as close as possible to those preceding the disease, with the aim of minimizing physical disability, functional and psychological deficits. The rehabilitation process in cancer patients requires a multidisciplinary and interdisciplinary approach that is based on an individual project according to the specific needs and outcomes that take into account the different phases of taking charge of the cancer patient: before and after surgery, during palliative and/or pharmacological treatment, in the phase of social and familial reintegration. Therefore, a complex and long rehabilitation path, which even before the COVID-19 emergency, recognized some barriers in its practical application and which, to date, has become even more complex in its implementation.

Then, virtuous and novel rehabilitation paths are desirable in cancer patients starting from global care, taking into account the bio-psycho-social model and proposing solutions to favor a rehabilitation alliance, even in home-settings or in telerehabilitation, together with, or instead of, traditional settings (outpatient or inpatient), in order to guarantee the patient a reduction in disability and an adequate quality of life.

Dr. Teresa Paolucci
Dr. Francesco Agostini
Dr. Caterina Pipino
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

disability
cancer
rehabilitation
dysfunction
posture
exercise
quality of life
multidisciplinary
cancer survivorship
pain

Published Papers (3 papers)

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Research

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Open AccessArticle

Multimodal Physical Exercise and Functional Rehabilitation Program in Oncological Patients with Cancer-Related Fatigue—A Randomized Clinical Trial

Eduardo J. Fernandez-Rodriguez

Celia Sanchez-Gomez

Roberto Mendez-Sanchez

Jose I. Recio-Rodriguez

A. Silvia Puente-Gonzalez

Jesus Gonzalez-Sanchez

Juan J. Cruz-Hernandez

and

Maria I. Rihuete-Galve

Int. J. Environ. Res. Public Health 2023, 20(6), 4938; https://doi.org/10.3390/ijerph20064938 - 10 Mar 2023

Cited by 1 | Viewed by 1605

Abstract

The increase in life expectancy and survival time implies an increase in the possible side-effects of pharmacological treatments in patients. Cancer-related fatigue is one of these side-effects. The main objective of this study was to evaluate the effects of a multimodal program of physical exercise and functional rehabilitation on asthenia, pain, functional capacity, and quality of life in cancer patients with cancer-related fatigue. Methods: This was a randomized, parallel-controlled clinical trial, with two arms (experimental and control group), and it was conducted over the course of a year in the Oncology Hospitalization Unit at the University Hospital of Salamanca, Spain. Participants (n = 48) were assessed at three points during the study. The first assessment was prior to hospital discharge, the second assessment was after 15 days, and the final assessment was at one month post-hospital follow-up. The intervention lasted one month. The main variables studied were the dependency levels (Barthel), cancer-related fatigue (FACT-An), health-related quality of life (EuroQoL-5D), functional capacity (SPPB), and kinesiophobia (TSK-F). Results: Sample size (n = 44). Mean age 63.46 ± 12.36 years. Significant differences between control and experimental group participants in Barthel, FACT-An, TSK-F, and SPPB scores at follow-up and final assessment. Conclusions: There are beneficial effects of a multimodal physical exercise and functional rehabilitation program in improving the autonomy of cancer-related fatigue patients. Full article

(This article belongs to the Special Issue Oncological Rehabilitation: Strengths and Weaknesses for a Global Interdisciplinary Management of the Cancer Patient and Novel Future Perspectives during COVID Emergency)

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Open AccessArticle

The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study

and

Int. J. Environ. Res. Public Health 2021, 18(16), 8585; https://doi.org/10.3390/ijerph18168585 - 14 Aug 2021

Cited by 6 | Viewed by 2070

Abstract

Background: Breast cancer survivors report negative impacts of cancer, augmented by specific vulnerabilities to body changes, negative self-assessment, and quality-of-life concerns. The main objective of our work was to test the effect of a rehabilitation program on breast cancer patients by evaluating the change in their physical well-being during an outpatient rehabilitation setting and, subsequently, in a home rehabilitation setting, considering the individual personality profile. Methods: Patients who underwent total mastectomy with breast prostheses or tissue expanders were enrolled. Outcome assessments (Pain, Quality of Life, Personality traits for the Minnesota Multiphasic Personality Inventory-2) before treatment (T0), at the end of the rehabilitative treatment (T1 = 10 sessions 2/week, one hour/each), and after two months of follow-up (T2) were performed. Results: The data of 38 included patients were analyzed. The quadratic trend of the Visual Analogue Scale can be explained by the fact that patients have a strong reduction in the perceived pain immediately after rehabilitation in the clinic. This reduction remains constant for the home period of the rehabilitation. The personality profiles of all the participants were substantially valid. Only three patients obtained scores higher than 65 points. Conclusions: The study evidenced that in the initial phase of the rehabilitation, psychological traits such as anxiety, depression, and preoccupation could have a strong association especially with the autonomous functions and the perceived physical symptoms. However, during the therapeutic process, this association decreased and these decrements were higher when patients performed their rehabilitation at home, in a more familiar and comfortable setting. Full article

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Review

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Open AccessReview

Web Axillary Pain Syndrome—Literature Evidence and Novel Rehabilitative Suggestions: A Narrative Review

and

Int. J. Environ. Res. Public Health 2021, 18(19), 10383; https://doi.org/10.3390/ijerph181910383 - 02 Oct 2021

Cited by 6 | Viewed by 2881

Abstract

Axillary web syndrome (AWS) is defined as a visible and palpable network of cords in the skin of the axillary cavity that are tensed by shoulder abduction following surgery for breast cancer, causing significant functional limits of the ipsilateral upper limb (UL) and pain. The purpose of this narrative review is to discuss rehabilitation approaches for greater efficacy with respect to pain and novel suggestions. AWS is a frequent complication of axillary lymphadenectomy that necessitates a thorough follow-up in the medium to long term. Physiotherapy is effective in the treatment of functional limb deficits, the management of pain, and the treatment of upper limb disability. The best management approach involves the use of soft tissue techniques to slow the natural course of the syndrome, in association with therapeutic exercises for functional recovery and muscle strengthening. AWS is linked secondary lymphedema, requiring integration with manual lymphatic drainage. The physiotherapy management of AWS is currently fragmented, and insufficient information is available on the nature of the disease. Thus, randomized and controlled studies that compare rehabilitation approaches in AWS are desirable, including the possibility of using mesotherapy in the treatment of axillary and upper limb pain. Full article

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Special Issue "Oncological Rehabilitation: Strengths and Weaknesses for a Global Interdisciplinary Management of the Cancer Patient and Novel Future Perspectives during COVID Emergency"

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