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Rehabilitation and Pediatric Oncology: Supporting Patients and Families During and After Treatment
AbstractPurpose of reviewWith increasing survival rates in pediatric oncology, more attention has been paid to improving physical, cognitive, and psychosocial functioning for individuals on and off of treatment. We highlight the need for a multidisciplinary approach in providing care for pediatric oncology patients and their families.Recent findingsThere is an emerging field of evidence to support specific interventions within the fields of physical therapy/exercise, speech/language and occupational therapy, individual and family-focused psychotherapy, cognitive remediation, medication, tele-health, and school re-entry. Mu...
Source: Current Physical Medicine and Rehabilitation Reports - March 20, 2018 Category: Rehabilitation Source Type: research

The Role of Rehabilitation Medicine in Managing Cardiopulmonary Complications of Cancer
AbstractPurpose of ReviewCancer survivors represent the largest cohort of patients seeking specialty rehabilitative care. They carry a heavy burden of cardiopulmonary complications, but in the past have been excluded from many exercise studies, owing to perceived increased risk.Recent FindingsCardiopulmonary dysfunction in cancer survivors is a complex phenomenon that goes beyond lung volume loss, dilated cardiomyopathy, or accelerated coronary artery disease. All training modalities have been explored in cancer survivors before, during, and after active treatment, proving effective against aerobic capacity decline due to ...
Source: Current Physical Medicine and Rehabilitation Reports - March 19, 2018 Category: Rehabilitation Source Type: research

Efficacy of Percutaneous Ultrasonic Ablation of Soft Tissue (Tenex) in Tendinopathy and Fasciopathy
AbstractPurpose of ReviewPercutaneous ultrasonic ablation of soft tissue, otherwise known as percutaneous ultrasonic tenotomy (PUT) and percutaneous ultrasonic fasciotomy (PUF), has been utilized in the past several years for the treatment of chronic recalcitrant tendinopathy and fasciopathy. Recent studies have begun to investigate the efficacy of this procedure.Recent FindingsIn a limited number of case series, patients with chronic recalcitrant tendinopathy and fasciopathy do well following percutaneous ultrasonic ablation with improvement in pain and functional scores. In studies investigating the elbow, there is evide...
Source: Current Physical Medicine and Rehabilitation Reports - March 19, 2018 Category: Rehabilitation Source Type: research

The Changing Role of Electrodiagnostic Testing in Cancer Rehabilitation
AbstractPurpose of reviewGiven advances in oncological treatments, cancer rehabilitation physicians should be aware of their potential side effects on the peripheral nervous system and the evolving role of electrodiagnostic testing (EDX).Recent findingsImmune checkpoint inhibitors may cause severe neuromuscular side effects. Novel methods of radiation delivery (hypofractionated and single-fraction radiation) may also lead to nerve and muscle injury. Recent advances in diagnosis and treatment of paraprotein-related neuropathies are important to recognize.SummaryEDX is an essential diagnostic tool utilized by clinicians eval...
Source: Current Physical Medicine and Rehabilitation Reports - March 16, 2018 Category: Rehabilitation Source Type: research

Diagnosis and management of spinal metastases in rehabilitation
AbstractPurpose of ReviewTo provide an overview of the presentation, diagnosis and management of spinal metastatic disease, as it relates to pain, function, and quality of life.Recent FindingsThere are a multitude of treatment options to address spinal metastatic disease, including radiotherapy, minimally invasive procedures, oral medications, and surgery. Treatment is individualized to the patient according to severity of symptoms, location of metastases, and concordant medical conditions. Patients may require treatments across several subspecialties to comprehensively treat their disease. The location and nature of metas...
Source: Current Physical Medicine and Rehabilitation Reports - March 14, 2018 Category: Rehabilitation Source Type: research