Subscribe to RSS
DOI: 10.5935/2526-8732.20210020
Physiotherapy in the context of palliative care in oncology: a pooled analysis
Fisioterapia no contexto dos cuidados paliativos em oncologia: uma análise conjunta
Financial support: none to declare.
ABSTRACT
Objective: To document the role of physiotherapy in the context of palliative care in cancer through an integrative literature review, as the prevalence and survival of cancer are increasing and physiotherapy can significantly contribute to the treatment of these patients. Methods: A search was made in the literature for scientific articles that substantiated the physiotherapist's role in palliative care in oncology, and an assessment of the methodological quality of the selected clinical trials. Results: Studies demonstrate positive results, as they propose effective protocols that mostly include exercises in different modalities associated or not with other resources such as PNF, TENS, manual therapy, ultrasound, thermotherapy, acupuncture, and oxygen therapy, which help in reducing symptoms such as cancer fatigue, pain, and dyspnea, improving the patient's quality of life. The average score for clinical trials was reasonably low. Conclusion: The results reaffirm the importance of physiotherapeutic interventions in cancer patients receiving palliative care.
RESUMO
Objetivo: Documentar o papel da fisioterapia no contexto dos cuidados paliativos em câncer por meio de uma revisão integrativa da literatura, visto que a prevalência e a sobrevida do câncer estão aumentando e a fisioterapia pode contribuir significativamente para o tratamento desses pacientes. Métodos: Foi feita uma busca na literatura de artigos científicos que comprovassem a atuação do fisioterapeuta nos cuidados paliativos em oncologia e uma avaliação da qualidade metodológica dos ensaios clínicos selecionados. Resultados: Os estudos demonstram resultados positivos, pois propõem protocolos eficazes que, em sua maioria, incluem exercícios em diferentes modalidades associados ou não a outros recursos como FNP, TENS, terapia manual, ultrassom, termoterapia, acupuntura e oxigenoterapia, que auxiliam na redução de sintomas como como câncer, fadiga, dor e dispneia, melhorando a qualidade de vida do paciente. A pontuação média dos ensaios clínicos foi razoavelmente baixa. Conclusão: Os resultados reafirmam a importância das intervenções fisioterapêuticas em pacientes com câncer em cuidados paliativos.
Publication History
Received: 22 December 2020
Accepted: 10 April 2021
Article published online:
23 July 2021
© 2022. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Claudia Melo Canto, Yandra Alves Prestes, Maria Gabriela de Andrade Lucena, Hércules Lázaro Morais Campos. Physiotherapy in the context of palliative care in oncology: a pooled analysis. Brazilian Journal of Oncology 2021; 17: e-20210020.
DOI: 10.5935/2526-8732.20210020
-
REFERÊNCIAS
- World Health Organization (WHO). Worldwide Palliative Care Alliance (WPCA). Global atlas of palliative care at the end of life [Internet]. Geneva: WHO/WPCA;; 2014. access in 2020 Mar 26 Available from: http://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf
- Lee CH, Kim JK, Jun HJ, Lee DJ, Namkoong W, Oh JH.. Rehabilitation of advanced cancer patients in palliative care unit. Ann Rehabil Med 2018; Feb; 42 (01) 166-174
- Cardoso DH, Muniz RM, Schwartz E, Arrieira ICO.. Cuidados paliativos na assistência hospitalar: a vivência de uma equipe multiprofissiona. Texto Contexto Enferm 2013; 22 (04) 1134-1141
- Jo JM, Hwang JH, Lee CH, Kang HJ, Yu JN.. The need of cancer patients for rehabilitation services. J Korean Acad Rehabil Med 2010; 34: 691-700
- Sanches KS, Rabin EG, Teixeira PTO.. The scenario of scientific publication on palliative care in oncology over the last 5 years: a scoping review. Rev Esc Enferm USP 2018; Jun; 52: e03336 http://dx.doi.org/10.1590/S1980-220X2017009103336
- Kaliks RA, Matos TF, Silva VS, Barros LHC.. Differences in systemic cancer treatment in Brazil: my Public Health System is different from your Public Health System. Braz J Oncol 2017; 13: 1-12
- Ministério da Saúde (BR). Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA). Estimativa 2020 - Incidência de Câncer no Brasil [Internet]. Brasília (DF): Ministério da Saúde/INCA;; 2020. access in ANO Mês dia Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidenciade-cancer-no-brasil.pdf
- World Health Organization (WHO). International Agency For Research On Cancer. Graph production: global cancer observatory - GLOBOCAN 2020 [Internet]. Geneva: WHO;; 2020. access in 2021 Mar 24. Available from: https://gco.iarc.fr/today/online-analysis-pie?v=2020&mode=population&mode_population=regions&population=900&populations=900&key=total&sex=0&cancer=39&type=0&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=0&ages_group%5B%5D=17&nb_items=7&group_cancer=1&include_nmsc=1&include_nmsc_other=1&half_pie=0&donut=0
- Hermes HR, Lamarca ICA.. Cuidados paliativos: uma abordagem a partir das categorias profissionais de saúde. Ciênc Saúde Coletiva 2013; Sep; 18 (09) 257788
- Van Mechelen W, Aertgeerts B, Ceulaer K, Thoonsen B, Vermandere M, Warmenhoven F. et al Defining the palliative care patient: a systematic review. Palliat Med 2013; 27 (03) 197-208 https://doi.org/10.1177/0269216311435268
- Cunha CV, Gardenghi G. A. fisioterapia nos cuidados paliativos a pacientes com câncer - uma revisão baseada em evidências [Internet]. Goiânia: Faculdade CEAFI;; 2019. access in ANO Mês dia Available from: https://ceafi.edu.br/publicacao/afisioterapia-nos-cuidados-paliativos-a-pacientescom-cancer-uma-revisao-baseada-em-evidencias/
- Burgos DBL.. Fisioterapia paliativa aplicada ao paciente oncológico terminal. Ensaios Cienc Cienc Biol Agrar Saúde [Internet] 2017; [cited ANO Mês dia]; 21 (02) 117-122 Available from: https://revista.pgsskroton.com/index.php/ensaioeciencia/article/view/4021
- Okamura H.. Importance of rehabilitation in cancer treatment and palliative medicine. Jpn J Clin Oncol 2011; Jun; 41 (06) 733-738
- Paião RCN, Dias LIN. A atuação da fisioterapia nos cuidados paliativos da criança com câncer. Ensaios Cienc Cienc Biol Agrar Saúde [Internet] 2012; [cited ANO Mês dia]; 16 (04) 153-169 Available from: https://www.redalyc.org/articulo.oa?id=26029236012
- Florentino DM, Sousa FR, Maiworn AI, Carvalho ACA, Silva KM. A fisioterapia no alívio da dor: uma visão reabilitadora em cuidados paliativos. Rev Hosp Univ Pedro Ernesto UERJ [Internet] 2012; Jun cited ANO Mês dia 11 (02) 50-57 Available from: https://www.e-publicacoes.uerj.br/index.php/revistahupe/article/view/8942
- Rocha LSM, Cunha A. O. papel do fisioterapeuta nos cuidados paliativos em pacientes oncológicos. JCBS 2016; 2 (02) 78-85
- Silva RM, Peres ACO, Carcereri DL.. Atuação da equipe de saúde bucal na atenção domiciliar na Estratégia Saúde da Família: uma revisão integrativa. Ciênc Saúde Coletiva 2020; Jun; 25 (06) 2259-2270
- Ohl ICB, Ohl RIB, Chavaglia SRR, Goldman RE.. Public actions for control of breast cancer in Brazil: integrative review. Rev Bras Enferm 2016; Jul/Aug; 69 (04) 746-755 http://dx.doi.org/10.1590/0034-7167.2016690424i
- Physiotherapy Evidence Database (PEDRro). Escala de PEDro [Internet]. Sydney: Physiotherapy Evidence Database;; 2019. access in 2019 Oct 29 Available from: https://www.pedro.org.au/portuguese/dwnloads/pedro-scale/
-
Oldervoll L Lydersen.
et al
Exercício físico para pacientes com câncer com doença avançada: teste controlado e aleatório. . Oncologist. 2011
- Farquhar MC, Prevost AT, McCrone P, Brafman-Price B, Bentley A, Higginson IJ. et al Is a specialist breathlessness service more effective and cost-effective for patients with advanced cancer and their careers than standard care? Findings of a mixed-method randomised controlled trial. BMC Med 2014; Oct; 12: 194
- Pyszora A. Budzynski J, Wojcik A, Prokop M. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Support Care Cancer 2017; Sep; 25 (09) 2899-2908
- Henke CC, Cabri J, Fricke L, Pankow W, Kandilakis G, Feyer PC. et al Strength and endurance training in the treatment of lung cancer patients in stages IIIA/ IIIB/IV. Support Care Cancer 2014; Jan; 22 (01) 95-101 https://doi.org/10.1007/s00520-013-1925-1
- Poort H, Peters MEWJ, Van Der Graaf WTA, Nieuwkerk PT, Van de Wouw AJ, Van Der Sanden MWG. et al Cognitive behavioral therapy or graded exercise therapy compared with usual care for severe fatigue in patients with advanced cancer during treatment: a randomized controlled trial. Ann Oncol 2020; Jan; 31 (01) 115-122 https://doi.org/10.1016/j.annonc.2019.09.002
- Lee CH, Kim JK, Jun HJ, Lee DJ, Namkoong W, Oh JH.. Rehabilitation of advanced cancer patients in palliative care unit. Ann Rehabil Med 2018; Feb; 42 (01) 166-174 https://doi.org/10.5535/arm.2018.42.1.166
- Blum D, Schuetz C, Wiebke J, Wannke L, Ketels G, Bokemeyer C, Oechsle K.. Individual specialist physical activity assessment and intervention in advanced cancer patients on a palliative care ward; the 3STEPS-study. Ann Palliat Med 2020; Aug; 9 (06) 4315-4322 http://dx.doi.org/10.21037/apm-19-472
- Mendes EC, Silva LP, Chelles PA, Silva FP, Resende JMD.. Atendimento fisioterapêutico ao paciente em cuidados paliativos oncológicos em tempos de pandemia por Covid-19: recomendações de uma unidade de referência. Rev Bras Cancerol 2020; 66: e1113 https://doi.org/10.32635/2176-9745.RBC.2020v66nTemaAtual.1113
- Kumar SP, Prasad K, Kumar VK, Shenoy K, Sisodia V.. Mechanism-based classification and physical therapy management of persons with cancer pain: a prospective case series. Indian J Palliat Care [Internet] 2013; [cited ANO Mês dia]; 19 (01) 27-33 Available from: https://www.jpalliativecare.com/text.asp?2013/19/1/27/110225
- Siemens W, Boehlke C, Bennett MI, Offner K, Becker G, Gaertner J.. Transcutaneous electrical nerve stimulation for advanced cancer pain inpatients in specialist palliative care-a blinded, randomized, sham-controlled pilot cross-over trial. Supportive Care Cancer 2020; Mar; 28: 5323-5333 https://doi.org/10.1007/s00520-020-05370-8
- Eyigor S, Akdeniz S.. Is exercise ignored in palliative cancer patients?. World J Clin Oncol 2014; Aug; 5 (03) 554-559
- Costa BP, Duarte LA. Re?exões bioéticas sobre finitude da vida, cuidados paliativos e fisioterapia. Rev Bioét 2019; Jul/Sep; 27 (03) 510-515 https://doi.org/10.1590/1983-80422019273335
- Hall CC, Cook J, Maddocks M, Skipworth RJE, Fallon M, Laird BJ. Combined exercise and nutritional rehabilitation in outpatients with incurable cancer: a systematic review. Support Care Cancer 2019; Apr; 27: 2371-2384 https://doi.org/10.1007/s00520-019-04749-6