Abstract
Introduction
Physical medicine and rehabilitation (PMR) cares are limited in practice in France. The complexity of treatments and their potential effects on disability, life expectancy, constitute some chronic factors of the cancer diseases. This chronic evolution is more and more indication of PMR interventions to limit deficiency or disability.
Objectives
To present the PMR modalities at different situations of the cancer diseases evolutions.
Methodology
This paper reports the orientation in our outpatient unit, the modalities for cares in PMR, the role of PMR doctors and the different technological or competent needs for cancer patients with deficiency or disability.
Discussion
A new and important reflexion with information, studies and acquired experiences are necessary. Organization of cares, institutions and cooperation must be developed in this specific domain of the rehabilitation for cancer patients with disability.
Résumé
Introduction
La prise en charge d’une rééducation et d’une réadaptation des affections cancérologiques reste encore limitée. La complexité croissante du traitement des cancers, l’espérance de vie, en faisant une maladie chronique, justifient de développer des programmes de rééducation et de réadaptation.
Objectifs
Évoquer les modalités d’une prise en charge en médecine physique et de réadaptation (MPR) selon les différentes phases d’évolution: phase aiguë, phase secondaire ou phase tardive.
Méthodologie
Ce travail rapporte les éléments constituant les critères d’orientation et de prise en charge en MPR, selon l’évolution, dans le champ des maladies cancéreuses, faisant état du rôle des médecins de MPR et des différents moyens techniques à mettre en oeuvre pour ces patients, en fonction des localisations, des complications et prenant en compte l’ensemble des dimensions: déficiences, incapacités, handicaps.
Discussion
Au-delà de cette volonté de prise en charge de ce type de patients, un travail d’information et de formation, de modélisation des prises en charge mais aussi des outils de rééducation, des structures ambulatoires, de la constitution de filières sur l’ensemble de la prise en charge dans ce champ spécifique, semble nécessaire à mettre en place.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Références
Abrahm JL, Banffy MB, Harris MB (2008) Spinal cord compression in patients with advanced metastatic cancer: “all I care about is walking and living my life”. JAMA 299(8): 937–46
Allgayer H, Dietrich CF, Rohde W, et al. (2005) Prospective comparison of short- and long-term effects of pelvic floor exercise/biofeedback training in patients with fecal incontinence after surgery plus irradiation versus surgery alone for colorectal cancer: clinical, functional and endoscopic/endosonographic findings. Scand J Gastroenterol 40(10): 1168–75
Clark J, Ford S, Hegedus P (2004) Developing a comprehensive cancer center rehabilitation program. J Oncol Manag 13(5): 13–21
Dimeo FC, Thomas F, Raabe-Menssen C, et al. (2004) Effect of aerobic exercise and relaxation training on fatigue and physical performance of cancer patients after surgery. A randomised controlled trial. Support Care Cancer 12(11): 774–9
Djurdjevic A, Nikolic S (2009) Profile of handicap situations in cancer patients. J BUON 14(3): 435–40
Dutta D, Vanere P, Gupta T, et al. (2009) Factors influencing activities of daily living using FIM-FAM scoring system before starting adjuvant treatment in patients with brain tumors: results from a prospective study. J Neurooncol 94(1): 103–10
Fattal C, Gault D, Leblond C, et al. (2009) Metastatic paraplegia: care management characteristics within a rehabilitation center. Spinal Cord 47(2): 115–21
Fayolle-Minon I, Condemine A, Phaner V, Calmels P (2008) Physical medicine and rehabilitation and oncology: ethical reflexion. Ann Readapt Med Phys 51(3): 201–6
Franklin DJ, Packel L (2006) Cancer-related fatigue. Arch Phys Med Rehabil 87(3 Suppl 1): S91–S3
Gilchrist LS, Galantino ML, Wampler M, et al. (2009) A framework for assessment in oncology rehabilitation. Phys Ther 89(3): 286–306
Goodwin JA, Coleman EA, Shaw J (2006) Short Functional Dependence Scale: development and pilot test in older adults with cancer. Cancer Nurs 29(1): 73–81
Jones LW, Eves ND, Haykowsky M, et al. (2009) Exercise intolerance in cancer and the role of exercise therapy to reverse dysfunction. Lancet Oncol 10(6): 598–605
Labourey JL (2007) Physical activity in the management of cancer-related fatigue induced by oncological treatments. Ann Readapt Med Phys 50(6): 450–4
Li J, Bentzen SM, Li J, et al. (2008) Relationship between neurocognitive function and quality of life after whole-brain radiotherapy in patients with brain metastasis. Int J Radiat Oncol Biol Phys 71(1): 64–70
Movsas SB, Chang VT, Tunkel RS, et al. (2003) Rehabilitation needs of an inpatient medical oncology unit. Arch Phys Med Rehabil 84(11): 1642–6
Palacio A, Calmels P, Genty M, et al. (2009) Oncology and physical medicine and rehabilitation. Ann Phys Rehabil Med 52(7–8): 568–78
Parsons JA, Davis AM (2004) Rehabilitation and quality-of-life issues in patients with extremity soft tissue sarcoma. Curr Treat Options Oncol 5(6): 477–88
Poirier P (2007) Factors affecting performance of usual activities during radiation therapy. Oncol Nurs Forum 34(4): 827–34
Stevinson C, Fox KR (2006) Feasibility of an exercise rehabilitation programme for cancer patients. Eur J Cancer Care (Engl) 15(4): 386–96
Wedding U, Röhrig B, Klippstein A, et al. (2006) Impairment in functional status and survival in patients with acute myeloid leukaemia. J Cancer Res Clin Oncol 132(10): 665–71
Author information
Authors and Affiliations
Consortia
Corresponding author
About this article
Cite this article
Calmels, P., Genty, M., Wirotius, JM. et al. Critères de prise en charge en médecine physique et de réadaptation et pathologies cancéreuses. Oncologie 12, 543–549 (2010). https://doi.org/10.1007/s10269-010-1934-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10269-010-1934-3