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Rehabilitation of the Sarcoma Patient

  • Walter LawrenceJr.
  • James P. Neifeld
  • Jose J. Terz
Part of the Comprehensive Manuals of Surgical Specialties book series (CMSS)

Abstract

The surgical management of soft-tissue sarcoma is not infrequently associated with various degrees of physical disability, which may range from limitation in range of motion to loss of an extremity. The loss of function may result in discomfort from prolonged sitting, standing, and walking, difficulty in running or kneeling, precarious balance, restrictions in lifting, and inability to hold or grasp objects. The fear of the anticipated disability from treatment produces significant anxiety in the patient and his family, with major concerns of dependence, pain, alteration of self-image, loss of self-esteem, and psychosexual adjustment problems. A well-planned program for rehabilitation will minimize the psychosocial and functional impact of any loss of function from treatment by restoring the patient to self-sufficiency at his highest attainable skill in the shortest period of time. These goals are attained optimally through early intervention of a multidisciplinary team integrated by the surgeon which should include a physical medicine specialist (physiatrist), social worker, nurse, psychologist, occupational and physical therapists, and a vocational rehabilitation counselor.

Keywords

Physical Rehabilitation Sarcoma Patient Significant Anxiety Quadriceps Muscle Group Rehabilitation Oncology 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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    Dietz JH Jr: Rehabilitation Oncology. New York, John Wiley & Sons, 1981.Google Scholar
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    Malick MH: Manual on Dynamic Hand Splinting with Thermoplastic Materials. Hamarville Rehabilitation Center, 1974.Google Scholar
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    National Cancer Institute Monograph 56: Sarcomas of Soft Tissue and Bone in Childhood, April 1981.Google Scholar
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    Santschi WR: Manual of Upper Extremity Prosthetics. University of California at Los Angeles, 1958.Google Scholar
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    Whitehill R, Wanebo HJ, Mabie KN, Schildwachter T, Rosenberger R: Reconstruction after the Tikhoff-Linberg procedure. Arch Surg 117: 1248 – 1249, 1982.PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1983

Authors and Affiliations

  • Walter LawrenceJr.
    • 1
    • 2
  • James P. Neifeld
    • 1
    • 2
  • Jose J. Terz
    • 3
  1. 1.Division of Surgical OncologyMedical College of Virginia (Virginia Commonwealth University)RichmondUSA
  2. 2.Massey Cancer CenterMedical College of Virginia (Virginia Commonwealth University)RichmondUSA
  3. 3.Department of General Oncologic SurgeryCity of Hope National Medical CenterDuarteUSA

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