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Physical and Occupational Therapy

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Blood and Marrow Transplant Handbook

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Abstract

Patients undergoing hematopoietic cell transplant (HCT) face a multitude of side effects often resulting in diminished physical functioning and lack of engagement in physical activity that may impact not only tolerance of the treatment course but also their survivorship. This chapter introduces the roles of physical and occupational therapy professionals as a part of the interdisciplinary treatment team, then reviews research-supported recommendations in the use of exercise and management strategies on physical function, cancer-related fatigue (CRF), quality of life (QOL), and chemotherapy-induced cognitive impairment (CICI). Research data suggest that implementation of physical exercise is beneficial over the continuum of treatment and is a promising adjuvant intervention. Cognitive behavioral strategies are aimed at adaptive strategies and restorative activities to improve overall QOL and function. Early interventions provided by both physical and occupational therapy may provide the greatest benefit if initiated prior to transplant to assist with preventative bolstering of internal and external resources rather than remediation. This chapter will review the current literature in treatment strategies and the impact on successful recovery.

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Author information

Authors and Affiliations

  1. Legacy Rehabilitation Services, Legacy Good Samaritan Medical Center, Portland, OR, USA

    Gwen Hendershot & David Therrattil

  2. Department of Rehabilitation, Oregon Health & Science University, Portland, OR, USA

    Jennifer Pidkowicz

Authors
  1. Gwen Hendershot
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  2. Jennifer Pidkowicz
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  3. David Therrattil
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Corresponding author

Correspondence to Gwen Hendershot .

Editor information

Editors and Affiliations

  1. Center for Hematologic Malignancies Adult Blood and Marrow Transplant & Cell Therapy Program, Knight Cancer Institute Oregon Health & Science University, Portland, OR, USA

    Richard T. Maziarz

  2. Center for Hematologic Malignancies Adult Blood and Marrow Transplant & Cell Therapy Program, Knight Cancer Institute Oregon Health & Science University, Portland, OR, USA

    Susan Schubach Slater

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Hendershot, G., Pidkowicz, J., Therrattil, D. (2021). Physical and Occupational Therapy. In: Maziarz, R.T., Slater, S.S. (eds) Blood and Marrow Transplant Handbook. Springer, Cham. https://doi.org/10.1007/978-3-030-53626-8_8

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  • DOI: https://doi.org/10.1007/978-3-030-53626-8_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-53625-1

  • Online ISBN: 978-3-030-53626-8

  • eBook Packages: MedicineMedicine (R0)

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