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Fleischer A, Humphrey C. Women's Experiences after Hormone Positive Breast Cancer: Beginning of Radiation to 3-4 Years Post-Radiation. Occup Ther Health Care 2024; 38:364-384. [PMID: 36112023 DOI: 10.1080/07380577.2022.2121991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 08/23/2022] [Accepted: 09/03/2022] [Indexed: 06/15/2023]
Abstract
This study found that a breast cancer survivor cohort who were 3-4 years post-treatment returned to near baseline activity levels, and their important activity categories were nearly evenly distributed among instrumental activities of daily living, high-demand leisure, and social participation. When describing their experiences, three themes emerged: exercise is important physically and emotionally, participating in important activities feels good, and plans have been made to continue engaging in important activities. Further research is needed to compare activity resumption among those receiving or not receiving occupational therapy-at different timepoints-to understand when occupational therapy can make the greatest impact.
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Affiliation(s)
- Anne Fleischer
- Occupational Therapy Program, Department of Rehabilitation, Exercise and Nutrition Sciences, University of Cincinnati
| | - Casey Humphrey
- Department of Occupational Science and Occupational Therapy, Eastern Kentucky University
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Higuchi D, Kondo Y, Watanabe Y, Miki T. Health-Related Quality of Life is Associated With Pain, Kinesiophobia, and Physical Activity in Individuals Who Underwent Cervical Spine Surgery. Ann Rehabil Med 2024; 48:57-64. [PMID: 38325902 PMCID: PMC10915307 DOI: 10.5535/arm.23142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 11/08/2023] [Accepted: 12/06/2023] [Indexed: 02/09/2024] Open
Abstract
OBJECTIVE To determine the association between health-related quality of life (HRQOL) and neck pain, kinesiophobia, and modalities of physical activity in individuals with postoperative degenerative cervical myelopathy and radiculopathy (DCM/R) because postoperative pain after cervical spine surgery is likely to persist, causing kinesiophobia and avoidance of physical activity. METHODS A questionnaire was distributed to 280 individuals with DCM/R. The questionnaire comprised the following four items: HRQOL (EuroQol 5-dimensions 5-level), neck pain (numerical rating scale [NRS]), kinesiophobia (11-item Tampa Scale for Kinesiophobia [TSK-11]), and physical activity (paid work, light exercise, walking, strength training, and gardening). Hierarchical multiple regression analysis was performed using the NRS, TSK-11, and physical activity as independent variables. RESULTS In total, 126 individuals provided analyzable responses (45.0%). After including the NRS score as an independent variable to the multiple regression equation for participants' background, the independent rate of the regression equation significantly improved by only 4.1% (R2=0.153). The addition of the TSK-11 score significantly improved this effect by 11.1% (R2=0.264). Finally, the addition of physical activity also significantly improved the explanatory rate by 9.9% (R2=0.363). CONCLUSION Neck pain, kinesiophobia, and physical activity (specifically paid work and walking) were independently associated with HRQOL in individuals with postoperative DCM/R.
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Affiliation(s)
- Daisuke Higuchi
- Department of Health Care, Takasaki University of Health and Welfare, Takasaki, Japan
| | - Yu Kondo
- Department of Rehabilitation, Sapporo Maruyama Orthopedic Hospital, Sapporo, Japan
| | - Yuta Watanabe
- Department of Rehabilitation, Sapporo Maruyama Orthopedic Hospital, Sapporo, Japan
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Psychosocial Interventions for the Treatment of Cancer-Related Fatigue: An Umbrella Review. Curr Oncol 2023; 30:2954-2977. [PMID: 36975439 PMCID: PMC10047125 DOI: 10.3390/curroncol30030226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 02/04/2023] [Accepted: 02/15/2023] [Indexed: 03/06/2023] Open
Abstract
Cancer-related fatigue is one of the most common symptoms of cancer and one of those referred by patients as the most disabling. However, we still do not have enough evidence to allow us to recommend effective and personalized approaches. Goal: To provide evidence on the efficacy of ASCO-recommended psychosocial interventions for reducing cancer-related fatigue. Methodology: A general quantitative systematic review for nonprimary clinical interventions that allows the collection, synthesis and analysis of already published reviews. Systematic reviews of RTCs were selected as these make up the body of knowledge that provides the most evidence in an umbrella format. The results do not provide clear or comparable evidence regarding the different interventions, with moderate evidence standing out for cognitive interventions and mindfulness. Conclusions: Research gaps, study biases and the need for further research to ask more precise questions and to make reliable recommendations to mitigate the impact of cancer-related fatigue are evident.
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Salchow JL, Strunk MA, Niels T, Steck J, Minto CA, Baumann FT. A Randomized Controlled Pilot Trial About the Influence of Kyusho Jitsu Exercise on Self-efficacy, Fear, Depression, and Distress of Breast Cancer Patients within Follow-up Care. Integr Cancer Ther 2021; 20:15347354211037955. [PMID: 34590926 PMCID: PMC8488411 DOI: 10.1177/15347354211037955] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Introduction Breast cancer survivors are faced with several psychological issues. We
report the influence on self-efficacy by a holistic orientated training
schedule based on the “Kyusho Jitsu” martial art and explore the effects on
self-efficacy, distress, fear, and depression. Methods Breast cancer survivors (N = 51) were randomly assigned to an intervention
(n = 30) or control group (n = 21). The intervention group participated in a
Kyusho Jitsu intervention twice a week over a period of 6 months, the
control group received no intervention. Patients from both groups were
measured at baseline, 3 and 6 months on level of self-efficacy (German
General-Self-Efficacy Scale, SWE), stress (Perceived Stress Questionnaire,
PSQ20), and fear and depression (Hospital Anxiety and Depression Scale,
HADS). Results Analysis of the original data showed a significant difference between both
groups regarding the subscale “joy” (P = .018). Several
significant results within the intervention group were seen in self-efficacy
(P = .014), fear (P = .009) and the
overall score for fear and depression (P = .043). Both
groups improved significantly within “worries” (intervention
P = .006, control P = .019) and the
PSQ20 overall score (both P = .005). The control group also
significantly improved in the subscale for “demands”
(P = .019). Conclusion To summarize, our pilot study showed that Kyusho Jitsu training is safe and
feasible. Though, the intervention alone cannot be considered as being
effective enough to help breast cancer survivors regarding relevant
psychological issues, but might be an important supplement offer within
follow-up care.
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Affiliation(s)
- Jannike L Salchow
- University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Maximilian A Strunk
- Center for Integrated Oncology Cologne, University Hospital of Cologne, Cologne, Germany
| | - Timo Niels
- Center for Integrated Oncology Cologne, University Hospital of Cologne, Cologne, Germany
| | - Jule Steck
- Center for Integrated Oncology Cologne, University Hospital of Cologne, Cologne, Germany
| | - Carrie-Ann Minto
- University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Freerk T Baumann
- Center for Integrated Oncology Cologne, University Hospital of Cologne, Cologne, Germany
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Fisher HM, Jacobs J, Taub CJ, Lechner S, Lewis JE, Carver CS, Blomberg BB, Antoni MH. How changes in physical activity relate to fatigue interference, mood, and quality of life during treatment for non-metastatic breast cancer. Gen Hosp Psychiatry 2017; 49:37-43. [PMID: 28583700 PMCID: PMC5681387 DOI: 10.1016/j.genhosppsych.2017.05.007] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Revised: 05/15/2017] [Accepted: 05/27/2017] [Indexed: 12/11/2022]
Abstract
OBJECTIVE Physical activity (PA) following surgery for breast cancer may improve depressive symptoms and quality of life (QoL) via reduction in fatigue-related daily interference (FRDI). Less is known about how change in PA may relate to these psychosocial factors throughout the course of treatment. In a secondary analysis of a previous psychosocial intervention trial, we examined relationships between change in PA, depressive symptoms, and functional QoL, as mediated by change in FRDI, and whether naturally occurring change in PA provided benefit independent of the intervention. METHOD Women (N=240) with non-metastatic stage 0-III breast cancer were randomized to cognitive-behavioral stress management (CBSM) or a control 2-10weeks post-surgery. PA, FRDI, clinician-rated depressive symptoms, self-reported depressed mood, and functional QoL were assessed at baseline and three months post-intervention. RESULTS Increased PA was associated with reductions in clinician-rated depressive symptoms, depressed mood, and improved QoL, mediated by a reduction in FRDI. This was above and beyond the effect of CBSM. CONCLUSIONS Increased PA may mitigate FRDI and improve depressive symptoms and functional QoL for women undergoing breast cancer treatment, beyond effects of a psychosocial intervention. Benefits of an integrated PA and psychosocial approach should be investigated further.
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Affiliation(s)
- Hannah M. Fisher
- Department of Psychology, University of Miami, Coral Gables, FL, 33124, United States
| | - Jamie Jacobs
- Massachusetts General Hospital, Center for Psychiatric Oncology and Behavioral Sciences, Boston, MA, 02114, United States,Harvard Medical School, Boston, MA, 02115, United States
| | - Chloe J. Taub
- Department of Psychology, University of Miami, Coral Gables, FL, 33124, United States
| | - Suzanne Lechner
- Sylvester Cancer Center, University of Miami Miller School of Medicine, Miami, FL, 33136, United States,Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, 33136, United States
| | - John E. Lewis
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, 33136, United States
| | - Charles S. Carver
- Department of Psychology, University of Miami, Coral Gables, FL, 33124, United States,Sylvester Cancer Center, University of Miami Miller School of Medicine, Miami, FL, 33136, United States
| | - Bonnie B. Blomberg
- Sylvester Cancer Center, University of Miami Miller School of Medicine, Miami, FL, 33136, United States,Department of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, FL, 33136, United States
| | - Michael H. Antoni
- Department of Psychology, University of Miami, Coral Gables, FL, 33124, United States,Sylvester Cancer Center, University of Miami Miller School of Medicine, Miami, FL, 33136, United States,Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, 33136, United States
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Canário ACG, Cabral PUL, Paiva LCD, Florencio GLD, Spyrides MH, Gonçalves AKDS. Physical activity, fatigue and quality of life in breast cancer patients. Rev Assoc Med Bras (1992) 2016; 62:38-44. [DOI: 10.1590/1806-9282.62.01.38] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2014] [Accepted: 06/21/2014] [Indexed: 12/27/2022] Open
Abstract
SUMMARY Objective: to evaluate the relationship between levels of physical activity, fatigue and quality of life (QOL) in women diagnosed with breast cancer. Methods: 215 women between the ages of 40 and 65 years were recruited at a cancer clinic. Physical activity levels were assessed by using the International Physical Activity Questionnaire (IPAQ), fatigue levels by using the revised Piper scale, and QOL by means of EORTC QLQ-C30 and WHOQOL-Bref. Statistical analysis was performed using Minitab statistical software, version 16. Results: the mean age of subjects was 52.66 years (SD=8.6); patients were mostly white (58.14%) and overweight (55.81%). Most women were fatigued (72.09%) while physically active women showed lower symptoms of fatigue (p<0.001). Mean scores for QOL were significantly lower among fatigued women (p<0.001). More active women scored higher on all scales of QOL (EORTC), especially for functional capacity (p<0.001), compared with the sedentary patients. A significant association was found between level of physical activity and overall QOL (WHOQOL-Bref) for all domains (p<0.001). Climacteric symptoms ranged from mild to strong and did not show any statistically significant results; however, the most active women had the fewest symptoms. Conclusion: physical activity appears to positively influence fatigue and QOL in women diagnosed with breast cancer.
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Clinical characteristics of patients with cancer referred for outpatient physical therapy. Phys Ther 2015; 95:526-38. [PMID: 25504482 PMCID: PMC4384050 DOI: 10.2522/ptj.20140106] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2014] [Accepted: 11/25/2014] [Indexed: 01/13/2023]
Abstract
BACKGROUND Cancer rehabilitation is a developing area, with an increasing number of survivors of cancer in the United States. The increase in survivorship occurs alongside impairments arising directly from cancer or from treatment-related side effects. OBJECTIVE This study described clinical characteristics of patients with cancer referred for outpatient physical therapy and explored patterns in frequency of impairments between type of cancer and mode of cancer treatment. DESIGN This was a retrospective chart review of patients with cancer referred to a tertiary care physical therapy clinic over a 2-year period. METHODS Characteristics such as age, sex, cancer type, mode of treatment, and neuromusculoskeletal impairments were identified. Impairment frequencies were computed based on cancer type and mode of treatment. RESULTS Data from 418 patients (mean age=57.9 years, SD=14.3; 41.1% female) were examined. Genitourinary cancer (n=169) and breast cancer (n=90) were the most prevalent types of cancer reported in this sample. Impairments in strength (83.6%) and soft tissue (71.3%) were the most common examination findings. Lymphedema was most common in patients with breast cancer, and incontinence was most common in patients with genitourinary cancer. LIMITATIONS The types of cancer identified in this study may be reflective of this tertiary center and may not generalize to other facilities. Impairment identification during the initial physical therapist evaluation was not performed systematically. CONCLUSION These data reinforce that physical therapists should screen for lymphedema in patients with breast cancer and incontinence in urogenital cancers. Strength and soft tissue integrity should be evaluated in most patients with cancer. Assessing pain and fatigue levels is recommended for patients who have had radiation therapy.
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