Model of telerehabilitation for people with breast cancer during the COVID-19 pandemic in Chile

Abstract

Adapting face-to-face physical therapy consultations in cancer care to a model of telerehabilitation has been necessary, given the imminent spread of the COVID-19 pandemic. In this respect, the current model of telerehabilitation for people with breast cancer can be described as a method of continuing physical therapy treatment, in a public hospital with limited resources.

Rehabilitation and COVID-19: the Cochrane Rehabilitation 2020 rapid living systematic review. Update as of August 31st, 2020

“…A detailed overview of the new evidence is provided in the supplementary Digital Material 1: Supplementary Table I (available on Cochrane Rehabilitation website: (https://tr.im/rr_dyn) 7 . Most studies (n=23) were conducted in Europe, 8 in Italy [8][9][10][11][12][13][14][15] , 4 in United Kingdom [16][17][18][19] , 3 in France [20][21][22] , 2 in Germany 23,24 , 2 in Switzerland 25,26 , 1 in Spain 27 , 1 in Portugal 28 , while 2 were performed as International European collaborations 29,30 ; Fifteen researches were performed in Asia (n=15), namely 3 in China [31][32][33] , 2 in Singapore 34,35 , 2 in Japan 36 , 2 in Turkey 37,38 , 2 in India 39,40 , 1 Iran 41 , 1 Kuwait 42 , 1 Pakistan 43 , 1 Taiwan 44 , whereas 11 in Americas , of whom 10 in United States of America (USA) [45][46][47][48][49][50][51][52][53][54] and 1 in Chile 55 . Two studies were carried out by Intercontin...…”

“…Due to the heterogeneity of published studies, a meta-analysis was not appropriate, so the results were qualitatively described. Based on the OCEBM 2011 Levels of Evidence table 58 the majority (76.5%) were level 4 (20 case report 8,16,18,19,21,23,[27][28][29][30]36,37,39,[42][43][44]47,49,51,53 , 10 case series 17,20,22,26,32,34,35,41,48,59 , and 9 historical cohort [9][10][11]13,15,24,[55][56][57] ), whereas the remainder 12 papers (23.5%) were of level 3 (6 cohort 12,25,33,40,46,50 and 6 cross sectional studies) 14,31,38,45,…”

“…spinal cord injury (SCI) 10,49 , brain injury 31 , idiopathic pulmonary fibrosis 43 , multiple sclerosis (MS) 30 , Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) 53 , and hip fractures 41 . Finally, 12 papers (23.5%) studied the effect of the pandemic lockdown restrictions on people with pre-existing diseases (laryngectomy patients with a voice prosthesis 12 , diabetes 40 , heart diseases 14,46 , bone fractures 38 , spinal disorders 13 , breast cancer 55 , Parkinson's Disease (PD) 15,50 , and stroke 24,45,56 ).…”

“…Eighteen papers (35.3%) provided data about the type of rehabilitation service: 6 acute care 19,32,33,35,36,48 , 4 general post-acute 8,11,31,59 , and 8 specialized post-acute rehabilitation 10,12,25,34,51,55 including outpatients 13,50 .…”

“…(3.9%) any other body structures and functions 41,54 . Twelve papers 12,13,55,56,14,15,24,38,40,45,46,50 did not include people affected by COVID-19, so LFRI criteria were not applicable. The following summarizes the main evidence.…”