Prehabilitation: An Emerging Standard in Exercise Oncology

Stout, Nicole L.; Silver, Julie K.; Baima, Jennifer; Knowlton, Sasha E.; Hu, Xiaorong

doi:10.1007/978-3-030-42011-6_6

Cited by 11 publications

(8 citation statements)

References 82 publications

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“…Rather than addressing cancer treatment-related physical and functional impairment through reactive, referral-based care models, the field of oncology rehabilitation leverages prehabilitation and prospective surveillance clinical models to proactively engage the rehabilitation provider in cancer care delivery. 9,[12][13][14][15][16] This is unique to cancer care, deviating from how a physical therapist commonly functions in a traditional clinic setting, and requires rehabilitation administrative policies that enable better engagement with the cancer care delivery system. 17 Colocated supportive care services in cancer care improve patient satisfaction and may improve costs associated with chemotherapy delivery.…”

Section: Discussionmentioning

confidence: 99%

Professional Roles of Oncologic Specialty Physical Therapists in the United States

Stout

Pfalzer

Drouin³

et al. 2022

Rehabilitation Oncology

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Background: Oncologic specialty physical therapists (OncPTs) are a growing discipline in the cancer workforce.The complexities of cancer care delivery and the multidimensional nature of cancer care teams require oncology providers to serve in professional roles beyond clinical care. This project aims to assess the professional roles that OncPTs play in cancer care delivery. Methods: A 27-item survey was developed by the Oncologic Specialty Council of the American Board of Physical Therapy Specialties and sent electronically to boardcertified oncologic clinical specialists in the United States. The survey was open for 45 days. Demographics of the population and frequency data were analyzed in Qualtrics. Results: Fifty-seven complete surveys were received out of 106 eligible specialists (response rate 53%). Respondents were predominantly female (91%) and White (78%). Fifty-six percent (n = 32) had greater than 15 years of practice experience and 68% (n = 39) held DPTs. Seventy-three percent reported greater than 50% of their work week dedicated to oncology practice and 52.6% reported providing consultations or treatment in the physical space of a cancer center. All respondents have been board-certified OncPTs for at least 1 year. Providing clinical care accounted for 71% of the cohorts' work time and 14% was spent in program development (outside of clinical care). Specialists reported oncology-specific program development responsibilities across 3 themes: workforce development (mentoring and teaching peers and staff), establishing clinical practice standards (standardizing assessment tools and clinical pathways), and program assessment (quality improvement and research). The OncPT professional roles included leadership responsibilities within their health system (n = 24) and leadership or committee roles in rehabilitation-specific professional organizations (n = 55). No respondents reported serving in roles regarding research mentorship or advising on state policy or payer issues, and 1 respondent identified a role in advising on federal policy issues. Conclusion: Oncologic specialty physical therapists primarily serve clinical patient care roles. Aside from clinical practice, program development roles focus on rehabilitation-centric Rehabilitation Oncology

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Section: Discussionmentioning

confidence: 99%

Professional Roles of Oncologic Specialty Physical Therapists in the United States

Stout

Pfalzer

Drouin³

et al. 2022

Rehabilitation Oncology

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“…Connecting PABC to prehabilitation early in their cancer care shows great promise [40]. Introducing exercise pre-treatment has been shown to reduce functional decline, improve treatment tolerance, and improve exercise adherence [41]. However, there are significant gaps in the prehabilitation research with regard to screening, length of intervention before treatment, and dose of the exercise intervention [41].…”

Section: Importance Of Exercisementioning

confidence: 99%

An integrated model of exercise support for people affected by cancer: consensus through scoping

Humphreys

Crank

Dixey

et al. 2020

Disability and Rehabilitation

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Introduction: Exercise support for people with cancer is a national priority. The purpose of this study was to identify the success factors necessary to create a model of exercise support for people affected by cancer in a large city in the north of England.Method: Two groups of participants were recruited; people affected by cancer (n=26) and professional stakeholders (n=14) contributing to either focus groups or semi-structured interviews. Data were analysed using framework analysis.Results: Results from this study suggest that the promotion of exercise is not a priority in routine cancer care. Patients identified a lack of support and difficulty attaining information as a barrier to becoming active, emphasising a gulf between the patients' needs and the health professionals' priorities. People affected by cancer and professionals agreed that exercise was beneficial to cancer patients both during and after treatment. For an exercise pathway to be successful, key factors were identified including accessibility; tailored support; social interaction; affordability; competence of exercise delivery staff.Conclusions: There was consensus on the importance of exercise and critical factors required to develop a sustainable, accessible and effective service.Evidence to inform the development of an exercise pathway for people affected by cancer is provided.

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“…Exercise “preconditioning” refers to a practice in which exercise is performed prior to initiating a treatment regimen to prevent declines into a clinically compromised state ( Stout et al, 2020 ). Preliminary evidence has suggested that this practice may have therapeutic value.…”

Section: Introductionmentioning

confidence: 99%

Considerations for designing trials targeting muscle dysfunction in exercise oncology

et al. 2023

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Individuals diagnosed with cancer commonly experience a significant decline in muscle mass and physical function collectively referred to as cancer related muscle dysfunction. This is concerning because impairments in functional capacity are associated with an increased risk for the development of disability and subsequent mortality. Notably, exercise offers a potential intervention to combat cancer related muscle dysfunction. Despite this, research is limited on the efficacy of exercise when implemented in such a population. Thus, the purpose of this mini review is to offer critical considerations for researchers seeking to design studies pertaining to cancer related muscle dysfunction. Namely, 1) defining the condition of interest, 2) determining the most appropriate outcome and methods of assessment, 3) establishing the best timepoint (along the cancer continuum) to intervene, and 4) understanding how exercise prescription can be configured to optimize outcomes.

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Prehabilitation: An Emerging Standard in Exercise Oncology

Cited by 11 publications

References 82 publications

Professional Roles of Oncologic Specialty Physical Therapists in the United States

Professional Roles of Oncologic Specialty Physical Therapists in the United States

An integrated model of exercise support for people affected by cancer: consensus through scoping

Considerations for designing trials targeting muscle dysfunction in exercise oncology

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