Kinesiotherapy applied to oncological fatigue
DOI:
https://doi.org/10.33233/fb.v22i4.4527Keywords:
oncology; physical therapy; fatigueAbstract
Objective: We sought in the literature studies that use kinesiotherapy to treat, mitigate and improve fatigue in cancer patients, in addition to identifying which is the best intervention for clinical practice with this group of patients. Methods: An integrative literature review was carried out, accompanied by methodological quality assessment. Searches started in the period from May 7, 2020 to September 15, 2020, in the PEDro, Pubmed and Scielo databases. 146 articles were found, however, only 12 were selected and analyzed according to the inclusion criteria and methodological quality of the PEDro scale. Results: The studies found several physiotherapeutic approaches to fatigue in patients aged 18 to 94 years in the short to long term, with a minimum of 3 months and a maximum of 2 years of intervention at outpatient and home levels, with protocols for aerobic therapeutic exercises, active, resisted and functional that provided positive results to patients with cancer fatigue. Conclusion: The use of physical therapy with kinesiotherapeutic exercises is essential for the rehabilitation of these patients, making necessary further research with clinical trials.
References
Instituto Nacional de Câncer. Cuidados Paliativos Oncológicos - Controle de Sintomas. Rev Bras Cancerol [Internet]. 2002 [cited 2021 Aug 13];48(2):191-1. Available from: https://rbc.inca.gov.br/revista/index.php/revista/article/view/2245Psicomotora
Oliveira SMC, Santos EV, Silva YMGPA. Cuidados paliativos: prevalência de fadiga em pacientes pediátricos. Rev Soc Bras Clin Med [Internet]. 2017 [cited 2021 Aug 13];15(4):240-5. Available from: https://docs.bvsalud.org/biblioref/2018/01/877081/154240-245.pdf
Mota DD, Cruz DA, Pimenta CA. Fadiga: uma análise do conceito. Acta Paul Enferm 2005;3(18):285-93. doi: 10.1590/S0103-21002005000300009
Mota DD, Pimenta CA. Fadiga em pacientes com câncer avançado: conceito, avaliação e intervenção. Rev Bras Cancerol 2002;48(2). doi: 10.32635/2176-9745.RBC.2002v48n4.2172
Chaudhuri A, Behan PO. Fatigue in neurological disorders. Lancet 2004;363(9413):978-88. https://10.1016/S0140-6736(04)15794-2
Amaducci CM, Mota DD, Pimenta CA. Fadiga entre estudantes de graduação em Enfermagem. Rev Esc Enferm USP 2010;44(4):1052-8. doi: 10.1590/s0080-62342010000400028
Mendes LC, Barichello E. Intervenções no manejo da fadiga e qualidade de vida em pacientes em quimioterapia: estudo de revisão. Cogitare Enferm 2019(24). doi: /10.5380/ce.v24i0.61790
Campos MPO, Hassan BJ, Riechelmann R, Giglio A. Fadiga relacionada ao câncer: uma revisão. Rev Assoc Med Bras 2011;57(2):211-9. doi: 10.1590/S0104-42302011000200021
Curt GA, Breitbart W, Cella D, Groopman JE, Horning Sj, Itri LM, et al. Impact of cancer-related fatigue on the lives of patients: new findings from the fatigue coalition. Oncologist 2000;5(5):353-60. doi: 10.1634/theoncologist.5-5-353
Wang XS, Giralt SA, Mendoza TR, Engstrom MC, Johnson BA Peterson N, et al. Clinical factors associated with cancer-related fatigue in patients being treated for leukemia and non-Hodgkin’s lymphoma. J Clin Oncol 2002;20(5):1319-28. doi: 10.1200/JCO.2002.20.5.1319
Lawrence DP, Kupelnick BM, Miller K, Devine D, Lau J. Evidence report on the occurrence, assessment, and treatment of fatigue in cancer patients. J Natl Cancer Inst Monogr 2004;(32):40-50. doi: 10.1093/jncimonographs/lgh027
Cella D, Davis K, Breitbart W, Curt G. Cancer related fatigue: prevalence of proposed diagnostic criteria in a United States sample of cancer survivors. J Clin Oncol 2001;19(14):3385-91. doi: 10.1200/jco.2001.19.14.3385
Kisner C, Colby LA. Exercícios terapêuticos: fundamentos e técnicas. 6ª ed. Barueri: Manole; 2016.
Velthuis MJ, Agasi-Idenburg SC, Aufdemkampe G, Wittink HM. The effect of physical exercise on cancer-related fatigue during cancer treatment: a meta-analysis of randomised controlled trials. Clin Oncol 2010;22(3):208-21. doi: 10.1016/j.clon.2009.12.005
Vallance JKH, Couneya KS, Plotnikoff RC, Yasui Y, Mackey JR. Randomized controlled trial of the effects of print materials and step pedometers on physical activity and quality of life in breast cancer survivors. J Clin Oncol 2007;25(17):2352-9. doi: 10.1200/JCO.2006.07.9988
Lucía A, Earnest C, Pérez M. Cancer–related fatigue: can exercise physiology assist oncologists? Lancet Oncol 2003;4(10):616-25. doi: 10.1016/s1470-2045(03)01221-x
Rodrigues LF. A redução da fadiga oncológica através do exercício físico. Rev Bras Fisiol Exerc 2019;18(1):51-7. doi: 10.33233/rbfe.v18i1.2879
Duarte ECPS, Sousa RR, Feijó-Figueiredo MC, Pereira-Freire JA. Assistência nutricional para os cuidados paliativos de pacientes oncológicos: uma revisão integrativa. Revista de Atenção à Saúde 2020;18(64):124-32. doi: 10.13037/ras.vol18n64.6585
Frio CC, Pretto ADB, Gonzales MC, Pastore CA. Influência da composição corporal sobre a qualidade de vida de pacientes com câncer. Rev Bras Cancerol 2015;61(4):351-7. doi: 10.32635/2176-9745.RBC.2015v61n4.224
Vega MCMD, Laviano A, Pimentel GD. Sarcopenia e toxicidade mediada pela quimioterapia. Einstein (São Paulo) 2016;14(4):580-4. doi: 10.1590/S1679-45082016MD3740
Pyszora A, Budzyński J, Wójcik A, Prokop A, Krajnik M. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Support Care Cancer 2017;25(9):2899-2908. doi: 10.1007/s00520-017-3742-4
Husebø AML, Dyrstad SM, Mjaaland I, Søreide JA, Bru E. Effects of scheduled exercise on cancer-related fatigue in women with early breast cancer. Scientific World Journal 2014;19;2014:271828. doi: 10.1155/2014/271828
Samuel SR, Maiya AG, Fernandes DJ, Guddattu V, Prakash Saxena PU, Kurian JR, et al. Effectiveness of exercise-based rehabilitation on functional capacity and quality of life in head and neck cancer patients receiving chemo-radiotherapy. Support Care Cancer 2019;27(10):3913-20. doi: 10.1007/s00520-019-04750-z
Taaffe DR, Newton RU, Spry N, Joseph D, Chambers SK, Gardiner RA, et al. Effects of different exercise modalities on fatigue in prostate cancer patients undergoing androgen deprivation therapy: a year-long randomised controlled trial. Eur Urol 2017;72(2):293-99. doi: 10.1016/j.eururo.2017.02.019
Baumann FT, Bieck O, Oberste M, Kuhn R, Schmitt J, Wentrock S, et al. Sustainable impact of an individualized exercise program on physical activity level and fatigue syndrome on breast cancer patients in two German rehabilitation centers. Supportive Care in Cancer 2016;25(4):1047-54. doi: 10.1007/s00520-016-3490-x
Schmidt ME, Wiskemann J, Armbrust P, Schneeweiss A, Ulrich CU, Steindorf K. Effects of resistance exercise on fatigue and quality of life in breast cancer patients undergoing adjuvant chemotherapy: a randomized controlled trial. Int J Cancer 2014;137(2):471-80. doi: 10.1002/ijc.29383
Grote M, Maihöfer C, Weigl M, Davies-Knorr P, Belka C. Progressive resistance training in cachectic head and neck cancer patients undergoing radiotherapy: a randomized controlled pilot feasibility trial. Radiat Oncol 2018;13(1):1-10. doi: 10.1186/s13014-018-1157-0
Van Weert E, May AM, Korstjens I, Post WJ, van der Schans CP, et al. Cancer-related fatigue and rehabilitation: a randomized controlled multicenter trial comparing physical training combined with cognitive-behavioral therapy with physical training only and with no intervention. Phys Ther 2010;90(10):1413-25. doi: 10.2522/ptj.20090212
Andhare NM, Yeole UL, Varde F. Effect of physiotherapeutic exercises on fatigue and quality of life in cancer patients. Indian Journal of Public Health Research & Development 2020;11(6):538-542. doi: 10.37506/ijphrd.v11i6.9834
Ammitzbøll G, Kjær TK, Johansen C, Lanng C, Andersen EW, Kroman N, et al. Effect of progressive resistance training on health-related quality of life in the first year after breast cancer surgery–results from a randomized controlled trial. Acta Oncol 2019;58(5):665-672. doi: 10.1080/0284186X.2018.1563718
Rogers LQ, Vicari S, Trammell R, Hopkins-Price P, Fogleman A, Spenner A, et al. Biobehavioral factors mediate exercise effects on fatigue in breast cancer survivors. Med Sci Sports Exerc 2014;46(6):1077. doi: 10.1249/MSS.0000000000000210
Kampshoff CS, van Dongen JM, van Mechelen W, Schep G, Vreugdenhil A, Twisket JWR, et al. Long-term effectiveness and cost-effectiveness of high versus low-to-moderate intensity resistance and endurance exercise interventions among cancer survivors. J Cancer Surviv 2018;12(3):417-29. doi: 10.1007/s11764-018-0681-0
Additional Files
Published
Issue
Section
License
Copyright (c) 2021 Raynara Kéllen Pinto Moreira, Barbara Kelly de Souza Barreto, Lucicleia Nascimento Santos, Yandra Alves Prestes, Maria Gabriela de Andrade Lucena, Hércules Lázaro Morais Campos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
