Physical Therapy, Exercise and Acupuncture for the Prevention and Treatment of Chemotherapy Induced Peripheral Neuropathy PDF Download
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Author: Elizabeth R Andersen Hammond Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Chemotherapy induced peripheral neuropathy (CIPN) can have lasting sensory effects for cancer survivors. At present, the mechanisms causing the neuropathy are unknown and few effective treatment options are available. This thesis includes a review of the literature and four studies. The first study evaluated the potential role for physical therapy and nerve gliding home exercises to improve symptoms of CIPN and explored whether a dual nerve disorder was present between the surgical and non-surgical side in a population with breast cancer. The nerve gliding exercises had a positive effect on pain as measured by the numeric pain rating scale (NPRS) and pain pressure algometry. No quantitative sensory testing (QST) data could identify a possible dual nerve disorder from surgery combined with chemotherapy. The second trial sought to confirm the effectiveness of electro acupuncture on improving chronic neuropathic pain from CIPN. This trial showed the ineffectiveness of electro acupuncture for chronic CIPN pain symptoms. The third study used the physical therapy study data to define the sensory phenotypes of neuropathic and non-neuropathic symptom profiles. This was completed to identify future targets for mechanism-based treatment. Surprisingly, only left hand heat pain threshold differences were observed on the QST measures. As expected, increased pain (measured by the NPRS) and decreased function (measured by the Disability of the Shoulder, Arm and Hand (DASH)) were observed in the neuropathic group. Using the physical therapy data, the fourth study correlated active participants with preservation of nerve function exploring the possible neuroprotective effect of exercise on CIPN. 'Active' versus 'less active' groups revealed significantly improved vibration perception and normalized heat pain thresholds for the active group suggesting possible neuroprotection among exercisers. This thesis helps to direct evidence-based practice and contributes to the literature. Our findings indicate that electro acupuncture should not be pursued as a treatment option for patients experiencing chronic pain from CIPN. Our findings support the use of physical therapy, nerve gliding exercises, and general exercise during and after chemotherapy. Physical therapy and nerve gliding exercises help reduce the symptoms associated with chemotherapy induced peripheral neuropathy while maintaining physical activity throughout treatment may provide neuroprotection.
Author: Elizabeth R Andersen Hammond Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Chemotherapy induced peripheral neuropathy (CIPN) can have lasting sensory effects for cancer survivors. At present, the mechanisms causing the neuropathy are unknown and few effective treatment options are available. This thesis includes a review of the literature and four studies. The first study evaluated the potential role for physical therapy and nerve gliding home exercises to improve symptoms of CIPN and explored whether a dual nerve disorder was present between the surgical and non-surgical side in a population with breast cancer. The nerve gliding exercises had a positive effect on pain as measured by the numeric pain rating scale (NPRS) and pain pressure algometry. No quantitative sensory testing (QST) data could identify a possible dual nerve disorder from surgery combined with chemotherapy. The second trial sought to confirm the effectiveness of electro acupuncture on improving chronic neuropathic pain from CIPN. This trial showed the ineffectiveness of electro acupuncture for chronic CIPN pain symptoms. The third study used the physical therapy study data to define the sensory phenotypes of neuropathic and non-neuropathic symptom profiles. This was completed to identify future targets for mechanism-based treatment. Surprisingly, only left hand heat pain threshold differences were observed on the QST measures. As expected, increased pain (measured by the NPRS) and decreased function (measured by the Disability of the Shoulder, Arm and Hand (DASH)) were observed in the neuropathic group. Using the physical therapy data, the fourth study correlated active participants with preservation of nerve function exploring the possible neuroprotective effect of exercise on CIPN. 'Active' versus 'less active' groups revealed significantly improved vibration perception and normalized heat pain thresholds for the active group suggesting possible neuroprotection among exercisers. This thesis helps to direct evidence-based practice and contributes to the literature. Our findings indicate that electro acupuncture should not be pursued as a treatment option for patients experiencing chronic pain from CIPN. Our findings support the use of physical therapy, nerve gliding exercises, and general exercise during and after chemotherapy. Physical therapy and nerve gliding exercises help reduce the symptoms associated with chemotherapy induced peripheral neuropathy while maintaining physical activity throughout treatment may provide neuroprotection.
Author: Robert B. Raffa Publisher: CRC Press ISBN: 1439862192 Category : Health & Fitness Languages : en Pages : 225
Book Description
There have been tremendous recent advances in the pharmacotherapy, dose regimens, and combinations used to treat cancer and for the treatment or prevention of the spread of disease. As a direct result of these advances, there are an increasing number of cancer survivors, although research dealing with chemotherapy-induced pain is still in its early
Author: Donald Abrams Publisher: Oxford University Press ISBN: 0199885850 Category : Medical Languages : en Pages : 916
Book Description
People facing a new diagnosis of cancer are unsettled by their prognosis and treatment options, and they often seek to integrate complementary modalities into their conventional care plan, hoping to improve their chances of cure and decrease side effects. Many do so without informing their oncologist, for fear of alienating them or not convinced that their physician would be informed about complementary therapies. Integrative Oncology, the first volume in the Weil Integrative Medicine Library, provides a wealth of information for both practitioners and consumers on the emerging field of integrative oncology. Noted oncologist Donald Abrams and integrative medicine pioneer Andrew Weil and their international panel of experts present up-to-date and extensively referenced chapters on a wide spectrum of issues and challenges, bound in one comprehensive, reader-friendly text in a format featuring key points, sidebars, tables, and a two-color design for ease of use. It is destined to emerge as the definitive resource in this emerging field.
Author: Manohar Sharma Publisher: Oxford Specialist Handbooks in ISBN: 0199661626 Category : Medical Languages : en Pages : 321
Book Description
Practical Management of Complex Cancer Pain provides practical advice on advanced pain management techniques for cancer pain. Comprehensive case histories give readers insight into the treatment of pain management.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309459575 Category : Medical Languages : en Pages : 483
Book Description
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309670950 Category : Medical Languages : en Pages : 319
Book Description
The Social Security Administration (SSA) administers two programs that provide disability benefits: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. SSDI provides disability benefits to people (under the full retirement age) who are no longer able to work because of a disabling medical condition. SSI provides income assistance for disabled, blind, and aged people who have limited income and resources regardless of their prior participation in the labor force. Both programs share a common disability determination process administered by SSA and state agencies as well as a common definition of disability for adults: "the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." Disabled workers might receive either SSDI benefits or SSI payments, or both, depending on their recent work history and current income and assets. Disabled workers might also receive benefits from other public programs such as workers' compensation, which insures against work-related illness or injuries occurring on the job, but those other programs have their own definitions and eligibility criteria. Selected Health Conditions and Likelihood of Improvement with Treatment identifies and defines the professionally accepted, standard measurements of outcomes improvement for medical conditions. This report also identifies specific, long-lasting medical conditions for adults in the categories of mental health disorders, cancers, and musculoskeletal disorders. Specifically, these conditions are disabling for a length of time, but typically don't result in permanently disabling limitations; are responsive to treatment; and after a specific length of time of treatment, improve to the point at which the conditions are no longer disabling.
Author: David S. Butler Publisher: Noigroup Publications ISBN: 0975091026 Category : Medical Languages : en Pages : 435
Book Description
The decade since the publication of David Butler's Mobilisation of the Nervous System has seen the rapid growth and influence of the powerful and linked forces of the neurobiological revolution, the evidence based movements, restless patients and clinicians. The Sensitive Nervous System calls for skilled combined physical and educational contributions to the management of acute and chronic pain states. It offers a "big picture" approach using best evidence from basic sciences and outcomes data, with plenty of space for individual clinical expertise and wisdom.
Author: Kirby I. Bland Publisher: Elsevier Health Sciences ISBN: 0323511872 Category : Medical Languages : en Pages : 1280
Book Description
Now in a single, convenient volume, The Breast: Comprehensive Management of Benign and Malignant Diseases, 5th Edition covers every clinically relevant aspect of the field: cancer, congenital abnormalities, hormones, reconstruction, anatomy and physiology, benign breast disease, and more. Building upon the strengths of previous editions, this updated volume by Drs. Kirby I. Bland, Edward M. Copeland III, V. Suzanne Klimberg, and William J Gradishar, includes the latest innovations in breast cancer detection and treatment in a practical, easy-to-use format ideal for today’s surgeons. Delivers step-by-step clinical guidance highlighted by superb illustrations that depict relevant anatomy and pathology, as well as medical and surgical procedures. Reflects the collaborative nature of diagnosis and treatment among radiologists, pathologists, surgeons, oncologists, and other health care professionals who contribute to the management of patients with breast disease. Offers the most comprehensive, up-to-date information on the diagnosis and management of, and rehabilitation following, surgery for benign and malignant diseases of the breast. Covers the latest developments in receptor modulation, targeted monoclonal antibodies, evolving inhibitors with triple-negative disease, and more. Discusses recent minimally invasive surgical techniques and new developments in oncoplastic breast conservation techniques. Contains significant updates to the "Management of Systemic Disease" section that reflect the latest advances in chemotherapy, hormonal resistance, and therapy.
Author: Elizabeth R Andersen Hammond
Author: Elizabeth R Andersen Hammond
Author: Jana Müller
Author: Robert B. Raffa
Author: Linda H. Eaton
Author: Donald Abrams
Author: Manohar Sharma
Author: National Academies of Sciences, Engineering, and Medicine
Author: National Academies of Sciences, Engineering, and Medicine
Author: David S. Butler
Author: Kirby I. Bland