Berks County Medical Society Medical Record Summer 2019 - 30

Exercise Oncology
continued from page 29
Lymphedema: Lymphedema is swelling due to disruption of the
lymphatic drainage and is worsened by inactivity. It is a common
adverse outcome caused by cancer and its treatment. It can cause
significant chronic morbidity. Lymphedema most commonly
affects people living with breast cancer, pelvic cancer, and head-neck
cancers. It is highly responsive to treatment and responds best with
early detection and treatment. Targeted treatment consisting of
decongestive therapy, exercise, and compression garments has been
proven to be highly effective.
Pelvic Floor Dysfunction: Pelvic floor disruption is common in
patients treated for prostate cancer, pelvic cancers, and colorectal
cancer. Targeted therapy and exercise help restore bowel and bladder
continence and reduce sexual dysfunction, and also decrease pain.
Sequelae of Head and Neck cancers: Significant complex problems
requiring a multi-disciplinary team approach are common for head
and neck cancer survivors. Frequently, therapy is needed before,
during, and after definitive treatment. Speech therapy and physical
therapy programs utilizing exercise help preserve and restore
swallowing function, nutrition, speech, and range of motion, and
help address lymphedema concerns.
Gait Abnormalities: Impaired ambulation is a common problem
that can be associated with surgery, debility, pain, chemotherapyinduced neuropathy, and damage to the neuromusculoskeletal
system. Physical therapy with exercise targeting balance,
coordination, strength, and stamina is the mainstay of treatment.

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Cancer Related Fatigue, muscle weakness, loss of stamina: These
concerns are 3 of the most common problems that cancer patients
experience. They can persist for years after cancer treatment. They
create physical limitations, impairing quality of life and function.
They significantly contribute to increased distress. Patients are
unable to perform their previous activities of daily living and
recreational activities, and have difficulty returning to their normal
roles in the family and at work. The inability to work compounds
the serious financial stresses confronting the patient and their family.
Patients at high risk for these problems include breast and prostate
cancer patients treated with hormonal therapy and patients receiving
steroids. Pacing activities, individual and group exercises including
water Tai Chi, yoga, dance and others are beneficial.
Pain postoperatively responds to early mobilization with restoring
range of motion, ambulation, and independent activities of daily
living. Early mobilization helps prevent complications such as
pneumonias, constipation, blood clots, weakness, and falls and helps
the patient get home sooner. Continued exercise programs help
restore function and quality of life. Patients get back to their roles in
their family and work activities more quickly.


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Berks County Medical Society Medical Record Summer 2019

Table of Contents for the Digital Edition of Berks County Medical Society Medical Record Summer 2019

Berks County Medical Society Medical Record Summer 2019 - 1
Berks County Medical Society Medical Record Summer 2019 - 2
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