Onkolojik Hastalıklarda Fizyoterapi ve Rehabilitasyonun Yeri

Cansu Yildirim; Neslinur Merve Say; Nuran Akdağ Mirzaoğlu; Gizem Taş Geçit; Deniz Kocamaz

Derleme

ROLE OF PHYSIOTHERAPY AND REHABILITATION IN ONCOLOGICAL DISEASES

Yıl 2025, Cilt: 3 Sayı: 1, 217 - 231, 28.04.2025

Cansu Yildirim , Neslinur Merve Say , Nuran Akdağ Mirzaoğlu , Gizem Taş Geçit , Deniz Kocamaz

Öz

Cancer is defined as an abnormal tissue mass characterized by the uncontrolled growth, proliferation and spread of cells. Both the prevalence of the main risk factors for cancer and the aging of the population, together with early diagnosis and current treatment techniques, cause the prevalence of cancer to increase gradually. If necessary precautions are not taken, it is predicted that the incidence of cancer will increase approximately twice in 20 years. This patient population suffers from many symptoms such as pain, fatigue, constipation/diarrhea, insomnia, cognitive impairment, anxiety and depression. Oncological rehabilitation is the practice to reduce symptoms, increase independence and improve quality of life in cancer patients. Physiotherapy and rehabilitation, which has an important place among the oncological rehabilitation programs applied for the management of symptoms in cancer patients, is an important support program that aims to address the physical, functional and psychosocial problems caused by cancer treatment and its side effects. Rehabilitation protocols designed individually to improve the quality of life of patients in which physiotherapists play an active role, to facilitate their return to their daily activities and to help them regain their independence, will enable us to achieve more successful results during the disease and survival periods. This review highlights the importance of physiotherapy and rehabilitation in cancer patients and summarizes the benefits it provides.

Anahtar Kelimeler

Cancer , physiotherapy , rehabilitation , oncological rehabilitation

Kaynakça

1. Dennett AM, Elkins MR. Cancer rehabilitation. J Physiother 2020 Apr;66(2):70-72. doi:10.1016/j.jphys.2020.03.004.
2. Rodríguez-Cañamero S, Cobo-Cuenca AI, Carmona-Torres JM, Pozuelo-Carrascosa DP, Santacruz-Salas E, Rabanales-Sotos JA, Cuesta-Mateos T, Laredo-Aguilera JA. Impact of physical exercise in advanced-stage cancer patients: Systematic review and meta-analysis. Cancer Med 2022 Oct;11(19):3714-3727. doi: 10.1002/cam4.4746. Epub 2022 Apr 11. PMID: 35411694; PMCID: PMC9554454.
3. Düger T, Uysal SA, Kabak, VY. Onkolojik fizyoterapi ve rehabilitasyonda egzersizin kanıt düzeyi. Turkiye Klinikleri J Physiother Rehabil-Special Topics 2019; 1: 71-8.
4. Kocamaz D, Tuncer A, Yamak D, Sever Ö, Yıldırım M. Kanser ve onkolojik rehabilitasyon. Zeugma Health Res 2019;1(1):25-30.
5. Yavuzşen T, Alacacıoğlu A, Çeltik A, & Yılmaz U. Kanser ve uyku bozuklukları. Türk Onkoloji Dergisi 2014; 29(3): 112-119.
6. Ağargün MY, Çilli AS, Kara H, Bilici M, Telcioğlu M, Semiz ÜB ve ark. Epworth Uykululuk Ölçeğinin Geçerliği ve Güvenirliği. Türk Psikiyatri Dergisi 1999;10(4): 261-7.
7. Boysan M., Güleç M., Beşiroğlu L., Kalafat T. Uykusuzluk Şiddeti İndeksi’nin Türk örneklemindeki psikometrik özellikleri. Anadolu Psikiyatri Dergisi 2010; 11 (3): 248-252.
8. Chen HM, Tsai CM, Wu YC, Lin KC & Lin CC. Effect of walking on circadian rhythms and sleep quality of patients with lung cancer: a randomised controlled trial. British Journal of Cancer 2016; 115(11): 1304-1312.
9. Takemura N, Cheung DST, Fong DYT, Lee AWM, Lam TC, Ho JCM, Kam TY, Chik JYK & Lin CC. Relationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients. Scientific Reports 2021; 11(1): 17208.
10. Ay S, & Parvizi M. The Functional Assessment of Cancer Therapy General FACT-G Scale Reliability and Validity of a Turkish Version. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2021; 8(2), 198-203. https://doi.org/10.34087/cbusbed.692556
11. Yalçin Ö. Meme kanseri tedavisinin fonksiyonel değerlendirilmesi ölçeğinin Türkçe versiyonunun geçerlilik ve güvenilirliği (Master's thesis), Sağlık Bilimleri Enstitüsü. 2018.
12. Guzelant A, Goksel T, Ozkok S, Tasbakan S,Aysan T, Bottomley A. The European Organization for Research and Treatment of Cancer QLQ-C30: An examination into the cultural validity and reliability of the Turkish version of the EORTC QLQ-C30. Eur J Cancer Care (Engl). 2004;13(2):135-44.
13. Bagcivan G, Bredle J, Bakitas M, & Dogan BG. Reliability and validity of the Turkish version of the FACIT-PAL quality of life instrument. Journal of Pain and Symptom Management 2019; 58(2), 297-305.
14. Mokhtari-Hessari P, Montazeri A. Health-related quality of life in breast cancer patients: review of reviews from 2008 to 2018. Health Qual Life Outcomes 2020;18: 338. https://doi.org/10.1186/s12955-020-01591-x
15. Ward WL, Hahn EA, Mo F, Hernandez L, Tulsky DS, Cella D. Reliability and validity of the Functional Assessment of Cancer Therapy-Colorectal (FACT-C) quality of life instrument. Qual Life Res 1999;8: 181–195. https://doi.org/10.1023/A:1008821826499
16. Lyons KD, Bakitas M, Hegel MT, Hanscom B, Hull J, Ahles TA. Reliability and validity of the Functional Assessment of Chronic Illness Therapy-Palliative care (FACIT-Pal) scale. J Pain Symptom Manage 2009;37(1):23-32. doi:10.1016/j.jpainsymman.2007.12.015
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Onkolojik Hastalıklarda Fizyoterapi ve Rehabilitasyonun Yeri

Yıl 2025, Cilt: 3 Sayı: 1, 217 - 231, 28.04.2025

Cansu Yildirim , Neslinur Merve Say , Nuran Akdağ Mirzaoğlu , Gizem Taş Geçit , Deniz Kocamaz

Öz

Kanser, hücrelerin kontrolsüz bir şekilde büyümesi, çoğalması ve yayılmasıyla karakterize anormal doku kitlesi olarak tanımlanmaktadır. Hem kanser için ana risk faktörlerinin yaygınlığı hem de erken tanı ve güncel tedavi teknikleri ile birlikte nüfusun yaşlanması kanser prevalansının giderek artmasına neden olmaktadır. Gerekli önlemler alınmadığı taktirde 20 yıl içinde kanser görülme sıklığının yaklaşık iki kat artacağı öngörülmektedir. Bu hasta popülasyonu ağrı, yorgunluk, kabızlık/ishal, uykusuzluk, kognitif bozukluk, anksiyete ve depresyon gibi birçok semptomdan muzdariptir. Onkolojik rehabilitasyon, kanser hastalarında semptomları azaltmak, bağımsızlık düzeyini arttırmak ve yaşam kalitesini iyileştirmek için yapılan uygulamalardır. Kanser hastalarında semptomların yönetimi amacıyla uygulanan onkolojik rehabilitasyon programları içerisinde önemli bir yere sahip olan fizyoterapi ve rehabilitasyon, kanser tedavisinin ve yan etkilerinin neden olduğu fiziksel, işlevsel ve psikososyal sorunları ele almayı hedefleyen önemli bir destek programıdır. Fizyoterapistlerin etkin rol aldığı hastaların yaşam kalitesini iyileştirmek, günlük aktivitelerine dönüşlerini kolaylaştırmak ve bağımsızlıklarını yeniden kazanmalarına yardımcı olmak için kişiye özgü tasarlanan rehabilitasyon protokolleri, hastalık ve sağkalım dönemlerinde daha başarılı sonuçlara ulaşmamızı sağlayacaktır. Bu derleme kanser hastalarında fizyoterapi ve rehabilitasyonun önemini vurgulamakta ve sağladığı faydaları özetlemektedir.

Anahtar Kelimeler

Kanser , fizyoterapi , rehabilitasyon , onkolojik rehabilitasyon

Kaynakça

1. Dennett AM, Elkins MR. Cancer rehabilitation. J Physiother 2020 Apr;66(2):70-72. doi:10.1016/j.jphys.2020.03.004.
2. Rodríguez-Cañamero S, Cobo-Cuenca AI, Carmona-Torres JM, Pozuelo-Carrascosa DP, Santacruz-Salas E, Rabanales-Sotos JA, Cuesta-Mateos T, Laredo-Aguilera JA. Impact of physical exercise in advanced-stage cancer patients: Systematic review and meta-analysis. Cancer Med 2022 Oct;11(19):3714-3727. doi: 10.1002/cam4.4746. Epub 2022 Apr 11. PMID: 35411694; PMCID: PMC9554454.
3. Düger T, Uysal SA, Kabak, VY. Onkolojik fizyoterapi ve rehabilitasyonda egzersizin kanıt düzeyi. Turkiye Klinikleri J Physiother Rehabil-Special Topics 2019; 1: 71-8.
4. Kocamaz D, Tuncer A, Yamak D, Sever Ö, Yıldırım M. Kanser ve onkolojik rehabilitasyon. Zeugma Health Res 2019;1(1):25-30.
5. Yavuzşen T, Alacacıoğlu A, Çeltik A, & Yılmaz U. Kanser ve uyku bozuklukları. Türk Onkoloji Dergisi 2014; 29(3): 112-119.
6. Ağargün MY, Çilli AS, Kara H, Bilici M, Telcioğlu M, Semiz ÜB ve ark. Epworth Uykululuk Ölçeğinin Geçerliği ve Güvenirliği. Türk Psikiyatri Dergisi 1999;10(4): 261-7.
7. Boysan M., Güleç M., Beşiroğlu L., Kalafat T. Uykusuzluk Şiddeti İndeksi’nin Türk örneklemindeki psikometrik özellikleri. Anadolu Psikiyatri Dergisi 2010; 11 (3): 248-252.
8. Chen HM, Tsai CM, Wu YC, Lin KC & Lin CC. Effect of walking on circadian rhythms and sleep quality of patients with lung cancer: a randomised controlled trial. British Journal of Cancer 2016; 115(11): 1304-1312.
9. Takemura N, Cheung DST, Fong DYT, Lee AWM, Lam TC, Ho JCM, Kam TY, Chik JYK & Lin CC. Relationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients. Scientific Reports 2021; 11(1): 17208.
10. Ay S, & Parvizi M. The Functional Assessment of Cancer Therapy General FACT-G Scale Reliability and Validity of a Turkish Version. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2021; 8(2), 198-203. https://doi.org/10.34087/cbusbed.692556
11. Yalçin Ö. Meme kanseri tedavisinin fonksiyonel değerlendirilmesi ölçeğinin Türkçe versiyonunun geçerlilik ve güvenilirliği (Master's thesis), Sağlık Bilimleri Enstitüsü. 2018.
12. Guzelant A, Goksel T, Ozkok S, Tasbakan S,Aysan T, Bottomley A. The European Organization for Research and Treatment of Cancer QLQ-C30: An examination into the cultural validity and reliability of the Turkish version of the EORTC QLQ-C30. Eur J Cancer Care (Engl). 2004;13(2):135-44.
13. Bagcivan G, Bredle J, Bakitas M, & Dogan BG. Reliability and validity of the Turkish version of the FACIT-PAL quality of life instrument. Journal of Pain and Symptom Management 2019; 58(2), 297-305.
14. Mokhtari-Hessari P, Montazeri A. Health-related quality of life in breast cancer patients: review of reviews from 2008 to 2018. Health Qual Life Outcomes 2020;18: 338. https://doi.org/10.1186/s12955-020-01591-x
15. Ward WL, Hahn EA, Mo F, Hernandez L, Tulsky DS, Cella D. Reliability and validity of the Functional Assessment of Cancer Therapy-Colorectal (FACT-C) quality of life instrument. Qual Life Res 1999;8: 181–195. https://doi.org/10.1023/A:1008821826499
16. Lyons KD, Bakitas M, Hegel MT, Hanscom B, Hull J, Ahles TA. Reliability and validity of the Functional Assessment of Chronic Illness Therapy-Palliative care (FACIT-Pal) scale. J Pain Symptom Manage 2009;37(1):23-32. doi:10.1016/j.jpainsymman.2007.12.015
17. Ekinci Y. Kanser Hastalarında Yorgunluğu Etkileyen Faktörlerin Belirlenmesi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara, 2016.
18. Mendoza TR, Wang XS, Cleeland CS, Morrissey M, Johnson BA, Wendt JK, Huber SL. The rapid assessment of fatigue severity in cancer patients: use of the Brief Fatigue Inventory. Cancer 1999;85(5):1186-1196.
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Toplam 65 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	Türkçe
Konular	Rehabilitasyon
Bölüm	Derlemeler
Yazarlar	Cansu Yildirim 0000-0002-9103-3582 Neslinur Merve Say 0000-0001-5570-437X Nuran Akdağ Mirzaoğlu 0000-0001-9454-345X Gizem Taş Geçit 0000-0002-0440-7989 Deniz Kocamaz 0000-0002-0611-7686
Yayımlanma Tarihi	28 Nisan 2025
Gönderilme Tarihi	29 Ocak 2025
Kabul Tarihi	8 Nisan 2025
Yayımlandığı Sayı	Yıl 2025 Cilt: 3 Sayı: 1

Kaynak Göster

AMA	Yildirim C, Say NM, Akdağ Mirzaoğlu N, Taş Geçit G, Kocamaz D. Onkolojik Hastalıklarda Fizyoterapi ve Rehabilitasyonun Yeri. Tusad. Nisan 2025;3(1):217-231.

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