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Clinical Characteristics of Patients With Cancer Referred for Outpatient Physical Therapy

Meryl J. Alappattu, Rogelio A. Coronado, Derek Lee, Barbara Bour, Steven Z. George
DOI: 10.2522/ptj.20140106 Published 1 April 2015
Meryl J. Alappattu
M.J. Alappattu, PT, DPT, PhD, College of Dentistry, University of Florida, PO Box 100444, Gainesville, FL 32610-0154 (USA), and Pain Research and Intervention Center of Excellence, University of Florida.
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Rogelio A. Coronado
R.A. Coronado, PT, PhD, CSCS, FAAOMPT, Vanderbilt University, Nashville, Tennessee.
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Derek Lee
D. Lee, PT, DPT, University of Florida College of Medicine.
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Barbara Bour
B. Bour, PT, Department of Physical Therapy, University of Florida.
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Steven Z. George
S.Z. George, PT, PhD, Doctor of Physical Therapy Program, Department of Physical Therapy, University of Florida.
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Table 1.

Descriptive Characteristics of Sample (N=418)a

  • ↵a COPD=chronic obstructive pulmonary disease.

  • b Patients may have reported more than one comorbidity.

Table 4.
Table 4.

Association Between Mode of Treatment and Neuromusculoskeletal Impairmentsa

  • ↵a OR=odds ratio, 95% CI=95% confidence interval, ROM=range of motion.

  • b P<.001.

Table 2.
Table 2.

Percentage of Individuals by Cancer Types Who Received or Were Receiving Cancer Treatments at Time of Initial Physical Therapy Evaluationa

  • ↵a Data missing from 2 records.

Table 3.
Table 3.

Percentage of Neuromusculoskeletal Impairment Frequencies and Number of Physical Therapy Sessions Based on Cancer Typea

  • ↵a Data missing from 77 records. Values are percentage of individuals with impairment or mean±SD. CNS=central nervous system, ROM=range of motion, FCI=Functional Comorbidity Index. Impairment frequencies greater than 50% are shown in bold type.

  • b Frequencies represent identification of impairments present on initial evaluation form that may have included impairments specific to cancer diagnosis and not necessarily assessed in all patients.

Table 5.
Table 5.

Percentage of Neuromusculoskeletal Impairments and Mean Number of Physical Therapy Sessions Based on Number of Cancer-Related Treatmentsa

  • ↵a Data missing from 79 records. Values are percentage of individuals with impairment. Cancer-related treatments include chemotherapy, hormone therapy, radiation therapy, and surgical resection. ROM=range of motion.

Table 6.
Table 6.

Physical Therapy Screening Recommendations Based on Cancer Type and Mode of Treatmenta

  • ↵a Cancer types and mode of treatment are listed in order of more → less involvement of impairments. CNS=central nervous system, CT=chemotherapy, RT=radiation therapy, HT=hormone therapy.

  • b General musculoskeletal impairments include deficits in strength or ROM, postural dysfunction, and soft tissue restriction.

  • c Voiding problems include incontinence or urgency.

Supplementary Data

eFigures

Files in this Data Supplement:

  • eFigures (PDF) (52 KB) - This PDF contains the following data supplements:
    • eFigure 1. Checklist of Impairments Used as Portion of Physical Therapy Plan of Care for Patients With Genitourinary Cancers
    • eFigure 2. Checklist of Impairments Used as Portion of Physical Therapy Plan of Care for Patients Without Genitourinary Cancers.
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Vol 95 Issue 4 Table of Contents
Physical Therapy: 95 (4)

Issue highlights

  • Effect of Taping on Spinal Pain and Disability
  • Daily Exercises and Education for Preventing Low Back Pain in Children
  • Physical Activity Levels After Lung Transplantation
  • Patients With Cancer Referred for Outpatient Physical Therapy
  • Implementation of Physical Activity Interventions
  • Integrated Knowledge-to-Action Study in a Dutch Rehabilitation Stroke Unit
  • Evidence-Based Practice Skills and Behaviors of Physical Therapy Graduates
  • Research and Practice in Balance and Gait Assessment
  • Evidence-Based Practice Implementation: Case Report
  • Peer Assessment Approach to Enhance Guideline Adherence
  • Knowledge Translation Program in an Outpatient Pediatric Physical Therapy Clinic
  • Contribution of Conceptual Frameworks
  • Self-Management in Prosthetic Rehabilitation
  • Best Practice Recommendations for Online Knowledge Translation
  • Translating Knowledge in Rehabilitation
  • Implementing Treatment Frequency and Duration Guidelines
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Clinical Characteristics of Patients With Cancer Referred for Outpatient Physical Therapy
Meryl J. Alappattu, Rogelio A. Coronado, Derek Lee, Barbara Bour, Steven Z. George
Physical Therapy Apr 2015, 95 (4) 526-538; DOI: 10.2522/ptj.20140106

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Clinical Characteristics of Patients With Cancer Referred for Outpatient Physical Therapy
Meryl J. Alappattu, Rogelio A. Coronado, Derek Lee, Barbara Bour, Steven Z. George
Physical Therapy Apr 2015, 95 (4) 526-538; DOI: 10.2522/ptj.20140106
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Subjects

  • Health and Wellness/Prevention
  • Neurology/Neuromuscular System
    • Neurology/Neuromuscular System: Other
  • Examination/Evaluation
    • Examination/Evaluation: Other

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