癌の筋肉衰弱に対するリハビリテーション:定義は重要ですか?
John Yang1, Ishan Roy2,3,4, Hanna Hunter5,6
1University of Washington School of Medicine, Seattle, WA, USA.
まとめ
高齢の癌患者の機能を最適化することができます. 筋疲労の定義を標準化することは 運動前リハビリテーションの有効性を評価し 機能的低下を防ぐために不可欠です
科学分野:
- 老年腫瘍学
- リハビリテーション医学
- がん の 治療
背景:
- 高齢の癌患者の弱さは 機能的低下,生活の質の低下,死亡率の上昇と相関しています.
- 癌治療の前に 患者の機能を改善するために 予備リハビリテーションが普及しています
- 治療前の機能を最適化することで,治療後の衰弱を軽減し,結果を改善することができます.
研究 の 目的:
- 癌患者の筋肉の衰弱の定義における変動性を検討する.
- 運動前リハビリテーション試験における様々な身体構成分析方法を検証する.
- これらの試験で評価された機能的アウトカムを特定する.
主な方法:
- 癌患者の運動前リハビリテーションの研究の体系的な文献レビュー
- 筋肉の消耗の定義と身体構成の評価技術の異質性の分析
- 報告された機能的結果の評価
主要な成果:
- 筋肉の消耗が研究によってどのように定義されているかには大きな異質性がある.
- 体組成の分析には様々な方法が用いられる.
- 比較を複雑にする様々な機能的結果が報告されています.
結論:
- 癌患者の筋肉の衰弱について 合意された定義は不可欠です
- 標準化された定義により 機能低下の診断,治療,予防がより可能になります
- 治療前と運動介入の有効性を正確に評価するには,コンセンサスの確立が不可欠です.
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