Developing Exercise Prescription for Cancer Patients
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Questions and Answers

Which of the following is a consideration when developing exercise prescription for cancer patients?

  • Patient's blood count values
  • Patient's travel and cost barriers
  • Patient's prior fitness level
  • Patient's age and comorbidities (correct)

    • What is the normal range for platelets in the blood?

  • 200,000-400,000 mm3 (correct)
  • 38-47%
  • 12-16.9 g/dL
  • 4,000-10,000 mm3

    • Which of the following is a potential toxicity associated with cancer treatments?

  • Decreased bone density
  • CV events and risks
  • Musculoskeletal morbidities
  • Increased risk for fractures (correct)

    • What is the recommended exercise intensity for a patient with a hemoglobin level of 8-10 g/dL?

    <p>Light exercise</p> Signup and view all the answers

    Which of the following is NOT a common symptom of Chemotherapy Induced Peripheral Neuropathy (CIPN)?

    <p>Increased blood pressure</p> Signup and view all the answers

    What is the second most common acute side effect of cancer intervention?

    <p>Chemotherapy Induced Peripheral Neuropathy (CIPN)</p> Signup and view all the answers

    Which of the following is NOT a potential risk factor for developing radiation fibrosis?

    <p>Chemotherapy used</p> Signup and view all the answers

    What is a potential consequence of radiation induced tissue fibrosis?

    <p>Loss of elasticity</p> Signup and view all the answers

    Which of the following is a common treatment approach for head and neck cancer?

    <p>Surgery</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for head and neck cancer?

    <p>Pulmonary fibrosis</p> Signup and view all the answers

    What is a possible consequence of radiation therapy for head and neck cancer?

    <p>Loss of elasticity in tendons</p> Signup and view all the answers

    What is trismus?

    <p>Limited ability to open the mouth</p> Signup and view all the answers

    Which of the following is a key symptom of Axillary Web Syndrome?

    <p>Tightness in the skin around the affected areas</p> Signup and view all the answers

    What is the most common form of secondary lymphedema in the US?

    <p>Breast Cancer Related Lymphedema</p> Signup and view all the answers

    Which technique is NOT used for quantitative limb volume assessment?

    <p>Bioelectrical Impedance Spectroscopy</p> Signup and view all the answers

    What is the recommended intensity for aerobic training for cancer survivors according to the Exercise Guidelines for Cancer Survivors?

    <p>Moderate intensity</p> Signup and view all the answers

    Which of the following is NOT a potential symptom of Chemotherapy Induced Peripheral Neuropathy (CIPN)?

    <p>Increased vibratory sense</p> Signup and view all the answers

    What is the most common acute side effect of cancer intervention?

    <p>Falls</p> Signup and view all the answers

    Which of the following is NOT a potential risk factor for developing radiation fibrosis?

    <p>Type of chemotherapy used</p> Signup and view all the answers

    What is a potential consequence of radiation therapy for head and neck cancer?

    <p>Ulceration</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for head and neck cancer?

    <p>Scapular Dyskinesia</p> Signup and view all the answers

    What is the normal range for platelets in the blood?

    <p>150-400 x10^9/L</p> Signup and view all the answers

    What is the recommended exercise intensity for a patient with a hemoglobin level of 8-10 g/dL?

    <p>Low intensity</p> Signup and view all the answers

    Which of the following is NOT a consideration when developing exercise prescription for cancer patients?

    <p>Blood count values alone</p> Signup and view all the answers

    Which of the following is NOT a special consideration for exercise prescription in cancer patients?

    <p>Avoiding aquatic therapy</p> Signup and view all the answers

    Which of the following is NOT a general hematological guideline for exercise prescription in cancer patients?

    <p>No exercise if platelets are less than 5000/mm3</p> Signup and view all the answers

    Which of the following is NOT a potential toxicity associated with cancer treatments?

    <p>Decreased bone density</p> Signup and view all the answers

    Which of the following is NOT a caution in determining activity level for cancer patients?

    <p>Fever or active infection</p> Signup and view all the answers

    Which of the following is NOT a potential consequence of radiation therapy for head and neck cancer?

    <p>Increased risk for fractures</p> Signup and view all the answers

    Which of the following is NOT a potential side effect of radiation therapy for head and neck cancer?

    <p>Decreased bone density</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing Axillary Web Syndrome?

    <p>All of the above</p> Signup and view all the answers

    What is the average duration of Axillary Web Syndrome?

    <p>12 weeks</p> Signup and view all the answers

    Which of the following is a potential symptom of Lymphedema?

    <p>All of the above</p> Signup and view all the answers

    Which technique is NOT used for quantitative limb volume assessment?

    <p>Water displacement</p> Signup and view all the answers

    What is the recommended duration of moderate intensity aerobic training for cancer survivors according to the Exercise Guidelines for Cancer Survivors?

    <p>30 minutes</p> Signup and view all the answers

    Which of the following is NOT a component of Complete Decongestive Therapy (CDT) for lymphedema?

    <p>Therapeutic Exercise</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing Breast Cancer Related Lymphedema?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT a potential side effect of radiation therapy for head and neck cancer?

    <p>Muscle and joint pain</p> Signup and view all the answers

    What is trismus?

    <p>Limited ability to open the mouth</p> Signup and view all the answers

    Which of the following is a potential consequence of radiation induced tissue fibrosis?

    <p>Loss of elasticity in tendons and ligaments</p> Signup and view all the answers

    Which of the following is a key symptom of Axillary Web Syndrome?

    <p>Quick exacerbation of lymphedema</p> Signup and view all the answers

    What is the recommended exercise intensity for a patient with a hemoglobin level of 8-10 g/dL?

    <p>Low intensity</p> Signup and view all the answers

    What is a potential toxicity associated with cancer treatments?

    <p>Peripheral neuropathy</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing radiation fibrosis?

    <p>Already having lymphedema</p> Signup and view all the answers

    What is a possible consequence of radiation therapy for head and neck cancer?

    <p>Orthopedic considerations</p> Signup and view all the answers

    Which of the following is a consideration when developing exercise prescription for cancer patients?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a potential long-term consequence of radiation therapy for breast cancer?

    <p>Cardiomyopathy</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for breast cancer?

    <p>Lymphedema</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for breast cancer?

    <p>Decreased white blood cell count</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for breast cancer?

    <p>Radiation fibrosis</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for breast cancer?

    <p>Cancer Related Fatigue (CRF)</p> Signup and view all the answers

    Which of the following is a potential long-term consequence of radiation therapy for breast cancer?

    <p>Decreased white blood cell count</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for breast cancer?

    <p>Axillary Web Syndrome</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for breast cancer?

    <p>Radiation Therapy and Skin Impairment</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for breast cancer?

    <p>Decreased white blood cell count</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing lymphedema after breast cancer treatment?

    <p>Scar adhesion</p> Signup and view all the answers

    Which of the following is a potential consequence of radiation therapy for breast cancer?

    <p>Increased risk of developing metastatic disease</p> Signup and view all the answers

    Which of the following is NOT a type of breast cancer?

    <p>Paget’s disease</p> Signup and view all the answers

    Which of the following is a potential consequence of mastectomy?

    <p>Increased risk of developing lymphedema</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing breast cancer?

    <p>Having a family history of breast cancer</p> Signup and view all the answers

    Which of the following is a potential consequence of axillary lymph node removal?

    <p>Increased risk of developing lymphedema</p> Signup and view all the answers

    Which of the following is NOT a common treatment for breast cancer?

    <p>Physical therapy</p> Signup and view all the answers

    Which of the following is a potential consequence of prophylactic mastectomy?

    <p>Increased risk of developing lymphedema</p> Signup and view all the answers

    Which of the following is a potential consequence of breast cancer treatment?

    <p>Increased risk of developing late complications</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing metastatic breast cancer?

    <p>Not having any children</p> Signup and view all the answers

    Which of the following is a potential consequence of breast cancer surgery?

    <p>Reduced risk of developing late complications</p> Signup and view all the answers

    Which of the following is a potential consequence of radiation therapy for breast cancer?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT a potential side effect of chemotherapy?

    <p>Nausea and vomiting</p> Signup and view all the answers

    What is the role of the rectus abdominis muscle in trunk flexion?

    <p>Responsible for the first 30 degrees of trunk flexion</p> Signup and view all the answers

    What is the most obvious deficit after TRAM (Transverse Rectus Abdominis Muscle) reconstruction?

    <p>Inability to complete a rotational full sit up</p> Signup and view all the answers

    Which of the following is a potential side effect of targeted and hormone therapies for breast cancer?

    <p>Loss of muscle tone/strength</p> Signup and view all the answers

    What is the goal of chemotherapy?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a potential side effect of anthracycline chemotherapy drugs?

    <p>Cardiotoxicity</p> Signup and view all the answers

    Which of the following is a potential side effect of taxane chemotherapy drugs?

    <p>Neurotoxicity</p> Signup and view all the answers

    Which of the following is a potential side effect of aromatase inhibitors?

    <p>Arthralgias</p> Signup and view all the answers

    Which of the following is NOT a potential risk factor for developing axillary web syndrome?

    <p>Chemotherapy</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing lymphedema after breast cancer treatment?

    <p>Having a history of axillary cording</p> Signup and view all the answers

    What is the average duration of Axillary Web Syndrome?

    <p>8 weeks</p> Signup and view all the answers

    What is the recommended intensity for aerobic training for cancer survivors according to the Exercise Guidelines for Cancer Survivors?

    <p>Moderate intensity</p> Signup and view all the answers

    Which technique is NOT used for quantitative limb volume assessment?

    <p>Bioelectrical Impedance Spectroscopy</p> Signup and view all the answers

    What is the most common form of secondary lymphedema in the US?

    <p>Breast cancer related lymphedema</p> Signup and view all the answers

    Which of the following is NOT a key consideration when developing exercise prescription for cancer patients?

    <p>Age and other comorbidities</p> Signup and view all the answers

    What is the recommended exercise intensity for a patient with a hemoglobin level of 8-10 g/dL?

    <p>Light exercise</p> Signup and view all the answers

    What is the normal range for platelets in the blood?

    <p>200,000 – 400,000 mm3</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing lymphedema after breast cancer treatment?

    <p>Bone metastases</p> Signup and view all the answers

    What is a potential consequence of radiation induced tissue fibrosis?

    <p>Musculoskeletal morbidities</p> Signup and view all the answers

    Which of the following is a potential side effect of chemotherapy?

    <p>Chemo induced peripheral neuropathy</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for breast cancer?

    <p>Musculoskeletal implications</p> Signup and view all the answers

    Which of the following is a potential consequence of TRAM reconstruction?

    <p>Inability to complete rotational curl-up</p> Signup and view all the answers

    Which of the following is a potential side effect of targeted and hormone therapies for breast cancer?

    <p>Loss of tensile strength in ligaments/tendons</p> Signup and view all the answers

    Which of the following is a potential consequence of axillary lymph node removal?

    <p>Seroma</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing breast cancer?

    <p>Having a family history of breast cancer</p> Signup and view all the answers

    What is the most common type of breast cancer?

    <p>Invasive breast cancer</p> Signup and view all the answers

    What is the recommended exercise intensity for a patient with a hemoglobin level of 8-10 g/dL?

    <p>Low intensity exercise</p> Signup and view all the answers

    What is a potential consequence of radiation therapy for breast cancer?

    <p>Tissue fibrosis</p> Signup and view all the answers

    Which of the following is a potential side effect of hormone therapy for breast cancer?

    <p>Increased risk of developing ovarian cancer</p> Signup and view all the answers

    Which of the following is NOT a potential side effect of radiation therapy for head and neck cancer?

    <p>Muscle and joint pain</p> Signup and view all the answers

    Which of the following is a potential consequence of radiation therapy for head and neck cancer?

    <p>Ulceration</p> Signup and view all the answers

    What is trismus?

    <p>Tonic contraction of muscles of mastication resulting in limited ability to open the mouth</p> Signup and view all the answers

    What is a potential consequence of mastectomy?

    <p>CS and shoulder dysfunction</p> Signup and view all the answers

    What is a potential side effect of aromatase inhibitors?

    <p>Muscle and joint pain</p> Signup and view all the answers

    Which of the following is a potential side effect of Herceptin, a targeted therapy used in breast cancer treatment?

    <p>Cardiomyopathy</p> Signup and view all the answers

    Which of the following is a potential side effect of Perjeta, another targeted therapy used in breast cancer treatment?

    <p>Decreased white blood cell count</p> Signup and view all the answers

    Which of the following is a potential consequence of radiation therapy for breast cancer?

    <p>Tissue scarring</p> Signup and view all the answers

    Which of the following is a potential symptom of Chemotherapy-induced peripheral neuropathy (CIPN)?

    <p>Paresthesia</p> Signup and view all the answers

    Which of the following is a potential long-term consequence of radiation therapy for breast cancer?

    <p>Lymphedema</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing lymphedema after breast cancer treatment?

    <p>Having a low BMI</p> Signup and view all the answers

    Which of the following is a potential consequence of radiation therapy for breast cancer?

    <p>Axillary web syndrome</p> Signup and view all the answers

    What is the normal range for platelets in the blood?

    <p>7.1 or above</p> Signup and view all the answers

    Which of the following is a potential side effect of Perjeta, another targeted therapy used in breast cancer treatment?

    <p>Cardiac toxicity</p> Signup and view all the answers

    What is the recommended intensity for aerobic training for cancer survivors according to the Exercise Guidelines for Cancer Survivors?

    <p>Moderate intensity</p> Signup and view all the answers

    Which of the following is NOT a consideration when developing exercise prescription for cancer patients?

    <p>The patient's blood count values</p> Signup and view all the answers

    What is the recommended exercise intensity for a patient with a hemoglobin level of 8-10 g/dL?

    <p>Resistive exercise</p> Signup and view all the answers

    What is the normal range for platelets in the blood?

    <p>200,000 - 400,000/mm3</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for breast cancer?

    <p>Decreased bone density</p> Signup and view all the answers

    Which of the following is a potential consequence of radiation therapy for head and neck cancer?

    <p>Trismus</p> Signup and view all the answers

    Which of the following is a potential side effect of Herceptin, a targeted therapy used in breast cancer treatment?

    <p>Muscle weakness</p> Signup and view all the answers

    Which of the following is a potential consequence of radiation therapy for breast cancer?

    <p>Radiation fibrosis</p> Signup and view all the answers

    Which of the following is a potential symptom of Chemotherapy-induced peripheral neuropathy (CIPN)?

    <p>Muscle weakness</p> Signup and view all the answers

    Which of the following is NOT a potential side effect of radiation therapy for head and neck cancer?

    <p>Decreased white blood cell count</p> Signup and view all the answers

    Which of the following is a potential risk factor for developing lymphedema after breast cancer treatment?

    <p>Obesity</p> Signup and view all the answers

    Which of the following is a potential consequence of radiation therapy for head and neck cancer?

    <p>Ulceration</p> Signup and view all the answers

    What is trismus?

    <p>Limited ability to open the mouth</p> Signup and view all the answers

    Which of the following is NOT a potential consequence of radiation therapy for breast cancer?

    <p>Spinal accessory and/or facial nerve palsy</p> Signup and view all the answers

    What is the most common form of secondary lymphedema in the US?

    <p>Upper extremity lymphedema</p> Signup and view all the answers

    Which of the following is a potential side effect of chemotherapy?

    <p>Hearing loss</p> Signup and view all the answers

    Which of the following is a potential side effect of chemotherapy drugs?

    <p>Myelosuppression</p> Signup and view all the answers

    Which of the following is a potential side effect of targeted and hormone therapies for breast cancer?

    <p>Loss of tensile strength in ligaments/tendons</p> Signup and view all the answers

    Which of the following is a potential consequence of TRAM reconstruction?

    <p>Inability to complete a rotational curl-up</p> Signup and view all the answers

    Which of the following is a potential side effect of radiation therapy for breast cancer?

    <p>Cardiotoxicity</p> Signup and view all the answers

    Which of the following is a potential consequence of mastectomy?

    <p>Loss of tensile strength in ligaments/tendons</p> Signup and view all the answers

    Which of the following is a potential consequence of TRAM reconstruction?

    <p>Impairment and dysfunction due to late complications of disease and treatment</p> Signup and view all the answers

    What is the most common form of secondary lymphedema in the US?

    <p>Axillary Web Syndrome</p> Signup and view all the answers

    Which of the following is NOT a caution in determining activity level for cancer patients?

    <p>Increased risk of developing breast and ovarian cancer</p> Signup and view all the answers

    What is the most common type of breast cancer?

    <p>Invasive breast cancer</p> Signup and view all the answers

    Which of the following is a potential consequence of radiation induced tissue fibrosis?

    <p>Impairment and dysfunction due to late complications of disease and treatment</p> Signup and view all the answers

    Which of the following sounds is usually heard during diastole?

    <p>Leathery sound</p> Signup and view all the answers

    What is the predicted value for Maximum Inspiratory Pressure (MIP) for a 60-year-old female?

    <p>$158 - (60 \times 0.18)$</p> Signup and view all the answers

    What is the usual position for post-operative comfort to improve respiration?

    <p>Head elevated 20°, legs slightly flexed</p> Signup and view all the answers

    Which of the following exercises is specifically used for localized expansion of the lungs?

    <p>Diaphragmatic breathing exercise</p> Signup and view all the answers

    What does an Incentive Spirometer claim to strengthen?

    <p>Diaphragm</p> Signup and view all the answers

    Which component primarily represents the metabolic aspect of blood gas analysis?

    <p>HCO3</p> Signup and view all the answers

    What does an increased PaCO2 indicate in blood gas analysis?

    <p>Respiratory acidosis</p> Signup and view all the answers

    Which parameter is used to determine metabolic alkalosis in blood gas analysis?

    <p>HCO3</p> Signup and view all the answers

    In blood gas analysis, how is compensation different from correction?

    <p>Compensation involves altering the primarily affected component, while correction alters the normalized pH.</p> Signup and view all the answers

    Which scale is used to quantify dyspnea in patients during activity?

    <p>Borg Rate of Perceived Exertion Scale</p> Signup and view all the answers

    What is the best area to listen for the pulmonic valve closure (P2) of the second heart sound?

    <p>2nd ICS, L sternal border</p> Signup and view all the answers

    Which heart sound is associated with poor ventricular compliance in adults?

    <p>Third heart sound (S3)</p> Signup and view all the answers

    Where is the tricuspid area for auscultation of the heart sounds located?

    <p>5th intercostal space, L sternal border</p> Signup and view all the answers

    What is the abnormal heart sound associated with exaggerated atrial contraction and turbulence?

    <p>Fourth heart sound (S4)</p> Signup and view all the answers

    When auscultating the mitral area, where is the best location to hear the mitral valve closure (M1) of the first heart sound?

    <p>5th ICS midclavicular line near left nipple</p> Signup and view all the answers

    What is the purpose of the Modified Borg Dyspnoea Scale?

    <p>To assess respiratory effort during exercise</p> Signup and view all the answers

    Which component of the chest examination involves evaluating neck accessory muscles, tracheal position, and jugular vein distension?

    <p>Inspection</p> Signup and view all the answers

    What is the defining characteristic of Cheyne-Stokes breathing pattern?

    <p>Increasing and decreasing depth, periods of apnea, irregular rhythm</p> Signup and view all the answers

    In the context of chest examination, what does the term 'cachexia' refer to?

    <p>Body type</p> Signup and view all the answers

    What is the primary function of the Patient Instructions for Borg Dyspnea Scale?

    <p>To rate the difficulty of breathing</p> Signup and view all the answers

    What is the goal of Airway Clearance Techniques (ACT)?

    <p>To reduce airway obstruction caused by secretions</p> Signup and view all the answers

    Which technique is a passive one that enables gravity to assist in the flow of secretions from the airways?

    <p>Postural drainage</p> Signup and view all the answers

    What did a Meta-Analysis of 13 randomized controlled trials find about Inspiratory Muscle Training (IMT) post cardio-thoracic surgery?

    <p>Significantly decreased postoperative pulmonary complications compared to standard care</p> Signup and view all the answers

    In which patient population did Inspiratory Muscle Training (IMT) show benefits for improving respiratory muscle strength, functional capacity, and dyspnea?

    <p>Patients with stable heart failure and respiratory muscle weakness</p> Signup and view all the answers

    What did the addition of Inspiratory Muscle Training (IMT) to a regular exercise program improve in patients with COPD?

    <p>Maximum Inspiratory Pressure (MIP)</p> Signup and view all the answers

    What is the primary cause of respiratory alkalosis?

    <p>Hyperventilation due to airway obstruction</p> Signup and view all the answers

    What is the primary cause of metabolic alkalosis?

    <p>Loss of HCl (stomach)</p> Signup and view all the answers

    In blood gas analysis, what does a low HCO3 indicate?

    <p>Metabolic acidosis</p> Signup and view all the answers

    What is the primary cause of respiratory acidosis?

    <p>Hypoventilation</p> Signup and view all the answers

    What is the primary cause of metabolic acidosis?

    <p>Acidemia 2o to diabetes</p> Signup and view all the answers

    Study Notes

    Physical Impairments and Management in Breast Cancer Treatment

    • Herceptin is a targeted therapy given intravenously for about a year to patients with Her2+ breast cancer.
    • Cardiomyopathy, decreased white blood cell count, anemia, and cancer-related fatigue are potential side effects of Herceptin.
    • Perjeta is another targeted therapy used in breast cancer treatment that inhibits cell growth and division.
    • Radiation therapy destroys cancer cells and inhibits cell growth, typically delivered in doses of 3-4 Gy per treatment and totaling 40-70 Gy.
    • Radiation therapy can cause tissue scarring and increase the risk of developing lymphedema and brachial plexopathies.
    • Acute, subacute, and chronic stages of radiation therapy can lead to skin impairment, tissue immobility, and adhesions.
    • Common upper quarter impairments following breast cancer treatment include chemotherapy-induced peripheral neuropathy, radiation fibrosis, scar adhesion, brachial plexopathy, scapular dyskinesia, and lymphedema.
    • Chemotherapy-induced peripheral neuropathy (CIPN) is the second most common acute side effect of cancer intervention and can cause gait and mobility deficits.
    • CIPN can result in paresthesia, decreased proprioception, neuropathic pain, muscle weakness, postural instability, and balance problems.
    • Management of CIPN includes patient education, assistive devices, exercises, joint mobilizations, gentle compression, and fall prevention recommendations.
    • Radiation fibrosis is the pathological development of fibrotic tissue sclerosis due to radiation therapy, potentially leading to loss of elasticity and organ complications.
    • Management of radiation fibrosis involves deep tissue work, tissue mobilization, scar mobilization, and prevention of chest wall adhesion.

    Physical Impairments and Management in Breast Cancer Treatment

    • Herceptin is a targeted therapy given intravenously for about a year to patients with Her2+ breast cancer.
    • Cardiomyopathy, decreased white blood cell count, anemia, and cancer-related fatigue are potential side effects of Herceptin.
    • Perjeta is another targeted therapy used in breast cancer treatment that inhibits cell growth and division.
    • Radiation therapy destroys cancer cells and inhibits cell growth, typically delivered in doses of 3-4 Gy per treatment and totaling 40-70 Gy.
    • Radiation therapy can cause tissue scarring and increase the risk of developing lymphedema and brachial plexopathies.
    • Acute, subacute, and chronic stages of radiation therapy can lead to skin impairment, tissue immobility, and adhesions.
    • Common upper quarter impairments following breast cancer treatment include chemotherapy-induced peripheral neuropathy, radiation fibrosis, scar adhesion, brachial plexopathy, scapular dyskinesia, and lymphedema.
    • Chemotherapy-induced peripheral neuropathy (CIPN) is the second most common acute side effect of cancer intervention and can cause gait and mobility deficits.
    • CIPN can result in paresthesia, decreased proprioception, neuropathic pain, muscle weakness, postural instability, and balance problems.
    • Management of CIPN includes patient education, assistive devices, exercises, joint mobilizations, gentle compression, and fall prevention recommendations.
    • Radiation fibrosis is the pathological development of fibrotic tissue sclerosis due to radiation therapy, potentially leading to loss of elasticity and organ complications.
    • Management of radiation fibrosis involves deep tissue work, tissue mobilization, scar mobilization, and prevention of chest wall adhesion.

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    Description

    Test your knowledge on developing exercise prescription considering various lab values, individualized patient needs, and the effects of cancer treatment. Learn about considerations for exercise programs, including barriers such as time, travel, cost, and social factors. Understand the importance of balancing exercise with persistent effects of neuropathy and steroid use.

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