Which of the following is a consideration when developing exercise prescription for cancer patients?
What is the normal range for hemoglobin levels?
What is the recommended exercise for a patient with a platelet count of 10,000 mm3?
Which of the following is a potential limitation for exercise in cancer patients?
What is the recommended exercise for a patient with a white blood cell count of 300 mm3?
Which type of breast cancer is confined to the lobules?
What is the leading cause of morbidity (impairment and dysfunction) due to late complications of breast cancer and its treatment?
How many women are estimated to be newly diagnosed with breast cancer in 2019?
What is the primary purpose of a sentinel lymph node biopsy?
Which gene mutation is associated with an increased risk of developing breast and ovarian cancer?
Which of the following is a common side effect of chemotherapy?
What is the purpose of chemotherapy?
Which drug is commonly used as an anti-estrogen therapy?
What is the most common type of surgery for breast reconstruction?
Which muscles play a greater role in stability in the trunk?
Which targeted therapy is given intravenously for about a year to patients with Her2+ breast cancer?
What are potential side effects of Herceptin?
What therapy inhibits cell growth and division in breast cancer treatment?
What is the typical dose of radiation therapy delivered per treatment?
What are potential impairments following breast cancer treatment?
Which of the following is NOT a common treatment approach for head and neck cancer?
Which of the following is a possible treatment side effect of surgery for head and neck cancer?
Which of the following is a risk factor for developing radiation fibrosis?
Which of the following is a potential effect of radiation on muscle tissue?
Which of the following is a consideration for physical therapists when treating head and neck cancer patients?
Which of the following is a key fact about Axillary Web Syndrome?
Which of the following is a subjective symptom of Axillary Web Syndrome?
Which of the following is a key fact about Breast Cancer Related Lymphedema?
Which of the following is a quantitative limb volume assessment technique?
Which of the following is a treatment option for Axillary Web Syndrome?
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.
Test your knowledge of physical impairments and management in breast cancer treatment with this quiz. Learn about the potential side effects of targeted therapies like Herceptin and Perjeta, as well as the impact of radiation therapy on tissue scarring and the development of conditions like lymphedema and brachial plexopathies. Explore common upper quarter impairments and how to manage them, including chemotherapy-induced peripheral neuropathy and radiation fibrosis.
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