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文章:

甲状腺癌患者术前预康复与术后康复对功能恢复及生活质量的影响:一项综合性综述

Role of Prehabilitation and Rehabilitation on Functional Recovery and Quality of Life in Thyroid Cancer Patients: A Comprehensive Review

原文发布日期:10 September 2023

DOI: 10.3390/cancers15184502

类型: Article

开放获取: 是

 

英文摘要:

Background: This narrative review aims to provide a comprehensive overview of the current prehabilitation and rehabilitation strategies for thyroid cancer survivors to optimize functional outcomes and enhance their quality of life. Methods: The review follows the SANRA quality criteria and includes an extensive literature search conducted in PubMed/Medline, Web of Science, and Scopus. Results: The review emphasizes the role of a comprehensive rehabilitation approach in targeting the different domains that generate disability in thyroid cancer patients. In this context, physical activity, range of motion exercises, myofascial release, joint mobilization, and postural exercises are crucial for improving functional outcomes and reducing treatment-related discomfort and disability. Moreover, tailored rehabilitative management addressing dysphonia and dysphagia might have a positive impact on the quality of life of these patients. Despite these considerations, several barriers still affect the implementation of a multimodal rehabilitative approach in common clinical practice. Thus, sustainable and effective strategies like digital innovation and patient-centered approaches are strongly needed in order to implement the rehabilitative treatment framework of these subjects. Conclusions: This narrative review provides valuable insights into the current prehabilitation and rehabilitation strategies to treat thyroid cancer survivors, addressing physical, psychological, and vocational needs to optimize functional outcomes and enhance their quality of life.

 

摘要翻译: 

背景:本叙述性综述旨在全面概述当前针对甲状腺癌幸存者的预康复与康复策略,以优化其功能结局并提升生活质量。 方法:本综述遵循SANRA质量评估标准,通过PubMed/Medline、Web of Science及Scopus数据库进行了系统的文献检索。 结果:综述强调了综合性康复方法在应对甲状腺癌患者功能障碍多维度问题中的关键作用。在此框架下,体力活动、关节活动度训练、肌筋膜松解术、关节松动术及姿势训练对改善功能结局、减轻治疗相关不适与功能障碍至关重要。此外,针对发声障碍与吞咽困难的个体化康复管理可能显著提升患者生活质量。尽管已有上述共识,多模式康复方案在临床实践中的推广仍面临诸多障碍。因此,亟需通过数字化创新及以患者为中心的策略,构建可持续且高效的康复治疗体系。 结论:本综述系统阐述了当前甲状腺癌幸存者的预康复与康复策略,通过关注其生理、心理及职业需求,为优化功能结局与提高生活质量提供了重要参考依据。

 

原文链接:

Role of Prehabilitation and Rehabilitation on Functional Recovery and Quality of Life in Thyroid Cancer Patients: A Comprehensive Review

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