Resumen
La actividad física (AF) es segura y factible para pacientes con cáncer de pulmón durante y después del tratamiento oncológico.
Los programas multimodales han demostrado ser eficaces para mejorar los síntomas, la capacidad de ejercicio, la capacidad funcional, reducir las complicaciones postoperatorias, la duración de la estancia hospitalaria y la calidad de vida.
Es importante desarrollar estrategias innovadoras para superar las dificultades de acceso o adherencia a los programas de ejercicio y que la AF sea una parte integral del cuidado de estos pacientes.
Los fisioterapeutas tienen un papel importante en el apoyo a estos pacientes durante su evaluación o tratamiento.
El rol del fisioterapeuta en programas de actividad física para pacientes con cáncer de pulmón
La importancia del fisioterapeuta en el tratamiento del cáncer de pulmón es fundamental. La implementación de programas de actividad física en clínicas de fisioterapia ofrece múltiples beneficios a los pacientes, mejorando su calidad de vida y ayudándoles en su recuperación. Es esencial que los profesionales del sector reconozcan y adopten esta práctica en sus tratamientos.
Abstract original
[Physical activity and lung cancer: A synthesis of the literature]
Introduction: Physical activity (PA) has its place in the continuum of care, the objective being to limit alterations associated with cancer and its treatments. This review of the literature collates the evidence and current data relating to PA carried out at different periods of treatment for lung cancer.
State of the art: PA is safe and feasible in patients with lung cancer throughout their oncologic treatment. The efficacy of multimodal programs is demonstrated regarding symptoms, exercise capacity, functional capacity, postoperative complications, length of hospital stay and quality of life. Nevertheless, this result remains to be confirmed with more robust upcoming trial, notably in the long term.
Perspectives: Utilization of activity and energy expenditure sensors or PA questionnaires could help to increase the PA level of lung cancer patients during their continuum of care. For those not at ease with conventional training modalities, it may be judicious to offer intermittent high-intensity training or respiratory muscle strength training. Telerehabilitation could also be implemented. The targeting of populations at high risk should be investigated.
Conclusion: Teams caring for patients with lung cancer during or after their oncologic treatment should develop innovative strategies designed to overcome difficulties of access or adherence to exercise programs, so that the PA be an integral part of the care of these patients. Physical therapists play an important role in supporting these patients during their assessment or treatment.
| Autores | H Laurent |
| revista | Rev Mal Respir |
| DOI | 10.1016/j.rmr.2023.03.003 |