Advance in Perioperative Physical Therapy for Esophageal Cancer (review)
10.3969/j.issn.1006-9771.2019.10.009
- VernacularTitle:食管癌围手术期的物理治疗进展
- Author:
Long-ping WANG
1
,
2
;
Bin ZENG
1
,
2
;
Wen-fang BAI
1
,
2
;
Cheng DEGN
;
Ying-hong WU
;
Gui-bin QIAO
Author Information
1. Department of Rehabilitation Medicine
2. b. Department of Thoracic Surgery, Guangdong Provincial People's Hospital, Guangdong Academyof Medical Sciences, Guangzhou, Guangdong 510515, China
- Publication Type:Research Article
- Keywords:
esophageal cancer;
rehabilitation;
physical therapy;
review
- From:
Chinese Journal of Rehabilitation Theory and Practice
2019;25(10):1168-1171
- CountryChina
- Language:Chinese
-
Abstract:
Esophageal cancer is the most common malignant tumor of the digestive tract in China. At present, surgical resection is the main method to cure esophageal cancer. With the population and implementation of the enhanced recovery after surgery, perioperative physical therapy plays a more and more important role. This review discussed the necessity of preoperative cardiopulmonary function assessment in patients with esophageal cancer, the effects of preoperative respiratory training and aerobic exercise on optimizing physical fitness and reducing postoperative complications, and the content of early postoperative physical therapy. Preoperative cardiopulmonary function of esophageal cancer patients is not strongly related with the outcome, which may be related to the complexity of esophageal cancer surgery and the high incidence of postoperative complications. Preoperative inspiratory muscle exercise can improve the pulmonary function of patients to some extent, but still lack of large sample size research. Preoperative aerobic exercise for esophageal cancer can improve the patient's physical reserve and should be valued. Postoperative physiotherapy priorities includes pain management, chest physical therapy and early mobilization. Exercise prescriptions such as intensity and time for early mobilization are yet to be further studied.
