REVIEW PAPER
Modern technologies in cancer patient rehabilitation: A systematic review of clinical evidence and patient outcomes
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1
Department of Oncology, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
2
Department of Clinical Medicine, Bydgoszcz University of Science and Technology, Bydgoszcz, Poland
Submission date: 2024-12-04
Final revision date: 2025-01-10
Acceptance date: 2025-01-29
Online publication date: 2025-02-27
Corresponding author
Oliwia Kowalczyk
Department of Oncology, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Łukasiewicza 1, 85-821 Bydgoszcz, Poland
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Cancer rehabilitation is a vital component of comprehensive cancer care that enhances patients' quality of life throughout their cancer journey. As medical technology advances, innovative solutions are increasingly incorporated into rehabilitation protocols for cancer patients. These technologies support patients across all stages - from diagnosis through treatment and into survivorship - addressing their diverse needs.
While technological solutions in cancer rehabilitation are becoming more common, there is a pressing need to evaluate their effectiveness comprehensively. This study examines how technological interventions affect rehabilitation outcomes across four patient groups: those about to begin cancer treatment, patients in active treatment, those who have completed treatment, and cancer survivors. Through analysis of studies 2014–2020, covering 1662 patients, this review provides a thorough assessment of technology-enhanced cancer rehabilitation and its implications for future clinical practice.
Aim:
Purpose of the search was to evaluate the effectiveness of the proposed new technologies in rehabilitation outcomes in patients with cancer.
Material and methods:
PubMed, PubMed Medline, Google Scholar engines were searched focusing on publications between 2014 and 2020 in the English language.
Results and discussion:
The search included and evaluated 16 studies published between 2014 and 2020, which represented 1,662 patients scheduled to initiate cancer treatment, actually undergoing cancer treatment, with terminated cancer treatment, and cancer survivors.
Conclusions:
New technologies may improve rehabilitation in cancer patients or cancer survivors but more research is still required with larger trial groups of patients to fully evaluate outcomes and efficacy of such interventions.
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REFERENCES (23)
2.
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209–249. doi: 10.3322/caac.21660.
3.
Kim JH. Effects of a virtual reality video game exercise program on upper extremity function and daily living activities in stroke patients. J Phys Ther Sci. 2018;30(12):1408–1411.
https://doi.org/10.1589/jpts.3....
4.
Yeo E, Chau B, Chi B, Ruckle DE, Ta P. Virtual reality neurorehabilitation for mobility in spinal cord injury: A structured review. Innov Clin Neurosci. 2019;16(1–2):13–20.
5.
Keller FM, Dahmen A, Derksen C, Kötting L, Lippke S. Implementing Digital Trainings within Medical Rehabilitations: Improvement of Mental Health and Synergetic Outcomes with Healthcare Service. Int J Environ Res Public Health. 2021;18(17):8936. doi: 10.3390/ijerph18178936.
6.
Melillo A, Chirico A, De Pietro G, Gallo L, Caggianese G, Barone D, De Laurentiis M, Giordano A. Virtual Reality Rehabilitation Systems for Cancer Survivors: A Narrative Review of the Literature. Cancers (Basel). 2022;14(13):3163. doi: 10.3390/cancers14133163.
7.
Feyzioğlu Ö, Dinçer S, Akan A, Algun ZC. Is Xbox 360 Kinect-based virtual reality training as effective as standard physiotherapy in patients undergoing breast cancer surgery? Support Care Cancer. 2020;28(9):4295–4303.
https://doi.org/10.1007/s00520....
8.
Tsuda K, Sudo K, Goto G, et al. A Feasibility study of virtual reality exercise in elderly patients with hematologic malignancies receiving chemotherapy. Intern Med. 2016;55(4):347–352.
https://doi.org/10.2169/intern....
9.
Hoffman AJ, Brintnall RA, Brown JK, et al. Virtual reality bringing a new reality to postthoracotomy lung cancer patients via a home-based exercise intervention targeting fatigue while undergoing adjuvant treatment. Cancer Nurs. 2014;37(1):23–33.
https://doi.org/10.1097/NCC.0b....
10.
Schwenk M, Grewal GS, Holloway D, et al. Interactive Sensor-Based Balance Training in Older Cancer Patients with Chemotherapy-Induced Peripheral Neuropathy: A Randomized Controlled Trial. Gerontology. 2016;62(5):553–563.
https://doi.org/10.1159/000442....
11.
Dong X, Yi X, Gao D, et al. The effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on quality of life, muscle strength and cardiorespiratory capacity in Chinese postoperative breast cancer patients: A randomized controlled trial. Health Qual Life Outcomes. 2019;17(1):109.
https://doi.org/10.1186/s12955....
12.
Cheville AL, Moynihan T, Herrin J, et al. Effect of collaborative telerehabilitation on functional impairment and pain among patients with advanced-stage cancer: A randomized clinical trial. JAMA Oncol. 2019;5(5):644–652.
https://doi.org/10.1001/jamaon....
13.
Park S, Kim JY, Lee JC, et al. Mobile Phone App-Based Pulmonary Rehabilitation for Chemotherapy-Treated Patients With Advanced Lung Cancer: Pilot Study. JMIR Mhealth Uhealth. 2019;7(2):e11094.
https://doi.org/10.2196/11094.
14.
Galiano-Castillo N, Cantarero-Villanueva I, Fernández-Lao C, et al. Telehealth system: A randomized controlled trial evaluating the impact of an internet-based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors. Cancer. 2016;122(20):3166–3174.
https://doi.org/10.1002/cncr.3....
15.
Ji W, Kwon H, Lee S, et al. Mobile health management platform-based pulmonary rehabilitation for patients with non-small cell lung cancer: Prospective clinical trial. JMIR Mhealth Uhealth. 2019;7(6):e12645.
https://doi.org/10.2196/12645.
16.
Soh JY, Lee SU, Lee I, et al. A Mobile Phone-Based Self-Monitoring Tool for Perioperative Gastric Cancer Patients With Incentive Spirometer: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2019;7(2):e12204.
https://doi.org/10.2196/12204.
17.
Yoon J, Chun MH, Lee SJ, Kim BR. Effect of virtual reality-based rehabilitation on upper-extremity function in patients with brain tumor: controlled trial. Am J Phys Med Rehabil. 2015;94(6):449–459.
https://doi.org/10.1097/phm.00....
18.
Wu JM, Ho TW, Chang YT, et al. Wearable-Based Mobile Health App in Gastric Cancer Patients for Postoperative Physical Activity Monitoring: Focus Group Study. JMIR Mhealth Uhealth. 2019;7(4):e11989.
https://doi.org/10.2196/11989.
19.
Cheong IY, An SY, Cha WC, et al. Efficacy of Mobile Health Care Application and Wearable Device in Improvement of Physical Performance in Colorectal Cancer Patients Undergoing Chemotherapy. Clin Colorectal Cancer. 2018;17(2):e353–e362.
https://doi.org/10.1016/j.clcc....
20.
Uhm KE, Yoo JS, Chung SH, et al. Effects of exercise intervention in breast cancer patients: is mobile health (mHealth) with pedometer more effective than conventional program using brochure? Breast Cancer Res Treat. 2017;161(3):443–452.
https://doi.org/10.1007/s10549....
21.
Lozano-Lozano M, Martín-Martín L, Galiano-Castillo N, et al. Mobile health and supervised rehabilitation versus mobile health alone in breast cancer survivors: Randomized controlled trial. Ann Phys Rehabil Med. 2019;pii: S1877-0657(19)30118-30116.
https://doi.org/10.1016/j.reha....
22.
Gell NM, Tursi A, Grover KW, Dittus K. Female cancer survivor perspectives on remote intervention components to support physical activity maintenance. Support Care Cancer. 2020;28(5):2185–2194.
https://doi.org/10.1007/s00520....
23.
Rossen S, Kayser L, Vibe-Petersen J, et al. Technology in exercise-based cancer rehabilitation: a cross-sectional study of receptiveness and readiness for e-Health utilization in Danish cancer rehabilitation. Acta Oncol. 2019;58(5):610–618.
https://doi.org/10.1080/028418....