PC-02. Early rehabilitation of patients at the oncology department
Alexey A. Safronov1, Oksana V. Koryakina2, Konstantin E. Klevakin3
1 Regional Children’s Clinical Hospital Department of Medical Rehabilitation, Yekaterinburg, Russia
2 Department of Neurology, Neurosurgery and Medical Genetics, Ural State Medical University, Yekaterinburg, Russia
3 Center of Pediatric Oncology and Hematology, Regional Pediatric Clinical Hospital, Yekaterinburg, Russia
Contact: Dr. Alexey A. Safronov, phone: +7 (912) 289-77-54, e-mail: familsaf@yandex.ru
Summary
Virtual technologies are effective in rehabilitation of patients with different conditions including hematology and cancer department patients. The early physical rehabilitation may be effective in allo-HSCT recipients allowing shorter post-transplant recovery period.
Patients and methods
We evaluated early physical rehabilitation effect in pediatric bone marrow transplant recipient. We have also assessed effectiveness of virtual technology-based rehabilitation in a child with post-chemotherapy polyneuropathy.
Results
Case 1: Patient D., 12 years old, was diagnosed with acute lymphoblastic leukemia, post-transplant period after the second allogeneic HSCT. Movement disorders were the most prominent symptoms at the beginning of treatment. Rehabilitation proceeded for 20 days including bicycle kinesis, coordination gymnastics, manual stretching. The therapy resulted into an increase in limb muscle strength from an average of 3 to 4 points (MRC test), an increase in mobility (Rivermead test from 7 to 8 points), a reduction in the risk of falling (Berg test from 42 to 49 points), complete movement range recovery. Case 2: Patient K., 8 years old was diagnosed with chemotherapy-induced peripheral polyneuropathy of lower extremities manifesting with lower moderate-degree paraparesis being most evident on the right side, balance disturbance and motor walking stereotype due to kinesiophobia. Rehabilitation course lasted for 2 weeks, 1 procedure in 3 days. It resulted into walking without an auxiliary device, an increase in muscle strength from 3 to 4 points on the MRC scale, the Berg balance scale from 35 to 42 points from 35 to 42, an increase in walking speed (from 0.07 to 0.19 m/s), a decrease in anxiety.
Conclusion
The proposed therapy complexes in these patients were adequate and made it possible to achieve the goals of rehabilitation.
Keywords
Early physical rehabilitation, virtual technologies.
