Perspectives on Spinal Precautions in Patients Who Have Cancer and Spinal Metastasis.

Abstract:

:Bones are the third most common site for cancer metastases, and the axial skeleton is the most frequent skeletal location. In a postmortem study, bone metastases were reported in 70% of breast and prostate cancer patients. Bone metastases from breast, lung, prostate, thyroid, and kidney cancers account for 80% of all bone metastases. Bone lesions exist in 60% of newly diagnosed multiple myeloma patients. With increasing numbers of people who have survived cancer, many patients with cancer and axial skeletal bony metastases will be seen by physical and occupational therapists. Guidelines are lacking on how to perform physical examinations and provide exercise programs for these patients without compromising the diseased spine. In this article, we discuss the available evidence for similar spinal conditions, the biomechanics of spinal load, and changes associated with posture and weight load. We provide recommendations on how to assess a patient's strength, how to strengthen without compromising the diseased spine, and how to teach patients to use correct body mechanics during mobility and activities of daily living.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Guo Y,Ngo-Huang AT,Fu JB

doi

10.1093/ptj/pzz178

subject

Has Abstract

pub_date

2020-03-10 00:00:00

pages

554-563

issue

3

eissn

0031-9023

issn

1538-6724

pii

5732796

journal_volume

100

pub_type

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