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Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma
Activities of daily living (ADL) are frequently impaired in patients with hepatocellular carcinoma (HCC). In this retrospective study, we aimed to investigate the effects of physical therapy on ADLs in patients with HCC during hospitalization for cancer treatment. Nineteen patients with HCC were enr...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7730642/ https://www.ncbi.nlm.nih.gov/pubmed/33291223 http://dx.doi.org/10.3390/ijerph17239098 |
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author | Narao, Hayato Hirota, Keisuke Koya, Shunji Tomita, Manabu Manako, Yuta Ogawa, Satosi Nakao, Naomi Tsutsumi, Tsubasa Nakano, Dan Hashida, Ryuki Kawaguchi, Takumi Matsuse, Hiroo Nagamatu, Hiroaki Torimura, Takuji |
author_facet | Narao, Hayato Hirota, Keisuke Koya, Shunji Tomita, Manabu Manako, Yuta Ogawa, Satosi Nakao, Naomi Tsutsumi, Tsubasa Nakano, Dan Hashida, Ryuki Kawaguchi, Takumi Matsuse, Hiroo Nagamatu, Hiroaki Torimura, Takuji |
author_sort | Narao, Hayato |
collection | PubMed |
description | Activities of daily living (ADL) are frequently impaired in patients with hepatocellular carcinoma (HCC). In this retrospective study, we aimed to investigate the effects of physical therapy on ADLs in patients with HCC during hospitalization for cancer treatment. Nineteen patients with HCC were enrolled. During hospitalization, patients performed a combination of resistance training, stretching, and aerobic exercise (20–60 min/day). ADLs were assessed using the functional independence measure (FIM). Changes in FIM were evaluated by before–after analysis. No significant difference was seen in Child–Pugh class before and after physical therapy. The bilateral knee extension strength and chair stand test were significantly increased after physical therapy compared with before physical therapy (p = 0.001 and p = 0.008, respectively). The total FIM score was significantly increased after physical therapy compared with that before physical therapy (p = 0.0156). Among the 18 indexes of FIM, the stairs index was significantly improved after physical therapy compared with that before physical therapy (5.9 vs. 6.4 points, p = 0.0241). We demonstrated that physical therapy improved muscle strength without worsening liver function. Furthermore, physical therapy improved FIM, especially in the stairs index, in patients with HCC. Thus, physical therapy may be beneficial in patients with HCC during cancer treatment. |
format | Online Article Text |
id | pubmed-7730642 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77306422020-12-12 Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma Narao, Hayato Hirota, Keisuke Koya, Shunji Tomita, Manabu Manako, Yuta Ogawa, Satosi Nakao, Naomi Tsutsumi, Tsubasa Nakano, Dan Hashida, Ryuki Kawaguchi, Takumi Matsuse, Hiroo Nagamatu, Hiroaki Torimura, Takuji Int J Environ Res Public Health Article Activities of daily living (ADL) are frequently impaired in patients with hepatocellular carcinoma (HCC). In this retrospective study, we aimed to investigate the effects of physical therapy on ADLs in patients with HCC during hospitalization for cancer treatment. Nineteen patients with HCC were enrolled. During hospitalization, patients performed a combination of resistance training, stretching, and aerobic exercise (20–60 min/day). ADLs were assessed using the functional independence measure (FIM). Changes in FIM were evaluated by before–after analysis. No significant difference was seen in Child–Pugh class before and after physical therapy. The bilateral knee extension strength and chair stand test were significantly increased after physical therapy compared with before physical therapy (p = 0.001 and p = 0.008, respectively). The total FIM score was significantly increased after physical therapy compared with that before physical therapy (p = 0.0156). Among the 18 indexes of FIM, the stairs index was significantly improved after physical therapy compared with that before physical therapy (5.9 vs. 6.4 points, p = 0.0241). We demonstrated that physical therapy improved muscle strength without worsening liver function. Furthermore, physical therapy improved FIM, especially in the stairs index, in patients with HCC. Thus, physical therapy may be beneficial in patients with HCC during cancer treatment. MDPI 2020-12-06 2020-12 /pmc/articles/PMC7730642/ /pubmed/33291223 http://dx.doi.org/10.3390/ijerph17239098 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Narao, Hayato Hirota, Keisuke Koya, Shunji Tomita, Manabu Manako, Yuta Ogawa, Satosi Nakao, Naomi Tsutsumi, Tsubasa Nakano, Dan Hashida, Ryuki Kawaguchi, Takumi Matsuse, Hiroo Nagamatu, Hiroaki Torimura, Takuji Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma |
title | Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma |
title_full | Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma |
title_fullStr | Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma |
title_full_unstemmed | Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma |
title_short | Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma |
title_sort | effects of in-hospital physical therapy on activities of daily living in patients with hepatocellular carcinoma |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7730642/ https://www.ncbi.nlm.nih.gov/pubmed/33291223 http://dx.doi.org/10.3390/ijerph17239098 |
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