Bony pathology in the cancer patient.
Bony pathology in the cancer patient represents a significant source of morbidity and mortality. Complications include insufficiency and pathological fractures resulting from either medical treatments or bony metastases that can cause significant functional limitations. Additional complications include spinal cord compression, hypercalcemia, and bone marrow failure. Rehabilitation management of such conditions is reviewed, with an emphasis on diagnostic and therapeutic management. Bracing and focused rehabilitation programs facilitate maximal participation and functional outcomes, which can result in an enhanced quality of life. Specific rehabilitation goals and strategies are discussed, with an emphasis on tailoring these according to the functional staging of the patient.
Lin
Julie T
JT
Physiatry Service, Hospital for Special Surgery, Department of Rehabilitation Medicine, The New York-Presbyterian Hospital, New York, New York 10021, USA. j_lin4@yahoo.com
D000203:Activities of Daily Living; D001847:Bone Diseases / Q000209:etiology* / Q000523:psychology / Q000534:rehabilitation*; D001859:Bone Neoplasms / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation* / Q000556:secondary*; D005598:Fractures, Spontaneous / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology / Q000534:rehabilitation*; D006040:Goals; D006801:Humans; D006934:Hypercalcemia / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology / Q000534:rehabilitation*; D020380:Needs Assessment; D009369:Neoplasms / Q000150:complications*; D010024:Osteoporosis / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology / Q000534:rehabilitation*; D010347:Patient Care Planning; D011788:Quality of Life