We are currently treating a 63 years old male with multiple osteoblastic bone metastases. Passive range of motion techniques seems to reduce the pain in this particular case: as a rehabilitation team we do not agree on using these techniques but I was not able to find any study on pubmed or Pedro about nor I found any contraindications in national and international guidelines or systematic reviews. Of course treatment involve also aerobic and soft strenghtening exercises. Thanks for help.
Hi
Looks like PEDRO is helping the patient. However I am not aware of any study or guideline recommending such treatment. Regards. Bernardo L. Rapoport
The only limits that come to mind is if there is a PICC line or IV placement that would become dislodged. Perhaps there might be limits around any surgery that might have been done. For instance, radical head and neck procedure may have some temporary limits, or total hip. These don't sound pertinent to the patient you described - just trying to think of potential situations. Perhaps could word eligibility according to a general disclaimer of "other clinical conditions causing limits in ROM."
Thanks everybody for help. In the end we had a ward meeting where has been pointed out that there aren't any known contraindication in using passive range of motion techniques in patients with osteoblastic bone metastases once those techniques are made accordingly to patient's pain and in the available ROM. I found these recent guidelines, if anybody will deal with similar problems: A Quality Initiative of the
Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO)
Exercise for People with Cancer:
Recommendations Summary
R. Segal, C. Zwaal, E. Green, J. Tomasone, A. Loblaw, T. Petrella and the Exercise for
People with Cancer Guideline Development Group
Report Date: June 30, 2015
American College of Sports Medicine Roundtable on Exercise Guidelines for Cancer
Survivors Official Journal of the American College of Sports Medicine http://www.acsm-msse.org
- Badges
- Science topic