The prevalence and cost of Cancer is going up in the UK. In 2011, 318,000 people were diagnosed at a cost of £9.4 billion to the NHS. This is expected to increase to 383,000 diagnosis and £15.3 billion by 2021.
More than half of people receiving a cancer diagnosis will now live ten years or more. WE need to ensure that we are making the necessary investments to provide a high-quality, modern rehabilitation service to help support patients living with and beyond Cancer. (The Recovery Package, NHS Cancer Strategy)
“Patients need physical and occupational therapy services for a variety of cancer-related or cancer-treatment-related problems, including pain, fatigue, deconditioning, and difficulty with gait.” (Silver and Gilchrist, 2011)
What can we do?
Using the technologies available from Physiquipe, we can address Cancer-Related Symptoms and Conditions, including:
- Cognitive difficulties (also known as “chemo brain”), including problems with memory, concentration, attention and learning new skills
- Physical difficulties, including decline in balance, difficulty walking, poor endurance, muscle spasms, weakness, fatigue, or adjustment to wearing a prosthetic
- Uncomfortable sensations, including pain, joint stiffness, and numbness in hands and feet (peripheral neuropathy)
- Radiation fibrosis: thickening of connective tissue
- Lymphedema: swelling due to lymphatic system damage
- Scar tissue restriction following surgery
The overriding goal is to help patients stay active and maintain the best quality of life possible before, during and years after chemotherapy, radiation therapy, surgery and other cancer treatments.
How does it help me?
By adopting the technologies that Physiquipe offer, you can meet the targets set by the NHS National Cancer Strategy. In particular,
- Supporting the patient living with and beyond cancer
- Making the necessary investments to deliver a modern, high-quality service
You will be able to provide more objective, evidence based rehabilitation and treatments for secondary issues to cancer treatments. These would include;
- Objective assessment & rehab of functional movements (ADLs)
- Develop eccentric strength
- Dynamic Body Weight Support and preventing falls
- Challenge and assess the physical, visual, auditory, and cognitive abilities
- Scarring, fascial and lymphatic treatments
- Early detection of Lymphoedema and body composition tracking
- Balance and gait assessments. Identifying imbalances which may cause future issues in return to function
Objective Assessment and Rehabilitation
- Isometric and Isotonic testing and rehab
- CPM – Continuous passive motion capability
- Isokinetic testing and rehab
- Replicate any movement or functional activity e.g. steering, lifting
- Single joint and multiple joint testing
- Live data feedback
“Cancer exercise programmes showed Improvements in physical functioning, strength, physical activity levels, quality of life, fatigue, immune function, haemoglobin concentrations, potential markers of recurrence, and body composition.” (Rosalind et. al 2010).
- Safe, closed chain, eccentric exercise for the lower extremity
- Higher resistance capacity; body can resist 30-40% more eccentrically
- Reduced stress on the cardiac system
- Controlled, patient specific testing and training
- Live data feedback
Eccentric exercise is a promising training modality with many different domains of application including cancer (Isner-Horobeti et. al. 2013).
Scar and Oedema Management
- Dilate lymphatic capillaries to encourage lymphatic drainage
- Lifts and expands the tissue, instead of push and compress
- Vertical stretching of fascia
- Provide torsional forces on the tissue by twisting
- Results are often instantly measurable
“LymphaTouch negative pressure technique treats oedema more effectively than traditional manual lymph drainage therapy. It caused larger decreases in the oedematous volume of muscle tissue (7%) and in tissue stiffness (9.2%).” (Vuorinen et. al. 2013).
- Measures total body water, intra and extracellular fluid
- Direct measure of body fluid levels
- Quick, non-invasive and painless measurement
- Research grade data
- Track and trend data to manage a patient easier
“Using Bioimpedence Spectroscopy will allow you to detect Lymphoedema changes on average 10 months before the condition is clinically diagnosed with circumferential measurement” (Cornish et. al. 2001)
“Compared with DXA, Bioimpedence Spectroscopy accurately assessed changes in body composition with weight loss” (Thomson et. al. 2007).
As part of the NHS, we are looking to find new solutions which reduce the costs of the services and get patients back to activities of daily living quicker. The Governments’ National Strategy for Cancer sets out that we need to transform our approach to support people living with and beyond cancer and that we need to make the necessary investments to deliver a high-quality modern service. By investing in the solutions we offer, you will be able to reduce the costs of Cancer Rehabilitation in your area and improve the clinical outcomes. We can support you building a business case and ROI model which will be tailored to your clinic and CCG/Trust. To discuss the Cancer Rehabilitation solutions and to get a tailored business case and ROI model built please contact us.
In private healthcare, we are always looking to find new innovative ways to treat and manage our patients that sets us apart from everyone else. The solutions we offer can really push and grow your business and make you stand out from the other services available. We can work with you in building an ROI model tailored to your business. To discuss the options, contact us.