The role of the physiotherapist in palliative care: a narrative review / O papel do fisioterapeuta no cuidado paliativo: uma revisão narrativa

Authors

  • Tuane Sarmento
  • Alice Henrique dos Santos Sumar

DOI:

https://doi.org/10.34119/bjhrv4n4-274

Keywords:

Palliative Care, Physiotherapy, Quality of life.

Abstract

Introduction: The physiotherapist plays a key role within the context of the palliative care (PC), acting at all levels of care, promoting pain relief, encouraging independence, among many other benefits that directly reflect the quality of life of patients. Objective: To identify the role of physical therapists in PC, as well as their main conducts according to each phase of the disease progression. Method: Bibliographic search based on searches in MedLine databases, CAPES and LILACS journals between 2000 and 2020 using the keywords: palliative care; physiotherapy; quality of life. Results:  For totally dependent individuals, it is important to provide comfort, prevent immobility and its complications, as well as optimize the respiratory system. For the dependent but ambulant patient, the main purpose of the physiotherapist is to maintain the ability to move, as well as self-care and functionality. In relation to independent but vulnerable individuals, the biggest challenge is to prevent damage, as well as improve functional capacity and gain muscle strength. For each degree of functionality, a list of physiotherapeutic behaviors was arranged, divided into three categories: respiratory, motor and comfort. Conclusion:The physiotherapist is an essential professional within the context of PC, it is through him that the individual's functionality is increased or maintained . According to the literature, the measures do not farmacológic the are also able to promote pain relief providing comfort, reflecting the increased quality of life and well-being of the patient as a whole. 

References

AMARAL, JIM The impact of physical therapy on the quality of life of cancer patients hospitalized in palliative care . 2012. Dissertation (Masters) - Faculty of Medicine, University of Porto, Portugal, 2012.

BATISTON, AP Physical-functional dysfunctions in cancer patients: the importance of palliative care. Physiotherapy Brazil , São Paulo, v. 9, n. 4, p. 231-236, Oct, 2017.

BUSS, T. et al. Kinesitherapy alleviates fatigue in terminal hospice cancer patients—an experimental, controlled study. Supportive Care in Cancer , vol. 18, no. 6, p. 743-749, Aug, 2010.

CHUNG, WT Prospective study of the value of acupuncture in controlling nausea and vomiting in breast cancer patients undergoing adjuvant chemotherapy. 2007. Thesis (Doctorate) - University of São Paulo, São Paulo, 2007.

COBBE, S. et al. Assessment, treatment goals and interventions for oedema/lymphoedema in palliative care. International Journal of Palliative Nursing , v. 23, no. 3, p. 111-119, March, 2017.

COSTA, VS et al. Effects of applying the bobath method and treadmill training with partial weight support on post-stroke gait rehabilitation: a systematic review. Brazilian Journal of Health Sciences , vol. 18, no. 2, p. 161-66, 2014.

DA SILVA, KA et al. The importance of physical therapy in reducing immobility syndrome in bedridden patients . 2010. Thesis (postgraduate) - Faculdade Ávila, 2010.

DAHLIN, Y. et al. Patients' experiences of physical therapy within palliative cancer care. Journal of palliative care , vol. 25, no. 1, p. 12-20, 2009.

DESANOSKI, PBC et al. Palliative care: nurses' knowledge and applicability in the hospital environment. Biological and Health Sciences , v. 25, no. 1, p. 28-36, 2019.

DUARTE, J. Assessing the needs of people with dementia: a scoping review. Official Journal of the Portuguese Association of Palliative Care , v. 6, no. 1, p. 27, 2019.

FERREIRA, TB et al. Motor physiotherapy in Amyotrophic Lateral Sclerosis. Journal of Neurosciences , vol. 23, no. 4, p. 609-616, 2015.

FREITAS, FS et al. Relationship between cough strength and functional level in a group of elderly people. Brazilian Journal of Physical Therapy , vol. 14, no. 6, p. 470-476, 2010.

GLISOI, SFN et al. Gait auxiliary devices: guidance on the use, adequacy and prevention of falls in the elderly. Geriatrics, Gerontology and Aging , v. 6, no. 3, p. 261-272, 2012.

JEYARAMAN, S. et al. Hospice: Rehabilitation in reverse. Indian journal of palliative care , vol. 16, no. 3, p. 111, 2010.

KUHARA, S. et al. Palliative rehabilitation of two patients with terminal stage cancer: a visit to the patient's home and the provision of advice by a nurse and rehabilitation staff members before discharge from a physical therapist's perspective. Journal of UOEH , vol. 31, no. 4, p. 359-364, 2009.

KUMAR, SP et al. Physical therapy in palliative care: from symptom control to quality of life: a critical review. Indian journal of palliative care , vol. 16, no. 3, p. 138, 2010.

KUTNER, JS et al. Massage therapy versus simple touch to improve pain and mood in patients with advanced cancer: a randomized trial. Annals of Internal Medicine , v. 149, no. 6, p. 369-379, 2008.

LANUEZ, FV et al. Effects of two physical exercise programs on determinants of motor fitness in sedentary elderly. Einstein , v. 6, no. 1, p. 76-81, 2008.

MARCUCCI, FCI The role of physical therapy in palliative care for cancer patients. Rev Bras Cancerol , vol. 51, no. 1, p. 67-77, 2005.

PERRACINI, MR Interprofessionalism and the Family Context: The role of the physiotherapist. In: Home Care: a gerontological approach . Ed. Atheneus. São Paulo, 2000. ch. 10. p. 117-143.

PILS, K. Aspects of physical medicine and rehabilitation in geriatrics. Wiener Medizinische Wochenschrift , vol. 166, no. 1-2, p. 44-47, 2016.

PUTT, K. et al. Role of physical therapy intervention in patients with life-threatening illnesses: a systematic review. American Journal of Hospice and Palliative Medicine , vol. 34, no. 2, p. 186-196, 2017.

PYSZORA, A. et al. Physiotherapy program reduces fatigue in patients with advanced cancer receiving palliative care: a randomized controlled trial. Supportive Care in Cancer , v. 25, no. 9, p. 2899-2908, 2017.

PYSZORA, A. et al. Are soft tissue therapies and Kinesio Taping useful for symptom management in palliative care? Three case reports. Advances in Palliative Medicine , vol. 9, n. 3, p. 87-92, 2010.

ROBINSON, MT et al. Palliative care in neurology. In: Mayo Clinic Proceedings. Elsevier , v. 92, n.10, p. 1592-1601, 2017.

SOARES, CA et al. The therapeutic use of morphine in neoplastic patients. Uningá Magazine , v. 14, no. 1, 2007.

SQUARCINO, I. et al. Physiotherapy in lymphedema secondary to mastectomy. ABC Medical Archives , vol. 32, no. 2, ten. 2007.

TAVARES, CR et al. ANCP palliative care manual: expanded and updated. São Paulo, Brazil: National Academy of Palliative Care (ANCP), 2nd Ed, 2012.

VASCONCELOS, DA et al. Evaluation of neural mobilization on range of motion gain. Physiotherapy in Motion , v. 24, no. 4, p. 665-672, 2011.

World Health Organization (WHO). WHO definition of Palliative Care , 2017. Available at: <http://www.who.int/cancer/palliative/definition/en/>, Accessed on: 16 Jun. 2020.

Worldwide Hospice Palliative Care Alliance (WHPCA) and World Health Organization (WHO). Global atlas of palliative care at the end of life , 2014. Available at: <http://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf>, Accessed on: 16 Jun. 2020.

WILKINSON, S. et al. Reflexology for symptom relief in patients with cancer. Cancer Nursing , v. 31, no. 5, p. 354-360, 2008.

Published

08/23/2021

How to Cite

SARMENTO, T.; SUMAR, A. H. dos S. The role of the physiotherapist in palliative care: a narrative review / O papel do fisioterapeuta no cuidado paliativo: uma revisão narrativa. Brazilian Journal of Health Review, [S. l.], v. 4, n. 4, p. 17964–17973, 2021. DOI: 10.34119/bjhrv4n4-274. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/34897. Acesso em: 20 oct. 2026.

Issue

Section

Original Papers