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Homecare-based motor rehabilitation in musculoskeletal chronic graft versus host disease

By A Tendas, C Boschetto, L Baraldi, E Caiazza, L Cupelli, R Lentini, M Trawinska, M Palombi, M Ales, L Morino, M Giovannini, L Scaramucci, C Cartoni, T Dentamaro, W Arcese, P de Fabritiis, P Niscola and F Mandelli


Chronic graft versus host disease (cGVHD) is a frequent complication of allogeneic stem cell transplantation. Extensive musculoskeletal and skin involvement may induce severe functional impairment, disability and quality of life deterioration. Physical rehabilitation is recommended as ancillary therapy in these forms, but experiences are sparse. A 39-year-old man affected by musculoskeletal and skin chronic graft versus host disease (cGVHD) was treated with a homecare-based motor rehabilitation program during palliation for disease progression. Significant functional improvement was obtained. Motor rehabilitation should be strongly considered for patients with musculoskeletal cGVHD, both in the palliative and in the curative phase of disease

Topics: Fatigue, Multidimensional approach, Oncology, Malignant pleural effusion, Pleurodesant, Pleurodesis, Talc, Tube thoracostomy, Neonatal intensive care, Pain, Palliative care, Brief Pain Inventory, Cancer pain, Cancer research, Outcome measurement, Pain measurement tools, Mechanism-based classification, Pain pathomechanisms, Pain rehabilitation, Palliative oncology, Physical therapy, Basic issues, Cancer pain, Oral morphine, Challenges, New practice, Palliative care, Caregiving, Community home-based care, HIV/AIDS, Implementation evaluation, South Africa, Cervix, Heparin, Lymphedema, Attitudes, Health professionals, Hypnotherapy, Awareness, Breast cancer, Breast self-examination, Knowledge, Case-reflection, Management, Neuropathic pain, Reflective practice, cGVHD, Hemopoietic stem cells transplantation, Home care, Rehabilitation, Medicine (General), R5-920
Publisher: Wolters Kluwer Medknow Publications
Year: 2011
DOI identifier: 10.4103/0973-1075.84540
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