Bulletin of Rehabilitation MedicineBulletin of Rehabilitation MedicineВестник восстановительной медицины2078-19622713-2625National Medical Research Center for Rehabilitation and Balneology62609010.38025/2078-1962-2023-22-5-98-109ArticlesСтатьиReview ArticleMedical Rehabilitation and Sanatorium Treatment of Patients after Medical Care in The Field of Oncology: а ReviewМедицинская реабилитация и санаторно-курортное лечение пациентов после оказания медицинской помощи по профилю онкология. Обзорhttps://orcid.org/0000-0003-0990-181XDaykhesArkady N.ДайхесА. Н.
Russian Federation

Ph. D. (Med.), Deputy General Director for Strategic Development, Management and Assessment of Health Care Technologies

alexs_shu@mail.ruhttps://orcid.org/0000-0002-2073-2538ShulaevAlexey V.ШулаевА. В.
Russian Federation

Dr. Sci (Med.), Professor, Head of the Department of General Hygiene

alexs_shu@mail.ruMachulaNatalya V.МачулаН. В.
Russian Federation

Deputy General Director for Health Resorts

alexs_shu@mail.ruhttps://orcid.org/0000-0001-8085-8645StepanovaAlexandra M.СтепановаА. М.
Russian Federation

Ph. D. (Med.), Head of Medical Rehabilitation Department

alexs_shu@mail.ruhttps://orcid.org/0000-0001-9895-5048NikitinaAnfisa M.НикитинаА. М.
Russian Federation

Ph. D. (Med.), Head of the Department of Organization of Medical Care and Sanatorium and Resort Affairs

alexs_shu@mail.ruhttps://orcid.org/0000-0002-8509-4338GameevaElena V.ГамееваЕ. В.
Russian Federation

Dr. Sci (Med.), Deputy Director for Therapeutic Work

alexs_shu@mail.ruhttps://orcid.org/0009-0004-6727-7140YuschukVladimir N.ЮщукВ. Н.
Russian Federation

Ph. D. (Med.), Assistant of the Department of Public Health and Health Care

alexs_shu@mail.ruhttps://orcid.org/0000-0003-1798-0490ShikalevaAnastasia A.ШикалеваА. А.
Russian Federation

Assistant of professor, Department of General Hygiene

alexs_shu@mail.ruFederal Scientific and Clinical Center for Medical Rehabilitation and BalneologyФГБУ «Федеральный научно-клинический центр медицинской реабилитации и курортологии» ФМБА РоссииKazan State Medical UniversityФГБОУ ВО «Казанский ГМУ» Минздрава РоссииP.A. Herzen Moscow Research Institute of Oncology, a branch of the National Medical Research Center of RadiologyМНИОИ им. П.А. Герцена — филиал ФГБУ «НМИЦ радиологии» Минздрава РоссииTver State Medical UniversityФГБОУ ВО «Тверской государственный медицинский университет» Минздрава России151120232259810927012024Copyright ©; 2023, Daykhes A.N., Shulaev A.V., Machula N.V., Stepanova A.M., Nikitina A.M., Gameeva E.V., Yuschuk V.N., Shikaleva A.A.Copyright ©; 2023, Дайхес А.Н., Шулаев А.В., Мачула Н.В., Степанова А.М., Никитина А.М., Гамеева Е.В., Ющук В.Н., Шикалева А.А.2023Daykhes A.N., Shulaev A.V., Machula N.V., Stepanova A.M., Nikitina A.M., Gameeva E.V., Yuschuk V.N., Shikaleva A.A.Дайхес А.Н., Шулаев А.В., Мачула Н.В., Степанова А.М., Никитина А.М., Гамеева Е.В., Ющук В.Н., Шикалева А.А.https://creativecommons.org/licenses/by/4.0https://journals.eco-vector.com/2078-1962/article/view/626090

INTRODUCTION. Physical therapy, natural healing resources, spa treatment technologies and other medical rehabilitation reduce the negative effects of treatment-related symptoms and improve the physical function of patients with cancer. Despite a growing body of evidence and recommendations to better integrate medical rehabilitation into cancer care, rehabilitation is a relatively underutilized service.

AIM. To summarize the available Russian studies on the use of medical rehabilitation and spa treatment in patients after care, in the field of oncology.

MATERIALS AND METHODS. Analysis of the published scientific literature. Meta-analyses, systematic reviews, cohort, prospective and controlled studies for the period from 2014 to 2022 were selected for consideration.

RESULTS. Treatment of a cancer patient should not only focus on eliminating the disease directly and restoring the physical functions of the body, but also on restoring the person's ability to live as acceptably as possible in and after the disease. Medical rehabilitation is carried out by the efforts of various specialists in a multidisciplinary team, and their work should consider the peculiarities of the course of the underlying disease, the condition of the cancer patient and his/her (the patient's) individual characteristics.

CONCLUSION. Improving rehabilitation care in accordance with the recommendations can have a significant impact on the functioning and quality of life of cancer patients.

ВВЕДЕНИЕ. Лечебная физкультура, физиотерапия, природные лечебные ресурсы и другие технологии медицинской реабилитации и санаторно-курортного лечения уменьшают негативное влияние симптомов, связанных с лечением, и улучшают физические функции пациентов, страдающих онкологическими заболеваниями. Несмотря на растущее количество доказательств и рекомендаций по лучшей интеграции медицинской реабилитации в оказание онкологической помощи, реабилитация является относительно малоиспользуемой услугой.

ЦЕЛЬ. Обобщить имеющиеся российские исследования по применению медицинской реабилитации и санаторно-курортного лечения пациентов после оказания помощи по профилю онкология.

МАТЕРИАЛ И МЕТОДЫ. Анализ опубликованной научной литературы. Для рассмотрения произведен отбор мета-анализов, систематических обзоров, когортных, песпективных и контролируемых исследований за период с 2014 по 2022 годы.

РЕЗУЛЬТАТЫ. Лечение онкологического пациента должно быть направлено не только на устранение непосредственно болезни и восстановление физических функций организма, но и на максимально приемлемое восстановление способности человека жить в условиях заболевания и после него. Медицинская реабилитация осуществляется усилиями различных специалистов из мультидисциплинарной бригады, которым в своей работе необходимо учитывать особенности течения основного заболевания, состояние онкологического пациента и особенности его личности.

ЗАКЛЮЧЕНИЕ. Улучшение реабилитационной помощи в соответствии с рекомендациями может оказать существенное влияние на функционирование и качество жизни пациентов по профилю онкология.

rehabilitationoncologyphysical therapyhealth resortmagnetic therapyclimate therapymassagebalneotherapybreast cancerprostate cancercolorectal cancerреабилитацияонкологияфизиотерапиясанаториймагнитотерапияклиматотерапиямассажбальнеотерапиярак молочной железырак предстательной железыколоректальный ракKovlen D.V. Scientific basis for the development of clinical guidelines for physical and rehabilitative medicine: speciality. Doct. Diss. St. Petersburg. 2018; 22 p. (In Russ.).Balluzek M.F., Ionova A.K., Mashkova M.V. et al. Organization of rehabilitation programs for cancer patients based on an interdisciplinary approach. Research'n Practical Medicine Journal. 2018; 5(4): 91–97. (In Russ.).Stepanova A.M., Merzljakova A.M., Tkachenko G.A., Kashija Sh.R. Physiotherapy, Mechanotherapy and Psychotherapy in Oncology. Bulletin of Rehabilitation Medicine. 2016; 5(75): 42–46. (In Russ.).Gameeva E.V., Stepanova A.M., Tkachenko G.A. et al. Complex rehabilitation of cancer patients. Journal of Modern Oncology. 2022; 24(1): 90–96. (In Russ.).Kasparov B.S., Semiglazova T.Y., Kovlen D.V. et al. A scientometric analysis of evidence-based studies of physical rehabilitation factors in breast cancer patients. Malignant Tumors. 2018; 8(4): 5–12. (In Russ.).Chechelnitskaya S.M., Baerbach A.V., Zhuk D.V. et al. Personalized Physical Rehabilitation of Children with Cancer. Pediatrics. Pediatria n.a. G.N. Speransky. 2021; 100(3): 61–69. https://doi.org/10.24110/0031-403X-2021-100-3-61-69 (In Russ.).Sidorenko L.V., Chaykovskaya I.A., Golovko Y.A. et al. Sports as an effective method of rehabilitation for patients who have been cured of malignant tumors. Russian Journal of Pediatric Hematology and Oncology. 2019; 6(S1): 149–150. (In Russ.).Terent'ev F.V., Majnazarova Je.S. Possibilities of adaptive physical education in the context of rehabilitation of adolescents with cancer. Vestnik Kyrgyzsko-Rossijskogo Slavânskogo Universiteta. 2021; 21(9): 181–185. (In Russ.).Rud' I.M. Stabilotraining in rehabilitation of patients with postural instability of different genesis: speciality. Doct. Diss. Moscow. 2018; 22 p. (In Russ.).Gameeva E.V., Stepanova A.M., Khoronenko V.E. et al. Nutritional support at the perioperative stage of treatment of oncological patients. Journal of Modern Oncology. 2022; 24(1): 125–132. https://doi.org/10.26442/18151434.2022.1.201479 (In Russ.).Gameeva E.V., Stepanova A.M., Kostin A.A. Effects of nutritive support during drug antitumor treatment of oncological patients. Head and Neck Tumors. 2021; 11(4): 50–57. https://doi.org/10.17650/2222-1468-2021-11-4-50-57 (In Russ.).Brish N.A., Semiglazova T.Y., Karachun A.M. et al. Effect of correction of nutritive insufficiency on the efficacy of neoadjuvant chemotherapy in patients with locally advanced gastric cancer. Journal of Modern Oncology. 2021; 23(3): 519–524. https://doi.org/10.26442/18151434.2021.3.201075 (In Russ.).Fedorenko M.V., Afanas'eva Z.A., Akberov I.G. Psychological rehabilitation of cancer patients after radical anti-tumor treatment. Multidisciplinary approach: peculiarities of interdisciplinary interaction in the treatment of cancer patients. Proceedings of the All-Russian Scientific-Practical Conference with International Participation. 2018; St. Petersburg. Hippocrates. 2018; 96–97. (In Russ.).Tkachenko G.A., Podvyaznikov S.O., Mudunov A.M. et al. Psychological distress in cancer patients after laryngectomy. Head and Neck Tumors. 2019; 9(1): 104–110. (In Russ.).Tkachenko G.A., Kalashnikova I.A., Musaev I.E. et al. Psychological rehabilitation of colorectal cancer patients. Koloproktologia. 2022; 21(3): 85–91. https://doi.org/10.33878/2073-7556-2022-21-3-85-91 (In Russ.).Kluge V.A., Semiglazova T.Y., Krivorotko P.V. et al. Biopsychosocial approach in the rehabilitation of patients with operable breast cancer. Medical Advice. 2020; (9): 188–196. (In Russ.).Evstigneeva I.S., Gerasimenko M.Ju., Esimova I.E. Application of physical factors in stage i of medical rehabilitation after radical surgical treatment of breast cancer. Bulletin of Rehabilitation Medicine. 2022; 21(2): 127–138. https://doi.org/10.38025/2078-1962-2022-21-2-127-138 (In Russ.).Gerasimenko M.Ju., Evstigneeva I.S., Zajceva T.N., Salchak Ch.T. The use of physiotherapy in medical rehabilitation programs in the early postoperative period in patients after surgical treatment of breast cancer. Russian Journal of the Physial Therapy, Balneotherapy and Rehabilitation. 2019;18(5):296–304. htpp://doi.org/10.17816/1681-3456-2019-18-5-296-304 (In Russ.).Grushina T.I. Rehabilitation of patients after radical treatment of primary breast cancer using physical therapy methods. Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2011; 10(2): 11–17. (In Russ.).Grushina T.I., Kulikov A.G. The application of the physiotherapeutic methods for the rehabilitation of the women presenting with breast cancer of clinical group III with post-mastectomy oedema (Part 1). Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2015; 14(5): 46–51. (In Russ.).Agranovich N.V., Sivolapova M.S., Gebenov M.H. Possibilities and efficacy of different complexes of physical methods in the program of rehabilitation treatment of postmastectomy syndrome. Health and education in the 21st century. 2018; (20): 7. (In Russ.).Blinova K.A., Belova V.V., Kastorskaya E.S. et al. Rehabilitation of patients with post-mastectomy syndrome. Bulletin of the Ivanovo Medical Academy. 2016; 21(1): 75–76. (In Russ.).Sharzhanova N.A., Vazanov A.A. Application of physical factors in medical rehabilitation of patients with post-mastectomy syndrome. Research'n Practical Medicine Journal. 2019; 6(4): 293. (In Russ.).Stepanova A.M., Merzlyakova A.M., Khulamkhanova M.M., Trofimova O.P. The post-mastectomy syndrome: the secondary lympedema after the combined treatment of breast cancer (the literature review and own results). Journal of Modern Oncology. 2018; 20(2): 45–49. https://doi.org/10.26442/1815-1434_2018.2.45-49 (In Russ.).Sidorov D.B. Effectiveness of conservative methods and subcutaneous surgical correction in the rehabilitation of breast cancer patients with late upper limb lymphedema: speciality. Doct. Diss. Moscow. 2020: 21 p. (In Russ.).Kovalenko N.V., Zhavoronkova V.V., Lysenko M.A., Grushina T.I. Kompleksnaya Reabilitaciya Pacientok Posle Lecheniya Raka Endometriya. Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury. 2021; 98(3–2): 89. https://doi.org/10.17116/kurort20219803221 (In Russ.).Vlasina A.Yu., Idrisova L.E., Solopova A.G. et al. Rehabilitation of oncogynecological patients after antitumor therapy: solutions. Obstetrics, Gynecology and Reproduction. 2020; 14(1): 44–55. https://doi.org/10.17749/2313-7347.2020.14.1.44-55 (In Russ.).Filonenko E.V., Demidova L.V., Boyko A.V. et al. Magnetic-laser accompaniment therapy in oncogynecologic patients at the stages of radiotherapy. Oncology. P.A. Herzen Journal of Oncology. 2014; 3(2): 89–89. (In Russ.).Berdichevsky B.A., Zotov P.B., Petrov I.M. et al. Reabilitaciya funkcional'nogo sostoyaniya nizhnih mochevyh putej posle kombinirovannogo luchevogo lecheniya pri rake shejki matki. Palliative Medicine and Rehabilitation. 2020; (4): 37–40. (In Russ.).Orlov A.E., Yashkov A.V., Sivokhina T.A. et al. Correction of urinary incontinence as a complication of radical treatment of prostate cancer. Izvestiya Samara Scientific Center of the Russian Academy of Sciences. 2015; 17(2–3): 618–621. (In Russ.).Kozlov S.V., Sivokhina T.A., Burmistrova S.A. et al. Application of complex methods of rehabilitation in the treatment of thyroid cancer patients at the stage of early recovery period. Aspirantskiy Vestnik Povolzhiya. 2018; 18(1–2): 104–108. (In Russ.).Krasavina E.A., Chojnzonov E.L., Kul'bakin D.E. et al. Speech Rehabilitation of Patients with Oral Cavity and Oropharyngeal Cancers after Reconstructive Surgery. Siberian Journal of Oncology. 2020; 19(5): 35–43. https://doi.org/10.21294/1814-4861-2020-19-5-35-43 (In Russ.).Grushina T.I., Teplyakov V.V. Physiotherapy in early rehabilitation of patients with bone sarcomas after arthroplasty of large bones and joints. Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury. 2020; 97(3): 53–59. https://doi.org/10.17116/kurort20209703153 (In Russ.).Kaprin A.D., Aliev M.D., Filonenko E.V.et al. Efficiency of Early Activation of Patients after Onco-Orthopedic Operations in the Framework of Stage I of Rehabilitation. Physical and Rehabilitation Medicine, Medical Rehabilitation. 2021; 3(2): 207–213. https://doi.org/10.36425/rehab70762 (In Russ.).Ivanov V.E., Kuril'chik A.A., Starodubcev A.L. et al. Rehabilitation of bone cancer patients after endoprosthetic replacement of large joints. Journal of Investigative Practical Medicine. 2018; 5(2): 194 p. (In Russ.).Stepanova A.M., Merzlyakova A.M., Khulamkhanova M.M. Rannyaya posleoperacionnaya reabilitaciya i ee otdalennye funkcional'nye rezul'taty u pacientov s opuholyami aksial'nogo skeleta. Malignant Tumors. 2018; 3(1): 12–16 (In Russ.).Bukreeva E.A., Petrichenko A.V., Ivanova N.M. Opyt sanatornogo lecheniya sindroma hronicheskoj ustalosti. Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury. 2021; 98(3–2): 52–53. https://doi.org/10.17116/kurort20219803221 (In Russ.).Estenkova M.G., Elizarov A.N. The use of shockwave puncture for the combined treatment of the patients presenting with lumbosacral dorsopathies. Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2013; (6): 54–55. (In Russ.).Janchenko T.S. Sanatorium rehabilitation of children in remission of oncohematological and oncological diseases, taking into account the psychosomatic status: speciality Doct. Diss. Moscow. 2015: 22 p. (In Russ.).Hudoev Je.S., Hodasevich L.S., Naslednikova I.O., Hodasevich A.L. Medical rehabilitation at a resort for breast cancer patients after combined treatment. Resort Medicine. 2020; (2): 21–31. (In Russ.).Meltseva E.M., Kaladze N.N., Karmazina I.V. Rehabilitation of cancer patients and opportunities of the sanatorium-resort stage. Herald of Physiotherapy and Health Resort Therapy. 2015; 21(2): 143 p. (In Russ.).