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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(2):260-264.
Consultation-base Rehabilitation Management for the Hospitalized Cancer Patients.
Bang, Moon Suk , Shin, Hyung Ik , Yoon, Kyung Jae
1Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea. kint99@freechal.com
2Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea.
재활의학과에 의뢰된 재원 암 환자의 재활치료
방문석, 신형익1, 윤경재
서울대학교 의과대학 재활의학교실, 1국립재활원 재활의학과
Abstract
Objective
To identify and evaluate the outcome of consultation base rehabilitatiion program and the site of primary lesions of the hospitalized cancer patients.


Method
Medical records of 119 hospitalized patients with cancer who received the consultation base rehabilitation program from January 1999 to December 2000, were reviewed. Karnofsky Performance Status scale (KPSS) was used as a functional measurement.


Results
The most common primary cancer referred for the consultation base rehabilitation program was a lung cancer (16.8%), followed by brain cancer (10.9%) and hepatic cancer (9.2%). Spine was the most common metastatic site (72.7%). Strengthening (47.2%) and range of motion exercises (39.6%) were commonly prescribed rehabilitative procedures in the cancer patients with no metastasis and bracing (45.5%) was the most common cause for consultation in the cancer patients with metastasis. A significant functional improvement was observed between the initial (mean=58.4%) and final assessments (mean=65.2%) on KPSS (p<0.01) in the cancer patients with no metastasis. However, the cancer patients with metastasis did not show a significant functional improvement.


Conclusion
Significant functional gains were observed in cancer patients who received the consultation base rehabilitation program. (J Korean Acad Rehab Med 2003; 27: 260-264)

Key Words: Cancer, Rehabilitation, Karnofsky performance status scale, Consultation, Functional outcome


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