1301 - A Comprehensive Breast Cancer Prehabilitation Program: Bridging the Gap Between Rehabilitation and Supportive Oncology

Thursday, October 20, 2022

2:00 PM – 3:15 PM ET

Location: 324-326

Session Director(s)

Patrick Martone, DO

Fellowship Program Director, Cancer Rehabilitation Medicine
Northwell Health
East Islip, New York

Disclosed no relevant financial relationships.

Faculty(s)

Cristina Kline-Quiroz, DO (she/her/hers)

Assistant Professor, Department of Physical Medicine & Rehabilitation
Vanderbilt University Medical Center
Nashville, Tennessee

Disclosed no relevant financial relationships.

PDF of Slides
Katherine Power, MD

Program Director, Cancer Rehabilitation Fellowship
National Rehabilitation Hospital
Washington, District of Columbia

Disclosed no relevant financial relationships.

PDF of Slides

Survivorship begins at the time of diagnosis for a cancer patient. Breast cancer patients can experience many impairments as a result of their cancer treatments which can include shoulder dysfunction, lymphedema, deconditioning, nausea/vomiting and neuropathies. Prehabilitation involves preparing a patient for these potential impairments by maximizing their functional potential prior to undergoing surgery, chemotherapy and radiation treatments.

A comprehensive breast cancer prehabilitation program should encompass education and interventions for the full spectrum of impairments which are unique to the breast cancer population. This includes education on risk factors, symptoms and obtaining baseline measurement for lymphedema prevention, aerobic and exercise strength training, specific and focused rehabilitation to stretch and strengthen the chest wall and rotator cuff and providing information for alternative modalities for the treatment of neuropathy and nausea/vomiting symptoms such as medical cannabis and acupuncture.

Learning Objectives:

Identify risk factors for lymphedema in a breast cancer patient and provide appropriate education to the patient.
Understand the important of lymphedema surveillance utilizing bioimpedance spectroscopy.
Identify appropriate exercises and rehabilitation to prepare a patient for breast surgery, radiation and chemotherapy.
Understand the utility of integrative modalities to be used for supportive care in a breast cancer patient.

Presentations:

Integrative Modalities for Supportive Care in Breast Cancer
Speaker: Patrick Martone, DO – Northwell Health
Prehabilitation and Exercise in Breast Cancer
Speaker: Cristina Kline-Quiroz, DO (she/her/hers) – Vanderbilt University Medical Center
Lymphedema Education and Surveillance in Breast Cancer
Speaker: Katherine Power, MD – National Rehabilitation Hospital