Physical therapy pathway and protocol for patients undergoing hematopoietic stem cell transplantation: Recommendations from The Eastern Mediterranean Blood and Marrow Transplantation (EMBMT) Group

Patients undergoing hematopoietic stem cell transplantation (HSCT) are often referred for physical therapy (PT) to help improve their quality of life. However, to our knowledge there is no clear PT pathway to guide therapists and patients before, during, and after HSCT. A comprehensive literature re...

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Bibliographic Details
Published in:Hematology/oncology and stem cell therapy 2019-09, Vol.12 (3), p.127-132
Main Authors: Mohammed, Jaleel, Aljurf, Mahmoud, Althumayri, Abdulaziz, Almansour, Muntaha, Alghamdi, Ahmed, Hamidieh, Amir Ali, ElHaddad, Alaa, Othman, Tarek Ben, Bazarbachi, Ali, Almohareb, Fahad, Alzahrani, Mohsen, Alkindi, Salam S., Alsharif, Fahad, Da'na, Waleed, Alhashmi, Hani, Bekadja, Mohamed A., Al-Shammari, Salem H., El Quessar, Asma, Satti, Tariq M., Aljohani, Naif, Rasheed, Walid, Ghavamzadeh, Ardeshir, Chaudhri, Naeem, Hashmi, Shahrukh K.
Format: Article
Language:English
Subjects:
Blood Transfusion
Hematopoietic stem cell transplantation
Hematopoietic Stem Cell Transplantation - adverse effects
Hematopoietic Stem Cell Transplantation - methods
Humans
Physical Fitness
Physical therapy
Physical Therapy Modalities
Platelet Count
Quality of Life
Rehabilitation
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Summary:Patients undergoing hematopoietic stem cell transplantation (HSCT) are often referred for physical therapy (PT) to help improve their quality of life. However, to our knowledge there is no clear PT pathway to guide therapists and patients before, during, and after HSCT. A comprehensive literature review was carried out exploring the role and benefits of PT in HSCT patients. The current evidence was comlimented with recommendations and opinions from the experts in the field, which included PT's and hematology consultants from PTAGVHD and the EMBMT group. A clear pathway and protocol as a working guide for rehabilitation professionals working with the HSCT patient's was developed. This paper not only reviews the current evidence on safe PT practice but also puts forward a protocol and pathway for HSCT rehabilitation, highlights the importance of individualized exercise intervention for HSCT patients, and outlines safe practice guidelines for the physical therapists working in this field.
ISSN:1658-3876
DOI:10.1016/j.hemonc.2018.12.003