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Biol Blood Marrow Transplant. 2019 Jan 15. pii: S1083-8791(19)30067-9. doi: 10.1016/j.bbmt.2019.01.018. [Epub ahead of print]

Role of Physical Therapy before and after Hematopoietic Stem Cell Transplantation: White Paper Report.

Author information

1
Department of Physical Therapy and Rehabilitation, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia; Physical Therapy Association for Graft Versus Host Disease, Swindon, United Kingdom. Electronic address: qualityfrlife@gmail.com.
2
Physical Therapy Association for Graft Versus Host Disease, Swindon, United Kingdom; Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan.
3
National Marrow Donor Program/Be The Match, Center for International Blood and Marrow Transplant Research, Minnesota.
4
Medical University of Warsaw, Warsaw, Poland; Transplant Complications Working Party, European Society for Blood and Marrow Transplantation.
5
Physical Therapy Association for Graft Versus Host Disease, Swindon, United Kingdom; Oncology Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
6
Physical Therapy Association for Graft Versus Host Disease, Swindon, United Kingdom; Department of Medicine, Vanderbilt University, Nashville, Tennessee.
7
Physical Therapy Association for Graft Versus Host Disease, Swindon, United Kingdom; University Hospitals of Leuven, Leuven, Belgium.
8
Physical Therapy Association for Graft Versus Host Disease, Swindon, United Kingdom; University Hospital Centre, Zagreb, Croatia.
9
Oncology Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
10
Physical Therapy Association for Graft Versus Host Disease, Swindon, United Kingdom; Exercise Immunology/Palliative Care Unit, Department of Physiotherapy, University of Nigeria, Teaching Hospital, Enugu, Nigeria.
11
Physical Therapy Association for Graft Versus Host Disease, Swindon, United Kingdom; The Rotherham NHS Foundation Trust, South Yorkshire, United Kingdom.
12
Physical Therapy Association for Graft Versus Host Disease, Swindon, United Kingdom; Princes Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
13
Department of Haematology, Hammersmith hospital, Imperial College, London, United Kingdom.
14
Paediatric Surgery Division, Department of Surgery, College of Medicine, University of Nigeria, Nigeria.
15
Physical Therapy Association for Graft Versus Host Disease, Swindon, United Kingdom; Oncology Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia; Department of Medicine, Mayo Clinic, Rochester, Minnesota.

Abstract

Hematopoietic stem cell transplantation (HSCT) patients can suffer from various musculoskeletal problems resulting in long-term functional incapacity. Physical therapy (PT), as a part of the healthcare team, has been historically advocated for regaining functional capacity and improving quality of life post-HSCT. Because of the nature of this condition and the burden of post-transplant complications, this patient group requires a unique approach toward their rehabilitation that takes into account their complex musculoskeletal presentation ranging from fascia, muscle, tendons, bones, and ligaments. However, to our knowledge there is no universal standardized PT protocol or pathway to help guide rehab specialists to achieve optimal gains for this patient group, and anecdotal evidence suggests that these patients do not always receive the PT care they require. Hence, in collaboration with the Transplant Complications Working Party of the European Society for Blood and Marrow Transplantation, the Survivorship Special Interest Group of the American Society of Blood and Marrow Transplantation, and the Quality of Life Committee of the Eastern Mediterranean Blood and Marrow Transplantation, herein the Physical Therapy Association for Graft Versus Host Disease provides a brief review on role of PT in mitigating musculoskeletal complications in HSCT patients and makes evidence-based recommendations for incorporation of PT into routine HSCT care.

KEYWORDS:

Allogeneic; Exercise; HSCT; Physical therapy

PMID:
30658224
DOI:
10.1016/j.bbmt.2019.01.018

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