Physiotherapy in a patient with colorectal cancer - preoperative management

Filarecka Agnieszka, Biernacki Maciej, Jęchorek Michał, Dudzic Piotr, Wyląg Joanna, Lisiński Jarosław, Polakowska-Mierzwa Karolina, Nowak Beata, Jabłoński Wiktor, Hozakowski Mateusz. Physiotherapy in a patient with colorectal cancer - preoperative management. Journal of Education, Health and Sport. 2021;11(10):193-203. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2021.11.10.017 https://apcz.umk.pl/JEHS/article/view/JEHS.2021.11.10.017 https://zenodo.org/record/5602405 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2021; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.10.2021. Revised: 10.10.2021. Accepted: 26.10.2021. Physiotherapy in a patient with colorectal cancer - preoperative management Agnieszka Filarecka1,4, Maciej Biernacki2,4, Michał Jęchorek3, Piotr Dudzic4, Joanna Wyląg4, Jarosław Lisiński4, Karolina Polakowska-Mierzwa4, Beata Nowak4, Wiktor Jabłoński4, Mateusz Hozakowski4 Collegium Medicum, UMK Bydgoszcz, Chair of Oncological Surgery Collegium Medicum, UMK Bydgoszcz, Chair and Department of Anatomy TOTU Addiction Therapy Center in Karnice Saint Celestine Association in Mikoszów Corresponding author: mgr Agnieszka Filarecka Collegium Medicum, UMK Bydgoszcz, hair and Clinic of Oncological Surgery Ul. Izabeli Romanowskiej 2, 85-796 Bydgoszcz, Poland Tel. 503074346 e-mail: aga.filarecka@gmail.com Summary During the surgical treatment of colorectal cancer, whether by laparoscopic or classic open method, the tissues in the abdominal cavity are traumatized. The cuts of the muscle fibers are associated with the disturbance of the tone of the postural muscles. A scar within the abdominal cavity also causes movement limitations in the form of restrictions in the mobility of the spine. The implementation of patient rehabilitation in the form of targeted physiotherapy before the procedure should be an indispensable element of the treatment of colorectal cancer. The aim of the study is to propose a therapy that uses the spine mobility test to diagnose deficits. The proposed preoperative therapy focuses mainly on improving the parameters of the spine's mobility. The paper presents examples of activities that can be used in therapy before surgery. A review of the available literature and own experience were used for the work. It can be concluded from the analyzed literature that physiotherapy in oncological patients is not very widespread and is neglected in the treatment process. Patients, by In the literature, before colorectal cancer removal surgery, they are not subjected to physical rehabilitation, which is associated with complications resulting from the course of the procedure. The process of rehabilitating patients after surgical treatment of colorectal cancer should take place in the pre-operative period. Physiotherapy should take into account the weakening of the muscle strength in the trunk and limitations of mobility caused by age. Rehabilitation should be aimed at restoring functionality. Key words: cancer, rehabilitation, spine mobility range