Palliative treatment in cancer patients from a physiotherapeutic perspective: systematic review
DOI:
https://doi.org/10.56294/saludcyt20251946Keywords:
Cancer, physiotherapy, rehabilitation, palliative care, palliative treatmentAbstract
Introduction: Cancer continues to be one of the leading causes of mortality worldwide, generating a profound impact on those who suffer from it, especially in advanced stages. In this context, physical therapy, as an integral part of palliative care, gains relevance by mitigating physical and emotional symptoms that significantly affect patients' quality of life.
Methods: A systematic review was conducted following PRISMA guidelines, consulting recognized databases such as PubMed, EMBASE, and Scopus. Studies from 2015 to 2025 that specifically addressed physical therapy interventions in palliative cancer patients were selected, assessing their methodological quality using validated tools such as RoB 2, NOS, and AMSTAR-2.
Results: Of 130 initially identified articles, 14 publications were ultimately included, demonstrating that active physical therapy interventions, combined with manual therapy and nutritional support, significantly improve patient functionality, autonomy, and overall well-being.
Conclusions: Physiotherapy is positioned as an essential intervention in palliative care for cancer patients, demonstrating positive effects in reducing fatigue, pain, and dyspnea, as well as promoting emotional and social well-being. Its interdisciplinary integration, adapted to the clinical context and local resources, is key to maximizing the patient's quality of life in their final stages of life.
References
World Health Organization. (2002). Programas nacionales de lucha contra el cáncer: directrices sobre política y gestión : resumen de orientación. Organización Mundial de la Salud. https://iris.who.int/handle/10665/42529
Piñeros, M., Laversanne, M., Barrios, E., Cancela, M. de C., de Vries, E., Pardo, C., & Bray, F. (2022). An updated profile of the cancer burden, patterns and trends in Latin America and the Caribbean. Lancet Regional Health - Americas, 13, 100294. https://doi.org/10.1016/J.LANA.2022.100294
Estadísticas del cáncer. (n.d.). Retrieved February 10, 2025, from https://www.cancer.gov/espanol/cancer/naturaleza/estadisticas
Chowdhury, R. A., Brennan, F. P., & Gardiner, M. D. (2020). Cancer Rehabilitation and Palliative Care-Exploring the Synergies. Journal of Pain and Symptom Management, 60(6), 1239–1252. https://doi.org/10.1016/J.JPAINSYMMAN.2020.07.030
Sánchez Galindo, B., López-Torres Hidalgo, J., López González, Á., Sánchez Martínez, C. M., Castaño Díaz, M., & Rabanales Sotos, J. (2025). Time intervals for diagnosis and treatment in breast cancer patients. Atencion Primaria, 57(3). https://doi.org/10.1016/J.APRIM.2024.103153
Huang, H. W., Liu, C. Y., Tung, T. H., & Liu, L. N. (2024). Effects of hospice-shared care on terminal cancer patients in Taiwan: A hospital-based observational study. European Journal of Oncology Nursing, 69, 102525. https://doi.org/10.1016/J.EJON.2024.102525
Biskup, E., Vetter, M., & Wedding, U. (2020). Fighting diagnostic and therapeutic nihilism in the elderly with cancer. Annals of Palliative Medicine, 9(3), 1324332–1321332. https://doi.org/10.21037/APM.2019.08.03
M., Elizabeth, J., Cajo, C., Irene, A., Asqui, L., Liseth, M., & Quiñonez, B. (2023). La fisioterapia en personas con tratamientos oncológicos. Ciencia Latina Revista Científica Multidisciplinar, 7(1), 5668–5681. https://doi.org/10.37811/CL_RCM.V7I1.4851
Navarro-Meléndez A, Gimenez MJ, Robledo-Donascimento Y, Río-González A, Lendínez-Mesa A. Physiotherapy applied to palliative care patients: a descriptive practice-based study. BMC Palliat Care. 2023;22(99).
Pyszora A, Budzyński J, Wójcik A, Prokop A, Krajnik M. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Support Care Cancer. 2017;25(9):2899-908.
Fernández-Rodríguez EJ, González-Sánchez J, Puente-González AS. Specific autonomy recovery programme in a comprehensive rehabilitation on functionality and respiratory parameters in oncological patients with dyspnoea. BMC Nurs. 2021;20(120).
Storck LJ, Uster A, Gafner L, Ruehlin M, et al. Effect of combined therapies including nutrition and physical exercise in advanced cancer patients: A pooled analysis. Front Nutr. 2023;10:1063279.
Heng CSH. Collaborative goal setting in palliative rehabilitation: a case report. BMC Palliat Care. 2024;23:179.
Putt K, Faville KA, Lewis D, McAllister K, Pietro M, Radwan A. Role of Physical Therapy Intervention in Patients With Life-Threatening Illnesses. Am J Hosp Palliat Med. 2017;34(2):186-96.
Idorn M, Thor Straten P. Exercise and cancer: from "healthy" to "therapeutic"? Cancer Immunol Immunother. 2017;66(5):667-71.
Crevenna R, Hasenoehrl T, Wiltschke C, Kainberger F, Keilani M. Prescribing Exercise to Cancer Patients Suffering from Increased Bone Fracture Risk Due to Metastatic Bone Disease or Multiple Myeloma in Austria. Cancers (Basel). 2023;15:1245.
Keilani M, Kainberger F, Pataraia A, Hasenöhrl T, Wagner B, Palma S, et al. Typical aspects in the rehabilitation of cancer patients suffering from metastatic bone disease or multiple myeloma. Wien Klin Wochenschr. 2019;131(21-22):567-75.
Bayly J, Ahmedzai HH, Blandini MG, Bressi B, Caraceni AT, Carvalho-Vasconcelos J, et al. Integrated Short-term Palliative Rehabilitation to improve quality of life and equitable care access in incurable cancer (INSPIRE): a multinational European research project. Palliat Care Soc Pract. 2023;17:1-14.
Blum D, Schuetz C, Jensen W, Wannke L, Ketels G, Bokemeyer C, et al. Individual specialist physical activity assessment and intervention in advanced cancer patients on a palliative care ward; the 3STEPS-study. Ann Palliat Med. 2020;9(2):514-23.
Nishiyama N, Matsuda Y, Fujiwara N, Ariyoshi K, Oyamada S, Narita K, et al. The efficacy of specialised rehabilitation using the Op-reha Guide for cancer patients in palliative care units: protocol of a multicentre randomised controlled trial. BMC Palliat Care. 2020;19(1):152.
Erickson JM, Tokarek N, Ke W, Swartz A. A Randomized Controlled Trial of a Physical Activity Intervention for Self-Management of Fatigue in Adolescents and Young Adults with Cancer. Cancer Nurs. 2021;44(4):263-71.
Braam KI, van der Torre P, Takken T, Veening MA, van Dulmen-den Broeder E, Kaspers GJL. Physical exercise training interventions for children and young adults during and after treatment for childhood cancer. Cochrane Database Syst Rev. 2016;3(3):CD008796.
Vira P, Samuel SR, Amaravadi SK, Saxena PP, Rai SP, Kurian JR, et al. Role of Physiotherapy in Hospice Care of Patients with Advanced Cancer: A Systematic Review. Indian J Palliat Care. 2021;27(3):341-349.
Uster A, Ruefenacht U, Ruehlin M, Pless M, Siano M, Haefner M, et al. Influence of a nutritional intervention on dietary intake and quality of life in cancer patients: a randomized controlled trial. Nutrition. 2013;29(11-12):1342-1349.
Vira P, Samuel SR, Amaravadi SK, Saxena PP, Rai SP, Kurian JR, et al. Role of Physiotherapy in Hospice Care of Patients with Advanced Cancer: A Systematic Review. Indian J Palliat Care. 2021;27(3):341-9.
Uster A, Ruefenacht U, Ruehlin M, Pless M, Siano M, Haefner M, et al. Influence of a nutritional intervention on dietary intake and quality of life in cancer patients: a randomized controlled trial. Nutrition. 2013;29(11-12):1342-9.
Rogers-Sheppard J, Aranda S, Schofield P, et al. Exercise interventions in advanced cancer: A systematic review. J Pain Symptom Manage. 2023;65(4):e129-e140.
Prue G, Rankin J, Allen J, Gracey J, Cramp F. Cancer rehabilitation: evaluation of physiotherapy-led group rehabilitation in a palliative care setting. Int J Ther Rehabil. 2012;19(7):396-403.
Storck LJ, Uster A, Gafner L, Ruehlin M, et al. Effect of combined therapies including nutrition and physical exercise in advanced cancer patients: A pooled analysis. Front Nutr. 2023;10:1063279.
Keilani M, Kainberger F, Pataraia A, Hasenöhrl T, Wagner B, Palma S, et al. Typical aspects in the rehabilitation of cancer patients suffering from metastatic bone disease or multiple myeloma. Wien Klin Wochenschr. 2019;131(21-22):567-75.
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Copyright (c) 2025 Belén Isabel Ramos Robalino, Jeniffer Roxana Alcivar Mejia, Andrea Carolina Cevallos Tenenda (Author)
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