Role of Prehabilitation and Rehabilitation on Functional Recovery and Quality of Life in Thyroid Cancer Patients: A Comprehensive Review

Author:

Lippi Lorenzo12ORCID,Turco Alessio1ORCID,Moalli Stefano1ORCID,Gallo Marco3ORCID,Curci Claudio4,Maconi Antonio2ORCID,de Sire Alessandro56ORCID,Invernizzi Marco12ORCID

Affiliation:

1. Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont “A. Avogadro”, 28100 Novara, Italy

2. Dipartimento Attività Integrate Ricerca e Innovazione (DAIRI), Translational Medicine, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy

3. Endocrinology and Metabolic Diseases Unit, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy

4. Physical Medicine and Rehabilitation Unit, Department of Neurosciences, ASST Carlo Poma, 46100 Mantova, Italy

5. Physical and Rehabilitative Medicine Unit, Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Viale Europa, 88100 Catanzaro, Italy

6. Research Center on Musculoskeletal Health, MusculoSkeletalHealth@UMG, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, Italy

Abstract

Background: This narrative review aims to provide a comprehensive overview of the current prehabilitation and rehabilitation strategies for thyroid cancer survivors to optimize functional outcomes and enhance their quality of life. Methods: The review follows the SANRA quality criteria and includes an extensive literature search conducted in PubMed/Medline, Web of Science, and Scopus. Results: The review emphasizes the role of a comprehensive rehabilitation approach in targeting the different domains that generate disability in thyroid cancer patients. In this context, physical activity, range of motion exercises, myofascial release, joint mobilization, and postural exercises are crucial for improving functional outcomes and reducing treatment-related discomfort and disability. Moreover, tailored rehabilitative management addressing dysphonia and dysphagia might have a positive impact on the quality of life of these patients. Despite these considerations, several barriers still affect the implementation of a multimodal rehabilitative approach in common clinical practice. Thus, sustainable and effective strategies like digital innovation and patient-centered approaches are strongly needed in order to implement the rehabilitative treatment framework of these subjects. Conclusions: This narrative review provides valuable insights into the current prehabilitation and rehabilitation strategies to treat thyroid cancer survivors, addressing physical, psychological, and vocational needs to optimize functional outcomes and enhance their quality of life.

Funder

MUR—M4C2 1.5 of PNRR

Publisher

MDPI AG

Subject

Cancer Research,Oncology

Reference116 articles.

1. Epidemiology of Thyroid Cancer: A Review of the National Cancer Database, 2000–2013;Olson;Cureus,2019

2. Evolving Understanding of the Epidemiology of Thyroid Cancer;Seib;Endocrinol. Metab. Clin. N. Am.,2019

3. Thyroid cancer incidence trends by histology in 25 countries: A population-based study;Bray;Lancet Diabetes Endocrinol.,2021

4. Current practice in patients with differentiated thyroid cancer;Schlumberger;Nat. Rev. Endocrinol.,2021

5. 2019 European Thyroid Association Guidelines for the Treatment and Follow-Up of Advanced Radioiodine-Refractory Thyroid Cancer;Fugazzola;Eur. Thyroid J.,2019

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