mesЭкстремальная биомедицинаExtreme Medicine3033-89643033-8972Centre for Strategic Planning of the Federal Medical and Biological Agency10.47183/mes.2021.013mes-168Research ArticleОБЗОР РЕАБИЛИТАЦИЯREVIEW REHABILITATIONРеабилитация в онкологииRehabilitation in oncologyКамиловаТ. А.KamilovaТ. А.

Санкт-Петербург

Saint Petersburg

ГолотаА. С.GolotaA. S.

Александр Сергеевич Голота

ул. Борисова, д. 9 Б, г. Санкт-Петербург, 197706

Alexander S. Golota

Borisova, 9 B, St. Petersburg, 197706

golotaa@yahoo.comВологжанинД. А.VologzhaninD. A.

Санкт-Петербург

Saint Petersburg

ШнейдерО. В.ShneiderО. V.

Санкт-Петербург

Saint Petersburg

ЩербакС. Г.ScherbakS. G.

Санкт-Петербург

Saint Petersburg

Городская больница № 40РоссияSaint Petersburg City Hospital № 40Russian FederationГородская больница № 40; Санкт-Петербургский государственный университетРоссияSaint Petersburg City Hospital № 40; Saint-Petersburg State UniversityRussian Federation2021151020242322734Copyright © Камилова Т.А., Голота А.С., Вологжанин Д.А., Шнейдер О.В., Щербак С.Г., 20242024Камилова Т.А., Голота А.С., Вологжанин Д.А., Шнейдер О.В., Щербак С.Г.Kamilova Т.А., Golota A.S., Vologzhanin D.A., Shneider О.V., Scherbak S.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.extrememedicine.ru/jour/article/view/168

Современное лечение онкологических и онкогематологических заболеваний приводит к повышению выживаемости пациентов. Однако большинство выживших пациентов сталкиваются с широким спектром симптомов и побочных эффектов и нуждаются в реабилитации. Индивидуальные программы реабилитации таких больных включают в себя различные методы физической медицины. Физическая активность является важным компонентом в лечении и реабилитации больных онкологическими заболеваниями и улучшает их функциональное здоровье в отношении физической работоспособности, когнитивных функций, психологического здоровья и качества жизни. Физическая активность увеличивает мышечную силу, уменьшает побочные эффекты лучевой и химиотерапии и снижает утомляемость. Для контроля состояния пациента и толерантности к физическим нагрузкам используют индивидуально адаптированные программы физических упражнений. Реабилитационные вмешательства физической и когнитивной направленности выполняются одновременно в рамках междисциплинарной реабилитационной помощи, поэтому такой подход может иметь синергетический эффект. Регулярные физические нагрузки, упражнения и другие методы реабилитации необходимо применять с учетом противопоказаний, в противном случае они могут привести к клиническим осложнениям.

Current oncology and oncohematology treatment methods allow more patients to successfully survive the disease. However, afterwards, most survivors have to deal with a wide range of symptoms and side effects and need rehabilitation. Personalized rehabilitation programs for such patients employ various methods of physical medicine. Physical activity is an important component of the cancer patients' treatment and rehabilitation. It improves their functional health, specifically — physical performance, cognitive function, psychological health, and makes the quality of their lives better. Physical activity increases muscle strength, alleviates the radiation and chemotherapy side effects and relieves fatigue. Personalized exercise programs are employed to monitor patient's condition and exercise tolerance. Physical and cognitive rehabilitative interventions are performed simultaneously as part of interdisciplinary rehabilitative care, so this approach can have a synergistic effect. It is necessary to factor in contraindications when prescribing regular physical activity, exercise and other methods of rehabilitation, otherwise they can lead to clinical complications.

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The authors declare that there are no conflicts of interest present.