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Case Report
Physiotherapy management of chemotherapy induced peripheral neuropathy in a gynecological condition through clinical reasoning process: A case study
1 MScPT (Part-II), Clinical Physiotherapist, Centre for the Rehabilitation of the Paralysed (CRP), Dhaka, Savar, Bangladesh
2 MScPT, Associate professor & Head of Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Dhaka, Savar, Bangladesh
3 MSc in Neuroscience, Department of Physiotherapy, Bangladesh Health Professions' Institute (BHPI), Dhaka, Savar, Bangladesh
4 MScPT, Assistant, Professor, Department of Physiotherapy, Bangladesh Health Professions' Institute (BHPI), Dhaka, Savar, Bangladesh
5 MBBS, DGO, Consultant in Gynecology & Obstetrics, Ibn Sina Diagnostic Centre, Dhaka, Savar, Bangladesh
6 MPH, Junior Consultant & In-charge of Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Mirpur centre, Plot A/5, Mirpur–14, Dhak, Bangladesh
7 BScPT, Gynecological & Women's Health Physiotherapist, Centre for the Rehabilitation of the Paralysed (CRP), Mirpur centre, Plot A/5, Mirpur – 14, Dh, Bangladesh
Address correspondence to:
K. M. Amran Hossain
Centre for the Rehabilitation of the Paralysed (CRP), Chapain, Savar, Dhaka 1343,
Bangladesh
Message to Corresponding Author
Article ID: 100045D05KH2018
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How to cite this article
Hossain KMA, Hossain MA, Mamin FA, Rahman E, Afroz N, Sonia NJ, Khan SA. Physiotherapy management of chemotherapy induced peripheral neuropathy in a gynecological condition through clinical reasoning process: A case study. Edorium J Disabil Rehabil 2018;4:100045D05KH2018.ABSTRACT
Introduction: Gynecological cancer survivors completing chemotherapy has a diverse presentation of pain, neurological disturbances and functional impairments that constitutes several impairments in ICF framework that hinders optimum quality of life. The study intended to determine the impact of Physiotherapy interventions through clinical reasoning procedure by international classification of functioning, disability and health (ICF).
Case Report: The case was a uterine carcinoma case completing surgery & chemotherapy and seeks Physiotherapy complaining lower back pain, numbness & decreased strength in both lower limbs with functional and psycho-social impairments. The patient has been managed in three tract reasoning & Hypothetco deductive reasoning process of clinical reasoning. The Interventions focused on strengthening exercise of lower limbs, pelvic floor exercise, aerobic exercise and exercise to improve balance. After two weeks, Mckenzie extension approach for lumbar spine and neural sliding of lower limbs has been added as adjacent therapy. Treatment has been provided for eight sessions in four weeks and continued home exercises for another four weeks. Outcome has been measured and found positive effects on in pain redaction, remission of numbness, improvement of balance, strength of lower limb and quality of life measure.Single session follow up after three months from screening revealed sustainability of improvements that reflects efficacy of physiotherapy interventions in diverse indicator in ICF framework.
Conclusion: Chemotherapy induced musculoskeletal complications are certainly manageable through physiotherapy interventions and McKenzie extension approach found effective to remission of lumber radicular symptoms in CIPN. The interventions have positive effect in longer run and upon quality of life in gynecological cancer survivors.
Keywords: CIPN, Gynecology, ICF, Physiotherapy
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Author Contributions
K. M. Amran Hossain - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mohammad Anwar Hossain - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Feroz Ahmed Mamin - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ehsanur Rahman - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nasrin Afroz - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Nusrat Jahan Sonia - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Shati Aziz Khan - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 K. M. Amran Hossai et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
