{ "id": 1487, "date": "2016-02-13T17:34:06", "date_gmt": "2016-02-13T17:34:06", "guid": { "rendered": "https:\/\/breakthroughpt.confluentclinics.com\/blog\/they-call-it-prehab-starting-cancer-patients-on-rehab-before-treatment\/" }, "modified": "2016-02-13T17:34:06", "modified_gmt": "2016-02-13T17:34:06", "slug": "they-call-it-prehab-starting-cancer-patients-on-rehab-before-treatment", "status": "publish", "type": "post", "link": "https:\/\/breakthrough-pt.com\/es\/blog\/they-call-it-prehab-starting-cancer-patients-on-rehab-before-treatment\/", "title": { "rendered": "Lo llaman prehab: iniciar la rehabilitaci\u00f3n de los pacientes con c\u00e1ncer antes del tratamiento" }, "content": { "rendered": "

Los pacientes con c\u00e1ncer que inician la rehabilitaci\u00f3n antes de comenzar el tratamiento pueden recuperarse m\u00e1s r\u00e1pidamente de la cirug\u00eda, la quimioterapia o la radiaci\u00f3n, afirman algunos especialistas. Pero la cobertura del seguro para \u201cprehabilitaci\u00f3n\u201d, como se la llama, puede ser irregular, especialmente si el objetivo es prevenir problemas en lugar de tratar los existentes.<\/p>\n

Parece intuitivo que la salud de las personas durante y despu\u00e9s de una cirug\u00eda invasiva o un tratamiento t\u00f3xico de quimioterapia o radiaci\u00f3n se puede mejorar estando lo m\u00e1s en forma f\u00edsica y psicol\u00f3gicamente posible al iniciarla. Pero la investigaci\u00f3n para examinar el impacto de la prehabilitaci\u00f3n est\u00e1 s\u00f3lo en el\u00a0etapas iniciales<\/a>.<\/p>\n

La prehabilitaci\u00f3n se asocia com\u00fanmente con operaciones ortop\u00e9dicas como reemplazos de rodilla y cadera o procedimientos card\u00edacos. Ahora hay un inter\u00e9s creciente en utilizar tambi\u00e9n la prehabilitaci\u00f3n en la atenci\u00f3n del c\u00e1ncer para prepararse para el tratamiento y minimizar algunos de sus posibles deterioros f\u00edsicos a largo plazo, como los problemas card\u00edacos y de equilibrio.<\/p>\n

"Es realmente la filosof\u00eda de la rehabilitaci\u00f3n, rebautizada", dice Samman Shahpar, fisiatra del Instituto de Rehabilitaci\u00f3n de Chicago. (Los fisiatras son m\u00e9dicos que se especializan en medicina f\u00edsica y rehabilitaci\u00f3n).<\/p>\n

El componente principal de la rehabilitaci\u00f3n contra el c\u00e1ncer suele ser un programa de ejercicio estructurado para mejorar la resistencia, la fuerza o la salud cardiorrespiratoria del paciente. El m\u00e9dico establece medidas de referencia, como determinar qu\u00e9 distancia puede caminar un paciente en una cinta rodante en seis minutos, y puede establecer una meta de mejora. Tambi\u00e9n eval\u00faa y aborda las discapacidades f\u00edsicas, como la movilidad limitada del hombro, que podr\u00eda ser problem\u00e1tica para una paciente con c\u00e1ncer de mama que necesitar\u00e1 mantener su hombro en una posici\u00f3n particular para recibir radiaci\u00f3n. Dependiendo del programa, los pacientes tambi\u00e9n pueden recibir asesoramiento psicol\u00f3gico y nutricional u otros servicios.<\/p>\n

Alguno\u00a0Las primeras investigaciones sugieren<\/a>\u00a0La prehab puede mejorar la capacidad de las personas para tolerar el tratamiento del c\u00e1ncer y volver al funcionamiento f\u00edsico normal m\u00e1s r\u00e1pidamente. En un ensayo controlado aleatorio, 77 personas que estaban esperando una cirug\u00eda por c\u00e1ncer colorrectal participaron en un programa de ejercicio, relajaci\u00f3n y asesoramiento nutricional. La mitad pas\u00f3 por el programa en las cuatro semanas previas a la cirug\u00eda y la otra mitad en las ocho semanas posteriores.<\/p>\n

Ocho semanas despu\u00e9s de la cirug\u00eda, el 84 por ciento de los pacientes en rehabilitaci\u00f3n hab\u00edan igualado o superado su rendimiento inicial en una prueba de caminata de seis minutos, en comparaci\u00f3n con el 62 por ciento de los pacientes en rehabilitaci\u00f3n.<\/p>\n

"La prehab podr\u00eda ser una forma relativamente barata de preparar a las personas para el tratamiento y la cirug\u00eda del c\u00e1ncer, ambos factores estresantes", dice el coautor del estudio Francesco Carli, profesor de anestesiolog\u00eda en la Universidad McGill en Montreal.<\/p>\n

Se necesitan m\u00e1s estudios para determinar si la prehabitaci\u00f3n realmente mejora los resultados de los pacientes con c\u00e1ncer, afirman los expertos.<\/p>\n

"Hay algunos fisiatras que no creen en la prehabilitaci\u00f3n", dice Catherine Alfano, vicepresidenta de supervivencia de la Sociedad Estadounidense del C\u00e1ncer. "Sienten que la ciencia a\u00fan no est\u00e1 ah\u00ed".<\/p>\n

Los planes de seguro suelen cubrir servicios de rehabilitaci\u00f3n como fisioterapia y terapia ocupacional. Pero los pacientes pueden enfrentar problemas de cobertura, como requisitos de autorizaci\u00f3n previa y l\u00edmites de visitas.<\/p>\n

Este art\u00edculo es producto de una colaboraci\u00f3n entre The Washington Post y\u00a0Noticias de salud de Kaiser<\/a>, un servicio de noticias editorialmente independiente que es un programa de la Kaiser Family Foundation.\u00a0Haga clic aqu\u00ed para verlo en su forma original.<\/a>.<\/p>", "protected": false }, "excerpt": { "rendered": "

Los pacientes con c\u00e1ncer que inician la rehabilitaci\u00f3n antes de comenzar el tratamiento pueden recuperarse m\u00e1s r\u00e1pidamente de la cirug\u00eda, la quimioterapia o la radiaci\u00f3n, afirman algunos especialistas. Pero la cobertura del seguro para [\u2026]<\/p>", "protected": false }, "author": 1, "featured_media": 0, "comment_status": "closed", "ping_status": "closed", "sticky": false, "template": "", "format": "standard", "meta": { "_acf_changed": false, "_jetpack_memberships_contains_paid_content": false, "footnotes": "" }, "categories": [ 41 ], "tags": [], "class_list": [ "post-1487", "post", "type-post", "status-publish", "format-standard", "hentry", "category-health-news-you-can-use" ], "acf": [], "yoast_head": "\nThey Call it Prehab: Starting Cancer Patients on Rehab Before Treatment | BreakThrough Physical Therapy<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/breakthrough-pt.com\/es\/blog\/they-call-it-prehab-starting-cancer-patients-on-rehab-before-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"They Call it Prehab: Starting Cancer Patients on Rehab Before Treatment | BreakThrough Physical Therapy\" \/>\n<meta property=\"og:description\" content=\"Cancer patients who start rehabilitation before they begin treatment may recover more quickly from surgery, chemotherapy or radiation, some specialists say. 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