Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma

Hayato Narao, Keisuke Hirota, Shunji Koya, Manabu Tomita, Yuta Manako, Satosi Ogawa, Naomi Nakao, Tsubasa Tsutsumi, Dan Nakano, Ryuki Hashida, Takumi Kawaguchi, Hiroo Matsuse, Hiroaki Nagamatu and Takuji Torimura
Additional contact information
Hayato Narao: Department of Rehabilitation, Yame General Hospital, Yame 834-0034, Japan
Keisuke Hirota: Division of Rehabilitation, Kurume University Hospital, Kurume 830-0011, Japan
Shunji Koya: Division of Rehabilitation, Kurume University Hospital, Kurume 830-0011, Japan
Manabu Tomita: Department of Rehabilitation, Saga Central Hospital, Saga 849-8522, Japan
Yuta Manako: Department of Rehabilitation, Yame General Hospital, Yame 834-0034, Japan
Satosi Ogawa: Department of Nursing, Yame General Hospital, Yame 834-0034, Japan
Naomi Nakao: Department of Nursing, Yame General Hospital, Yame 834-0034, Japan
Tsubasa Tsutsumi: Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan
Dan Nakano: Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan
Ryuki Hashida: Division of Rehabilitation, Kurume University Hospital, Kurume 830-0011, Japan
Takumi Kawaguchi: Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan
Hiroo Matsuse: Division of Rehabilitation, Kurume University Hospital, Kurume 830-0011, Japan
Hiroaki Nagamatu: Department of Gastroenterology, Juntendo University, Tokyo 113-8421, Japan
Takuji Torimura: Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan

IJERPH, 2020, vol. 17, issue 23, 1-13

Abstract: Activities of daily living (ADL) are frequently impaired in patients with hepatocellular carcinoma (HCC). In this retrospective study, we aimed to investigate the effects of physical therapy on ADLs in patients with HCC during hospitalization for cancer treatment. Nineteen patients with HCC were enrolled. During hospitalization, patients performed a combination of resistance training, stretching, and aerobic exercise (20–60 min/day). ADLs were assessed using the functional independence measure (FIM). Changes in FIM were evaluated by before–after analysis. No significant difference was seen in Child–Pugh class before and after physical therapy. The bilateral knee extension strength and chair stand test were significantly increased after physical therapy compared with before physical therapy ( p = 0.001 and p = 0.008, respectively). The total FIM score was significantly increased after physical therapy compared with that before physical therapy ( p = 0.0156). Among the 18 indexes of FIM, the stairs index was significantly improved after physical therapy compared with that before physical therapy (5.9 vs. 6.4 points, p = 0.0241). We demonstrated that physical therapy improved muscle strength without worsening liver function. Furthermore, physical therapy improved FIM, especially in the stairs index, in patients with HCC. Thus, physical therapy may be beneficial in patients with HCC during cancer treatment.

Keywords: supervised physiotherapy; functional independence measure; hepatoma; liver; hospitalization (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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