Relevance of physical therapy and occupational therapy in oncological patients at the stage of palliative and hospice care




physical therapy, occupational therapy, cancer, palliative care, hospice care


The aim of the work is to review modern literary sources regarding the relevance of physical therapy and occupational therapy in cancer patients at the stage of palliative and hospice care.

Results. The relevance of physical therapy and occupational therapy methods in palliative and hospice medicine for cancer patients was studied. It has been established that physical therapy and occupational therapy for oncological patients at the stage of palliative and hospice care has a high efficiency for various indicators, which ultimately leads to an improvement in the quality of life not only of patients but also of their family members who supervise. But on the other hand, physical therapy and occupational therapy are not used enough in this group of patients due to various reasons.

Conclusion. The use of physical therapy and occupational therapy are relevant for palliative oncological patients. It is necessary to introduce it into the health care system more actively, considering the high efficiency of physical therapy and occupational therapy in the practice of interdisciplinary treatment approaches of oncological patients at the stage of palliative and hospice care.

Author Biographies

О. М. Raznatovska, Zaporizhzhia State Medical University, Ukraine

MD, PhD, DSc, Professor, Head of the Department of Phthisiology and Pulmonology

S. M. Kanyhina, Zaporizhzhia State Medical University, Ukraine

MD, PhD, Associate Professor of the Department of Physical Rehabilitation, Sports Medicine, Physical Education and Health

O. S. Shalmin, Zaporizhzhia State Medical University, Ukraine

MD, PhD, DSc, Professor of the Department of Phthisiology and Pulmonology

A. V. Fedorets, Zaporizhzhia State Medical University, Ukraine

MD, Assistant of the Department of Phthisiology and Pulmonology


Cobbe, S., Nugent, K., Real, S., Slattery, S., & Lynch, M. (2013). A profile of hospice-at-home physiotherapy for community-dwelling palliative care patients. International journal of palliative nursing, 19(1), 39-45.

Beuchat-Mamie, S., Sperisen, N., Molnar, P., & Koçer, S. (2018). Activité physique et cancer [Physical Activity and Cancer]. Praxis, 107(17-18), 965-970.

Beller, R., Bennstein, S. B., & Götte, M. (2021). Effects of Exercise Interventions on Immune Function in Children and Adolescents With Cancer and HSCT Recipients - A Systematic Review. Frontiers in immunology, 12, 746171.

Olsson Möller, U., Stigmar, K., Beck, I., Malmström, M., & Rasmussen, B. H. (2018). Bridging gaps in everyday life - a free-listing approach to explore the variety of activities performed by physiotherapists in specialized palliative care. BMC palliative care, 17(1), 20.

Büntzel, J., Kusterer, I., Rudolph, Y., Kubin, T., Micke, O., & Hübner, J. (2017). Cancer Patients' Knowledge and Acceptance of Physical Activities for Rehabilitation. In vivo, 31(6), 1187-1192.

Silver, J. K., Raj, V. S., Fu, J. B., Wisotzky, E. M., Smith, S. R., & Kirch, R. A. (2015). Cancer rehabilitation and palliative care: critical components in the delivery of high-quality oncology services. Supportive care in cancer, 23(12), 3633-3643.

Smith, S. R., Zheng, J. Y., Silver, J., Haig, A. J., & Cheville, A. (2020). Cancer rehabilitation as an essential component of quality care and survivorship from an international perspective. Disability and rehabilitation, 42(1), 8-13.

Kaple, N., Jain, M., Yadav, V., & Bhakaney, P. (2022). A Combat Journey With Pulmonary Rehabilitation and Palliative Care in a Patient With Pleural Effusion, Secondary to Metaplastic Breast Carcinoma. Cureus, 14(10), e30545.

Gomez, I., Szekanecz, É., Szekanecz, Z., & Bender, T. (2016). Daganatos betegek fizioterápiája [Physiotherapy of cancer patients]. Orvosi hetilap, 157(31), 1224-1231.

Tsuchihashi, J., Koya, S., Hirota, K., Koga, N., Narao, H., Tomita, M., Kawaguchi, T., Hashida, R., Nakano, D., Tsutsumi, T., Yoshio, S., Matsuse, H., Sanada, T., Notsumata, K., & Torimura, T. (2021). Effects of In-Hospital Exercise on Frailty in Patients with Hepatocellular Carcinoma. Cancers, 13(2), 194.

Koya, S., Kawaguchi, T., Hashida, R., Hirota, K., Bekki, M., Goto, E., Yamada, M., Sugimoto, M., Hayashi, S., Goshima, N., Yoshiyama, T., Otsuka, T., Nozoe, R., Nagamatsu, A., Nakano, D., Shirono, T., Shimose, S., Iwamoto, H., Niizeki, T., Matsuse, H., … Torimura, T. (2019). Effects of in-hospital exercise on sarcopenia in hepatoma patients who underwent transcatheter arterial chemoembolization. Journal of gastroenterology and hepatology, 34(3), 580-588.

Uster, A., Ruehlin, M., Mey, S., Gisi, D., Knols, R., Imoberdorf, R., Pless, M., & Ballmer, P. E. (2018). Effects of nutrition and physical exercise intervention in palliative cancer patients: A randomized controlled trial. Clinical nutrition, 37(4), 1202-1209.

Morales, J. S., Valenzuela, P. L., Velázquez-Díaz, D., Castillo-García, A., Jiménez-Pavón, D., Lucia, A., & Fiuza-Luces, C. (2021). Exercise and Childhood Cancer-A Historical Review. Cancers, 14(1), 82.

Mishra, S. I., Scherer, R. W., Snyder, C., Geigle, P. M., Berlanstein, D. R., & Topaloglu, O. (2012). Exercise interventions on health-related quality of life for people with cancer during active treatment. The Cochrane database of systematic reviews, 2012(8), CD008465.

Schmitz, K. H., Campbell, A. M., Stuiver, M. M., Pinto, B. M., Schwartz, A. L., Morris, G. S., Ligibel, J. A., Cheville, A., Galvão, D. A., Alfano, C. M., Patel, A. V., Hue, T., Gerber, L. H., Sallis, R., Gusani, N. J., Stout, N. L., Chan, L., Flowers, F., Doyle, C., Helmrich, S., … Matthews, C. E. (2019). Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer. CA: a cancer journal for clinicians, 69(6), 468-484.

Eyigor, S., & Akdeniz, S. (2014). Is exercise ignored in palliative cancer patients?. World journal of clinical oncology, 5(3), 554-559.

Eyigor, S., & Kanyilmaz, S. (2014). Exercise in patients coping with breast cancer: An overview. World journal of clinical oncology, 5(3), 406-411.

Furmaniak, A. C., Menig, M., & Markes, M. H. (2016). Exercise for women receiving adjuvant therapy for breast cancer. The Cochrane database of systematic reviews, 9(9), CD005001.

Garcia, M. B., Ness, K. K., & Schadler, K. L. (2020). Exercise and Physical Activity in Patients with Osteosarcoma and Survivors. Advances in experimental medicine and biology, 1257, 193-207.

Huber, M. K., Wilson, C. M., & Li, N. Y. (2021). Acute Palliative Physical Therapy Services for a Patient With Metastatic Rectal Cancer and Subsequent Spinal Cord Compression. Cureus, 13(9), e17691.

Cheville, A. L., Morrow, M., Smith, S. R., & Basford, J. R. (2017). Integrating Function-Directed Treatments into Palliative Care. PM & R, 9(9S2), S335-S346.

Kowalski S. L. (2016). Physical Therapy and Exercise for Hospice Patients. Home healthcare now, 34(10), 563-568.

Okamura, H. (2011). Importance of rehabilitation in cancer treatment and palliative medicine. Japanese journal of clinical oncology, 41(6), 733-738.

Pergolotti, M., Deal, A. M., Williams, G. R., Bryant, A. L., McCarthy, L., Nyrop, K. A., Covington, K. R., Reeve, B. B., Basch, E., & Muss, H. B. (2019). Older Adults with Cancer: A Randomized Controlled Trial of Occupational and Physical Therapy. Journal of the American Geriatrics Society, 67(5), 953-960.

Gallegos-Kearin, V., Knowlton, S. E., Goldstein, R., Mix, J., Zafonte, R., Kwan, M., Silver, J., & Schneider, J. C. (2018). Outcome Trends of Adult Cancer Patients Receiving Inpatient Rehabilitation: A 13-Year Review. American journal of physical medicine & rehabilitation, 97(7), 514-522.

Padgett, L. S., Asher, A., & Cheville, A. (2018). The Intersection of Rehabilitation and Palliative Care: Patients With Advanced Cancer in the Inpatient Rehabilitation Setting. Rehabilitation nursing, 43(4), 219-228.

Raj, V. S., Silver, J. K., Pugh, T. M., & Fu, J. B. (2017). Palliative Care and Physiatry in the Oncology Care Spectrum: An Opportunity for Distinct and Collaborative Approaches. Physical medicine and rehabilitation clinics of North America, 28(1), 35-47.

Fordham, B., Smith, T. O., Lamb, S., Morris, A., & Winter, S. C. (2022). Patient and physiotherapist perceptions of the Getting Recovery Right After Neck Dissection (GRRAND) rehabilitation intervention: a qualitative interview study embedded within a feasibility trial. BMJ open, 12(11), e064269.

Jensen, W., Bialy, L., Ketels, G., Baumann, F. T., Bokemeyer, C., & Oechsle, K. (2014). Physical exercise and therapy in terminally ill cancer patients: a retrospective feasibility analysis. Supportive care in cancer, 22(5), 1261-1268.

Brennan, L., Sheill, G., O'Neill, L., O'Connor, L., Smyth, E., & Guinan, E. (2022). Physical Therapists in Oncology Settings: Experiences in Delivering Cancer Rehabilitation Services, Barriers to Care, and Service Development Needs. Physical therapy, 102(3), pzab287.

Pyszora, A., Budzyński, J., Wójcik, A., Prokop, A., & Krajnik, M. (2017). Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Supportive care in cancer, 25(9), 2899-2908.

Punzalan, M., & Hyden, G. (2009). The role of physical therapy and occupational therapy in the rehabilitation of pediatric and adolescent patients with osteosarcoma. Cancer treatment and research, 152, 367-384.

Hinz, A., Weis, J., Faller, H., Brähler, E., Härter, M., Keller, M., Schulz, H., Wegscheider, K., Koch, U., Geue, K., Götze, H., & Mehnert, A. (2018). Quality of life in cancer patients-a comparison of inpatient, outpatient, and rehabilitation settings. Supportive care in cancer, 26(10), 3533-3541.

Lee, C. H., Kim, J. K., Jun, H. J., Lee, D. J., Namkoong, W., & Oh, J. H. (2018). Rehabilitation of Advanced Cancer Patients in Palliative Care Unit. Annals of rehabilitation medicine, 42(1), 166-174.

Coletta, A. M., Campbell, A., Morris, G. S., & Schmitz, K. H. (2020). Synergy Between Licensed Rehabilitation Professionals and Clinical Exercise Physiologists: Optimizing Patient Care for Cancer Rehabilitation. Seminars in oncology nursing, 36(1), 150975.

Hunter, E. G., Gibson, R. W., Arbesman, M., & D'Amico, M. (2017). Systematic Review of Occupational Therapy and Adult Cancer Rehabilitation: Part 1. Impact of Physical Activity and Symptom Management Interventions. The American journal of occupational therapy, 71(2), 7102100030p1-7102100030p11.

Hunter, E. G., Gibson, R. W., Arbesman, M., & D'Amico, M. (2017). Systematic Review of Occupational Therapy and Adult Cancer Rehabilitation: Part 2. Impact of Multidisciplinary Rehabilitation and Psychosocial, Sexuality, and Return-to-Work Interventions. The American journal of occupational therapy, 71(2), 7102100040p1-7102100040p8.

Yeo, S. M., Oh, J. H., Yu, H. J., Sinn, D. H., & Hwang, J. H. (2022). The effect of mHealth-based exercise on Insulin Sensitivity for patients with Hepatocellular carcinoma and insulin resistance (mISH): protocol of a randomized controlled trial. Trials, 23(1), 930.

McNeely, M. L., Dolgoy, N., Onazi, M., & Suderman, K. (2016). The Interdisciplinary Rehabilitation Care Team and the Role of Physical Therapy in Survivor Exercise. Clinical journal of oncology nursing, 20(6 Suppl), S8-S16.

Sharma, R., Molinares-Mejia, D., Khanna, A., Maltser, S., Ruppert, L., Wittry, S., Murphy, R., Ambrose, A. F., & Silver, J. K. (2020). Training and Practice Patterns in Cancer Rehabilitation: A Survey of Physiatrists Specializing in Oncology Care. PM & R, 12(2), 180-185.

Tsuji T. (2022). Rehabilitation for elderly patients with cancer. Japanese journal of clinical oncology, 52(10), 1097-1104.

Cho, S., Chung, S. H., Kang, M., Jo, A., Sim, S. H., Kim, Y. J., & Yang, E. J. (2021). Underutilisation of Physical Rehabilitation Therapy by Cancer Patients in Korea: a Population-based Study of 958,928 Korean Cancer Patients. Journal of Korean medical science, 36(46), e304.

Bunare, A., Weldegebreal, F., Habte, S., Ketema, I., & Worku, T. (2022). Utilization of Rehabilitation Services and Associated Factors Among Adults with Cancer Diagnoses at Hawassa Comprehensive Specialized Hospital, Ethiopia. Patient preference and adherence, 16, 1571-1580.

Volaklis, K. A., Halle, M., & Tokmakidis, S. P. (2013). Exercise in the prevention and rehabilitation of breast cancer. Wiener klinische Wochenschrift, 125(11-12), 297-301.

Wittry, S. A., Lam, N. Y., & McNalley, T. (2018). The Value of Rehabilitation Medicine for Patients Receiving Palliative Care. The American journal of hospice & palliative care, 35(6), 889-896.

Zopf, E. M., Baumann, F. T., & Pfeifer, K. (2014). Körperliche Aktivität und körperliches Training in der Rehabilitation einer Krebserkrankung [Physical activity and exercise recommendations for cancer patients during rehabilitation]. Die Rehabilitation, 53(1), 2-7.

Zyzniewska-Banaszak, E., Kucharska-Mazur, J., & Mazur, A. (2021). Physiotherapy and Physical Activity as Factors Improving the Psychological State of Patients With Cancer. Frontiers in psychiatry, 12, 772694.



How to Cite

Raznatovska ОМ, Kanyhina SM, Shalmin OS, Fedorets AV. Relevance of physical therapy and occupational therapy in oncological patients at the stage of palliative and hospice care. Current issues in pharmacy and medicine: science and practice [Internet]. 2023Mar.10 [cited 2024Apr.14];16(1):110-6. Available from: