Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Feb;36(1):150983.
doi: 10.1016/j.soncn.2019.150983. Epub 2020 Jan 18.

Proactive Rehabilitation for Chemotherapy-Induced Peripheral Neuropathy

Affiliations
Review

Proactive Rehabilitation for Chemotherapy-Induced Peripheral Neuropathy

Robert Knoerl et al. Semin Oncol Nurs. 2020 Feb.

Abstract

Objective: To review assessment and management approaches for chemotherapy-induced peripheral neuropathy-related physical function deficits.

Data sources: Peer-reviewed articles from PubMed, Ovid MEDLINE, CINAHL PsycINFO, SPORTDiscus, Scopus, and key studies' reference lists.

Conclusion: Brief clinical tests (eg, gait, Timed Up and Go) can screen for neuropathy-related physical function deficits. Exercise and physical therapy may be promising treatments, but the efficacy and optimal dose of such treatments for chemotherapy-induced peripheral neuropathy are unclear.

Implications for nursing practice: Screening and assessment of neuropathy-associated physical function deficits should occur throughout neurotoxic chemotherapy treatment. If such deficits are identified, referral for rehabilitation (ie, physical or occupational therapy) and/or exercise interventions is warranted.

Keywords: Chemotherapy-induced peripheral Neuropathy; Exercise; Neuropathic pain; Physical therapy modalities; Rehabilitation.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None.

References

    1. Fukuda Y, Li Y, Segal RA. A Mechanistic Understanding of Axon Degeneration in Chemotherapy-Induced Peripheral Neuropathy. Front Neurosci. 2017;11:481. doi:10.3389/fnins.2017.00481 - DOI - PMC - PubMed
    1. Kerckhove N, Collin A, Condé S, Chaleteix C, Pezet D, Balayssac D. Long-Term Effects, Pathophysiological Mechanisms, and Risk Factors of Chemotherapy-Induced Peripheral Neuropathies: A Comprehensive Literature Review. Front Pharmacol. 2017;8:86. doi:10.3389/fphar.2017.00086 - DOI - PMC - PubMed
    1. Staff NP, Grisold A, Grisold W, Windebank AJ. Chemotherapy-induced peripheral neuropathy: A current review. Ann Neurol. 2017;81(6):772–781. doi:10.1002/ana.24951 - DOI - PMC - PubMed
    1. Gilchrist L Chemotherapy-Induced Peripheral Neuropathy in Pediatric Cancer Patients. Semin Pediatr Neurol. 2012;19(1):9–17. doi:10.1016/J.SPEN.2012.02.011 - DOI - PubMed
    1. Kandula T, Park SB, Cohn RJ, Krishnan AV., Farrar MA. Pediatric chemotherapy induced peripheral neuropathy: A systematic review of current knowledge. Cancer Treat Rev. 2016;50:118–128. doi:10.1016/j.ctrv.2016.09.005 - DOI - PubMed

Publication types