Journal of Advances in Developmental Research

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Exercise and Physiotherapy for Cancer-Related Cognitive Impairment: A Function Oriented Narrative Review

Author(s) Dr. Siva Bali Reddy Katasani, Dr. S Purna Chandra Shekhar, Dr. Amaresh Mohan, Dr. Sama Raju
Country India
Abstract Background: Cancer-related cognitive impairment (CRCI) includes perceived or objectively measured changes in attention, processing speed, memory and executive function before, during or after cancer treatment. These problems may restrict mobility, employment, self-management and participation. Objective: To synthesize evidence published from 2012 through 2021 and develop a cautious physiotherapy framework combining exercise, functional training and compensatory strategies. Methods: A structured narrative review considered English-language peer-reviewed studies, systematic reviews, clinical guidance and relevant randomized trials published between January 2012 and December 2021. Results: Aerobic and combined exercise are biologically plausible and feasible approaches, but direct evidence for cognitive benefit in cancer populations remained limited and heterogeneous by 2021. Exercise may also improve fatigue, mood, sleep and physical function, which influence cognitive complaints. Physiotherapy can screen functional consequences, prescribe individualized activity, use dual-task training selectively, simplify motor learning and coordinate referral for neuropsychological or medical assessment. Conclusion: Exercise should be offered as part of comprehensive survivorship rehabilitation without being presented as a proven cure for CRCI. Safety, symptom fluctuation, treatment toxicity and meaningful participation goals should guide dose and progression.
Keywords cancer-related cognitive impairment; exercise; physiotherapy; cognitive rehabilitation; dual task; survivorship
Published In Volume 13, Issue 2, July-December 2022
Published On 2022-07-06
DOI https://doi.org/10.71097/IJAIDR.v13.i2.2124
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Crossref DOI prefix of IJAIDR is 10.71097/IJAIDR

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