Occupational therapy in oncogynecology – a pilot study

Česká verze

Authors: Petra Sládková ¹ ; Tomáš Brtnický ² ; Lenka Hormandlová ^1,3 ; Markéta Polková ² ; Vojtěch Malina ⁴ ; Peter Koliba ² ; Michal Zikán ² ; Petr Hubka ² ; Pavel Kabele ² ; Olga Dubová ² ; Marie Tichá ^1,4
Authors place of work: Oddělení fyziatrie a léčebné rehabilitace, FN Bulovka, Praha ¹; Gynekologicko-porodnická klinika 1. LF UK a FN Bulovka, Praha ²; Klinika adiktologie 1. LF UK a VFN v Praze ³; Fakulta bio medicínského inženýrství, ČVUT, Kladno ⁴
Published in the journal: Ceska Gynekol 2025; 90(2): 113-121
Category: Původní práce
doi: https://doi.org/10.48095/cccg2025113

Summary

Objective: Overview of the possibilities of using non-medical occupational therapy in oncogynecology, description of the role of an occupational therapist in prehabilitation, and evaluation of data from a pilot study. Methods: The study cohort consisted of 18 patients enrolled between November 2023 and October 2024. The prospective study was conducted over a period of nine months. Patients were admitted for a 3-week intensive multimodal prehabilitation program scheduled on a 4/7 basis prior to elective surgery for primary or recurrent malignant ovarian, endometrial, or cervical cancer. In addition to the physicians, patients received prehabilitation by a physiotherapist, psychologist, nutritionist, and occupational therapist. Clinical work of the occupational therapist was measured upon examination and subsequent therapy in the areas of cognitive function, fine motor skills of the upper limbs, self-sufficiency, and quality of life. The occupational therapist applied selected functional tests and questionnaires (MKF classification, Hand grip test, MoCA test, 5× Sit-to-Stand test, WHODAS 2.0) to determine the effect of the rehabilitation intervention. Results and conclusions: Important indicators were selected functional abilities that have a significant impact on the quality of life of patients. The results of functional tests showed a significant improvement of key parameters due to intensive prehabilitation, confirming the essential role of occupational therapist intervention in oncogynecological prehabilitation.

Keywords:

occupational therapy – Quality of life – oncogynecology – prehabilitation

Zdroje

1. Česká asociace ergoterapeutů. Co je ergoterapie: ČAE. 2025 [online]. Dostupné z: https: //ergoterapie.cz/co-je-to-ergoterapie/.

2. Švestková, O. Ergoterapie. Rehabil fyz Lék 2015; 22 (1): 38–44.

3. Sládková P. Mezinárodní klasifikace funkčních schopností, disability a zdraví nejen v posudkovém lékařství. Reviz posud Lék 2022; 25 (3–4): 43–47.

4. Hoidekrová K, Rodová Z, Sládková P. Multidiscilinární tým v primární péči-spolupráce ergoterapeuta a praktického lékaře. Prakt Lék 2022; 102 (6): 295–301.

5. WHO. Mezinárodní klasifikace funkčních schopností, disability a zdraví (MKF): ÚZIS. 2020 [online]. Dostupné z: https: //www.uzis.cz/res/f/008317/mkf-cz-002.pdf.

6. Sládková P. Sociální a pracovní rehabilitace. 1. vyd. Praha: Karolinum 2021.

7. Sládková P et al. Ergodiagnostika v rehabilitaci. 1. vyd. Praha: Grada Publishing 2023.

8. Kopecek M, Stepankova H, Lukavsky J et al. Montreal cognitive assessment (MoCA): normative data for old and very old Czech adults. Appl Neuropsychol Adult 2017; 24 (1): 23–29. doi: 10.1080/23279095.2015.1065261.

9. Hollá M, Bartoš A. Krátké testy kognitivních funkcí do ordinace praktického lékaře. Prakt Lék 2019; 99 (5): 191–196.

10. MoCA cognition: MoCA organization. 2025 [online]. Available from: https: //mocacognition.com/.

11. Ejupi A, Brodie M, Gschwind YJ et al. Kinect-based five-times-sit-to-stand test for clinical and in-home assessmentof fall risk in older people. Gerontology 2016; 62 (1): 118–124. doi: 10.1159/000381804.

12. Sládková P, Svěcená K, Rodová Z et al. Dotazník WHODAS 2.0 a možnosti jeho využití v neurorehabilitaci-pilotní studie. Rehabilitácia 2024; 61 (2): 84–93. doi: 10.61983/lcrh.v6 1i2.51.

13. Gao W, Jin J. Expanding the scope of prehabilitation: reducing critical illness weakness across elective surgical patients scheduled for postoperative ICU care. Crit Care 2024; 28 (1): 3. doi: 10.1186/s13054-023-04784-0.

14. Lednický Š, Cibula D, Slabá Š. Prehabilitace. Ceska Gynekol 2020; 85 (5): 352–356.

15. Campbell KL, Winters-Stone KM, Wiskemann J et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc 2019; 51 (11): 2375–2390. doi: 10.1249/MSS.0000000000002116.

16. Bobčíková K, Macounová P, Bužgová R et al. An assessment of quality of life, health, and disability in patients undergoing lung resection. Kontakt 2023; 25 (4): 307–313. doi: 10.32725/kont.2023.037.

17. Leonardi M, Lee H, Kostanjsek N et al. 20 years of ICF –⁠ International classification of functioning, disability and health: uses and applications around the world. Int J Environ Res Public Health 2022; 19 (18): 113–121. doi: 10.3390/ ijerph19181132.

18. Topinková E, Jurášková B, Hrkal J et al. Hodnocení disability s využití, nástroj WHODAS 2.0 u geriatrických pacientů. Pilotní studie WHODAS-GERI. Geriatrie a gerontologie 2021; 10 (1): 3–11.

19. Rodová Z, Rybářová K, Kadeřábková L. Profil profese ergoterapie v České republice. Rehabil fyz Lék 2021; 28 (3): 132–138. doi: 10.48095/ CCRHFL2021132.

20. West MA, Loughney L, Lythgoe D et al. Effect of prehabilitation on objectively measured physical fitness after neoadjuvant treatment in preoperative rectal cancer patients: a blinded interventional pilot study. Br J Anaesth 2014; 114 (2): 244–251. doi: 10.1093/bja/ aeu318.

ORCID autorů

P. Sládková 0000-0002-6726-8154

T. Brtnický 0000-0002-6204-1903

L. Hormandlová 0009-0000-7826-1401

M. Polková 0009-0009-4581-1994

V. Malina 0000-0003-4370-5513

P. Koliba 0000-0003-2204-0145

M. Zikán 0000-0001-5266-8895

P. Hubka 0000-0001-6644-8690

P. Kabele 0009-0002-7295-3954

O. Dubová 0009-0006-7185-550X

M. Tichá 0009-0003-3734-355X