Occupational therapy in oncogynecology – a pilot study

Czech version

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‘ workplace: 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: Ceska Gynekol 2025; 90(2): 113-121
Category: Original Article
doi: https://doi.org/10.48095/cccg2025113

Overview

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

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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