Proactive Rehabilitation for Chemotherapy-Induced Peripheral Neuropathy

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. (C) 2019 Elsevier Inc. All rights reserved.