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Patients undergoing cancer treatments experience a myriad of physical impairments affecting their quality of life. Oncological rehabilitation has become an integral part of ongoing therapies for these patients and has been the key to improving survivorship. However, accelerated bone loss, which survivors experience as a side-effect of cancer treatments, is mostly overlooked. Since continued loss of bone is a silent process, its first clinical implication is often a fracture. By this time, the window of preventive care has passed and the patient is left with additional impairments and sometimes, chronic pain leading to a further decline in quality of life. In addition to using therapeutic techniques to reverse physical impairments, strategies to improve bone health can greatly enhance the treatments and prevent debilitating fractures. This lecture will provide the clinicians with the knowledge of evidence based therapeutic exercises and nutrition for bone health, ready to be incorporated into onco-rehabilitation programs. The clinicians will learn this preventive program development based on FIIT principle and the use of applicable outcome measures to note progress.
How Bone Changes Across the Lifespan
Cancer and bone density
How do cancer treatments affect bone density
Constructing an Evaluation of Osteoporosis
Build Bone, Build Strength, Reduce Falls and Fractures: Constructing a Rehabilitation Program
Role of Nutrition & Supplementation
Case Studies (optional):
Case studies will be presented in accordance with HIPPA.
Payal Sahni, PT, MPT, DPT has been practicing physical therapy for over twenty years with an emphasis in orthopedics. She graduated with her master's in physical therapy in 2000 and completed her transitional DPT in 2012. She is currently practicing as a senior PT at Helen Hayes Hospital in Haverstraw, NY. Dr. Sahni is a Maitland trained certified manual therapist with additional training in IASTM and BFR. Her clinical practice emphasizes her special interests in osteoporosis and TMJ dysfunction.
Payal is a strong proponent of prevention and wellness for health. She has designed various wellness programs including osteoporosis and aquatic wellness, in addition to ergonomics programs for employee health. Dr. Sahni regularly lectures on osteoporosis and serves as the program coordinator of the New York State Osteoporosis Prevention and Education Program through the NYS Department of Health. She has published prior studies on osteoporosis and continues with ongoing research.
Speaker Disclosures:
Financial: Payal Sahni has an employment relationship with Burke Rehabilitation Hospital and is a guest lecturer at Mercy College. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Payal Sahni is member of the Global Fragility Fracture Network and the American Society of Osteoporosis Providers.
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