SOUTH CAROLINA - Treatment for Chemotherapy-Induced Peripheral Neuropathy with Physical Therapy - From Evaluation to Graduation
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Course Description:
65% of patients receiving chemotherapy will develop neuropathy in their hands or feet. Neuropathy presents as pain, numbness, tingling, burning, swelling and discomfort that affects quality of life. Currently there is no protocol for treating CIPN. Physical therapy, broadly, has been shown to be helpful for CIPN. Physical therapy techniques such as manual therapy, resistance exercises, stretching and balance training have shown themselves to be effective for similar conditions such as diabetic neuropathy, Morton’s Neuroma, and Plantar Fasciitis. Combining the evidence and putting it into practice, we are developing a protocol, shown to be 80% effective in patients with various cancer types with CIPN, to decrease symptoms, decrease fall risk, and get patients back to walking and feeling like themselves over the course of about 8-12 weeks. This course will cover the background of why chemotherapy causes neuropathy, what the previous evidence is about treating neuropathy, study of outcome measures and tests for evaluating neuropathy, a review of a case series of 20 patients treated at Hollings Cancer Center, with both multiple myeloma and breast cancer, over 2 years, and hands on education of the manual therapy technique and resistance band exercise for treating patients with CIPN.
Learning Objectives:
* Be able to describe how and why chemotherapy may result in neuropathic pain
* Be comfortable assessing and developing a treatment plan for patients with CIPN
* Be comfortable with hands on performance of manual therapy for treatment of CIPN
* Be able to develop and follow a plan of care from initial evaluation to graduation for patients with CIPN
Katie Schmitt, PT, DPT
Board Certified Clinical Specialist in Oncologic Physical Therapy
Katie Schmitt, PT, DPT, CLT, Board Certified Clinical Specialist in Oncologic Physical Therapy graduated from Columbia University Medical Center in 2018 with her Doctorate in Physical Therapy. Dr. Schmitt became lymphedema certified from the Norton School in 2023 and later that year Board Certified in Oncologic Physical Therapy. In 2020, Dr. Schmitt started the Physical Therapy department at Hollings Cancer Center, part of the Medical University of South Carolina (MUSC) in Charleston, SC as a 1 day a week program, and has been able to build that program to a 5 day a week service, working to increase the care for patients with oncologic needs at MUSC. Dr. Schmitt has been working on physical therapy for chemotherapy induced peripheral neuropathy since 2018, presented an in-person session at CSM 2023 and then went on to create a virtual course for the APTA. Dr. Schmitt is an item writer for the American Board of Physical Therapy Specialties (oncology). Additional speaking experience includes multiple chats with Bobbi Conner from NPR Health First in South Carolina, hosting survivorship support group meetings at MUSC, hosting a monthly lunch and learns covering oncology topics, and being featured this year on the Onco-PT Podcast talking about CIPN.
Course Instructions
- Click on the Contents tab to watch the course recording.
- Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
- Click Fill Out Survey under the Evaluation listing to provide valuable course feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click the View/Print Your Certificate button under the Certificate listing. You can view/print your certificate at any time by visiting the APTA Learning Center and clicking the CEU Certificate/Transcript link on the left-hand side of the page.
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