2020 Volume 47 Issue 5 Pages 459-464
Introduction: We observed the effectiveness of periodic outpatient rehabilitation on physical function and the Instrumental Activity of Daily Living (IADL) in a patient with advanced breast cancer.
Case report: A 52-year-old woman with multiple brain metastases due to breast cancer visited our hospital for chemotherapy for 5 years. Before rehabilitation, the Frenchay Activities Index (FAI) for the evaluation of IADL was 18 points and the Short Physical Performance Battery (SPPB) for the evaluation of physical function was 6 points (balance: 1 point, gait: 4 points, and sit to stand: 1 point). Rehabilitation involved muscle strengthening exercise, balance exercise, and self-exercise guidance for 13 weeks; once for 20 minutes, 9 times in total, in the outpatient chemotherapy unit. After rehabilitation, the patient improved, with an FAI of 23 points and an SPPB is 9 points (balance: 3 points, gait: 4 points, and sit to stand: 2 points).
Conclusion: This report may suggest that periodic outpatient rehabilitation improved physical function, resulting in improvement of IADL in a breast cancer patient with multiple brain metastases.
