Rehabilitation Strategies for Patients with Cancer – Level 2

Level 2

Starting at: $450.00



This certification in oncology rehabilitation is for all clinicians working in hospitals, home care or private clinics who treat patients with a history of cancer or who have been diagnosed with cancer.  The certification is composed of 3 different levels that can be completed online. A level 4 face-to-face workshop-style certification will also be available in 2021.

The content of this entire continuum of courses integrates the notions of pathophysiology, the impact of medical treatments on different systems (cardiovascular, musculoskeletal, neurological) and the symptoms associated with cancer (pain, fatigue, muscle atrophy). This course will also address specific problems related to the different cancer sites (breast, prostate, lungs, head, neck, hematopathies) and the rehabilitation strategies.

Level 2 description: Enhanced Clinical Practice – Management of cancer patients

Module 1: Indications and contraindications for use of manual and biophysical modalities of treatment in cancer patients: review of literature and guidelines for use

  • Overview of common treatment interventions and modalities
  • Review of indications and contraindications for use of treatment interventions
  • Including manual therapy, massage, pelvic floor interventions, acupuncture, ultrasound  and different types of electrical stimulation.

Module 2: Exercise interventions at all stages of cancer and treatment

  • Benefits of exercise- Review of the literature
  • Risks associated with exercise during treatment

Module 3: Safety considerations post chemotherapy

  • Metabolic alterations and exercise prescription
  • Risk management of Hematological effects of chemotherapy: rehabilitation implications
  • Risk management Cardiovascular effects of chemotherapy

Module 4: Bone metastasis

  • Types of lesions
  • Impact on tensile strength and function
  • Clinical fracture risk assessment
  • Pain origins and symptom profile related to different bone lesions
  • Specific characteristics and incidence related to breast, lung, and prostate cancers
  • Medical management
  • Physiotherapy assessment

Module 5: Skeletal fragility due to cancer treatment

  • Patients at risk for development of bone fragility related to cancer treatment
  • Screening tools
  • Limitations and recommendations for exercise

Module 6: Radiation fibrosis

  • Role of radiotherapy in cancer treatment
  • Delivery and dosage parameters
  • Factors related to the development of radiation fibrosis
  • Radiation induced musculoskeletal and neurological conditions
  • Clinical assessment
  • Rehabilitation interventions

Module 7: Breast cancer

  • Diagnostic terminology and staging
  • Surgical and medical treatment interventions
  • Side effects of treatment
  • Breast cancer assessment and outcome measures
  • Breast cancer rehabilitation

Module 8: Introduction to lymphedema

  • Lymphatic system
  • Pathophysiology of lymphedema
  • Clinical stages, signs, and symptoms
  • Recognition & risk management
  • Treatment

Module 9: Rehabilitation of patients with Lung cancer

  • Pathology, diagnosis and staging
  • Medical and surgical treatment interventions
  • Side effects of  disease and treatment 
  • Clinical assessment
  • Rehabilitation and exercise interventions related to type and stage of disease

Module 10: Rehabilitation of patients with hematological cancers

  • Review of diverse blood functions and prevalence of hematological cancers
  • Pathology, diagnosis and staging of lymphoma, leukemia and multiple myeloma
  • Medical treatment interventions including stem cell transplant
  • Musculoskeletal, neurological and cardio respiratory side effects of disease and treatment 
  • Functional risk management
  • Rehabilitation and exercise interventions related to type and stage of disease

* You can view the online course whenever you want, there is no deadline for completion.

* Within a maximum of 24 business hours following your purchase (8:00 a.m. to 5:00 p.m., Monday to Friday), you will receive all the necessary information by email to view the course.


  1. Recognize and understand the unique rehabilitation needs related to:
    • Pathology, location, and stage of disease for specific cancers
    • Medical treatment interventions related to specific cancers including surgical reconstruction
    • Dysfunction commonly associated with specific cancers including: breast, prostate, lung, head and neck, and hematological cancers.
  2. Derive assessment protocols based upon:
    • Stage of disease and prognosis 
    • Goals of patient and residual functional problems
    • Outcome measures validated in specific populations
    • Clinical observations related to the common side effects of treatment
    • Physical examination and functional testing appropriate to the cancer location and trajectory
  3. Derive intervention strategies based upon realistic goals and client-centered outcomes that may include but not be limited to:
    • Education
    • Manual therapy
    • Therapeutic exercise 
    • Functional testing and activity training

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