Postural balance in pediatric posterior fossa tumor survivors: Through impairments to rehabilitation possibilities

Dreneva, Anna; Skvortsov, Dmitry

doi:10.1016/j.clinbiomech.2019.10.025

Cited by 9 publications

(11 citation statements)

References 27 publications

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“…First, we analyzed the physical functioning. In line with previous literature, nearly all of the children suffered from disturbed balance at the time of administration in the Child Rehabilitation Centre, which was mainly found in patients with a medulloblastoma [ 9 , 10 , 25 ]. This postural problem is most likely caused by the tumor invasion or derived from extensive neurosurgical removal.…”

Section: Discussionsupporting

confidence: 85%

“…Not surprisingly, impaired physical functioning is most remarkable in the subscale “balance” [ 9 ]. A permanent impairment of the postural function, attributed to both the primary tumor and its oncological treatment was demonstrated by Dreneva et al [ 10 ]. Research specifically enlightening the impact of ataxia and the other consequences on physical functioning are rather sparse [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Motor Functioning and Intelligence Quotient in Paediatric Survivors of a Fossa Posterior Tumor Following a Multidisciplinary Rehabilitation Program

Decock

Wilde

Looven

et al. 2022

IJERPH

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Background: Short- and long-term consequences after treatment for childhood fossa posterior tumors are extensively reported in the literature; however, papers highlighting physical function throughout rehabilitation and its correlation with Intelligence Quotient (IQ) are sparse. This study aims to describe the physical functioning and IQ of these survivors, their progression during rehabilitation, and the association with histopathological tumor classification. Additionally, the correlation between gross motor functioning and cognitive functioning was investigated. Methods: This retrospective single-center cohort study included 56 children (35 (62.5%) males and 21 (37.5%) females, with an average age of 6.51 years (SD 4.13)) who followed a multidisciplinary program at the Child Rehabilitation Centre, Ghent University Hospital in the period from 2005 to 2020. Descriptive statistical analysis was performed with the use of non-parametric tests and linear regression to determine the relationship between gross motor functioning and IQ. Results: This report shows impaired motor and intelligence performance in children with a fossa posterior tumor. Although multidisciplinary rehabilitation is beneficial, it is not able to counteract the further decline of several motor skills and intelligence during oncological treatment, more specifically in children with a medulloblastoma. A correlation between gross motor function and total IQ was found. Conclusion: Pediatric survivors of a fossa posterior tumor experience impaired physical and intellectual functions, with more decline during oncological treatment despite simultaneous multidisciplinary rehabilitation.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Motor Functioning and Intelligence Quotient in Paediatric Survivors of a Fossa Posterior Tumor Following a Multidisciplinary Rehabilitation Program

Decock

Wilde

Looven

et al. 2022

IJERPH

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“…Bilateral coordination in control group has a median score of 18 (IQR=17. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] (Table 2, Fig. 2)…”

Section: Bilateral Coordinationmentioning

confidence: 99%

“…12 However, a small sample size, as well as the lack of consensus on rehabilitation plans do not allow positive results to be explicitly transferred to other survivors after posterior fossa tumor. 13 Coordination of many body parts to achieve smooth movements is generally agreed to be the specific role of cerebellar control. It is generally believed that this is due to the "fine tuning" of many motor pattern generators below the cerebellum in the spinal cord, brain stem, and motor cortex.…”

Section: Introductionmentioning

confidence: 99%

Impact of Physical Activity on Postural Stability and Coordination in Children With Posterior Fossa Tumor: Randomized Control Phase Iii Trial

Usama

Abdelaziem

Rashed

et al. 2022

Preprint

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Background: Posterior fossa tumor is a type of brain tumor that is located at the borders of both the brain stem and cerebellum. The cerebellum is the brain region in charge of balance and coordination. Pediatric patients diagnosed with posterior fossa tumor have been reported to fall frequently. Objectives: The aim of this study is to investigate the effectiveness of balance and coordination training in these children. Methods: This randomized control clinical trial (ClinicalTrials.gov Identifier: NCT04528316) was carried out between September 2020 and April 2021 at Children Cancer Hospital-57357. The inclusion criteria were - patients with posterior fossa tumor in maintenance phase and, age between 5-12 years. The exclusion criteria were - patients who had a genetic disorder or suffer from mental retardation, a chronic lung disease, sever cardiomyopathy, or a neuromuscular disease that does not not related to tumor. The study participants were randomly assigned into three groups: Group I/Control group: they received Pilates core stability exercises program, Group II/Postural stability group: They received the same program plus HUMAC balance program, and Group III/Coordination group: They received the same program plus coordination exercises of BOT-2. The semi-parametric proportional odds model was used to compare follow up scores of the Postural stability group vs Control, and Coordination group vs Control, while adjusting for baseline values. All tests were two-sided, with alpha set to 0.05. Results: Sixty children including 38 boys and 22 girls were enrolled in this study. In all three groups, postural stability and coordination improved significantly in terms of modified clinical test of sensory integration of balance, center of pressure, limits of stability, bilateral coordination, and upper-limb coordination. Conclusion: The current study supports the value of adding postural stability and coordination training to the physiotherapy plan for children with posterior fossa tumor. Keywords: Posterior fossa tumor, Children, HUMAC, BOT-2, Postural stability, Balance, Coordination.

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“…Еще одна группа методов для реабилитации когнитивных функций использует механизмы биологической обратной связи, которые позволяют пациентам получать информацию об их биологической активности и тем самым самостоятельно контролировать различные виды биологической активности организма. Для этого используются такие методы, как электроэнцефалография, стабилометрия и другие [46].…”

Section: возможности реабилитации когнитивных функций у пациентов пер...unclassified

Когнитивные Нарушения И Возможности Их Коррекции У Детей, Перенесших Злокачественные Новообразования Задней Черепной Ямки: Аналитический Обзор

Дренёва¹,

Девятерикова²

2021

Психиатрия

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Данная работа носит обзорно-аналитический характер и систематизирует исследования по проблемам детской нейроонкологии, когнитивных нарушений и возможностей реабилитации когнитивных функций детей, переживших злокачественные опухоли головного мозга. Онкологические заболевания являются одной из ведущих причин детской смертности в мире. Наиболее распространенными онкологическими диагнозами среди детей являются злокачественные новообразования головного мозга, в частности опухоль задней черепной ямки медуллобластома. Современные методы лечения онкологических заболеваний привели к существенному повышению выживаемости, однако у пациентов часто наблюдаются отсроченные негативные последствия в когнитивной, моторной, личностной и социальной сферах. Негативные последствия могут быть вызваны как самой опухолью, так и методами терапии. Наиболее важным и дезадаптирующим следствием болезни является снижение когнитивных функций: внимания, рабочей памяти, речи, управляющих функций. В частности, наблюдаются такие нарушения, как снижение объема рабочей памяти и скорости переработки информации; нарушения зрительно-пространственных функций, метакогнитивных функций, речи, планирования и контроля. Вследствие когнитивной дефицитарности у детей, переживших онкологическое заболевание, снижается уровень академической успеваемости, социальной адаптации и качества жизни в целом. Учитывая потенциальное влияние перечисленных нарушений на повседневную жизнь детей, актуальной задачей нейроонкологии и клинической психологии является разработка программ реабилитации дефицитарных функций. Данные литературы демонстрируют эффективность тренировки когнитивных функций рабочей памяти, кратковременной памяти, внимания, скорости обработки информации, когнитивной гибкости. Реабилитационные программы, направленные на когнитивные функции, могут использовать цифровые технологии, физические упражнения, биологическую обратную связь, междисциплинарный подход, формирование позитивной академической среды. Результаты исследований показывают эффективность отдельных реабилитационных программ для восстановления и развития когнитивных функций, нарушенных вследствие опухоли и ее лечения. Вместе с тем необходимы дальнейшие исследования по разработке комплексных реабилитационных программ и оценке их применимости для детей, перенесших опухоли задней черепной ямки. This work presents the analytical review, which systematizes literature on the problems of pediatricneuro-oncology, cognitive deficits, and rehabilitation possibilities of cognitive functions in children,who survived brain tumors.Oncology remains one of the leading causes of child mortality all over the world. The most commononcological diagnoses among children are malignant tumors of the brain, in particular the tumorappearing in the posterior fossa, which is called medulloblastoma. Treatment of medulloblastomaincludes surgery, as well as radiation therapy (craniospinal irradiation) and polychemotherapy.Current methods of treating oncological diseases led to significant increase of survival rates.However, patients often have negative consequences and late side-effects in cognitive,motor, personality and social spheres. Negative effects can be caused both by the tumoritself and the treatment. The most important and maladaptive consequence of the diseaseis the decrease of cognitive functions: attention, working memory, speech, executive controlfunctions. In particular, there are observed such impairments as the decrease of the volume ofworking memory and information processing speed; deficiency in the visuospatial function,metacognitive functions, speech, planning and executive control. Due to the obvious cognitivedeficiency in children, who survived posterior fossa tumors, the level of academic performance,social adaptation and quality of life in general are influenced negatively and remain impairedfor a long period of time.Taking into account the potential impact of these disorders on the children’s everydayperformance, the urgent issue in the fields of neuro-oncology and clinical psychology is todevelop programs for rehabilitation of the impaired functions. The literature demonstrates theeffectiveness and feasibility of training of such cognitive functions as working memory, shorttermmemory, attention, information processing speed, cognitive flexibility. Rehabilitationprograms aimed at cognitive functions can use digital technologies, physical exercises, biologicalfeedback, an interdisciplinary approach, providing positive academic environment. The resultsreported in the papers show the effectiveness of individual rehabilitation programs for therecovery and development of cognitive functions. However, further studies are necessary todevelop comprehensive rehabilitation programs and evaluate their applicability in children, whosurvived posterior fossa tumors.

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Postural balance in pediatric posterior fossa tumor survivors: Through impairments to rehabilitation possibilities

Cited by 9 publications

References 27 publications

Motor Functioning and Intelligence Quotient in Paediatric Survivors of a Fossa Posterior Tumor Following a Multidisciplinary Rehabilitation Program

Motor Functioning and Intelligence Quotient in Paediatric Survivors of a Fossa Posterior Tumor Following a Multidisciplinary Rehabilitation Program

Impact of Physical Activity on Postural Stability and Coordination in Children With Posterior Fossa Tumor: Randomized Control Phase Iii Trial

Когнитивные Нарушения И Возможности Их Коррекции У Детей, Перенесших Злокачественные Новообразования Задней Черепной Ямки: Аналитический Обзор

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