Rehabilitation in primary and metastatic brain tumours

Tang, Vikki; Rathbone, Michel P.; Dorsay, Jan Park; Jiang, Shan; Harvey, Danielle

doi:10.1007/s00415-008-0695-z

Cited by 86 publications

(103 citation statements)

References 41 publications

(57 reference statements)

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“…Though it has been found that high dose dexamethasone administration, organ metastases, and increased brain lesions may indicate poorer prognosis, rehabilitation interventions have still shown improved functional gains [22]. However, concern of the establishment of brain tumor specific inpatient rehabilitation programs has been related to medical complexity, prognosis, and increased rate of transfer to acute care for medical treatment; only 11.3% of our patients required acute medical transfer, which was significantly better than previously reported results [24].…”

Section: Discussioncontrasting

confidence: 58%

“…Our length of stay was 18.13, which was decreased compared to previously reported results [14,19,20,22,23]. This may be a function of neurological recovery after space occupying lesions are surgically excised [19].…”

Section: Discussioncontrasting

confidence: 50%

“…Motor FIM gains were significant after acute inpatient rehabilitation for glioblastoma multiforme, brain metastases, and other brain tumors [22]. Patients with brain metastases had higher admission total FIM and motor FIM scores, whereas patients with glioblastoma multiforme had higher cognitive FIM scores overall.…”

Section: Discussionmentioning

confidence: 91%

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Variations in Functional Outcome Stratified by Discharge Disposition and Oncological Treatment Groups After Acute Inpatient Rehabilitation for Brain Tumor Patients

Raj¹

2012

TOREHJ

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Section: Discussioncontrasting

confidence: 58%

Section: Discussioncontrasting

confidence: 50%

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Variations in Functional Outcome Stratified by Discharge Disposition and Oncological Treatment Groups After Acute Inpatient Rehabilitation for Brain Tumor Patients

Raj¹

2012

TOREHJ

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“…[15][16][17][18][19][20][21][22][23][24][25][26][27] A number of evaluation scales were applied in the studies; however, as the most common were Functional Independence Measure (FIM) and Barthel Index (BI) scales, only articles with complete FIM and/or BI data were selected for the meta-analysis. References of selected articles were used to identify further studies meeting the inclusion criteria.…”

Section: Search Methods For Meta-analysismentioning

confidence: 99%

Rehabilitation in Neuro-Oncology: A Meta-Analysis of Published Data and a Mono-Institutional Experience

Formica

Monte²,

Giacchetti

et al. 2010

Integr Cancer Ther

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Background. Rehabilitation for cancer patients with central nervous system (CNS) involvement is rarely considered and data on its use are limited. The purpose of the present study is to collect all available published data on neuro-oncology rehabilitation and perform a meta-analysis where results were presented in a comparable manner. Moreover, the authors report results on cancer patients with neurological disabilities undergoing rehabilitation at their unit. Study design. A PubMed search was performed to identify studies regarding cancer patients with CNS involvement undergoing inpatient physical rehabilitation. Studies with a complete functional evaluation at admission and discharge were selected. As the most common evaluation scales were Functional Independence Measure (FIM) and Barthel Index (BI), only articles with complete FIM and/or BI data were selected for the meta-analysis. Moreover, 23 cancer patients suffering from diverse neurological disabilities underwent standard rehabilitation program between April 2005 and December 2007 at the San Raffaele Pisana Rehabilitation Center. Patient demographics and relevant clinical data were collected. Motricity Index, Trunk Control Test score, and BI were monitored during rehabilitation to assess patient progresses. BI results of patients in this study were included in the meta-analysis. Results. The meta-analysis included results of a total of 994 patients. A statistically significant (P < .05) improvement of both BI and FIM scores was demonstrated after rehabilitation (standardized mean difference = 0.60 and 0.75, respectively). Functional status determined by either FIM or BI improved on average by 36%. Conclusion. Published data demonstrate that patients with brain tumors undergoing inpatient rehabilitation appear to make functional gains in line with those seen in similar patients with nonneoplastic conditions.

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“…The TUG correlates well with the Berg Balance Scale (BBS) (often used to assess patients with stroke), which in turn correlates well with the Tinetti [23][24][25][26][27][28]. Because neurological and mobility deficits and pattern of recovery of brain tumor patients is similar to that observed after stroke [14][15][16][29][30][31], and the TUG and Tinetti have been reliably validated for use in the stroke population [32,33], both the TUG and Tinetti are appropriate for use in brain tumor patients, too. The TUG and Tinetti have been shown to be valid in monitoring change in performance over time [23,[34][35][36].…”

Section: Introductionmentioning

confidence: 99%

Relationship of Balance and Mobility Status to Quality of Life in Patients with Primary Brain Tumors: A Pilot Study

Krug¹,

Litofsky

2014

Int J Phys Med Rehabil

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Objective: Most research regarding the effectiveness of brain tumor treatments measure survival time, recurrence rate, and extent of surgical resection. Objective measurements of functional abilities and self-perceived quality of life (QoL) are important aspects of treatment response, yet these are not commonly assessed. This study was designed to determine the relationship between balance and mobility status and self-perceived QoL for patients before and after surgical excision of primary brain tumors. Methods:Nine adults who underwent surgical excision of presumed primary brain tumor were assessed prior to, immediately following, and 3 months post-surgery utilizing the Timed Up-and-Go (TUG), Tinetti PerformanceOriented Mobility Assessment (Tinetti) and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). ANOVA with repeated measures over time was performed on the data across the three time points. Outcome measures were correlated using Spearman's correlations. Statistical significance for all tests was accepted at p < 0.05. Results:Balance, mobility and QoL measures changed significantly from pre-surgery to immediately postsurgery and from immediately post-surgery to 3 months later. However, neither QoL nor balance or mobility demonstrated significant change from pre-surgery to 3 months post-surgery. These results reflect clinically-noted changes in physical abilities the 3 time points. All measures significantly correlated at the two post-surgery measurements, indicating a close link between balance and mobility and QoL. Conclusion:The TUG and Tinetti can be used in brain tumor patients to quantify clinical changes in balance and mobility. These changes correlate with QoL over time.

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Rehabilitation in primary and metastatic brain tumours

Cited by 86 publications

References 41 publications

Variations in Functional Outcome Stratified by Discharge Disposition and Oncological Treatment Groups After Acute Inpatient Rehabilitation for Brain Tumor Patients

Variations in Functional Outcome Stratified by Discharge Disposition and Oncological Treatment Groups After Acute Inpatient Rehabilitation for Brain Tumor Patients

Rehabilitation in Neuro-Oncology: A Meta-Analysis of Published Data and a Mono-Institutional Experience

Relationship of Balance and Mobility Status to Quality of Life in Patients with Primary Brain Tumors: A Pilot Study

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