Rehabilitation therapy for patients with glioma

Zhao, Kai; Yu, Chaojun; Gan, Zhichao; Huang, Ming; Wang, Tingting; Zhao, Ninghui

doi:10.1097/md.0000000000023087

Cited by 17 publications

(10 citation statements)

References 34 publications

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“…More recently, a systematic review and meta-analysis evaluated the effectiveness of rehabilitation therapy for patients with glioma, including only papers (8) that used the Functional Independence Measure (FIM) as outcome measure, with a total of 375 patients. Meta-analysis of total FIM ( P < .001), motor FIM ( P < .001) and cognitive FIM ( P < .001) indicated that rehabilitative intervention induced a significant improvement of functional prognosis and QoL of glioma patients, through the recovery of motor and cognitive functions [34]. Similarly the beneficial effects of rehabilitation was confirmed by a focused review that underlined the need for an individualized multidisciplinary rehabilitation intervention to treat functional impairment due to the tumour itself and/or treatment-related dysfunction [30 ▪ ].…”

Section: Text Of Reviewmentioning

confidence: 99%

Neurorehabilitation in brain tumours: evidences and suggestions for spreading of knowledge and research implementation

Bartolo,

Intiso,

Zucchella

2023

Current Opinion in Oncology

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Purpose of review The last few decades have seen an increase in life expectancy in brain tumour patients; however, many patients report sensory-motor and cognitive disabilities due to the tumour itself, but also to the effect of anticancer treatments (surgery, radiotherapy, chemotherapy), supportive treatments, as well as individual patient factors. This review outlines the principles on which to base neurorehabilitation treatments, with the aim of stimulating an early rehabilitative management, in order to reduce disability and functional limitation and improve the quality of life of the persons affected by brain tumour. Recent findings Although not definitive, evidences suggest that an early neurorehabilitative evaluation, performed with a multidisciplinary approach, may identify the different functional impairments that can affect people with brain tumour. Furthermore, identifying and classifying the person's level of functioning is useful for designing achievable recovery goals, through the implementation of tailored multidisciplinary rehabilitation programs. The involvement of different professional figures allows to treat all the components (physical, cognitive, psychological and participation) of the person, and to redesign one's life project, lastly improving the quality of life. Summary Overall, the evidences suggest a critical need for the development of this clinical area by spreading the concept of rehabilitation among neuro-oncologists and producing high quality research.

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Section: Text Of Reviewmentioning

confidence: 99%

Neurorehabilitation in brain tumours: evidences and suggestions for spreading of knowledge and research implementation

Bartolo,

Intiso,

Zucchella

2023

Current Opinion in Oncology

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“…Glioma patients have a wide range of palliative care requirements, including requirements for physical, psychological, social, and spiritual support. Rehabilitation plays a very crucial role in the prevention of postoperative complications after any neurosurgery, like deep vein thrombosis and pressure sores due to prolonged bed rest, reduces the length of hospital stay, decreases time on ventilation, improves muscle strength, and increases independence in activities of daily living to improve functional capacity and quality of life [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Integrating Physiotherapy for Enhancing Functional Recovery in Glioblastoma Multiforme: A Case Report

Burile,

Raghuveer,

Chandankhede

et al. 2024

Cureus

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Glioblastoma is the most prevalent primary brain tumor. Because glioblastomas are very vascular, they may worsen the disease's neurologic symptoms by causing vasogenic brain edema and mass effects with a wide range of other symptoms. In this case report, a 42-year-old male complaining of severe headache, generalized weakness, and forgetfulness was brought to a territory care hospital, where a detailed neurological examination and investigations with magnetic resonance imaging (MRI) revealed a grade IV (high-grade) glioma at the right frontotemporal and capsuloganglionic regions of the brain, and was suggested for surgery. Postoperatively, the patient was referred for chemotherapy, but due to severe weakness, fatigue, and motor deficits, he was referred for physiotherapy. Follow-up was conducted to monitor the patient's progression using various outcome measures. These measures included the Functional Independence Measure (FIM), the Intensive Care Unit (ICU) Mobility Scale, the Glasgow Coma Scale (GCS), the modified Rankin Scale (mRS), and the Karnofsky Performance Status (KPS) Scale. Significant improvement was observed in the patient's symptoms, as tracked by these outcome measures. Therefore, it is important that a tailored rehabilitation protocol of six weeks was planned, focusing on palliative care and some symptoms of weakness, reduced strength, tone, and breathlessness to prevent secondary complications like deep vein thrombosis, irritability, anxiety, forgetfulness, decreased balance, and coordination in sitting. Since the prognosis of grade IV glioblastoma is poor, the goal-oriented rehabilitation program will help improve the palliative status and the overall quality of life of the patient.

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“…After the operation, the rehabilitation should involve a tailored plan aimed at restoring muscle strength and joint function, enhancing mobility, and providing the patient with the confidence to live an active life [ 8 ]. The rehabilitative intervention has an enormous effect on the patient's motor function, perception, psychology, and quality of life [ 9 ]. The key objective of physical therapy is to enhance the patient's motor skills, muscle tone, mobility, perception of sensation, and self-reliance.…”

Section: Introductionmentioning

confidence: 99%

Neurophysiotherapy in Grade II Diffuse Astrocytoma: A Case Report

Sheikh,

Akhuj,

Raghuveer

et al. 2024

Cureus

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Diffuse astrocytoma is a slow, progressive, and invasive tumor that develops from astrocytes and there is no discernible boundary between tumor and brain cells. We present a case of a 48-year-old woman with diffuse astrocytoma who experienced sudden left-sided weakness, multiple convulsive episodes, and vomiting. The patient underwent surgery for a left occipital mini craniotomy with complete tumor removal through a titanium burr hole. Postoperatively, the patient complained of bilateral upper and lower extremities weakness, and decreased muscular tone was found; hence, she was referred to undergo neurophysiotherapy. A four-week rehabilitative protocol was started. Physiotherapy is critical in these patients for ensuring early and rapid recovery and treating the condition's clinical manifestations. The outcome measures employed were the tone grading scale, the Brunnstrom recovery stage, and the Functional Independence Measure (FIM). This case study concludes that physiotherapy rehabilitation for an operated case of grade 2 diffuse astrocytoma led to improved lower limb strength, normal tone, and improved functional independence, which helped the patient achieve better functional activities and a greater quality of life.

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Rehabilitation therapy for patients with glioma

Cited by 17 publications

References 34 publications

Neurorehabilitation in brain tumours: evidences and suggestions for spreading of knowledge and research implementation

Neurorehabilitation in brain tumours: evidences and suggestions for spreading of knowledge and research implementation

Integrating Physiotherapy for Enhancing Functional Recovery in Glioblastoma Multiforme: A Case Report

Neurophysiotherapy in Grade II Diffuse Astrocytoma: A Case Report

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